title: Problem-solving skills training for mothers of children with newly diagnosed cancer: a randomized trial.
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.
authors.affiliation: Division of Hematology/Oncology, Strong Children's Hospital/University of Rochester Medical Center, New York 14642, USA. OJ_Sahler@urmc.rochester.edu
authors.forename: Olle Jane Z
authors.initials: OJ
authors.lastname: Sahler
authors.forename: James W
authors.initials: JW
authors.lastname: Varni
authors.forename: Diane L
authors.initials: DL
authors.lastname: Fairclough
authors.forename: Robert W
authors.initials: RW
authors.lastname: Butler
authors.forename: Robert B
authors.initials: RB
authors.lastname: Noll
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Dolgin
authors.forename: Sean
authors.initials: S
authors.lastname: Phipps
authors.forename: Donna R
authors.initials: DR
authors.lastname: Copeland
authors.forename: Ernest R
authors.initials: ER
authors.lastname: Katz
authors.forename: Raymond K
authors.initials: RK
authors.lastname: Mulhern
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000342:Affective Symptoms / Q000523:psychology / Q000628:therapy*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D008960:Models, Psychological; D009034:Mother-Child Relations; D009035:Mothers / Q000523:psychology*; D009369:Neoplasms / Q000175:diagnosis; D010353:Patient Education as Topic; D011340:Problem Solving; D013997:Time Factors; D016896:Treatment Outcome