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Journal of Pediatric Psychology, Vol. 26, No. 3, 2001, pp. 163-173
© 2001 Society of Pediatric Psychology

Daily Coping Practice Predicts Treatment Effects in Children With Sickle Cell Disease

Karen M. Gil, PhD1, Kelly K. Anthony, BS1, James W. Carson, MA1, Rupa Redding-Lallinger, MD2, Charles W. Daeschner, MD3 and Russell E. Ware, MD, PhD4

1 University of North Carolina at Chapel Hill, 2 University of North Carolina School of Medicine, 3 East Carolina University School of Medicine, 4 Duke University Medical Center

All correspondence should be sent to Karen M. Gil, Dept. of Psychology, University of North Carolina, Campus Box 3270, Davis Hall, Chapel Hill, North Carolina 27599-3270. E-mail: kgil{at}email.unc.edu

Objective: To examine the 1-month effects of a pain coping skills intervention in children with sickle cell disease (SCD).

Methods: Forty-six African American children (8-17 years old) were randomly assigned to either a coping skills condition or a standard care control condition. Children were asked to practice daily with audiotaped instructions of skills (e.g., relaxation, imagery).

Results: Multivariate analyses of summary measures indicated that children in the coping intervention (versus control group) reported a significantly more active approach to managing pain. Multilevel random effects models applied to daily diary data indicated that on pain days when children practiced their strategies, they had fewer health care contacts, fewer school absences, and less interference with household activities than on days when they did not practice.

Conclusions: Brief training in coping skills followed by minimal therapist contact may lead to a range of benefits when children practice with their skills on a consistent basis.

Key words: sickle cell disease; daily pain diaries; coping skills training; pediatric pain.


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