A Pilot Trial of a Stress Management Intervention for Primary Caregivers of Children Newly Diagnosed With Cancer: Preliminary Evidence That Perceived Social Support Moderates the Psychosocial Benefit of Intervention

(1) To examine the acceptability and feasibility of a stress management intervention for caregivers of children recently diagnosed with cancer. (2) To explore whether caregivers with lower baseline perceived social support derive greater benefit from the intervention than those with higher perceived...

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Bibliographic Details
Published in:Journal of pediatric psychology 2013-05, Vol.38 (4), p.449-461
Main Authors: MARSLAND, Anna L, LONG, Kristin A, HOWE, Chelsea, THOMPSON, Amanda L, TERSAK, Jean, EWING, Linda J
Format: Article
Language:English
Subjects:
Adolescent
Adult
Biological and medical sciences
Caregivers - psychology
Child
Child clinical studies
Cognitive Therapy - methods
Disease Management
Feasibility Studies
Female
Humans
Male
Medical sciences
Middle Aged
Multiple tumors. Solid tumors. Tumors in childhood (general aspects)
Neoplasms - psychology
Pilot Projects
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Regular
Social Perception
Social Support
Stress, Psychological - therapy
Treatment Outcome
Tumors
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Summary:(1) To examine the acceptability and feasibility of a stress management intervention for caregivers of children recently diagnosed with cancer. (2) To explore whether caregivers with lower baseline perceived social support derive greater benefit from the intervention than those with higher perceived support. 45 primary caregivers were randomly assigned to intervention or standard care. Of these, 37 completed measures of social support, depression, anxiety, and perceived stress at both pre-intervention (T1; mean = 24 days post-diagnosis) and post-intervention time points (T2; mean = 165 days post-diagnosis). Enrollment, retention, and satisfaction data support feasibility and acceptability of the intervention. There was no overall significant impact of participation in the intervention on levels of distress at T2. However, T1 social support moderated intervention response, with caregivers who perceived lower T1 support showing greater psychological benefit from the intervention. Primary caregivers with lower levels of perceived social support may benefit from preemptive stress management intervention.
ISSN:0146-8693
1465-735X
DOI:10.1093/jpepsy/jss173