The distinct longitudinal impact of pain catastrophizing on pain interference among youth living with sickle cell disease and chronic pain

• Type of Material: Article
• Authors: Mallory B. Schneider, Childrens Healthcare Atlanta; Alison Manikowski, Childrens Healthcare Atlanta; Lindsey Cohen, Emory University; Carlton Dampier, Emory University; Soumitri Sil, Emory University
• Language: English
• Date: 2022-02-16
• Publisher: SPRINGER/PLENUM PUBLISHERS
• Publication Version: Author Accepted Manuscript (After Peer Review)
• Copyright Statement: © 2022, The Author(s), under exclusive licence to Springer Science Business Media, LLC, part of Springer Nature
• Final Published Version (URL): http://dx.doi.org/10.1007/s10865-021-00280-4
• Title of Journal or Parent Work: JOURNAL OF BEHAVIORAL MEDICINE
• Volume: 45
• Issue: 4
• Start Page: 622
• End Page: 631
• Keywords: PSYCHOMETRIC PROPERTIES; FUNCTIONAL OUTCOMES; FEAR; PARENTS; Depression; Chronic pain; CHILDREN; Psychology; Pain catastrophizing; Psychology, Clinical; Pain interference; SCALE; ANXIETY; QUALITY-OF-LIFE; DISPARITIES; Anxiety; ADOLESCENTS; Social Sciences; Sickle cell disease
• Research Categories: Biology, Cell

Abstract

Youth living with chronic sickle cell disease (SCD) pain are at risk for psychosocial distress and high levels of pain catastrophizing that contribute to functional impairment. This study aimed to identify the unique long-term impact of pain catastrophizing on pain impairment among youth with SCD. Youth with chronic SCD pain (N = 63, 10–18 years old, 58.3% female, 95.1% Black or African American) were recruited within comprehensive SCD clinics and completed a battery of measures at baseline and 4-months follow-up. A linear hierarchical regression examined baseline demographic and clinical characteristics (child SCD genotype, age, and average pain intensity), psychosocial functioning (anxiety, depression), and pain catastrophizing as predictors of pain interference at 4-months follow-up. Pain catastrophizing was the only unique predictor of pain interference at 4-months follow-up. Among youth with chronic SCD pain, pain catastrophizing warrants greater consideration as an important predictor that influences pain management and overall functioning.