Sahler Olle Jane Z, Varni James W, Fairclough Diane L, Butler Robert W, Noll Robert B, Dolgin Michael J, Phipps Sean, Copeland Donna R, Katz Ernest R, Mulhern Raymond K
Division of Hematology/Oncology, Strong Children's Hospital/University of Rochester Medical Center, New York 14642, USA.
J Dev Behav Pediatr. 2002 Apr;23(2):77-86. doi: 10.1097/00004703-200204000-00003.
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.
患有重病孩子的母亲的幸福感水平低于普通人群中的母亲。问题解决疗法（PST）是一种认知行为干预方法，已被证明在治疗消极情感（抑郁、焦虑）和幸福感降低的其他表现方面有效。本报告描述了一种基于问题解决疗法的问题解决技能培训（PSST）干预措施，用于新诊断的儿科癌症患者的母亲。92名母亲被随机分配接受PSST或接受标准心理社会护理（对照组）。经过8周的干预后，与对照组相比，PSST组的母亲解决问题的技能显著提高，消极情感显著降低。分析表明，解决问题行为的自我报告变化占两组情绪得分差异的40%。有趣的是，PSST对改善建设性问题解决的影响最大，而情绪改善受功能失调性问题解决减少的影响最大。讨论了这些发现对改进PSST干预措施以及扩展到其他重病儿童群体的意义。
