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Cognitive behaviour therapy improves quality of life in children with asthma and anxiety

Cognitive behaviour therapy improves quality of life in children with asthma and anxiety | Mom Psych | Scoop.it

Researchers have found that a programme of cognitive behaviour therapy delivered by nurses to children who had asthma and anxiety improved the children's quality of life scores and reduced the risk of escalation of treatment.

 

Levels of anxiety and hyperventilation in children with asthma fell and their quality of life improved after a course of behaviour therapy from a nurse-led clinic, research has found.

 

The therapy included techniques such as mindfulness, where children were encouraged to concentrate on the present moment, rather than worry about what might happen or what has happened before.

 

Basic cognitive restructuring was also used, which involved looking at recurring detrimental thoughts or anxieties experienced by the children and encouraging them to replace them with more positive thoughts. Some of the thoughts children said might increase their anxiety were: 'I don't like people watching me take my inhaler' and 'the ambulance might not come in time'.

 

Writing in the journal Nursing Children and Young People, the researchers said early identification of the role of anxiety in asthma could prevent unnecessary escalation of treatment, for example overuse of oral steroids, which has side effects.

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Hilary J.'s curator insight, February 13, 2014 7:39 PM

The relationship between certain chronic illnesses and increases in anxiety is most evident in young children and adolescents. This young population may not have the life experience or coping mechanisms learned in adulthood to deal with the increase in stress that comes with medical illnesses. In this study, nurses in a hospital used cognitive behavioral techniques to help combat the anxiety that many children with asthma face. These children fear using their inhaler in front of their peers, or worry that the ambulance will not come in time. Nurses given training in CBT used techniques such as mindfulness to help children focus on the present moment and not on what could happen. Additionally, cognitive restructuring was used to replace negative thoughts with positive ones. When nurses and caregivers were able to identify anxiety early in these children, asthma attacks were more often avoided and as such, the use of steroids to control their breathing was decreased resulting in more positive health outcomes. 

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Cognitive-behavioral therapy equally effective across multiple anxiety disorders, study suggests

Cognitive-behavioral therapy equally effective across multiple anxiety disorders, study suggests | Mom Psych | Scoop.it

Whether it is a phobia like a fear of flying, public speaking or spiders, or a diagnosis such as obsessive compulsive disorder, new research finds one set of Cognitive Behavioral Therapy (CBT) treatment works across all anxiety disorders.

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