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

The DOI matches its Crossref record; 41 of the 41 references it cites were found in a registry or an index.

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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Metadata

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
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
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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