Cited by 195Childhood Cancer Survivors' Quality of LifeProblem Solving Skills DevelopmentFamily Support in Illness

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Specificity of problem-solving skills training in mothers of children newly diagnosed with cancer: results of a multisite randomized clinical trial.

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Sahler, Olle Jane Z., Dolgin, Michael J., Phipps, Sean, Fairclough, Diane L., Askins, Martha A., Katz, Ernest R., Noll, Robert B., Butler, Robert W.·2013·Journal of Clinical Oncology

DOI 10.1200/jco.2011.39.1870PMC PMC3607672

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Abstract

PURPOSE: Diagnosis of cancer in a child can be extremely stressful for parents. Bright IDEAS, a problem-solving skills training (PSST) intervention, has been shown to decrease negative affectivity (anxiety, depression, post-traumatic stress symptoms) in mothers of newly diagnosed patients. This study was designed to determine the specificity of PSST by examining its direct and indirect (eg, social support) effects compared with a nondirective support (NDS) intervention. PATIENTS AND METHODS: This randomized clinical trial included 309 English- or Spanish-speaking mothers of children diagnosed 2 to 16 weeks before recruitment. Participants completed assessments prerandomization (T1), immediately postintervention (T2), and at 3-month follow-up (T3). Both PSST and NDS consisted of eight weekly 1-hour individual sessions. Outcomes included measures of problem-solving skill and negative affectivity. RESULTS: There were no significant between-group differences at baseline (T1). Except for level of problem-solving skill, which was directly taught in the PSST arm, outcome measures improved equally in both groups immediately postintervention (T2). However, at the 3-month follow-up (T3), mothers in the PSST group continued to show significant improvements in mood, anxiety, and post-traumatic stress; mothers in the NDS group showed no further significant gains. CONCLUSION: PSST is an effective and specific intervention whose beneficial effects continue to grow after the intervention ends. In contrast, NDS is an effective intervention while it is being administered, but its benefits plateau when active support is removed. Therefore, teaching coping skills at diagnosis has the potential to facilitate family resilience over the entire course of treatment.

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Authors: Sahler, O. J. Z., Dolgin, M. J., Phipps, S., Fairclough, D. L., Askins, M. A., Katz, E. R., Noll, R. B., & Butler, R. W.
Affiliations: St. Jude Children's Research Hospital (US)
ORCID: Sahler, Olle Jane Z.
Phipps, Sean
Askins, Martha A.
Venue: Journal of Clinical Oncology
Publisher: American Society of Clinical Oncology (ASCO)
Published: 2013-04-01
Volume: 31
Issue: 10
Pages: 1329-1335
ISSN: 0732-183X (ISSN-L)
1527-7755
DOI: 10.1200/jco.2011.39.1870
PMC: PMC3607672
OpenAlex: W2133615396
Cited by: 195
References: 41
Citations by year: 2026: 7 · 2025: 13 · 2024: 14 · 2023: 12 · 2022: 18 · 2021: 24 · 2020: 15 · 2019: 18 · 2018: 22 · 2017: 15 · 2016: 11 · 2015: 14 · 2014: 6 · 2013: 4
FWCI: 10.89
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Journal of Clinical Oncology (publishedVersion)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Funders: National Institutes of Health
National Cancer Institute (R01CA098954)
Topics: Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
Social Sciences › Psychology › Applied Psychology › Problem Solving Skills Development
Social Sciences › Psychology › Clinical Psychology › Family Support in Illness
Keywords: problem-solving training, mothers of children with cancer, childhood cancer, parental stress, negative affectivity, anxiety, depression, post-traumatic stress, social support, coping strategies, family resilience
MeSH terms: Adaptation, Psychological, Adolescent, Adult, Anxiety Disorders, Child, Child, Preschool, Depressive Disorder, Female, Follow-Up Studies, Humans, Middle Aged, Mother-Child Relations, Mothers, Neoplasms, Problem Solving, Stress, Psychological, Treatment Outcome

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Specificity of problem-solving skills training in mothers of children newly diagnosed with cancer: results of a multisite randomized clinical trial.

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