Impact of disease- and race-based discrimination in health care on pain outcomes among adults living with sickle cell disease in the United States: The mediating roles of internalized stigma and depressive symptoms. Article Swipe
Lakeya McGill
,
Mayra L Sánchez González
,
Shawn M. Bediako
,
Sophie Lanzkron
,
Yu Lan
,
Mary Catherine Beach
,
Claudia M. Campbell
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1037/sah0000581
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1037/sah0000581
Studies have shown that disease- and race-based discrimination in healthcare exacerbate pain, yet little is known about the role of psychological processes and symptoms, such as internalized stigma and depressive symptoms, in the relationship between discrimination (i.e., enacted stigma) and pain. In a sample of 284 Black adults living with sickle cell disease (SCD) (54% women, Mage = 35.37), we examined internalized stigma and depressive symptoms as mediators between disease- and race-based discrimination in healthcare and pain severity and interference. Disease-based but not race-based discrimination in healthcare was associated with internalized stigma, depressive symptoms, and pain severity and interference. Furthermore, internalized stigma and depressive symptoms partially mediated the association between disease-based discrimination in healthcare and pain severity and interference. Results suggest that individuals with SCD who experience discrimination, including based on their SCD status, may internalize these discriminatory messages from others, leading to negative thoughts and feelings about having SCD. These negative internalized beliefs may then contribute to depressive symptoms and subsequent worse pain. Internalized stigma and depressive symptoms may be potential treatment targets in behavioral and psychological interventions. More research is needed to understand the impact of intersecting experiences of discrimination and stigma on health outcomes in adults living with SCD.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- http://doi.org/10.1037/sah0000581
- OA Status
- hybrid
- Cited By
- 1
- References
- 64
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4402985921
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4402985921Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1037/sah0000581Digital Object Identifier
- Title
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Impact of disease- and race-based discrimination in health care on pain outcomes among adults living with sickle cell disease in the United States: The mediating roles of internalized stigma and depressive symptoms.Work title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
- Publication date
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2024-09-30Full publication date if available
- Authors
-
Lakeya McGill, Mayra L Sánchez González, Shawn M. Bediako, Sophie Lanzkron, Yu Lan, Mary Catherine Beach, Claudia M. CampbellList of authors in order
- Landing page
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https://doi.org/10.1037/sah0000581Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
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hybridOpen access status per OpenAlex
- OA URL
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https://doi.org/10.1037/sah0000581Direct OA link when available
- Concepts
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Disease, Stigma (botany), Race (biology), Medicine, Depressive symptoms, Gerontology, Health care, Psychiatry, Clinical psychology, Psychology, Anxiety, Internal medicine, Economics, Biology, Botany, Economic growthTop concepts (fields/topics) attached by OpenAlex
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1Total citation count in OpenAlex
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10Other works algorithmically related by OpenAlex
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