title: Negative affect differentiation and adherence during treatment for thalassemia.
abstract: BACKGROUND
  Although research has demonstrated the detrimental effects of excessive negative affect on treatment adherence and morbidity in chronic illness, rarely have researchers investigated the benefits of awareness of negative emotional experiences during treatment.
  
  
  OBJECTIVE
  In this investigation, we examined the association of negative affect differentiation (the ability to report negative emotional experiences as separate and distinct from each other,) to treatment adherence in adult patients with the congenital blood disorder thalassemia.
  
  
  METHODS
  Negative affect differentiation was assessed during a 12-16-week treatment-based diary and adherence was operationalized as attendance at routine screenings over 12 months. Participants were adult patients (n = 32; age M = 31.63, SD = 7.72; 72 % female) with transfusion-dependent thalassemia in treatment in a large metropolitan hospital in the Northeastern USA.
  
  
  RESULTS
  The results indicate that negative affect differentiation is significantly associated with greater adherence to treatment, even when controlling for disease burden and level of psychological distress.
  
  
  CONCLUSIONS
  Although preliminary, this investigation suggests that differentiated processing of negative emotional experiences during illness can lead to adaptive treatment-related behavior. As such, it may present a new avenue for research and intervention targeting the improvement of adherence during treatment for chronic illness.
authors.affiliation: Department of Psychology, Kent State University, P.O. Box 5190, Kent, OH, 44242-0001, USA, kcoifman@kent.edu.
authors.forename: Karin G
authors.initials: KG
authors.lastname: Coifman
authors.forename: Gail S
authors.initials: GS
authors.lastname: Ross
authors.forename: Dorothy
authors.initials: D
authors.lastname: Kleinert
authors.forename: Patricia
authors.initials: P
authors.lastname: Giardina
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001364:Awareness; D002908:Chronic Disease; D015897:Comorbidity; D004644:Emotions; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009341:Negativism; D010349:Patient Compliance / Q000523:psychology*; D013315:Stress, Psychological / Q000175:diagnosis; D013789:Thalassemia / Q000523:psychology* / Q000628:therapy*