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Using problem-solving skills training to reduce negative affectivity in mothers of children with newly diagnosed

Olle Jane Z Sahler1, Diane L Fairclough, Sean Phipps

  • 1Golisano Children's Hospital at Strong, University of Rochester Medical Center, Rochester, NY 14642, USA. oj_sahler@urmc.rochester.edu

Journal of Consulting and Clinical Psychology
|March 31, 2005
PubMed

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.

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