Cited by 205Problem Solving Skills DevelopmentChildhood Cancer Survivors' Quality of LifeFamily Support in Illness

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Problem-solving skills training for mothers of children with newly diagnosed cancer: a randomized trial.

SAHLER, OLLE JANE Z., VARNI, JAMES W., FAIRCLOUGH, DIANE L., BUTLER, ROBERT W., NOLL, ROBERT B., DOLGIN, MICHAEL J., PHIPPS, SEAN, COPELAND, DONNA R., KATZ, ERNEST R., MULHERN, RAYMOND K.·2002·Journal of Developmental & Behavioral Pediatrics

DOI 10.1097/00004703-200204000-00003

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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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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)
ORCID: SAHLER, OLLE JANE Z.
VARNI, JAMES W.
PHIPPS, SEAN
Venue: Journal of Developmental & Behavioral Pediatrics
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2002-04
Volume: 23
Issue: 2
Pages: 77-86
ISSN: 0196-206X (ISSN-L)
DOI: 10.1097/00004703-200204000-00003
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: Social Sciences › Psychology › Applied Psychology › Problem Solving Skills Development
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
Social Sciences › Psychology › Clinical Psychology › 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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Problem-solving skills training for mothers of children with newly diagnosed cancer: a randomized trial.

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