Helping parents to help children overcome fear: The influence of a short video tutorial

Ewing, D., Pike, A., Dash, S., Hughes, Z., Thompson, E.J., Hazell, C., Ang, C.M., Kucuk, N., Laine, A. and Cartwright‐Hatton, S. 2020. Helping parents to help children overcome fear: The influence of a short video tutorial. British Journal of Clinical Psychology. 59 (1), pp. 80-95. https://doi.org/10.1111/bjc.12233

TitleHelping parents to help children overcome fear: The influence of a short video tutorial
TypeJournal article
AuthorsEwing, D.
Pike, A.
Dash, S.
Hughes, Z.
Thompson, E.J.
Hazell, C.M.
Mei Ang, C.
Kucuk, N.
Laine, A.
Cartwright-Hatton, S.
Abstract

Objectives

Anxiety runs in families, and its transmission is largely environmental. However, studies rarely explore this process in clinically anxious parents or ask participants to face a genuine fear. We also do not know whether this process is modifiable. This study will explore these questions using a sample of clinically anxious parents.
Design

Experimental design comparing clinically anxious parents with non‐anxious parents, and exploring the effects of a tutorial intervention versus a control group.
Methods

Parents with and without anxiety disorders and their children (5–9 years) participated (N = 72). Children chose two fearful animal stimuli. Parents helped the child approach the first in graded steps. The following parental behaviours were recorded: positive/negative verbal information; positive/negative modelling; encouragement/praising of approach/avoidance behaviours. Half the parents were then randomly assigned to a short video tutorial advising how to help children cope with fearful situations. The remainder watched a control video. The approach task was repeated with the second stimulus.
Results

Parenting behaviours fell into two categories: ‘approach parenting’ (encouraging/praising/modelling approach; positive verbal information) and ‘avoidance parenting’ (encouraging/praising/modelling avoidance; negative verbal information). The parenting tutorial increased ‘approach parenting’ and decreased ‘avoidance parenting’ and was associated with increased child approach towards fearful stimuli. This was not moderated by parent or child anxiety.
Conclusions

Parenting, particularly ‘avoidance parenting’, is associated with children's approach and avoidance. A short video tutorial modified these parenting behaviours and reduced avoidance. These effects were apparent regardless of parent or child anxiety level.
Practitioner points

Avoidance and approach parenting may influence children's response to fearful stimuli.
Avoidance parenting may be more problematic than lack of approach parenting.
Approach and avoidance parenting are amenable to manipulation by short video tutorial.
Parenting improvement resulted in increased approach behaviour in children.

JournalBritish Journal of Clinical Psychology
Journal citation59 (1), pp. 80-95
ISSN0144-6657
Year2020
PublisherWiley
Accepted author manuscript
File Access Level
Open (open metadata and files)
Digital Object Identifier (DOI)https://doi.org/10.1111/bjc.12233
Publication dates
Published07 Aug 2019
Published in printMar 2020

Related outputs

Understanding how doctoral researchers perceive research supervision to impact their mental health and well-being
Hazell, C.M., Berry, C., Heywood, D., Birkett, J., Mackenzie, J.-M. and Niven, J. 2024. Understanding how doctoral researchers perceive research supervision to impact their mental health and well-being. Counselling and Psychotherapy Research. Advanced online publication. https://doi.org/10.1002/capr.12762

Pilot evaluation of a brief training video aimed at reducing mental health stigma amongst emergency first responders (the ENHANcE II study)
Hazell, C.M., Fielding-Smith, S., Koc, Y. and Hayward, M. 2024. Pilot evaluation of a brief training video aimed at reducing mental health stigma amongst emergency first responders (the ENHANcE II study). Journal of Mental Health. 33 (5), pp. 587-595. https://doi.org/10.1080/09638237.2022.2069707

Predictors of UK postgraduate researcher attendance behaviours and mental health-related attrition intention.
Berry, C., Niven, J. and Hazell, C.M. 2023. Predictors of UK postgraduate researcher attendance behaviours and mental health-related attrition intention. Current Psychology. 42, pp. 30521-30534. https://doi.org/10.1007/s12144-022-04055-1

The psychological therapy preferences of patients who hear voices
Berry, C., Baloc, A-I., Fowler, D., Jones, A-M., Hazell, C.M. and Hayward, M. 2023. The psychological therapy preferences of patients who hear voices. Psychosis. 15 (1), pp. 1-16. https://doi.org/10.1080/17522439.2022.2095000

Creating a hierarchy of mental health stigma: testing the effect of psychiatric diagnosis on stigma
Hazell, C.M., Berry, C., Bogen-Johnston, L. and Banerjee, M. 2022. Creating a hierarchy of mental health stigma: testing the effect of psychiatric diagnosis on stigma. BJPsych Open. 8 (5) e174. https://doi.org/10.1192/bjo.2022.578

Is it time to change the approach of mental health stigma campaigns? An experimental investigation of the effect of campaign wording on stigma and help-seeking intentions
Hazell, C.M., Fixsen, Alison and Berry, C. 2022. Is it time to change the approach of mental health stigma campaigns? An experimental investigation of the effect of campaign wording on stigma and help-seeking intentions. PLoS ONE. 17 (8) e0273254. https://doi.org/10.1371/journal.pone.0273254

The cognitive-phenomenological assessment of delusions and hallucinations at the early intervention in psychosis service stage: The results of a quality improvement project
Isaacson, Maria, Hazell, Cassie M., Cape, John, Hickson, Emily, Islam, Faaizah, Gill, Amber, Simon, Kathleen, Patel, Ruchit, Souray, Jonathan and Raune, David 2022. The cognitive-phenomenological assessment of delusions and hallucinations at the early intervention in psychosis service stage: The results of a quality improvement project. Early Intervention in Psychiatry. 16 (12), pp. 1345-1352. https://doi.org/10.1111/eip.13283

A Systematic Review of the Effects of Urban Living on Suicidality and Self-Harm in the UK and Ireland
Satherley, R. M., Hazell, C.M., Jones, C. J. and Hanna, P 2022. A Systematic Review of the Effects of Urban Living on Suicidality and Self-Harm in the UK and Ireland. Journal of Urban Health. https://doi.org/10.1007/s11524-022-00611-z

A cross-sectional study of auditory verbal hallucinations experienced by people with a diagnosis of borderline personality disorder
Hayward M, Jones, A M, Strawson, W H, Quadt, L, Larsson, D E O, Silva, M, Davies, G, Fielding-Smith, S, Hazell, C.M., Critchley, H D and Garfinkel, S N 2022. A cross-sectional study of auditory verbal hallucinations experienced by people with a diagnosis of borderline personality disorder. Clinical Psychology & Psychotherapy. 29 (2), pp. 631-641. https://doi.org/10.1002/cpp.2655

The Staff Views About Assessing Voices Questionnaire: Piloting a Novel Socratic Method of Evaluating and Training Multidisciplinary Staff's Cognitive Assessment of Patients' Distressing Voices.
Raune, David, Perkins, Sarah, Paradisopoulos, Daphne, Zsofia Bote, Orsoyla, Skacel, Patricia, Souray, Jonathan and Hazell, C. 2022. The Staff Views About Assessing Voices Questionnaire: Piloting a Novel Socratic Method of Evaluating and Training Multidisciplinary Staff's Cognitive Assessment of Patients' Distressing Voices. Journal of Cognitive Psychotherapy. 35 (1). https://doi.org/10.1891/JCPSY-D-20-00021

Do carers of adolescents at first episode psychosis have distinctive psychological needs? A pilot exploration
McKenna, A., Hazell, C.M., Souray, R., Cai, E., Man, L.C., Brown, L., Floyd, C., Lyons, N., Widuch, K., James, G., Keay, D., Souray, J., Afsharzadegan, R. and Raune, D. 2022. Do carers of adolescents at first episode psychosis have distinctive psychological needs? A pilot exploration. International Journal of Social Psychiatry. 68 (3), pp. 600-609. https://doi.org/10.1177/0020764021992828

Nationwide assessment of the mental health of UK Doctoral Researchers
Hazell, C.M., Niven, J. E., Chapman, L, Roberts, P. E., Cartwright-Hatton, S, Valeix, S and Berry, C 2021. Nationwide assessment of the mental health of UK Doctoral Researchers. Humanities and Social Sciences Communications. 8 305. https://doi.org/10.1057/s41599-021-00983-8

Personal, social and relational predictors of UK postgraduate researcher mental health problems
Berry, C., Niven J.E. and Hazell, C.M. 2021. Personal, social and relational predictors of UK postgraduate researcher mental health problems. BJPsych Open. 7 (6), p. e205. https://doi.org/10.1192/bjo.2021.1041

Measurement practices in hallucinations research
Smailes, D., Alderson-Day, B., Hazell, C.M., Wright, A. and Moseley, P. 2021. Measurement practices in hallucinations research. Cognitive Neuropsychiatry. 27 (2-3), pp. 183-198. https://doi.org/10.1080/13546805.2021.1999224

Understanding suicidality and reasons for living amongst Doctoral Researchers: A thematic analysis of qualitative U-DOC survey data
Hazell, C.M., Berry, C., Niven, J. E. and Mackenzie, J.-M. 2021. Understanding suicidality and reasons for living amongst Doctoral Researchers: A thematic analysis of qualitative U-DOC survey data. Counselling and Psychotherapy Research. 21 (4), pp. 757-767. https://doi.org/10.1002/capr.12437

Increasing access to cognitive–behavioural therapy for patients with psychosis by evaluating the feasibility of a randomised controlled trial of brief, targeted cognitive–behavioural therapy for distressing voices delivered by assistant psychologists: the GiVE2 trial
Hayward, M., Berry, K., Bremner, S., Jones, A., Robertson, S., Cavanagh, K., Gage, H., Berry, C., Neumann, S., Hazell, C.M., Fowler, D., Greenwood, K. and Strauss, C. 2021. Increasing access to cognitive–behavioural therapy for patients with psychosis by evaluating the feasibility of a randomised controlled trial of brief, targeted cognitive–behavioural therapy for distressing voices delivered by assistant psychologists: the GiVE2 trial. BJPsych Open. 7 e152. https://doi.org/10.1192/bjo.2021.983

Enhancing mental health awareness in emergency services (the ENHANcE I project): cross-sectional survey on mental health stigma among emergency services staff
Hazell, C.M., Koc, Y, O'Brien, S, Fielding-Smith, S and Hayward, M 2021. Enhancing mental health awareness in emergency services (the ENHANcE I project): cross-sectional survey on mental health stigma among emergency services staff. BJPsych Open. 7 (3) e77. https://doi.org/10.1192/bjo.2021.37

A mixed-methods investigation of mental health stigma, absenteeism and presenteeism among UK postgraduate researchers
Berry, C., Niven, J.E., Chapman, L., Valeix, S., Roberts, P.E. and Hazell, C.M. 2021. A mixed-methods investigation of mental health stigma, absenteeism and presenteeism among UK postgraduate researchers. Studies in Graduate and Postgraduate Education. 12 (1), pp. 145-170. https://doi.org/10.1108/SGPE-06-2020-0034

Enhancing mental health awareness in emergency services (the ENHANcE I project): cross-sectional survey on mental health stigma among emergency services staff.
Hazell, Cassie M, Koc, Yasin, O'Brien, Sorcha, Fielding-Smith, Sarah and Hayward, M. 2021. Enhancing mental health awareness in emergency services (the ENHANcE I project): cross-sectional survey on mental health stigma among emergency services staff. BJPsych Open. 7 (3), p. e77. https://doi.org/10.1192/bjo.2021.37

Patient experience of Guided self-help CBT intervention for VoicEs (GiVE) delivered within a pilot randomized controlled trial
Hazell, C.M., Kelly, O., O'Brien, S., Strauss, C., Cavanagh, K. and Hayward, M. 2020. Patient experience of Guided self-help CBT intervention for VoicEs (GiVE) delivered within a pilot randomized controlled trial. Cognitive Behaviour Therapist. 13 e40. https://doi.org/10.1017/S1754470X20000458

Understanding the mental health of doctoral researchers: a mixed methods systematic review with meta-analysis and meta-synthesis.
Hazell, C.M., Chapman, Laura, Valeix, Sophie F, Roberts, Paul, Niven, Jeremy E and Berry, Clio 2020. Understanding the mental health of doctoral researchers: a mixed methods systematic review with meta-analysis and meta-synthesis. Systematic Reviews. 9 (1), p. 197 197. https://doi.org/10.1186/s13643-020-01443-1

Service evaluation of a sole-session psychoeducational intervention to improve caregivers’ key illness beliefs after first episode psychosis (FEP)
Hazell, C. M., Lyons, N, Owumere, J, Schulz, J, Glover, N, Whittaker, S, Chu Man, L, Floyd, C, Brown, L, James, G, Afshardazegan, R, Seneviratne, S, Rahim, S, Souray, J and Raune, D 2020. Service evaluation of a sole-session psychoeducational intervention to improve caregivers’ key illness beliefs after first episode psychosis (FEP). Cognitive Behaviour Therapist. 13 carers. https://doi.org/10.1017/S1754470X20000264

Is the content of patient’s written emotional disclosure associated with improved health outcomes for asthma patients?
Hazell, C. M., Jones, J. C., McLachlan, E. M. and Smith, H. E. 2020. Is the content of patient’s written emotional disclosure associated with improved health outcomes for asthma patients? Health Psychology Update. 29 (2), pp. 31-42.

Hanging in the balance: Conceptualising doctoral researcher mental health as a dynamic balance across key tensions characterising the PhD experience
Berry, C, Valeix, S, Niven, J.E., Chapman, L., Roberts, P.E. and Hazell, C.M. 2020. Hanging in the balance: Conceptualising doctoral researcher mental health as a dynamic balance across key tensions characterising the PhD experience. International Journal of Educational Research. 102, p. 101575 101575. https://doi.org/10.1016/j.ijer.2020.101575

Demographic predictors of wellbeing in Carers of people with psychosis: secondary analysis of trial data
Hazell, C.M., Hayward, M., Lobban, F., Pandey, A., Pinfold, V., Smith, H.E. and Jones, C.J. 2020. Demographic predictors of wellbeing in Carers of people with psychosis: secondary analysis of trial data. BMC Psychiatry. 20 269. https://doi.org/10.1186/s12888-020-02691-0

The Blurred Line between Physical Ageing and Mental Health in Older Adults: Implications for the Measurement of Depression
Hazell, C., Smith, Helen E and Jones, C. 2019. The Blurred Line between Physical Ageing and Mental Health in Older Adults: Implications for the Measurement of Depression. Clinical Medicine Insights: Psychiatry. 10. https://doi.org/10.1177/1179557319885634

Barriers to recruiting and retaining psychosis carers: a case study on the lessons learned from the Caring for Caregivers (C4C) trial
Hazell, C.M., Jones, C.J., Pandey, A and Smith, H.E 2019. Barriers to recruiting and retaining psychosis carers: a case study on the lessons learned from the Caring for Caregivers (C4C) trial. BMC Research Notes. 12, p. 810 810. https://doi.org/10.1186/s13104-019-4832-9

Preventing Family Transmission of Anxiety: Feasibility RCT of a Brief Intervention for Parents
Cartwright-Hatton, S., Ewing, D.L., Dash, S., Hughes, Z., Thompson, E.J., Hazell, C.M., Field, A.P. and Startup, H.M. 2018. Preventing Family Transmission of Anxiety: Feasibility RCT of a Brief Intervention for Parents. British Journal of Clinical Psychology. 57 (3), pp. 351-366. https://doi.org/10.1111/bjc.12177

Understanding the Barriers to Accessing Symptom-Specific Cognitive Behavior Therapy (CBT) for Distressing Voices: Reflecting on and Extending the Lessons Learnt From the CBT for Psychosis Literature
Hazell, C.M., Greenwood, K., Fielding-Smith, S., Rammou, A., Bogen-Johnston, L., Berry, C., Jones, A. and Hayward, M. 2018. Understanding the Barriers to Accessing Symptom-Specific Cognitive Behavior Therapy (CBT) for Distressing Voices: Reflecting on and Extending the Lessons Learnt From the CBT for Psychosis Literature. Frontiers in Psychology. 9 727. https://doi.org/10.3389/fpsyg.2018.00727

Guided self-help cognitive- behaviour Intervention for VoicEs (GiVE): Results from a pilot randomised controlled trial in a transdiagnostic sample
Hazell, C.M., Hayward, M., Cavanagh, K., Jones, A. and Strauss, C. 2018. Guided self-help cognitive- behaviour Intervention for VoicEs (GiVE): Results from a pilot randomised controlled trial in a transdiagnostic sample. Schizophrenia Research. 195, pp. 441-447. https://doi.org/10.1016/j.schres.2017.10.004

An Introduction to Self-help for Distressing Voices
Hazell, C.M., Hayward, M., Strauss, C. and Kingdon, D. 2018. An Introduction to Self-help for Distressing Voices. London Little Brown Book Group.

Caring for Caregivers (C4C): study protocol for a pilot feasibility randomised control trial of Positive Written Disclosure for older adult caregivers of people with psychosis
Hazell, C.M., Jones, C.J., Hayward, M., Bremner, S.A., O'Connor, D.B., Pinfold, V. and Smith, H.E. 2017. Caring for Caregivers (C4C): study protocol for a pilot feasibility randomised control trial of Positive Written Disclosure for older adult caregivers of people with psychosis. Pilot and Feasibility Studies. 3, p. 63. https://doi.org/10.1186/s40814-017-0206-z

Barriers to disseminating brief CBT for voices from a lived experience and clinician perspective
Hazell, C.M., Strauss, C., Cavanagh, K. and Hayward, M. 2017. Barriers to disseminating brief CBT for voices from a lived experience and clinician perspective. PLoS ONE. 12 (6) e0178715. https://doi.org/10.1371/journal.pone.0178715

Understanding clinician attitudes towards implementation of guided self-help cognitive behaviour therapy for those who hear distressing voices: using factor analysis to test normalisation process theory
Hazell, C.M., Strauss, C., Hayward, M. and Cavanagh, K. 2017. Understanding clinician attitudes towards implementation of guided self-help cognitive behaviour therapy for those who hear distressing voices: using factor analysis to test normalisation process theory. BMC Health Services Research. 17, p. 507 507. https://doi.org/10.1186/s12913-017-2449-z

A systematic review and meta- analysis of low intensity CBT for psychosis
Hazell, C.M., Hayward, M., Cavanagh, K. and Strauss, C. 2016. A systematic review and meta- analysis of low intensity CBT for psychosis. Clinical Psychology Review. 45, pp. 183-192. https://doi.org/10.1016/j.cpr.2016.03.004

Guided self-help cognitive behavioural intervention for VoicEs (GiVE): study protocol for a pilot randomized controlled trial
Hazell, C.M., Hayward, M., Cavanagh, K., Jones, A.M. and Strauss, C. 2016. Guided self-help cognitive behavioural intervention for VoicEs (GiVE): study protocol for a pilot randomized controlled trial. Trials. 17, p. 351 351. https://doi.org/10.1186/s13063-016-1494-y

No Significant Evidence of Cognitive Biases for Emotional Stimuli in Children At-Risk of Developing Anxiety Disorders.
Ewing, D.L., Dash, S., Thompson, E.J., Hazell, C.M., Hughes, Z., Lester, K.J. and Cartwright-Hatton, S. 2016. No Significant Evidence of Cognitive Biases for Emotional Stimuli in Children At-Risk of Developing Anxiety Disorders. Journal of Abnormal Child Psychology. 44 (7), pp. 1243-1252. https://doi.org/10.1007/s10802-015-0122-8

Permalink - https://westminsterresearch.westminster.ac.uk/item/qx01y/helping-parents-to-help-children-overcome-fear-the-influence-of-a-short-video-tutorial


Share this

Usage statistics

155 total views
140 total downloads
These values cover views and downloads from WestminsterResearch and are for the period from September 2nd 2018, when this repository was created.