Distress
In clinical settings, t-scores greater than 70 on the POMS TMD are
considered very elevated, t-scores between 60 and 69 are elevated,
t-scores between 40 and 59 are average, t-score between 30 and 39 are
low, and t-scores below 30 are very low33. The POMS
TMD t-scores show that caregivers of children with SCD reported
non-clinical levels of mood disturbance at T1, T2, and T3, as all scores
were within the average range (Table 3)33.
The PHQ-9 data suggests that caregivers of children with SCD in this
sample reported few symptoms of depression at T1, T2, and T3 (Table 4).
Levels of depression among 9 (15%) caregivers were within the mild
depression range (scores 10 – 14); 4 (6.7 %) caregivers were within
the moderate depression range (scores 17 – 19)38;
none reported severe depression (score 20+).
On average, IES-R scores were within the non-clinical range at T1, T2,
and T3 (Table 4)36. In clinical settings, a score of
24 or higher on the IES-R is of clinical concern and warrants further
assessment36.
Effectiveness of Intervention for Caregivers who Completed
6+
Sessions
To further explore our data, we also examined the effectiveness of the
BI intervention for the 35 caregivers who successfully completed 6+
sessions. For this group of 35 caregivers, SPSI-R scores improved
consistently over time. Scores on the POMS TMD, PHQ-9, and IES-R were
low initially, and they remained low at all three time points.