Adaptation of Problem-Solving Skills Training (PSST) for Parent Caregivers of Youth with Chronic Pain.
Adaptation of Problem-Solving Skills Training (PSST) for Parent Caregivers of Youth with Chronic Pain.
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DOI：
10.1037/cpp0000067
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发表时间：
2014-09
影响因子：
1.1
通讯作者：
中科院分区：
文献类型：
--
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对父母照顾患有慢性疼痛的孩子的经历的研究表明，父母角色压力很大，对无力帮助感到沮丧，以及心理困扰是很常见的。此外，父母的痛苦会对儿童适应慢性疼痛产生不利影响。因此，对患有慢性疼痛的青少年的父母进行干预，可能会反过来为儿童提供积极的结果，使他们有能力采取积极的应对策略，减少自己的痛苦，并在正常的日常生活中发挥作用。我们的目标是调整干预，解决问题的技能培训，以前被证明有效地减少父母在其他儿科疾病情况下的痛苦，以适应患有慢性疼痛的青少年照顾者的人口。在第一阶段，根据专家对文献的审查和父母对疼痛相关家庭影响的反应的审查，对干预措施进行了调整。在第二阶段，干预措施在一小群家长中进行了测试，以评估可行性，评估方法取决于对治疗内容的反应、可接受性评级以及登记和提供治疗访问的能力。这一阶段包括在治疗前和治疗后立即试行PST干预和所有结果测量。我们以探索性的方式检查了治疗前后父母的苦恼、孩子身体功能和抑郁的变化。这项可行性研究的结果表明，Psst可以在患有慢性疼痛的青少年的父母中实施，他们认为这种治疗是可以接受的。
Research on the experience of parents caring for a child with chronic pain indicates that high levels of parental role stress, feelings of frustration over an inability to help, and psychological distress are common. Moreover, parental distress adversely influences child adjustment to chronic pain. Therefore, intervening with parents of youth with chronic pain may, in turn, result in positive outcomes for children in their ability to engage in positive coping strategies, reduce their own distress, and to function competently in their normal daily lives. Our aim was to adapt an intervention, Problem-Solving Skills Training, previously proven effective in reducing parental distress in other pediatric illness conditions to the population of caregivers of youth with chronic pain. In the first phase, the intervention was adapted based on expert review of the literature and review of parent responses on a measure of pain-related family impact. In the second phase, the intervention was tested in a small group of parents to evaluate feasibility, determined by response to treatment content, ratings of acceptability, and ability to enroll and deliver the treatment visits. This phase included piloting the PSST intervention and all outcome measures at pre-treatment and immediately post-treatment. In an exploratory manner we examined change in parent distress and child physical function and depression from pre- to post-treatment. Findings from this feasibility study suggest that PSST can be implemented with parents of youth with chronic pain, and they find the treatment acceptable.