Using problem-solving skills training to reduce negative affectivity in mothers of children with newly diagnosed cancer: Report of a multisite randomized trial

被引:197
作者
Sahler, OJZ
Fairclough, DL
Phipps, S
Mulhern, RK
Dolgin, MJ
Noll, RB
Katz, ER
Varni, JW
Copeland, DR
机构
[1] Univ Rochester, Med Ctr, Golisano Childrens Hosp Strong, Rochester, NY 14642 USA
[2] Univ Colorado, Hlth Sci Ctr, Denver, CO USA
[3] St Jude Childrens Res Hosp, Memphis, TN 38105 USA
[4] Schneider Childrens Hosp, Petah Tiqwa, Israel
[5] Childrens Hosp, Med Ctr, Cincinnati, OH 45229 USA
[6] Childrens Hosp Los Angeles, Los Angeles, CA 90027 USA
[7] Childrens Hosp, Res Ctr, San Diego, CA USA
[8] Univ Texas, MD Anderson Canc Ctr, Houston, TX 77030 USA
[9] Oregon Hlth & Sci Univ, Div Pediat Hematol Oncol, Portland, OR 97201 USA
关键词
D O I
10.1037/0022-006X.73.2.272
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Mothers of children with cancer experience significant distress associated with their children's diagnosis and treatment. The efficacy of problem-solving skills training (PSST), a cognitive-behavioral intervention based on problem-solving therapy, was assessed among 430 English- and Spanish-speaking mothers of recently diagnosed patients. Participants were randomized to usual psychosocial care (UPC; n = 213) or UPC plus 8 sessions of PSST (PSST; n = 217). Compared with UPC mothers, PSST mothers reported significantly enhanced problem-solving skills and significantly decreased negative affectivity. Although effects were largest immediately after PSST, several differences in problem-solving skills and distress levels persisted to the 3-month follow-up. In general, efficacy for Spanish-speaking mothers exceeded that for English-speaking mothers. Findings also suggest young, single mothers profit most from PSST.
引用
收藏
页码:272 / 283
页数:12
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