Depressive and Insomnia Symptoms Sequentially Mediate the Association Between Racism-Based Discrimination in Healthcare Settings and Clinical Pain Among Adults With Sickle Cell Disease.

Authors

• Lakeya S McGill
• Katrina R Hamilton
• Janelle E Letzen
• Patrick H Finan
• Sophie M Lanzkron
• Michael T Smith
• Jennifer A Haythornthwaite
• Claudia M Campbell

Publication/Presentation Date

4-1-2023

Abstract

Racism-based discrimination in healthcare settings has been associated with clinical pain in adults living with sickle cell disease; however, no studies have examined depressive and insomnia symptoms as mechanisms that may drive this relationship. This secondary data analysis examined associations between depressive and insomnia symptoms, racism-based discrimination, and clinical pain. Seventy-one adults with sickle cell disease (70% female, M

Volume

24

Issue

4

First Page

643

Last Page

654

ISSN

1528-8447

Published In/Presented At

McGill, L. S., Hamilton, K. R., Letzen, J. E., Finan, P. H., Lanzkron, S. M., Smith, M. T., Haythornthwaite, J. A., & Campbell, C. M. (2023). Depressive and Insomnia Symptoms Sequentially Mediate the Association Between Racism-Based Discrimination in Healthcare Settings and Clinical Pain Among Adults With Sickle Cell Disease. The journal of pain, 24(4), 643–654. https://doi.org/10.1016/j.jpain.2022.11.004

Disciplines

Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods

PubMedID

36414154

Department(s)

Administration and Leadership

Document Type

Article