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Effects of Self-Management Training on Smartphone Dependence in Low to Moderate Adolescent Males’ Users. BEHAVIOUR CHANGE 2022. [DOI: 10.1017/bec.2022.3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
Abstract
While taking advantage of the educational benefits of smartphones, students also apply this device in inappropriate ways that cause certain disciplinary and educational problems. This study examines the effect of self-management training on smartphone dependence among male high school students. Methods: In this quasi-experimental study, data were collected using the Cell Phone Addiction Scale (Koo, 2009), which was completed by the trial and control groups before and after the educational intervention. After assessing their normal distribution, the data were analysed using the Chi-square test, the independent and paired t-tests, Mann–Whitney's U-test, and the Wilcoxon test at a significance level of p < .05. Results: The results showed significant post-intervention reductions in the mean score of smartphone dependence (35.10) and its three domains, including withdrawal/tolerance (14.80), life dysfunction (8.70), and compulsion/persistence (11.60), in the trial group compared to the controls (44.80, 16.2, 12.10, and 16.50) and also in the mean score of certain applications of smartphones (p < .05). Discussion and conclusions: Despite the existing limitations, the results confirmed the efficacy of self-management training in reducing smartphone dependence in the students. The implementation of this programme is recommended for reducing dependence and promoting the proper use of this device.
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Amertil NP, Ayitey EK, Kpongboe DG, Attafuah PYA. Exploring self-management in adult sickle cell disease patients' at a Teaching Hospital in Ghana. Nurs Open 2021; 8:1336-1344. [PMID: 33369204 PMCID: PMC8046119 DOI: 10.1002/nop2.750] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2020] [Revised: 10/27/2020] [Accepted: 12/07/2020] [Indexed: 11/10/2022] Open
Abstract
AIM To evaluate the relationships among self-efficacy, uncertainty, self-management and emergency hospital visits yearly among adult sickle cell disease patients' and related demographics at a Teaching Hospital in Ghana. DESIGN A quantitative cross-sectional design. METHOD A purposive and convenience sample of 85 adult clients from a sickle cell clinic in Ghana completed research instruments. Data collection occurred in March and April 2019. Instruments used were the self-efficacy scale, self-care agency scale, Mishel uncertainty scale and socio-demographic variables. Pearson correlation and regression techniques were used for analysis. FINDINGS The correlation results showed a low positive and significant correlation between self-efficacy and self-management (r = 0.357, p < .01), a significant moderate negative relationship between self-efficacy and uncertainty (r = -0.459, p < .01) and a significant low negative relationship between self-management and uncertainty. For the regression, employment (p = .003) and marital status (p = .002) significantly predicted self-management among others. CONCLUSION Self-efficacy had positive and significant relationship with self-management. Similarly, patients with family support and employment experienced better self-management. Furthermore, patients with higher education and living with family had reduced illness uncertainty. Thus, the findings can improve self-care measures and mitigate illness uncertainty for better health outcomes.
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Affiliation(s)
- Ninon P. Amertil
- School of Nursing and MidwiferyValley View UniversityOyibi, AccraGhana
| | | | | | - Priscilla Y. A. Attafuah
- School of Nursing and MidwiferyValley View UniversityOyibi, AccraGhana
- School of Nursing and MidwiferyUniversity of GhanaAccraGhana
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The self-efficacy improvement in adolescent girls with type 1 diabetes mellitus with self-care education through mobile-based social networking. Int J Diabetes Dev Ctries 2021. [DOI: 10.1007/s13410-021-00929-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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Wilson JD, Pecker LH, Lanzkron S, Bediako SM, Han D, Beach MC. Marijuana use and health behaviors in a US clinic sample of patients with sickle cell disease. PLoS One 2020; 15:e0235192. [PMID: 32663844 PMCID: PMC7360374 DOI: 10.1371/journal.pone.0235192] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2019] [Accepted: 05/28/2020] [Indexed: 11/29/2022] Open
Abstract
Introduction As marijuana use becomes more common, it is essential clinicians understand the relationship between marijuana use and health behaviors. Methods Using a retrospective cohort of adolescents and adults with sickle cell disease (SCD) stratified into a young (<25 years) and older cohort (> = 25 years), we conducted multiple linear regression examining relationship of marijuana use (independent variable) on each dependent variable (SCD self-management score and pain management). Results Among young cohort, 16.9% used marijuana compared to 21.8% of older cohort. The younger cohort reporting marijuana use had lower mean self-care scores (β = -2.74;p = 0.009) and were more likely to have admissions to the hospital for pain (β = 0.87;p = 0.047) compared to non-users. In contrast, the older cohort reporting marijuana use had more days treating pain at home (β = 0.44;p = 0.035). Conclusions Only a minority of patients with SCD reported lifetime marijuana use. Among those reporting marijuana use, there were different associations with self-care and health-related behaviors by age. The older cohort who endorsed marijuana use reported more days of treating pain at home, although this did not translate into increased acute care visits for pain crisis. Among youth, endorsing marijuana use was associated with worse SCD self-care.
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Affiliation(s)
- J. Deanna Wilson
- Department of Medicine, Division of General Internal Medicine, University of Pittsburgh, Pittsburgh, PA, United States of America
- Department of Pediatrics, Division of Adolescent and Young Adult Medicine, University of Pittsburgh, Pittsburgh, PA, United States of America
- * E-mail:
| | - Lydia H. Pecker
- Department of Pediatrics, Division of Pediatric Hematology, Johns Hopkins University School of Medicine, Baltimore, MD, United States of America
| | - Sophie Lanzkron
- Department of Medicine, Division of Hematology, Johns Hopkins University School of Medicine, Baltimore, MD, United States of America
| | - Shawn M. Bediako
- Department of Psychology, University of Maryland, Baltimore County, Baltimore, MD, United States of America
| | - Dingfen Han
- Department of Medicine, Division of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States of America
| | - Mary Catherine Beach
- Department of Medicine, Division of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States of America
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Speller-Brown B, Varty M, Thaniel L, Jacobs MB. Assessing Disease Knowledge and Self-Management in Youth With Sickle Cell Disease Prior to Transition. J Pediatr Oncol Nurs 2018; 36:1043454218819447. [PMID: 30565490 PMCID: PMC6675670 DOI: 10.1177/1043454218819447] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
INTRODUCTION Transition of medical care from pediatrics to adult can be challenging and difficult. Until the 1970s, only half of patients diagnosed with sickle cell disease (SCD) reached adulthood. As a result of patients living longer, there is a growing need to understand factors that influence readiness to transition. This descriptive study examined age-specific SCD knowledge, self-management skills of patients, and education goals in a convenience sample of patients and their parents. METHOD One hundred eighty-three transition surveys were distributed during scheduled hematology clinic visits. Surveys were analyzed with descriptive statistics to determine differences of knowledge between age groups, self-care skills, vocational supports, and educational goals. The parent group consists of children aged 0 to 4 years (32), 5 to 8 years (52), 9 to 11 years (12); the child group consists of children aged 9 to 11 years (24) and 12 to 15 years (31); and adolescent and young adult (AYA) group consists of children aged 16 to 21 years (32). RESULTS Indeed, 50% of parents of the 0 to 4 years age group and 33% of 5 to 8 years age group knew their child's baseline hemoglobin. Only 38% of patients aged 16 to 21 years knew their baseline hemoglobin. However, 79% of patients aged 9 to 11 years, 74% of patient aged 12 to 15 years, and 78% of AYAs could name their hematology provider. Only 66% of patients aged 16 to 21 years knew what symptoms required medical attention. DISCUSSION Most patients and parents had adequate basic knowledge regarding SCD. AYAs lack the disease knowledge necessary to transition care away from parents to become more independent. An assessment for transition readiness should be ongoing to include disease-specific knowledge and self-management skills.
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Affiliation(s)
- Barbara Speller-Brown
- 1 Children's National Health System, Washington, DC, USA
- 2 The George Washington University, Washington, DC, USA
| | - Maureen Varty
- 3 MedStar Georgetown University Hospital, Washington, DC, USA
- 4 University of Missouri, Columbia, MO, USA
| | - Lisa Thaniel
- 1 Children's National Health System, Washington, DC, USA
| | - Marni B Jacobs
- 1 Children's National Health System, Washington, DC, USA
- 2 The George Washington University, Washington, DC, USA
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Haywood C, Lanzkron S, Diener-West M, Haythornthwaite J, Strouse JJ, Bediako S, Onojobi G, Beach MC. Attitudes toward clinical trials among patients with sickle cell disease. Clin Trials 2018; 11:275-283. [PMID: 24532686 DOI: 10.1177/1740774513519876] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Background A substantial number of planned clinical trials for sickle cell disease (SCD) have terminated early due to insufficient patient enrollment. Purpose To describe attitudes toward clinical trials among a sample of adults with SCD and identify patient-level factors associated with these attitudes. Methods Our data came from a sample (N = 291) of primarily adults with SCD participating in the Improving Patient Outcomes with Respect and Trust (IMPORT) study, which is a federally funded observational study of SCD patient experiences in seeking healthcare. Attitudes toward clinical trials were assessed using items from the Perceptions of Participation in Clinical Research instrument. Patient factors examined as potential correlates of clinical trial attitudes were demographics, disease severity, engagement in self-care, trust, healthcare experience ratings, and prior history of participation in clinical trials. Multiple regression analyses were used to identify patient-level correlates of clinical trial attitudes. Results Our sample of SCD patients expressed overwhelmingly favorable attitudes about clinical trials, with 77%-92% of our sample expressing agreement with a series of positive statements about clinical trials in general. Demographics, engagement in self-care, healthcare experience ratings, and prior trial participation each explained significant portions of the variability in clinical trial attitudes. Limitations The generalizability of our results to the entire SCD population may be of concern as the study participants were all receiving care at comprehensive sickle cell centers and already participating in clinical research. Conclusion Our results suggest that, in principle, adults with SCD enrolled in an observational study express very positive general attitudes about clinical trial participation and that specific factors attached to particular clinical trial opportunities may play a greater role in a SCD patient's decision to participate than a general unwillingness to participate.
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Affiliation(s)
- Carlton Haywood
- a Department of Medicine, The Johns Hopkins School of Medicine, Baltimore, MD, USA
| | - Sophie Lanzkron
- a Department of Medicine, The Johns Hopkins School of Medicine, Baltimore, MD, USA
| | - Marie Diener-West
- b Department of Biostatistics, The Johns Hopkins Bloomberg School of Public Health, Baltimore MD, USA
| | | | - John J Strouse
- d Department of Pediatrics, The Johns Hopkins School of Medicine, Baltimore, MD, USA
| | - Shawn Bediako
- e Department of Psychology, The University of Maryland Baltimore County, Baltimore MD, USA
| | - Gladys Onojobi
- f Department of Medicine, The Howard University Hospital, Washington, DC, USA
| | - Mary Catherine Beach
- a Department of Medicine, The Johns Hopkins School of Medicine, Baltimore, MD, USA
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Pouraboli B, Abedi HA, Abbaszadeh A, Kazemi M. Self-care in Patient with Major Thalassemia: A Grounded Theory. J Caring Sci 2017; 6:127-139. [PMID: 28680867 PMCID: PMC5488668 DOI: 10.15171/jcs.2017.013] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2016] [Accepted: 03/10/2017] [Indexed: 11/19/2022] Open
Abstract
Introduction: Self-care is the core concept of health care
and may be considered as one’s stabilization, and restoration as well as the improvement
of his/her health and well-being. Looking at the process of Self-care from patients’
perspective who suffer from thalassemia may assist the nurses and health care providers to
facilitate the health process. Thus this study was conducted to discover the process of
self-care in patients with major thalassemia. Methods: This qualitative study was conducted with grounded
theory approach. 21 patients with major thalassemia from a Medical Research Center,
supervised by Kerman Medical University, were selected through purposeful and theoretical
sampling. Data were collected by unstructured interviews which lasted 30-60 minutes. These
data were analyzed using the method of Corbin and Strauss. Results: The main theme of "struggling to improve life
quality" that included the sub-themes of "focus on needs of illness, "activating
resources" and "restoring a new identity with thalassemia" were extracted from the data.
This theme implies that participants endeavor to strengthen their self- efficacy via
thalassemia. "Looking for strengthening self-efficacy in light of thalassemia" was the
core theme in this study. Conclusion: Facilitating the process of self-care in
patients with major thalassemia requires that they be helped so that their self-efficacy,
influenced by real life conditions, might be strengthened in light of thalassemia.
Increasing public awareness and social support may affect the recognition of individual,
family and society.
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Affiliation(s)
- Batool Pouraboli
- Department of neonatal and Pediatric Nursing, Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Heidar Ali Abedi
- Department of Nursing, Faculty of Nursing and Midwifery, Khorasgan-Isfahan Branch, Islamic Azad University, Isfahan, Iran
| | - Abbass Abbaszadeh
- Department of Nursing, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Majid Kazemi
- Department of Nursing, Faculty of Nursing and Midwifery, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
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Bediako SM, Lavender AR, Yasin Z. Racial Centrality and Health Care Use Among African American Adults With Sickle Cell Disease. JOURNAL OF BLACK PSYCHOLOGY 2016. [DOI: 10.1177/0095798407307044] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The present study examined an exploratory model of the confluence of racial centrality, pain, psychological variables, and health care use in a sample of African American adults with sickle cell disease. Significant path coefficients were observed between pain severity, perceived stress, and psychological symptoms. The model yielded direct effects for paths to health care use from pain frequency and racial centrality—indicating that participants who reported more frequent pain episodes tended to use more health care services and those who endorsed a highly central African American identity utilized fewer health care services. Generally, these findings suggest a need for expanded thinking about determinants of health care use in this population beyond psychological and physiological variables. These findings support a rationale for further exploring the sociocultural context of sickle cell and highlight a specific need for better understanding the complex relationships among multidimensional aspects of racial identity and health care use.
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Sanger M, Jordan L, Pruthi S, Day M, Covert B, Merriweather B, Rodeghier M, DeBaun M, Kassim A. Cognitive deficits are associated with unemployment in adults with sickle cell anemia. J Clin Exp Neuropsychol 2016; 38:661-71. [DOI: 10.1080/13803395.2016.1149153] [Citation(s) in RCA: 41] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
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Speller-Brown B, Patterson Kelly K, VanGraafeiland B, Feetham S, Sill A, Darbari D, Meier ER. Measuring Transition Readiness: A Correlational Study of Perceptions of Parent and Adolescents and Young Adults with Sickle Cell Disease. J Pediatr Nurs 2015. [PMID: 26195300 DOI: 10.1016/j.pedn.2015.06.008] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
Adolescents and young adults (AYAs) often transfer from pediatric to adult care without adequate preparation, resulting in increased morbidity and mortality. The purpose of this descriptive research study of parent/AYA dyads was to measure perceptions of transition readiness. Factors that were found to be associated with perceptions of increased readiness to transition included AYA age, the amount of responsibility AYAs assume for their healthcare and the degree of parent involvement. More attention should be focused on these aspects of care to improve transition from pediatric to adult care for AYAs with sickle cell disease.
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Affiliation(s)
| | - Katherine Patterson Kelly
- Children's National, Washington, DC; The George Washington University School of Nursing, Washington, DC
| | | | | | | | - Deepika Darbari
- Children's National, Washington, DC; The George Washington University School of Medicine and Health Sciences, Washington, DC
| | - Emily R Meier
- Children's National, Washington, DC; The George Washington University School of Medicine and Health Sciences, Washington, DC
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Adult sickle cell quality-of-life measurement information system (ASCQ-Me): conceptual model based on review of the literature and formative research. Clin J Pain 2015; 30:902-14. [PMID: 24300219 DOI: 10.1097/ajp.0000000000000054] [Citation(s) in RCA: 56] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVES Research-derived evidence about the impact of sickle cell disease (SCD) on the lives of affected adults is lacking. We conducted formative research to provide the basis for a comprehensive description of how SCD affects the lives of adults, with the goal of developing a SCD-specific quality-of-life measurement system. METHODS We conducted a comprehensive literature review of patient-reported outcomes, followed by a series of focus groups and structured individual interviews with adults with SCD (n=122) and their health care providers (n=15). RESULTS We reviewed 473 abstracts and included 86 articles in the final review. The literature revealed broad categories of the impact of SCD and its treatment on the lives of adults-pain; emotional distress; social-role functioning; overall quality-of-life; and quality of care. We classified 1213 incidents from the focus groups and interviews into a taxonomy (16 domains) that met the criterion for saturation and was demonstrated to be reliable for the classification of incidents. The final conceptual model was built upon the taxonomy. DISCUSSION Our conceptual model was similar to previous models with the effects of pain predominating, interwoven with emotional distress, quality of care, and stigmatization. We found a broad range of emotions reflected, including positive effects of SCD. Items for the quality-of-life measure were derived from the taxonomy and the conceptual model may be of use in generating hypotheses for clinical research and improving understanding for clinicians of the lived experience of adults with SCD.
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Ahmadi M, Shariati A, Jahani S, Tabesh H, Keikhaei B. The Effectiveness of Self-Management Programs on Self-Efficacy in Patients With Sickle Cell Disease. ACTA ACUST UNITED AC 2014. [DOI: 10.17795/jjcdc-21702] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Taylor LEV, Stotts NA, Humphreys J, Treadwell MJ, Miaskowski C. A biopsychosocial-spiritual model of chronic pain in adults with sickle cell disease. Pain Manag Nurs 2013; 14:287-301. [PMID: 24315252 PMCID: PMC3857562 DOI: 10.1016/j.pmn.2011.06.003] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2010] [Revised: 06/04/2011] [Accepted: 06/06/2011] [Indexed: 01/30/2023]
Abstract
Chronic pain in adults with sickle cell disease (SCD) is a complex multidimensional experience that includes biologic, psychologic, sociologic, and spiritual factors. To date, three models of pain associated with SCD (i.e., biomedical model, biopsychosocial model for SCD pain, and Health Beliefs Model) have been published. The biopsychosocial multidimensional approach to chronic pain developed by Turk and Gatchel is a widely used model of chronic pain. However, this model has not been applied to chronic pain associated with SCD. In addition, a spiritual/religious dimension is not included in this model. Because spirituality/religion is central to persons affected by SCD, that dimension needs to be added to any model of chronic pain in adults with SCD. In fact, data from one study suggest that spirituality/religiosity is associated with decreased pain intensity in adults with chronic pain from SCD. A biopsychosocial-spiritual model is proposed for adults with chronic pain from SCD, because it embraces the whole person. This model includes the biologic, psychologic, sociologic, and spiritual factors relevant to adults with SCD based on past and current research. The purpose of this paper is to describe an adaptation of Turk and Gatchel's model of chronic pain for adults with SCD and to summarize research findings that support each component of the revised model (i.e., biologic, psychologic, sociologic, spiritual). The paper concludes with a discussion of implications for the use of this model in research.
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Affiliation(s)
- Lou Ella V Taylor
- Department of Physiological Nursing University of California, San Francisco.
| | - Nancy A Stotts
- Department of Physiological Nursing University of California, San Francisco
| | - Janice Humphreys
- Department of Family Health Care Nursing University of California, San Francisco
| | - Marsha J Treadwell
- Sickle Cell Center, Children's Hospital and Research Center, Oakland, California
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Edwards LY, Edwards CL. Psychosocial treatments in pain management of sickle cell disease. J Natl Med Assoc 2011; 102:1084-94. [PMID: 21141299 DOI: 10.1016/s0027-9684(15)30737-9] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
The principal symptom of sickle cell disease (SCD) is pain. Many studies have been conducted on pain management strategies for this illness. There is recognition that psychosocial factors influence clinical disease outcomes; therefore, more attention is being provided to behavioral interventions that address psychosocial problems. This review examines the psychosocial interventions that have been researched for children and adults with SCD, the limitations of these studies, and barriers to implementing the treatments. The intervention receiving the most empirical support was cognitive-behavioral therapy. Additional research is needed to define the efficacy and effectiveness of the other psychosocial treatments. Suggestions for future investigations include conducting research that has better methodology, and providing more education for health care providers about psychosocial treatments and the importance of considering cultural factors in health care delivery. In addition, individuals with SCD need to have more information about their illness and better access to psychosocial interventions.
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Affiliation(s)
- LeKisha Y Edwards
- Department of Psychiatry, Duke Pain and Palliative Care Center, Durham, North Carolina, USA.
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Jenerette CM, Murdaugh C. Testing the theory of self‐care management for sickle cell disease. Res Nurs Health 2008; 31:355-69. [DOI: 10.1002/nur.20261] [Citation(s) in RCA: 41] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Hilker KA, Sytsma Jordan S, Jensen S, Elkin TD, Iyer R. Development of a Screening Instrument of Adherence in Pediatric Sickle Cell Disease. CHILDRENS HEALTH CARE 2006. [DOI: 10.1207/s15326888chc3503_3] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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Jenerette C, Funk M, Murdaugh C. Sickle cell disease: a stigmatizing condition that may lead to depression. Issues Ment Health Nurs 2005; 26:1081-101. [PMID: 16284000 DOI: 10.1080/01612840500280745] [Citation(s) in RCA: 45] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Individuals with a chronic illness such as sickle cell disease are at risk for depression. Moreover, they are at risk for untreated depression. Depression may go untreated because of the stigma and high rates of disability associated with this chronic illness that most often affects African Americans in the United States. The purpose of this cross-sectional study was to describe depressive symptoms using the Beck Depression Inventory Fast Screen in a sample of 232 African American adults with sickle cell disease. Respondents reported higher levels of depression (26%) and depressive symptoms (32%) than did the overall United States population (9.5%). All adults with chronic illnesses need to be screened for depression in primary care practice sites where the diagnosis and treatment of depression needs to be coordinated.
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