Learning to Cope: A CBT Evaluation Exploring Self-Reported Changes in Coping with Anxiety Among School Children Aged 5–7 Years

2018 ◽  
Vol 35 (2) ◽  
pp. 67-87 ◽  
Author(s):  
Sylvia Ruocco ◽  
Nerelie C. Freeman ◽  
Louise A. McLean
Keyword(s):  
Coping Strategies ◽  
Group Intervention ◽  
Primary Schools ◽  
Child Anxiety ◽  
Cognitive Strategies ◽  
Self Report ◽  
School Based ◽  
Cognitive Behavioural ◽  
Before And After ◽  
And Coping

This study examined the effects of a school-based cognitive-behavioural group intervention for anxiety in young children, Get Lost Mr Scary, on child self-reported anxiety and coping skills. Participants included 65 children (Mage= 6.50 years,SDage= 0.75) drawn from 13 public primary schools located in Western Sydney, Australia. The children participated in seven weekly 1-hour Get Lost Mr Scary sessions, and their parents attended three information sessions. The pictorial semistructured Child Anxiety and Coping Interview (CACI) was used to elicit the children's self-report of their anxiety symptoms, emotions, coping strategies, and coping efficacy before and after the 7-week intervention. Although children rated their maladaptive coping strategies as helpful, the postintervention results indicated a significant decrease in the use of maladaptive strategies such as behavioural avoidance and an increase in adaptive cognitive strategies, particularly cognitive restructuring. Consistent with parent and teacher reports, child self-reports indicated a significant reduction in anxiety and negative emotional distress. The clinical implications of the findings are discussed.

Development of a Pictorial Semi-Structured Child Anxiety and Coping Interview (CACI): Preliminary Analysis with School Children aged 5–7 years

2018 ◽  
Vol 43 (4) ◽  
pp. 276-288 ◽  
Author(s):  
Sylvia Ruocco ◽  
Nerelie C. Freeman ◽  
Louise A. McLean
Keyword(s):  
Coping Strategies ◽  
Self Efficacy ◽  
Primary Schools ◽  
Preliminary Analysis ◽  
Child Anxiety ◽  
Self Report ◽  
School Based ◽  
Support Seeking ◽  
And Coping ◽  
Home And School

This school-based study reports on the development and preliminary analysis of the new pictorial semi-structured Child Anxiety and Coping Interview (CACI). Participants included 195 children (Mage = 6.71; SDage = .76) drawn from 29 primary schools located in Western Sydney, Australia. The study used a mixed qualitative and quantitative design. The CACI was used to elicit the children's self-report on their problems, emotions, coping strategies, and coping self-efficacy. Qualitative content and thematic analysis were used to code the children's nominated coping strategies for their problems in the home and school contexts. The top five most common problems reported were as follows: fear of spiders or insects, fear of the dark, going places without parents, doing badly at school, and heights. The top five most common coping strategies reported by the children were support seeking, behavioural avoidance, solving the problem, facing the challenge, and behavioural distraction. Self-reported negative emotional intensity was highest for fear of the dark. Coping self-efficacy for fear of the dark was also high, suggesting the children found their coping strategies helpful, including those that were maladaptive. The clinical implications of these findings are discussed.

Stress and Coping Among Adolescents Across a Competitive Swim Season

2013 ◽  
Vol 27 (2) ◽  
pp. 143-155 ◽  
Author(s):  
Meghan H. McDonough ◽  
Valerie Hadd ◽  
Peter R.E. Crocker ◽  
Nicholas L. Holt ◽  
Katherine A. Tamminen ◽  
...  
Keyword(s):  
Data Collection ◽  
Coping Strategies ◽  
Stress And Coping ◽  
Dynamic Nature ◽  
Adolescent Athletes ◽  
Competitive Season ◽  
Data Collection And Analysis ◽  
Before And After ◽  
And Coping

This study qualitatively examined the congruence between anticipated and experienced stressors and coping, and approaches to coping by elite adolescent swimmers across a competitive season. Eight swimmers were interviewed before and after 4 swim meets in a season. Data collection and analysis were guided by theories of stress and coping. Accuracy of anticipating stressors was low, and the stressors and coping strategies were variable across the season. Idiographic profiles were created for each athlete and grouped according to similar characteristics. Three groups included athletes who (a) generally perceived stressors as something to be avoided, (b) generally perceived stressors as problems to be solved, or (c) generally perceived swimming as fun and minimally stressful. These patterns appeared to be associated with anticipating stressors, highlighting the complex and dynamic nature of stress and coping among adolescent athletes.

The effectiveness, feasibility and acceptability of a school-based intervention to improve sleep and psychological wellbeing in adolescents.

2021 ◽  
Author(s):  
Stephanie McCrory ◽  
Astrid McLellan ◽  
Karolina Kiper ◽  
Clare Munro ◽  
Christopher-James Harvey ◽  
...  
Keyword(s):  
Behavioural Therapy ◽  
Self Report ◽  
Psychological Wellbeing ◽  
Future Research ◽  
Convenience Sample ◽  
School Based ◽  
Cognitive Behavioural ◽  
Physical Health Problems ◽  
Improvement Interventions ◽  
Measure Change

Introduction: Adolescents are vulnerable to experiencing insufficient sleep which can increase the risk of developing insomnia, mental/physical health problems and mood regulation. School-based sleep improvement interventions (SBSII) have been developed utilising Cognitive Behavioural Therapy for Insomnia techniques and found improvements in sleep knowledge and behaviour. This study aimed to evaluate the effectiveness, feasibility and acceptability of a school-based sleep improvement intervention (iSLEEP) for improving sleep and psychological wellbeing in adolescents.Methods: A mixed-methods approach was adopted. The participants (115, aged 12-15) were recruited from secondary schools in Scotland. iSLEEP comprised of three lessons, combining formal sleep education and CBT-I, and were delivered over three consecutive weeks. Baseline (1 week before lesson 1) and follow-up (1 week following lesson 3) assessments comprised of self-report questionnaires to measure change in sleep, depression, anxiety and stress. Two weeks following the final lesson, a convenience sample of 19 pupils (14 females) were recruited to participate in focus groups.Results: There were significant improvements in overall sleep and marginal differences between those who were categorised with ‘probable insomnia’ at baseline and likewise for ‘good sleepers’. There were no significant improvements in symptoms of depression, anxiety or stress. Two themes and two sub-themes were generated. Participants reported that iSLEEP was acceptable and improved their sleep.Conclusions: These findings indicate that iSLEEP is an effective, feasible and acceptable SBSII. Future research should aim to utilise a controlled design to further investigate the efficacy of iSLEEP.

scholarly journals An Evaluation of the Implementation of a UK School-Based Running Program

Children ◽  
2020 ◽  
Vol 7 (10) ◽  
pp. 151
Author(s):  
Anna E. Chalkley ◽  
Ash C. Routen ◽  
Jo P. Harris ◽  
Lorraine A. Cale ◽  
Trish Gorely ◽  
...  
Keyword(s):  
Primary Schools ◽  
Average Distance ◽  
Multiple Time ◽  
School Year ◽  
School Based ◽  
Before And After ◽  
The Uk ◽  
High Level ◽  
Academic Year ◽  
Over Time

The adoption of school-based running programs has rapidly increased over the last five years in the UK and globally. However, there is currently a lack of information on how these initiatives are implemented, and whether they are generalizable and/or sustainable. This study evaluated the implementation (including reach, fidelity, and dose) of a school-based running program over seven months to inform future delivery. This observational study used a mixed-method, single-group, before-and-after design strengthened by multiple interim measurements to evaluate the implementation of an optional school-based running program. Five state-funded primary schools in Leicestershire, UK, participated, with 17 teachers and 189 (81 boys (47.4%) and 90 girls (52.6%)) Year 5 pupils (aged 9–10 years) from eight classes. During the 2016/2017 academic year, data were collected via several measures (including interviews, focus groups, observations, questionnaires, and teacher implementation logs) at multiple levels (i.e., school and individual) and at multiple time points during implementation. Follow up qualitative data were also collected during 2017/2018. The school-based running program achieved good reach, with 100% of pupils opting to participate at some point during the academic year. All schools implemented the program with good fidelity, although the level of implementation varied between schools and over time. The average number of sessions held per week ranged from 0.94–3.89 with the average distance accumulated per pupil per week ranging from 0.02 to 2.91 kilometers and boys being more likely than girls to be classed as high-level participators. Despite an initial drop off in participation over time, all schools remained engaged in the program and continued to implement it until the end of the school year. Contextual features (e.g., staff capacity and resources) differed between schools and influenced the quality of implementation and the frequency of delivery. The school-based running program is simple, inexpensive, and versatile and can be implemented by schools with relative ease. However, schools are diverse settings, with unique challenges to ongoing delivery. Thus, planned adaptations, specific to each school’s context, are likely necessary to sustain participation in the longer term and should be considered prior to implementation.

Genetic testing for hereditary cancer: Effects of alexithymia and coping strategies on variations in anxiety before and after result disclosure

2011 ◽  
Vol 26 (7) ◽  
pp. 855-873 ◽  
Author(s):  
Carole Fantini-Hauwel ◽  
Bruno Dauvier ◽  
Thomas Arciszewski ◽  
Pascal Antoine ◽  
Sylvie Manouvrier
Keyword(s):  
Genetic Testing ◽  
Coping Strategies ◽  
Hereditary Cancer ◽  
Before And After ◽  
And Coping

scholarly journals Doing and rethinking. Building resilience with men

2015 ◽  
Vol 20 (3) ◽  
pp. 185-198 ◽  
Author(s):  
Mark Robinson ◽  
Steve Robertson ◽  
Mary Steen ◽  
Gary Raine ◽  
Rhiannon Day
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Coping Strategies ◽  
Qualitative Interviews ◽  
Mental States ◽  
Content Type ◽  
Context Sensitive ◽  
Before And After ◽  
Resilience Intervention ◽  
And Coping

Purpose – The purpose of this paper is to present findings from an evaluation of a mental health resilience intervention for unemployed men aged 45-60. The focus is on examining the place of activities within a multi-dimensional men’s mental health programme, and exploring interactions between social context factors and models of change. Design/methodology/approach – The paper draws on before and after survey data and qualitative interviews, to report results concerning effectiveness in changing men’s perceived resilience, to consider project processes concerning activities, social support and coping strategies, and to situate these within wider environments. Findings – The programme significantly raised the perceived resilience of participants. Activities were engaging for men, while the complex intersection between activities, social networking, and coping strategies course provided opportunities for men to develop resilience in contexts resonant with their male identities. Research limitations/implications – A limitation is that the evaluation could not measure longer term impacts. Practical implications – The paper discusses emerging considerations for resilience building, focusing on gender-sensitive approaches which can engage and retain men by focusing on doing and talking, in the contexts of men’s life-course, highlighting embodied (male) identities not disembodied “mental states”, and facilitating social support. There are challenges to recruit men despite stigma, support men to speak of feelings, and facilitate progression. Social implications – Potential exists for gender-aware programmes to sustain salutogenic change, co-producing social assets of peer support, male-friendly activities, and context sensitive course provision. Originality/value – The paper adds fresh evidence of gendered intervention approaches, including effects on male resilience. Application of a context-sensitive change model leads to multi-component findings for transferring and sustaining programme gains.

scholarly journals THE MEDIATING ROLES OF HEALTH LOCUS OF CONTROL AND COPING ON THE PAIN-DEPRESSION PATHWAY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S162-S162
Author(s):  
Kyrsten Costlow ◽  
Patricia A Parmelee ◽  
Tina Harralson
Keyword(s):  
Older Adults ◽  
Locus Of Control ◽  
Coping Strategies ◽  
Health Locus Of Control ◽  
Self Report ◽  
Osteoarthritis Of The Knee ◽  
Osteoarthritis Pain ◽  
Serial Mediation ◽  
Negative Coping ◽  
And Coping

Abstract The literature on health locus of control (HLC) suggests that individuals who believe that their health is internally determined are more likely to use active coping strategies than those who believe their health is determined by chance or powerful others (Brosschot, Gebhardt, & Godaert, 1994; Gibson & Helme, 2000). Coping strategies (Klapow et al., 1995) and HLC (Campbell, Hope, & Dunn, 2017) have been found to influence the relation between chronic pain and depression. We hypothesized that the relation between osteoarthritis pain and depression would be serially mediated by HLC and coping. Self-report measures of osteoarthritis pain (Meenan, Mason, Anderson, Guccione, & Kazis, 1992; Parmelee, Katz, & Lawton), HLC (Wallston, Wallston, & DeVellis, 1978), coping strategies (Felton & Revenson, 1984; Rosenstiel & Keefe, 1983), and depression (Radloff, 1977) were examined in 367 older adults with osteoarthritis of the knee. Hayes’ (2013) PROCESS macro was used to test the hypothesized serial multiple mediation for three subscales of HLC: internality (IHLC), chance (CHLC), and powerful others (PHLC). After controlling for age, the hypothesized serial mediation was statistically significant for IHLC and CHLC but not PHLC. More specifically, osteoarthritis pain significantly increased CHLC, which increased negative coping and depression in turn. Osteoarthritis pain significantly decreased IHLC, which was associated with both positive and negative coping strategies in a complex serial mediation. These findings suggest that interventions targeting HLC and/or coping strategies may be able to alter the pain-depression pathway for older adults with chronic osteoarthritis pain. (Supported by R01-MH51800, P. Parmelee, PI).

Cognitive Coping Strategies and Coping Modes in Relation to Chronic Pain Disability

1996 ◽  
Vol 27 (4) ◽  
pp. 15-18 ◽  
Author(s):  
R. Scott Lenhart ◽  
Jeffrey S. Ashby
Keyword(s):  
Chronic Pain ◽  
Coping Strategies ◽  
Cognitive Strategies ◽  
Self Control ◽  
Assessment Instruments ◽  
General Strategy ◽  
Cognitive Coping ◽  
Multidimensional Pain Inventory ◽  
Pain Disability ◽  
And Coping

This study was an exploratory assessment of the influence that both situation-specific (cognitive coping strategies) and general cognitive coping strategies (cognitive coping modes) exert on measures of disability among persons with chronic pain. A demographics sheet and three assessment instruments, the Coping Strategies Questionnaire, the Medical Coping Modes Questionnaire, and the West Haven-Yale Multidimensional Pain Inventory were distributed to 103 individuals with chronic pain. After controlling for two demographic variables, compensation status and age, results suggested that one of the situation-specific cognitive strategies, helplessness, was associated with both measures of disability: interference due to pain and self control. One of the general strategies, avoidance, was associated with both measures of disability. A second general strategy, acceptance/resignation, was associated with perceived self-control. Implications for rehabilitation counselors are discussed.

Reduction of Physiological, Behavioral, and Self-Report Responses in Type a Behavior: A Preliminary Report

1987 ◽  
Vol 16 (1) ◽  
pp. 31-47 ◽  
Author(s):  
Andrew M. Razin ◽  
Charles Swencionis ◽  
Lenore R. Zohman
Keyword(s):  
Group Intervention ◽  
Intervention Program ◽  
Type A ◽  
Type A Behavior ◽  
Self Report ◽  
Before And After ◽  
Behavioral Group ◽  
Observer Ratings ◽  
Pre Treatment ◽  
Artery Disease

Recent reports indicate that Type A Behavior may be reducible by behavioral and other psychotherapeutic methods. To date, however, there has been virtually no demonstration of reduction of the actual, observed behavior. Furthermore, the physiologic hyperresponsiveness that seems to characterize many Type A individuals when under stress, has received relatively little therapeutic attention. This preliminary, uncontrolled report describes a cognitive-behavioral group intervention program, before and after which patients underwent assessment on physiologic, behavioral, and self-report assessments. These included heart rate and blood pressure responsiveness under stressful conditions, trained observer ratings of Type A Behavior, and a variety of subjective measures of Type A Behavior and psychological distress and symptoms. Results showed limited improvement on most behavioral and self-report indices. Relatively greater reduction of Type A Behavior was associated with higher pre-treatment levels of Type A Behavior, with the absence of coronary artery disease and with male gender.

scholarly journals Early intervention in panic: pragmatic randomised controlled trial

2010 ◽  
Vol 196 (4) ◽  
pp. 326-331 ◽  
Author(s):  
Peter Meulenbeek ◽  
Godelief Willemse ◽  
Filip Smit ◽  
Anton van Balkom ◽  
Philip Spinhoven ◽  
...  
Keyword(s):  
Early Intervention ◽  
Panic Disorder ◽  
Group Intervention ◽  
Controlled Trial ◽  
Intervention Group ◽  
Self Report ◽  
Control Group ◽  
Cognitive Behavioural ◽  
Clinically Significant ◽  
Randomised Controlled

BackgroundMany people suffer from subthreshold and mild panic disorder and are at risk of developing more severe panic disorder.AimsThis study (trial registration: ISRCTN33407455) was conducted to evaluate the effectiveness of an early group intervention based on cognitive–behavioural principles to reduce panic disorder symptomatology.MethodParticipants with subthreshold or mild panic disorder were recruited from the general population and randomised to the intervention (n = 109) or a waiting-list control group (n = 108). The course was offered by 17 community mental health centres.ResultsIn the early intervention group, 43/109 (39%) participants presented with a clinically significant change on the Panic Disorder Severity Scale–Self Report (PDSS–SR) v. 17/108 (16%) in the control group (odds ratio (OR) for favourable treatment response 3.49, 95% CI 1.77–6.88, P = 0.001). The course also had a positive effect on DSM–IV panic disorder status (OR = 1.96, 95% CI=1.05–3.66, P = 0.037). The PDSS–SR symptom reduction was also substantial (between-group standardised mean difference of 0.68). The effects were maintained at 6-month follow-up.ConclusionsPeople presenting with subthreshold and mild panic disorder benefit from this brief intervention.

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