title: Using problem-solving skills training to reduce negative affectivity in mothers of children with newly diagnosed cancer: report of a multisite randomized trial.
abstract: 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.
authors.affiliation: Golisano Children's Hospital at Strong, University of Rochester Medical Center, Rochester, NY 14642, USA. oj_sahler@urmc.rochester.edu
authors.forename: Olle Jane Z
authors.initials: OJ
authors.lastname: Sahler
authors.forename: Diane L
authors.initials: DL
authors.lastname: Fairclough
authors.forename: Sean
authors.initials: S
authors.lastname: Phipps
authors.forename: Raymond K
authors.initials: RK
authors.lastname: Mulhern
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Dolgin
authors.forename: Robert B
authors.initials: RB
authors.lastname: Noll
authors.forename: Ernest R
authors.initials: ER
authors.lastname: Katz
authors.forename: James W
authors.initials: JW
authors.lastname: Varni
authors.forename: Donna R
authors.initials: DR
authors.lastname: Copeland
authors.forename: Robert W
authors.initials: RW
authors.lastname: Butler
mesh_terms: D000223:Adaptation, Psychological; D002648:Child; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009035:Mothers / Q000523:psychology*; D009369:Neoplasms / Q000523:psychology*; D011340:Problem Solving; D013313:Stress Disorders, Post-Traumatic / Q000209:etiology* / Q000523:psychology / Q000628:therapy*; D013663:Teaching