Cited by 82Pediatric Pain Management TechniquesProblem Solving Skills DevelopmentMusculoskeletal pain and rehabilitation

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Problem-solving skills training for parents of children with chronic pain: a pilot randomized controlled trial

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Palermo, Tonya M., Law, Emily F., Bromberg, Maggie, Fales, Jessica, Eccleston, Christopher, Wilson, Anna C.·2016·Pain

DOI 10.1097/j.pain.0000000000000508PMC PMC4935529

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Abstract

This pilot randomized controlled trial aimed to determine the feasibility, acceptability, and preliminary efficacy of parental problem-solving skills training (PSST) compared with treatment as usual on improving parental mental health symptoms, physical health and well-being, and parenting behaviors. Effects of parent PSST on child outcomes (pain, emotional, and physical functioning) were also examined. Participants included 61 parents of children aged 10 to 17 years with chronic pain randomized to PSST (n = 31) or treatment as usual (n = 30) groups. Parents receiving PSST participated in 4 to 6 individual sessions of training in problem-solving skills. Outcomes were assessed at pretreatment, immediately after treatment, and at a 3-month follow-up. Feasibility was determined by therapy session attendance, therapist ratings, and parent treatment acceptability ratings. Feasibility of PSST delivery in this population was demonstrated by high compliance with therapy attendance, excellent retention, high therapist ratings of treatment engagement, and high parent ratings of treatment acceptability. PSST was associated with posttreatment improvements in parental depression (d = -0.68), general mental health (d = 0.64), and pain catastrophizing (d = -0.48), as well as in child depression (d = -0.49), child general anxiety (d = -0.56), and child pain-specific anxiety (d = -0.82). Several effects were maintained at the 3-month follow-up. Findings demonstrate that PSST is feasible and acceptable to parents of youths with chronic pain. Treatment outcome analyses show promising but mixed patterns of effects of PSST on parent and child mental health outcomes. Further rigorous trials of PSST are needed to extend these pilot results.

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Authors: Palermo, T. M., Law, E. F., Bromberg, M., Fales, J., Eccleston, C., & Wilson, A. C.
Affiliations: Washington State University Vancouver (US)
Seattle Children's Research Institute (US)
ORCID: Palermo, Tonya M.
Law, Emily F.
Bromberg, Maggie
Fales, Jessica
Eccleston, Christopher
Wilson, Anna C.
Venue: Pain
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2016-06
Volume: 157
Issue: 6
Pages: 1213-1223
ISSN: 0304-3959 (ISSN-L)
DOI: 10.1097/j.pain.0000000000000508
PMC: PMC4935529
OpenAlex: W2323084431
Cited by: 82
References: 44
Citations by year: 2026: 3 · 2025: 6 · 2024: 5 · 2023: 5 · 2022: 2 · 2021: 11 · 2020: 13 · 2019: 15 · 2018: 10 · 2017: 5 · 2016: 5
FWCI: 13.56
Type: journal article
Language: en
Open access: green
researchportal.bath.ac.uk
Licence: other-oa
Locations: Pain (publishedVersion)
PubMed (publishedVersion)
Pure (University of Bath) (publishedVersion, other-oa)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
The University of Bath Online Publications Store (The University of Bath) (submittedVersion)
Funders: National Institutes of Health
Eunice Kennedy Shriver National Institute of Child Health and Human Development (R21HD065180, K24HD060068)
Topics: Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
Social Sciences › Psychology › Applied Psychology › Problem Solving Skills Development
Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Keywords: problem-solving training, parental intervention, pediatric chronic pain, adolescents, parental depression, pain catastrophizing, childhood anxiety, childhood depression, parental behavior, feasibility and acceptability
MeSH terms: Adolescent, Child, Female, Humans, Male, Parents, Problem Solving, Parenting, Treatment Outcome, Chronic Pain

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Problem-solving skills training for parents of children with chronic pain: a pilot randomized controlled trial

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