Stress, coping, and psychological adjustment of adults with sickle cell disease
Abstract
A transactional model of psychological adjustment to chronic illness was examined with 109 African-American adults with sickle cell disease (SCD). Good psychological adjustment was associated with lower levels of perceived daily stress and stress regarding SCD illness tasks, higher efficacy expectations, less use of palliative coping methods, less use of negative thinking/passive adherence pain-coping strategies, and family functioning characterized by high levels of support and low levels of conflict and control. Overall the underlying stress and coping conceptual model accounted for 44-50% of the variance in psychological adjustment.
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Positive outcome expectancy has been identified as a protective factor in the transition from acute to chronic pain.
“Positive outcome expectancy has been identified as a protective factorfrom the transition from acute to chronic pain 354–356.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [356]
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- Authors
- Thompson, R. J., Gil, K. M., Abrams, M. R., & Phillips, G.
- Affiliations
- Duke Medical Center (US)
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 1992
- Volume
- 60
- Issue
- 3
- Pages
- 433-440
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- OpenAlex
- W2124678017
- Cited by
- 128
- References
- 0
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 3 · 2022: 3 · 2021: 3 · 2020: 2 · 2019: 2 · 2018: 2 · 2017: 2 · 2016: 1 · 2015: 2 · 2014: 2 · 2013: 3 · 2012: 2
- FWCI
- 2.53
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r29hl039124-05, 5p60hl028391-15)
- National Heart, Lung, and Blood Institute (P60HL-28391, HL-28391, HL39124)
- Topics
- Health Sciences › Medicine › Genetics › Hemoglobinopathies and Related Disorders
- Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
- Social Sciences › Psychology › Applied Psychology › Optimism, Hope, and Well-being
- Keywords
- sickle cell disease, psychological adjustment, chronic disease, perceived stress, coping strategies, efficacy expectations, family functioning, family support, family conflict, family control, African American adults, pain coping, transactional model
- MeSH terms
- Adaptation, Psychological, Adolescent, Adult, Age Factors, Aged, Black or African American, Chronic Disease, Family, Female, Hemoglobin SC Disease, Humans, Life Change Events, Male, Middle Aged, Personality Inventory, Sex Factors, Social Support, United States, Black People
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