Illness Intrusiveness in Adults with Sickle Cell Disease: The Role of Fatigue.

IF 1.6 3区心理学 Q3 PSYCHOLOGY, CLINICAL Journal of Clinical Psychology in Medical Settings Pub Date : 2023-12-01 Epub Date: 2023-03-07 DOI:10.1007/s10880-023-09950-8

Lakeya S McGill, Abbey J Hughes, C Patrick Carroll, Shawn M Bediako

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Abstract

Chronic illness experiences often interfere with daily functioning (a concept known as illness intrusiveness) and health-related quality of life (HRQoL). However, less is known about the role of specific symptoms in predicting illness intrusiveness in sickle cell disease (SCD). This exploratory study examined associations between common SCD-related symptoms (i.e., pain, fatigue, depression, and anxiety), illness intrusiveness, and HRQoL among adults with SCD (n = 60). Illness intrusiveness significantly correlated with fatigue severity (r = .39, p = .002), depression severity (r = .45, p < .001), anxiety severity (r = .41, p = .001), physical HRQoL (r = - .53, p < .001), and mental HRQoL (r = - .44, p < .001). Multiple regression revealed a significant overall model, (R² = .28, F(4, 55) = 5.21, p = .001), with fatigue, but not pain, depression, or anxiety, significantly predicting illness intrusiveness (β = .29, p = .036). Results suggest that fatigue may be a primary factor contributing to illness intrusiveness-a determinant of HRQoL-in individuals with SCD. Given the limited sample size, larger confirmatory studies are warranted.

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成人镰状细胞病的疾病侵袭性：疲劳的作用。

慢性病经历通常会干扰日常功能（这一概念被称为疾病侵扰性）和健康相关的生活质量（HRQoL）。然而，人们对镰状细胞病（SCD）中特定症状在预测疾病侵袭性中的作用知之甚少。这项探索性研究调查了患有SCD的成年人常见的SCD相关症状（即疼痛、疲劳、抑郁和焦虑）、疾病侵扰性和HRQoL之间的关系（n = 60）。疾病侵扰与疲劳严重程度显著相关（r = .39，p = .002），抑郁症严重程度（r = .45，p 2. = .28，F（4，55） = 5.21，p = .001），伴有疲劳，但不伴有疼痛、抑郁或焦虑，显著预测疾病侵扰性（β = .29，p = .036）。结果表明，疲劳可能是导致疾病侵袭的主要因素——SCD患者HRQoL的决定因素。鉴于样本量有限，有必要进行更大规模的验证性研究。

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来源期刊

Journal of Clinical Psychology in Medical Settings PSYCHOLOGY, CLINICAL-

CiteScore

4.00

自引率

4.50%

发文量

期刊介绍： Journal of Clinical Psychology in Medical Settings is an international forum for the publication of peer-reviewed original papers related to all areas of the science and practice of psychologists in medical settings. Manuscripts are chosen that have a broad appeal across psychology as well as other health care disciplines, reflecting varying backgrounds, interests, and specializations. The journal publishes original research, treatment outcome trials, meta-analyses, literature reviews, conceptual papers, brief scientific reports, and scholarly case studies. Papers accepted address clinical matters in medical settings; integrated care; health disparities; education and training of the future psychology workforce; interdisciplinary collaboration, training, and professionalism; licensing, credentialing, and privileging in hospital practice; research and practice ethics; professional development of psychologists in academic health centers; professional practice matters in medical settings; and cultural, economic, political, regulatory, and systems factors in health care. In summary, the journal provides a forum for papers predicted to have significant theoretical or practical importance for the application of psychology in medical settings.