Effects of a Problem-Solving Skills Training for Mothers of Cystic Fibrosis Patients
DOI:
https://doi.org/10.15448/1980-8623.2025.1.41559Keywords:
parental control, depression, cystic fibrosis, problem-solving skillsAbstract
Cystic fibrosis is usually diagnosed in early childhood, affecting primary caregivers’ mental health and interaction with the child. This study evaluated the effects of a problem-solving skills training on maternal depressive symptoms and control strategies with the child (appropriate support, critical control, and overprotection) in two mothers of children with cystic fibrosis. We conducted a pilot AB single-case experimental design. In baseline and post-intervention evaluations, mothers answered the Beck Depression Inventory-II and the Semi-Structured Interview on Maternal Control. The results showed a decrease in maternal depressive symptoms in both cases. Appropriate support slightly increased, and there was a modest decrease in overprotection in one case. The problem-solving skills training reduces symptoms of depression in mothers of children with cystic fibrosis by promoting effective solutions to everyday demands with children. However, it is necessary to extend the program’s strategies or duration to produce relevant effects on maternal control.
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References
Anderson, C. M., & Kim, C. (2003). Evaluating treatment efficacy with single-case designs. In M. C. Roberts & S. Ilardi (Eds.), Handbook of research methods in Clinical Psychology (1st ed., pp. 73–91). https://doi.org/10.1207/s15327752jpa4605_20 DOI: https://doi.org/10.1002/9780470756980.ch5
Bakeman, R., & Quera, V. (2011). Sequential analysis and observational methods for the behavioral sciences. Cambridge University Press. DOI: https://doi.org/10.1017/CBO9781139017343
Barakat, L. P., Daniel, L. C., Smith, K., Robinson, M. R., & Patterson, C. A. (2014). Parental problem-solving abilities and the association of sickle cell disease complications with health-related quality of life for school-age children. Journal of clinical psychology in medical settings, 21(1), 56–65. https://doi.org/10.1007/s10880-013-9379-7 DOI: https://doi.org/10.1007/s10880-013-9379-7
Barber, B. K. (1996). Parental psychological control: Revisiting a neglected construct. Child Development, 67(6), 3296-3319. https://psycnet.apa.org/doi/10.2307/1131780 DOI: https://doi.org/10.1111/j.1467-8624.1996.tb01915.x
Bardin, L. (2016). Análise de conteúdo (L. A. Reto & A. Pinheiro, Trans.). Edições 70. (Original work published 1977)
Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the Beck Depression Inventory-II. Psychological Corporation. DOI: https://doi.org/10.1037/t00742-000
Cronly, J., Horgan, A. M., Lehane, E., Howe, B., Duff, A. J., Riekert, K. A., Perry, I. J., Fitzgerald, A. P., Chroinin, M. N., & Savage, E. (2019). Anxiety and depression in parent caregivers of children with cystic fibrosis. Journal of Child and Family Studies, 28(5), 1304–1312. https://doi.org/10.1007/s10826-019-01349-0 DOI: https://doi.org/10.1007/s10826-019-01349-0
Douglas, T., Green, J., Park, J., Turkovic, L., Massie, J., & Shields, L. (2016). Psychosocial characteristics and predictors of health-care use in families of young children with cystic fibrosis in Western Australia. Journal of Paediatrics and Child Health, 52(1), 34–39. https://doi.org/10.1111/jpc.13011 DOI: https://doi.org/10.1111/jpc.13011
D’Zurilla, T. J., & Goldfried, M. R. (1971). Problem solving and behavior modification. Journal of Abnormal Psychology, 78(1), 107–126. https://doi.org/10.1037/h0031360 DOI: https://doi.org/10.1037/h0031360
Eccleston, C., Fisher, E., Law, E., Bartlett, J., & Palermo, T. M. (2015). Psychological interventions for parents of children and adolescents with chronic illness. Cochrane Database of Systematic Reviews, 8(4), 1–172. https://doi.org/10.1002/14651858.CD009660.pub2 DOI: https://doi.org/10.1002/14651858.CD009660.pub3
Gomes-Oliveira, M. H., Gorenstein, C., Lotufo Neto, F., Andrade, L. H., & Wang, Y. P. (2012). Validation of the Brazilian Portuguese version of the Beck Depression Inventory-II in a community sample. Revista Brasileira de Psiquiatria, 34(4), 389–394. https://doi.org/10.1016/j.rbp.2012.03.005 DOI: https://doi.org/10.1016/j.rbp.2012.03.005
Grossoehme, D. H., Szczesniak, R. D., Britton, L. L., Siracusa, C. M., Quittner, A. L., Chini, B. A., Dimitriou, S. M., & Seid, M. (2015). Adherence determinants in cystic fibrosis: Cluster analysis of parental psychosocial, religious, and/or spiritual factors. Annals of the American Thoracic Society, 12(6), 838–846. https://doi.org/10.1513/AnnalsATS.201408-379OC DOI: https://doi.org/10.1513/AnnalsATS.201408-379OC
January, A. M., Kelly, E. H., Russell, H. F., Zebracki, K., & Vogel, L. C. (2019). Patterns of coping among caregivers of children with spinal cord injury: Associations with parent and child well-being. Families, Systems & Health, 37(2), 150–161. https://doi.org/10.1037/fsh0000415 DOI: https://doi.org/10.1037/fsh0000415
Law, E. F., Fales, J. L., Beals-Erickson, S. E., Failo, A., Logan, D., Randall, E., Weiss, K., Durkin, L., & Palermo, T. M. (2016). A single-arm feasibility trial of problem-solving skills training for parents of children with idiopathic chronic pain conditions receiving intensive pain rehabilitation. Journal Of Pediatric Psychology, 42(4), 1–12. https://doi.org/10.1093/jpepsy/jsw087 DOI: https://doi.org/10.1093/jpepsy/jsw087
McShane, K. E., & Hastings, P. D. (2009). The New Friends Vignettes: Measuring parental psychological control that confers risk for anxious adjustment in preschoolers. International Journal of Behavioral Development, 33(6), 481–495. https://doi.org/10.1177/0165025409103874 DOI: https://doi.org/10.1177/0165025409103874
Paixão, C., Alvarenga, P., Barros, L., & Souza, E. L. (2021). Parental control in different life contexts for paediatric cystic fibrosis patients. Análise Psicológica, 39(1), 93–105. https://doi.org/10.14417/ap.1766 DOI: https://doi.org/10.14417/ap.1766
Palermo, T. M., Law, E. F., Bromberg, M., Fales, J., Eccleston, C., & Wilson, A. C. (2016). Problem-solving skills training for parents of children with chronic pain: A pilot randomized controlled trial. Pain, 157(6), 1213–1223. https://doi.org/10.1097/j.pain.0000000000000508 DOI: https://doi.org/10.1097/j.pain.0000000000000508
Piccinini, C. A., Frizzo, G. B., Alvarenga, P., Lopes, R. de C. S., & Tudge, J. R. (2007). Práticas educativas de pais e mães de crianças aos 18 meses de idade. Psicologia: Teoria e Pesquisa, 24(3), 369–377. https://doi.org/10.1590/S0102-37722007000400002 DOI: https://doi.org/10.1590/S0102-37722007000400002
Pinquart, M. (2013). Do the parent-child relationship and parenting behaviors differ between families with a child with and without chronic illness? A meta-analysis. Journal of Pediatric Psychology, 38(7), 708–721. https://doi.org/10.1093/jpepsy/jst020 DOI: https://doi.org/10.1093/jpepsy/jst020
Sahler, O. J. Z., Askins, M. A., Dolgin, M. J., Fairclough, D. L., Katz, E. R., Voll, M. E., Noll, R. B., & Phipps, S. (2017). Bright IDEAS: Problem-solving skills training for everyday living (pp. 1–26). Instructor's Manual.://www.healthpolicyinstitute.pitt.edu/sites/default/files/Bright%20IDEAS%20Users%20Manual%20-%20Full%20Page%209-1-17.pdf
Sahler, O. J. Z., Dolgin, M. J., Phipps, S., Fairclough, D. L., Askins, M. A., Katz, E. R., Noll, R. B., & Butler, R. W. (2013). Specificity of problem-solving skills training in mothers of children newly diagnosed with cancer: Results of a multisite randomized clinical trial. Journal of Clinical Oncology, 31(10), 1329–1335. https://doi.org/10.1200/JCO.2011.39.1870 DOI: https://doi.org/10.1200/JCO.2011.39.1870
Sahler, O. J. Z., Fairclough, D. L., Phipps, S., Mulhern, R. K., Dolgin, M. J., Noll, R. B., Katz, E. R., Varni, J. W., Copeland, D. R., & Butler, R. W. (2005). Using problem-solving skills training to reduce negative affectivity in mothers of children with newly diagnosed cancer: Report of a multisite randomized trial. Journal of Consulting and Clinical Psychology, 73(2), 272–283. https://doi.org/10.1037/0022-006X.73.2.272 DOI: https://doi.org/10.1037/0022-006X.73.2.272
Sanders, D. B., & Fink, A. K. (2016). Background and epidemiology. Pediatric Clinics of North America, 63(4), 567–584. https://doi.org/10.1016/j.pcl.2016.04.001 DOI: https://doi.org/10.1016/j.pcl.2016.04.001
Sheehan, J., Hiscock, H., John, M., Adam, J., & Hay, M. (2014). Caregiver coping, mental health and child problem behaviours in cystic fibrosis: A cross-sectional study. International Journal of Behavioral Medicine, 21(2), 221–220. https://doi.org/10.1007/s12529-013-9289-y DOI: https://doi.org/10.1007/s12529-013-9289-y
Skinner, B. F. (1986). What is wrong with daily life in the Western World? American Psychologist, 41(5), 568–574. DOI: https://doi.org/10.1037//0003-066X.41.5.568
Skinner, B. F. (1989). Ciência e comportamento humano (T. J. C. Torodov & R. Azzi, Trans., 7th ed.). Martins Fontes. (Original work published 1953)
Skinner, B. F. (1974). Sobre o behaviorismo (T. M. P. Villalobos, Trans., 10th ed.). Cultrix.
Vardar-Yagli, N., Saglam, M., Inal-Ince, D., Calik-Kutukcu, E., Arikan, H., Savci, S., Ozcelik, U., & Kiper, N. (2017). Hospitalization of Children with Cystic Fibrosis Adversely Affects Mothers’ Physical Activity, Sleep Quality, and Psychological Status. Journal of Child and Family Studies, 26(3), 800–809. https://doi.org/10.1007/s10826-016-0593-4 DOI: https://doi.org/10.1007/s10826-016-0593-4
Young, M., Voll, M., Noll, R. B., Fairclough, D. L., & Flanagan-Priore, C. (2020). Bright IDEAS problem-solving skills training for caregivers of children with sickle cell disease: a two-site pilot feasibility trial. Pediatric Blood and Cancer, 68(4), 1–9. https://doi.org/10.1002/pbc.28822 DOI: https://doi.org/10.1002/pbc.28822
Yuksekgonul, A. U., Ayse, A. T., Eyuboglu, T. S., Soysal, S., & Budakoglu, I. I. (2020). Evaluation of the psychological status of mothers of children with cystic fibrosis and the relationship between children’s clinical status. Journal of Paediatrics and Child Health, 56(10), 1537–1543. https://doi.org/10.1111/jpc.14983 DOI: https://doi.org/10.1111/jpc.14983
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Copyright (c) 2025 Catiele Paixão, Patrícia Alvarenga, Tiago Alfredo Ferreira
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