Using Problem-Solving Skills Training to Reduce Negative Affectivity in Mothers of Children With Newly Diagnosed Cancer: Report of a Multisite Randomized Trial

Mothers of children with cancer experience significant distress associated with their children's diagnosis and treatment. The efficacy of problem-solving skills training (PSST), a cognitive-behavioral intervention based on problem-solving therapy, was assessed among 430 English- and Spanish-spe...

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Bibliographic Details
Published in:Journal of consulting and clinical psychology 2005-04, Vol.73 (2), p.272-283
Main Authors: Sahler, Olle Jane Z, Fairclough, Diane L, Phipps, Sean, Mulhern, Raymond K, Dolgin, Michael J, Noll, Robert B, Katz, Ernest R, Varni, James W, Copeland, Donna R, Butler, Robert W
Format: Article
Language:English
Subjects:
Adaptation, Psychological
Affective Behavior
Behavior Modification
Behavior therapy. Cognitive therapy
Biological and medical sciences
Cancer
Child
Children
Children & youth
Clinical psychology
Cognitive Behavior Therapy
Cognitive behaviour therapy
Cognitive Restructuring
Cognitive Therapy - methods
Coping
Counseling
Diagnosis
Effectiveness
Female
Follow-Up Studies
Human
Humans
Male
Medical sciences
Mothers
Mothers - psychology
Negative affectivity
Neoplasms
Neoplasms - psychology
Parents
Problem Solving
Psychological Patterns
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Randomized controlled trials
Skills training
Stress Disorders, Post-Traumatic - etiology
Stress Disorders, Post-Traumatic - psychology
Stress Disorders, Post-Traumatic - therapy
Stress Management
Teaching
Training
Treatments
USA
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Summary:Mothers of children with cancer experience significant distress associated with their children's diagnosis and treatment. The efficacy of problem-solving skills training (PSST), a cognitive-behavioral intervention based on problem-solving therapy, was assessed among 430 English- and Spanish-speaking mothers of recently diagnosed patients. Participants were randomized to usual psychosocial care (UPC; n = 213) or UPC plus 8 sessions of PSST (PSST; n = 217). Compared with UPC mothers, PSST mothers reported significantly enhanced problem-solving skills and significantly decreased negative affectivity. Although effects were largest immediately after PSST, several differences in problem-solving skills and distress levels persisted to the 3-month follow-up. In general, efficacy for Spanish-speaking mothers exceeded that for English-speaking mothers. Findings also suggest young, single mothers profit most from PSST.
ISSN:0022-006X
1939-2117
DOI:10.1037/0022-006X.73.2.272