Problem-solving skills training for parents of children with chronic pain: A pilot randomized controlled trial

Tonya M. Palermo, Emily F. Law, Maggie Bromberg, Jessica Fales, Christopher Eccleston, Anna Wilson

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

This pilot randomized controlled trial aimed to determine the feasibility, acceptability, and preliminary efficacy of parental problem-solving skills training (PSST) compared with treatment as usual on improving parental mental health symptoms, physical health and well-being, and parenting behaviors. Effects of parent PSST on child outcomes (pain, emotional, and physical functioning) were also examined. Participants included 61 parents of children aged 10 to 17 years with chronic pain randomized to PSST (n 31) or treatment as usual (n 30) groups. Parents receiving PSST participated in 4 to 6 individual sessions of training in problem-solving skills. Outcomes were assessed at pretreatment, immediately after treatment, and at a 3-month follow-up. Feasibility was determined by therapy session attendance, therapist ratings, and parent treatment acceptability ratings. Feasibility of PSST delivery in this population was demonstrated by high compliance with therapy attendance, excellent retention, high therapist ratings of treatment engagement, and high parent ratings of treatment acceptability. PSST was associated with posttreatment improvements in parental depression (d -0.68), general mental health (d 0.64), and pain catastrophizing (d -0.48), as well as in child depression (d -0.49), child general anxiety (d -0.56), and child pain-specific anxiety (d -0.82). Several effects were maintained at the 3-month follow-up. Findings demonstrate that PSST is feasible and acceptable to parents of youths with chronic pain. Treatment outcome analyses show promising but mixed patterns of effects of PSST on parent and child mental health outcomes. Further rigorous trials of PSST are needed to extend these pilot results.

Original languageEnglish (US)
Pages (from-to)1213-1223
Number of pages11
JournalPain
Volume157
Issue number6
DOIs
StatePublished - Jun 1 2016

Fingerprint

Chronic Pain
Randomized Controlled Trials
Parents
Mental Health
Therapeutics
Anxiety
Catastrophization
Depression
Pain
Parenting
Health

Keywords

  • Children and adolescents
  • Chronic pain
  • Parents
  • Problem-solving skills training
  • Randomized controlled trial

ASJC Scopus subject areas

  • Clinical Neurology
  • Anesthesiology and Pain Medicine
  • Neurology
  • Pharmacology

Cite this

Problem-solving skills training for parents of children with chronic pain : A pilot randomized controlled trial. / Palermo, Tonya M.; Law, Emily F.; Bromberg, Maggie; Fales, Jessica; Eccleston, Christopher; Wilson, Anna.

In: Pain, Vol. 157, No. 6, 01.06.2016, p. 1213-1223.

Research output: Contribution to journalArticle

Palermo, Tonya M. ; Law, Emily F. ; Bromberg, Maggie ; Fales, Jessica ; Eccleston, Christopher ; Wilson, Anna. / Problem-solving skills training for parents of children with chronic pain : A pilot randomized controlled trial. In: Pain. 2016 ; Vol. 157, No. 6. pp. 1213-1223.
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