Threat interpretation and parental influences for children with asthma and anxiety

Sicouri, Gemma; Sharpe, Louise; Hudson, Jennifer L.; Dudeney, Joanne; Jaffé, Adam; Selvadurai, Hiran; Lorimer, Sarah; Hunt, Caroline

doi:10.1016/j.brat.2016.11.004

Cited by 21 publications

(18 citation statements)

References 45 publications

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“…As has been previously documented in the literature, participants in this study suggested that restricting exercise may also develop from fear of exercise-induced asthma attacks (8). Research has shown that parental anxiety can lead to children developing avoidance behaviours in asthma-threat scenarios (20). This finding was also supported by the health professionals interviewed here.…”

Section: Discussionsupporting

confidence: 83%

Weight-management in children living with asthma: a qualitative study of the experiences of paediatric healthcare professionals

et al. 2018

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Objective: Weight loss has been found to improve the symptoms of asthma in children who are overweight. However, many paediatric weight management programmes do not address the challenges associated with living with asthma. The aim of this study was to explore the views and experiences of paediatric healthcare professionals concerning weight management advice and support offered to families of children living with asthma. Methods: In-depth individual interviews with 10 healthcare professionals who work with a paediatric asthma population (n= 4 Respiratory Consultants, 3 Respiratory Nurses, 3 General Paediatricians). Data were analysed using a Framework approach. Results: Healthcare professionals highlighted that families' perceptions of weight, their approach to physical activity and nutrition, the family's social context and perceptions of asthma and asthma treatment all influence weight management in children living with asthma. Initiating weight management conversations and referring to weight management support were perceived as challenging. It was thought that tailoring weight management to the needs of children living with asthma and locating support within the community were important to the success of a family-centred intervention. Conclusion: The results highlight the added complexity of responding to excessive weight in a paediatric population with asthma. Training and referral guidance for healthcare professionals may help overcome weight management support challenges. Addressing family beliefs about the factors influencing paediatric asthma and exploring families' motivations for behaviour change may enhance engagement with weight management.

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Section: Discussionsupporting

confidence: 83%

Weight-management in children living with asthma: a qualitative study of the experiences of paediatric healthcare professionals

et al. 2018

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“…Recent research has suggested that parents may influence their child's interpretation of asthma-related threatening cues. 67 Hence, parents who become less anxious after the ACT training might reduce their child's biases toward their asthma symptoms and encourage adaptive coping for better health outcomes.…”

Section: Days Per Week)mentioning

confidence: 99%

Acceptance and Commitment Therapy for Parental Management of Childhood Asthma: An RCT

et al. 2019

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BACKGROUND: Few trials have been conducted to address the psychological difficulties of parents in managing their child's asthma. Fostering parental psychological flexibility through Acceptance and Commitment Therapy (ACT) may help parents to accept these psychological difficulties and improve their management of childhood asthma. METHODS: In this randomized controlled trial, a 4-session, group-based ACT plus asthma education (ACT group) was compared with an asthma education talk plus 3 telephone followups (control group) to train parents of children diagnosed with asthma. The use of health care services due to asthma exacerbations in children and the psychological well-being of their parents were assessed before, immediately after, and at 6 months after the intervention. RESULTS: A total of 168 parents and their children aged 3 to 12 years with asthma were consecutively recruited in a public hospital in Hong Kong. When compared with the control group, children whose parents were in the ACT group made significantly fewer emergency department visits (adjusted 6-month incidence rate ratio = 0.20; confidence interval [CI] 0.08 to 0.53; P = .001) due to asthma exacerbations at 6 months postintervention. These parents also reported a decrease in psychological inflexibility (mean difference = 25.45; CI 27.71

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“…The participants were drawn from a larger project investigating the relationship between asthma and anxiety (Sicouri et al, 2017b). Children were eligible if they met DSM-IV diagnostic criteria for an anxiety disorder; had an asthma diagnosis from a respiratory paediatrician, their asthma was well controlled and monitored by optimal and stable respiratory medications, aged between 8 and 13 years, and were fluent in English.…”

Section: Methodsmentioning

confidence: 99%

A Case Series Evaluation of a Pilot Group Cognitive Behavioural Treatment for Children With Asthma and Anxiety

et al. 2017

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Anxiety disorders occur at an increased rate in children with asthma; however, there is only a small evidence base to support specific psychological treatments for these children. The current study evaluated the efficacy of a pilot cognitive behavioural treatment (CBT) group intervention for children with asthma and a comorbid anxiety disorder in a case series design. Five children (aged 8–11 years old) with asthma and a comorbid anxiety disorder and their mothers took part in eight 1-hour group treatment sessions. Primary outcomes measures were anxiety diagnosis and asthma-related quality of life. Secondary outcome measures were asthma symptom control and parent quality of life associated with caring for a child with asthma. Three of the participants no longer met diagnostic criteria for an anxiety disorder following treatment and three different participants reported a reliable improvement in asthma-related quality of life. Two participants reported a reliable improvement in asthma symptom control. Three mothers reported an improvement in caregiver quality of life. The findings provide preliminary proof of concept evidence for the efficacy of a CBT intervention for children with asthma and clinical anxiety.

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Threat interpretation and parental influences for children with asthma and anxiety

Cited by 21 publications

References 45 publications

Weight-management in children living with asthma: a qualitative study of the experiences of paediatric healthcare professionals

Weight-management in children living with asthma: a qualitative study of the experiences of paediatric healthcare professionals

Acceptance and Commitment Therapy for Parental Management of Childhood Asthma: An RCT

A Case Series Evaluation of a Pilot Group Cognitive Behavioural Treatment for Children With Asthma and Anxiety

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