Problem-solving skills training for mothers of children with newly diagnosed cancer: a randomized trial.
Abstract
Mothers of children with serious illnesses have lower levels of well-being than mothers in the general population. Problem-solving therapy (PST), a cognitive-behavioral intervention, has been shown to be effective in treating negative affectivity (depression, anxiety) and other manifestations of reduced well-being. This report describes a problem-solving skills training (PSST) intervention, based on problem-solving therapy, for mothers of newly diagnosed pediatric cancer patients. Ninety-two mothers were randomly assigned to receive PSST or to receive standard psychosocial care (Control Group). After the 8-week intervention, mothers in the PSST Group had significantly enhanced problem-solving skills and significantly decreased negative affectivity compared with controls. Analysis revealed that changes in self-reports of problem-solving behaviors accounted for 40% of the difference in mood scores between the two groups. Interestingly, PSST had the greatest impact on improving constructive problem solving, whereas improvement in mood was most influenced by decreases in dysfunctional problem solving. The implications of these findings for refinement of the PSST intervention and for extension to other groups of children with serious illnesses are discussed.
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The application of an ACT-based intervention is highly novel in this population, with past studies using traditional cognitive behavioral therapy or problem-solving therapy.
“The application of an ACT-based intervention is highly novel in this population, with past studies using traditional cognitive behavioral therapy18,19,43,44 or problem-solving therapy.18,24”
From Effect of a Videoconference-Based Online Group Intervention for Traumatic Stress in Parents of Children With Life-threatening Illness (2020) · cites this paper as [18]
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- Authors
- SAHLER, O. J. Z., VARNI, J. W., FAIRCLOUGH, D. L., BUTLER, R. W., NOLL, R. B., DOLGIN, M. J., PHIPPS, S., COPELAND, D. R., KATZ, E. R., & MULHERN, R. K.
- Affiliations
- Cincinnati Children's Hospital Medical Center (US)
- Venue
- Journal of Developmental & Behavioral Pediatrics
- Published
- 2002-04
- Volume
- 23
- Issue
- 2
- Pages
- 77-86
- ISSN
- 0196-206X (ISSN-L)
- OpenAlex
- W2047213772
- Cited by
- 205
- References
- 56
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 6 · 2023: 7 · 2022: 6 · 2021: 13 · 2020: 14 · 2019: 12 · 2018: 8 · 2017: 7 · 2016: 5 · 2015: 11 · 2014: 7 · 2013: 9 · 2012: 15
- FWCI
- 27.26
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Developmental & Behavioral Pediatrics (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Cancer Institute (R25CA065520, R25 CA65520)
- Topics
- Health Sciences › Health Professions › Speech and Hearing › Problem Solving Skills Development
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Social Sciences › Sociology and Political Science › Family Support in Illness
- Keywords
- problem-solving training, problem-solving therapy, mothers of children with cancer, childhood cancer, parental well-being, negative affectivity, depression, anxiety, constructive problem solving, mood, psychosocial interventions
- MeSH terms
- Adaptation, Psychological, Adult, Affective Symptoms, Child, Child, Preschool, Female, Humans, Male, Models, Psychological, Mother-Child Relations, Mothers, Neoplasms, Patient Education as Topic, Problem Solving, Time Factors, Treatment Outcome
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