Title

Religious Coping and Pain Associated With Sickle Cell Disease: Exploration of a Non-linear Model

UMMS Affiliation

Department of Psychiatry

Date

1-2009

Document Type

Article

Medical Subject Headings

Religion; Mental Healing; Pain; Chronic Pain; Adaptation, Psychological; Anemia, Sickle Cell

Disciplines

Hemic and Lymphatic Diseases | Psychiatry

Abstract

The current study tested a non-linear model of religious coping among Black patients with Sickle Cell Disease (SCD). We predicted that moderate prayer and church attendance would be associated with less severe affective and sensory ratings of pain, lower levels of psychopathology, and less frequent care utilization. The participants were 67 SCD patients, mean age 36.82 ± 11.47 (range 18–70) of which 45% were men. Using ANOVA procedures, our results indicated a main effect for the frequency of prayer which showed significant differences for anxiety and hostility. Post-hoc t tests revealed that participants who endorsed moderate frequency of prayer reported significantly less anxiety and hostility, relative to participants who reported high or low frequency of prayer. However, participants who endorsed moderate levels of prayer also reported a significantly higher frequency of visits to the emergency department, relative to participants who reported high or low frequency of prayer. However, reports of pain and psychopathology were more linear with participants who reported the highest frequency of church attendance having the highest reports, moderate among those with moderate frequency of church attendance, and lowest among those with infrequent church attendance. These findings challenge and extend the traditional linear conceptualization of religious coping on clinical outcomes among patients with SCD. Directions for future research are discussed.

Comments

Citation: O’Connell-Edwards, C., Edwards, C.L., Pearce, M., Wachholtz, A.B., Wood., M., et al. (2009). Religious Coping and Pain Associated With Sickle Cell Disease: Exploration of a Non-linear Model. Journal of African American Studies, 13, 1-13. DOI: 10.1007/s12111-008-9063-4

At the time of publication, Amy B. Wachholtz was not yet affiliated with the University of Massachusetts Medical School.