Depressive Symptoms and Sickle Cell Pain: The Moderating Role of Internalized Stigma
| dc.contributor.author | Holloway, Breanna M. | |
| dc.contributor.author | McGill, Lakeya S. | |
| dc.contributor.author | Bediako, Shawn M. | |
| dc.date.accessioned | 2020-06-12T17:46:15Z | |
| dc.date.available | 2020-06-12T17:46:15Z | |
| dc.date.issued | 2018-11-01 | |
| dc.description.abstract | Recent studies describe the clinical implications of sickle cell disease (SCD) stigma. However, little is known about its link to depressive symptoms or its relative influence on the association between depressive symptoms and SCD pain. We examined whether internalized stigma about SCD moderated the relation between depressive symptoms and pain among 69 adults attending a SCD clinic who reported pain episodes and healthcare use over the past three months. Unadjusted bivariate analyses showed a marginal association between depressive symptoms and SCD pain frequency (r = .21, p < .10). Further analyses adjusting for health care use indicated a moderating effect of internalized stigma (b = −.10, p < .05): a significant association between depressive symptoms and pain was observed among participants low in internalized stigma, but this relationship was attenuated at moderate and high stigma levels. These results denote counterintuitive consequences of internalized attitudes about SCD and suggest a need for further study of the psychosocial and clinical implications of SCD stigma. | en_US |
| dc.description.sponsorship | This research was supported by Grant K07HL108742 awarded to SMB by the National Heart, Lung and Blood Institute of the National Institutes of Health. BMH and LSM were supported by a National Institute of General Medical Sciences Initiative for Maximizing Student Development Grant (R25GM55036) awarded to the University of Maryland, Baltimore County. The content of this manuscript is solely the responsibility of the authors and does not necessarily reflect the official views of the National Institutes of Health. | en_US |
| dc.description.uri | https://doi.apa.org/doiLanding?doi=10.1037%2Fsah0000060 | en_US |
| dc.format.extent | 14 pages | en_US |
| dc.genre | journal articles postprints | en_US |
| dc.identifier | doi:10.13016/m2uqmu-zwpd | |
| dc.identifier.citation | Holloway, B. M., McGill, L. S., & Bediako, S. M. (2017). Depressive symptoms and sickle cell pain: The moderating role of internalized stigma. Stigma and health, 2(4), 271–280. https://doi.org/10.1037/sah0000060 | en_US |
| dc.identifier.uri | https://doi.org/10.1037/sah0000060 | |
| dc.identifier.uri | http://hdl.handle.net/11603/18883 | |
| dc.language.iso | en_US | en_US |
| dc.publisher | American Psychological Association | en_US |
| dc.relation.isAvailableAt | The University of Maryland, Baltimore County (UMBC) | |
| dc.relation.ispartof | UMBC Psychology Department Collection | |
| dc.relation.ispartof | UMBC Faculty Collection | |
| dc.relation.ispartof | UMBC Student Collection | |
| dc.rights | This item is likely protected under Title 17 of the U.S. Copyright Law. Unless on a Creative Commons license, for uses protected by Copyright Law, contact the copyright holder or the author. | |
| dc.rights | ©American Psychological Association, 2018. This paper is not the copy of record and may not exactly replicate the authoritative document published in the APA journal. Please do not copy or cite without author's permission. The final article is available, upon publication, at: https://doi.org/10.1037/sah0000060. All other rights are reserved. | |
| dc.title | Depressive Symptoms and Sickle Cell Pain: The Moderating Role of Internalized Stigma | en_US |
| dc.type | Text | en_US |