Treatment of Child Anxiety Disorder in the Context of Maternal Anxiety: A Randomised Controlled Trial

Lead Research Organisation: University of Reading
Department Name: Sch of Psychology and Clinical Lang Sci

Abstract

Anxiety disorders ? such as extreme social fears, excessive worrying, and marked fears about being separated from a parent - are the most common form of emotional problem in children. These disorders have a significant adverse impact on children?s social and emotional functioning and they commonly continue into adulthood. A form of treatment called ?cognitive behaviour therapy? (or CBT), which has been shown to be particularly effective in the treatment of anxiety disorders in adults, has recently been shown to also be helpful to anxious children, although not all children respond. There has been little careful study into the factors responsible for why some anxious children respond to CBT and others do not, although two related factors are likely to be important: the presence of anxiety in the mother, and difficulties in the relationship between the mother and child. A careful scientific study is to be conducted in which anxious children receive standard CBT as well as one of two other ingredients: treatment of the mother?s anxiety, and measures to improve the quality of the mother-child relationship. The children?s anxiety will be measured before the treatment and at various stages after treatment has begun, including a follow?up of how they are doing one year after the treatment has ended. The study will reveal whether these new ways of treating anxious children who have anxious mothers are an improvement on how they fare with standard CBT. It will also tell us how important it is to anxious children?s development that anxious mothers tackle their own problems, and how important it is that there are changes to the mother child relationship.

Technical Summary

Anxiety disorders in children are frequent, disabling and commonly persist into adulthood. Cognitive behaviour therapy (CBT) has been shown to be of significant benefit, however outcome is highly variable and a significant proportion of children do not respond. There has been little research into the factors that predict response to CBT in anxious children, although two factors are likely to be especially significant: anxiety in the mother, and the quality of the mother-child relationship. Around two thirds of the mothers of anxious children themselves have a current anxiety disorder; and anxiety in the mother is associated with a poor response by the child to treatment. One study has suggested that where there is also an anxious parent, providing treatment to the parent improves child outcome. Specific features of the mother-child relationship have been implicated in the maintenance of child anxiety, in particular an over-controlling and over-protective maternal style and associated maternal cognitions and expectations about child competence. Findings from a recent trial suggest that including measures to improve the mother-child relationship could be of benefit to child outcome. Indeed, the treatment studies and the family interaction research (together with the family history data) collectively point to the need for a new approach to the treatment of child anxiety in the context of maternal anxiety disorder. The study proposed will meet this need by assessing the efficacy and cost-effectiveness of two novel treatments. In a randomised controlled trial two index treatment groups will be compared to a control condition involving standard child CBT (controlling for individual and mother-child therapist contact time): child CBT with individual CBT for maternal anxiety disorder; and child CBT with specific measures to address disturbances in the mother-child relationship. 210 anxious children (with anxious mothers) will be recruited into the trial and randomly assigned to one of the three trial conditions. The study is powered to establish the efficacy of the addition to standard child CBT of both treatment for maternal anxiety and of therapeutic measures to improve the mother-child relationship. Independent assessments will be made of child anxiety before treatment and up to 12 months following treatment; and assessments of maternal anxiety and the mother-child relationship will also be made.

Publications

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Coleman JR (2016) Genome-wide association study of response to cognitive-behavioural therapy in children with anxiety disorders. in The British journal of psychiatry : the journal of mental science

 
Description CLRN Sustainability and Flexibility Funding, Thames Valley CLRN
Amount £14,000 (GBP)
Organisation National Institute for Health Research 
Sector Public
Country United Kingdom
Start 01/2011 
End 06/2011
 
Description CLRN Sustainability and Flexibility Funding, Thames Valley CLRN
Amount £28,744 (GBP)
Organisation National Institute for Health Research 
Sector Public
Country United Kingdom
Start 01/2012 
End 07/2012
 
Description ESRC DTC Studentship
Amount £50,770 (GBP)
Organisation Economic and Social Research Council 
Sector Public
Country United Kingdom
Start 10/2011 
End 09/2014
 
Description MRC Clinical Training Fellowship
Amount £244,996 (GBP)
Organisation Medical Research Council (MRC) 
Sector Public
Country United Kingdom
Start 10/2009 
End 03/2016
 
Description MRC Clinical Training Fellowship
Amount £188,175 (GBP)
Organisation Medical Research Council (MRC) 
Sector Public
Country United Kingdom
Start 10/2011 
End 03/2015
 
Description MRC-ESRC Interdisciplinary Studentship
Amount £61,300 (GBP)
Organisation Medical Research Council (MRC) 
Sector Public
Country United Kingdom
Start 10/2009 
End 09/2012
 
Description Collaboration on grant application to examine genetic factors associated with childhood anxiety disorders 
Organisation King's College London
Country United Kingdom 
Sector Academic/University 
PI Contribution We collaborated on drafting the application and provided a formal statement to confirm we will be collecting DNA samples from study participants
Collaborator Contribution We collaborated on drafting the application and provided a formal statement to confirm we will be collecting DNA samples from study participantsWe collaborated on drafting the application and provided a formal statement to confirm we will be collecting DNA samples from study participants
Impact Award of MRC NIRG to Dr Thalia Eley (£497,568; Oct 2010-Sept 2013)
Start Year 2009
 
Description Collaboration on grant application to examine genetic factors associated with childhood anxiety disorders 
Organisation Macquarie University
Country Australia 
Sector Academic/University 
PI Contribution We collaborated on drafting the application and provided a formal statement to confirm we will be collecting DNA samples from study participants
Collaborator Contribution We collaborated on drafting the application and provided a formal statement to confirm we will be collecting DNA samples from study participantsWe collaborated on drafting the application and provided a formal statement to confirm we will be collecting DNA samples from study participants
Impact Award of MRC NIRG to Dr Thalia Eley (£497,568; Oct 2010-Sept 2013)
Start Year 2009
 
Description Funded Clinical Research 
Organisation Berkshire Healthcare NHS Foundation Trust
Country United Kingdom 
Sector Public 
PI Contribution assessment and treatment of NHS patients in treatment trial
Collaborator Contribution Access to NHS research participants and clinical support
Impact published journal articles and funding for studentships
Start Year 2008
 
Description North London Mental Health Research Network 
Organisation National Institute for Health Research
Department INVOLVE
Country United Kingdom 
Sector Public 
PI Contribution We have provided the Network with details of our trial in order that they can assist us by making presentations to East Berkshire primary care teams, alerting them to the existence of our clinic and advising them on the referral process.
Collaborator Contribution They have assisted us by making presentations to East Berkshire primary care teams, alerting them to the existence of our clinic and advising them on the referral process. The outcome has been an increase in referrals to our clinic, essential to the successful conduct of our trial.
Impact The outcome of this collaborations has been an increase in referrals to our clinic, essential to the successful conduct of our trial.
Start Year 2009
 
Description shared dataset 
Organisation Griffith University
Country Australia 
Sector Academic/University 
PI Contribution shared dataset
Collaborator Contribution shared dataset
Impact none yet
Start Year 2012
 
Description shared dataset 
Organisation Newcastle University
Country United Kingdom 
Sector Academic/University 
PI Contribution shared dataset
Collaborator Contribution shared dataset
Impact International conference presentation
Start Year 2012
 
Title Mach trial 
Description Adjunct treatments for childhood anxiety disorders in context of parental anxiety disorder 
Type Therapeutic Intervention - Psychological/Behavioural
Current Stage Of Development Early clinical assessment
Year Development Stage Completed 2013
Development Status On hold
Clinical Trial? Yes
Impact None yet 
URL http://www.controlled-trials.com/ISRCTN19762288
 
Description 2 day workshop Chessington TAMHS (PW) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact Participants asked questions, engaged in discussion and practiced treatment techniques

Increased awareness and improved identification and treatment of anxiety disorders in children and young people
Year(s) Of Engagement Activity 2013,2014
 
Description 2 day workshop Copenhagen (PW) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Health professionals
Results and Impact Participants asked questions, engaged in discussion and practised treatment techniques

Increased awareness and improved identification and treatment of anxiety disorders in children and young people
Year(s) Of Engagement Activity 2013
 
Description ACAMH 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Health professionals
Results and Impact 60 health professionals attended a talk of the development and treatment of childhood anxiety

None known
Year(s) Of Engagement Activity 2011
 
Description AFC- cyp IAPT 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Health professionals
Results and Impact Practitioners rehearsed new methods to use in clinical practice and state objective to use.

Invited back.
Year(s) Of Engagement Activity 2014
 
Description Aarhus 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Health professionals
Results and Impact Talk to 100 clinical psychologists and trainees, which sparked discussion and questions afterwards.

Invitation to give further talks to other professional bodies
Year(s) Of Engagement Activity 2011
 
Description Advances in CBT conference 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Health professionals
Results and Impact Presentation to audience of 200 psychiatrists, psychologists, CBT therapists and other health professionals

None known.
Year(s) Of Engagement Activity 2010
 
Description BABCP Leeds 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Type Of Presentation Keynote/Invited Speaker
Geographic Reach International
Primary Audience Health professionals
Results and Impact Invited address to 100 healthcare providers

Discussion of treatment implications
Year(s) Of Engagement Activity 2012
 
Description BABCP London 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Health professionals
Results and Impact Workshop to share clinical developments. Sparked discussion and interest

Several requests for further information and materials
Year(s) Of Engagement Activity 2014
 
Description BABCP workshop 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Type Of Presentation Workshop Facilitator
Geographic Reach National
Primary Audience Health professionals
Results and Impact 30 health professionals attended a one day workshop

Clinicians reported would influence their practice
Year(s) Of Engagement Activity 2013
 
Description BABCP-ACAMH 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Health professionals
Results and Impact Presentation to child psychiatrists/psychologists, CBT therapists and other health professionals

none known
Year(s) Of Engagement Activity 2009
 
Description BBC Berkshire 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Public/other audiences
Results and Impact Interview on BBC Radio Berkshire Breakfast Show

Increased referrals to Berkshire Child Anxiety Clinic
Year(s) Of Engagement Activity 2009
 
Description BBC Breakfast 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Public/other audiences
Results and Impact Interview on BBC Breakfast TV about development and treatment of child anxiety

None known
Year(s) Of Engagement Activity 2011
 
Description BBC Radio 2 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Public/other audiences
Results and Impact Interview on Radio 2 'Women's hour' about development and treatment of child anxiety

None known
Year(s) Of Engagement Activity 2011
 
Description BHFT Research Club 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Health professionals
Results and Impact Presentation to 40 health professionals from local NHS Trust

None known.
Year(s) Of Engagement Activity 2010
 
Description BPS DCP 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Health professionals
Results and Impact Talk to 100 clinical psychologists, with questions and discussion

None known
Year(s) Of Engagement Activity 2011
 
Description Berks Research Forum 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Type Of Presentation Keynote/Invited Speaker
Geographic Reach Regional
Primary Audience Health professionals
Results and Impact 100 health professional attended talk on research and clinical implications.

No specifics known
Year(s) Of Engagement Activity 2013
 
Description Berkshire CAMHS 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Health professionals
Results and Impact 15 child and adolescent mental health professionals attended a talk on the treatment of childhood anxiety, with questions and discussion.

Encouraged referrals to berkshire Child Anxiety Clinic
Year(s) Of Engagement Activity 2011
 
Description Berkshire Research Forum 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Type Of Presentation Keynote/Invited Speaker
Geographic Reach Regional
Primary Audience Health professionals
Results and Impact 100 health professionals attended a talk, which sparked questions and discussion

None specific
Year(s) Of Engagement Activity 2013
 
Description Bologna 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Health professionals
Results and Impact About 150 people attended. The discussion was lively as, for the majority of the audience, the treatments described were novel to them.

A group from Bologna has expressed interest in translating our treatment manuals into Italian for use in their clinical service .
Year(s) Of Engagement Activity 2011
 
Description British Association of Behavioural and Cognitive Psychotherapy 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Health professionals
Results and Impact Convened symposium and presented information on MRC trial at annual conference of British Association of Behavioural and Cognitive Psychotherapies (BABCP) to audience of Clinical Psychologists, Psychiatrists, CBT therapists and other Health Professionals

No measurable impacts
Year(s) Of Engagement Activity 2009
 
Description CWI PWP 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact Workshop for trainee primary wellbeing practitioners to train in treatment approached developed through research
Year(s) Of Engagement Activity 2017
 
Description Caglieri 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Health professionals
Results and Impact About 100 people attended the presentation, several remaining for a further hour for more informal discussion.

We have been invited back to Caglieri to provide training and supervision in the treatment methods we have been investigating in our research.
Year(s) Of Engagement Activity 2011
 
Description Cambridge 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Health professionals
Results and Impact Presentation to audience of 40 psychiatrists, psychologists, CBT therapists and other health professionals

None known.
Year(s) Of Engagement Activity 2010
 
Description Cambridge 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Health professionals
Results and Impact Talk to approx 50 health profesionals on development ad treatment of child anxiety

Not known
Year(s) Of Engagement Activity 2011
 
Description Conference Roehampton 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Type Of Presentation Keynote/Invited Speaker
Geographic Reach International
Primary Audience Health professionals
Results and Impact Invited address to 150 healthcare professionals

Discussion of treatmnt implications
Year(s) Of Engagement Activity 2012
 
Description Copenhagen 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Type Of Presentation Workshop Facilitator
Geographic Reach International
Primary Audience Health professionals
Results and Impact 25 health professionals attended clinical workshop

health professionals keen to apply in clinical settings
Year(s) Of Engagement Activity 2013
 
Description Copenhagen 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Health professionals
Results and Impact 30 clinical psychologists attended a talk on the development and treatment of child anxiety

Not known
Year(s) Of Engagement Activity 2011
 
Description DClinPsy conference Bath 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact Invited presentation to clinical psychology trainees.
Questions and discussion followed.
Year(s) Of Engagement Activity 2015
 
Description EABCT Morrocco 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Type Of Presentation Keynote/Invited Speaker
Geographic Reach International
Primary Audience Health professionals
Results and Impact 60 health care professionals and academics attended a talk

None specific known
Year(s) Of Engagement Activity 2013
 
Description EABCT Morrocco 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Type Of Presentation Keynote/Invited Speaker
Geographic Reach International
Primary Audience Health professionals
Results and Impact talk on primary outcomes and clinical implications to about 50 health professionals and academics

None specific known
Year(s) Of Engagement Activity 2013
 
Description EABCT keynote 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Talk to international audience including clinicians and postgrad students. Sparked discussion and requests for more information.
Year(s) Of Engagement Activity 2018
 
Description EABCT workshop 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Workshop to international audience of clinicians and postgrad students. Sparked discussion, requests for more information to facilitate implementation
Year(s) Of Engagement Activity 2018
 
Description ESCAP Madrid 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Keynote presentation to psychiatrists and related disciplines at international conference.
Questions and discussion followed.
Year(s) Of Engagement Activity 2015
 
Description Griffith talk 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Talk to international research group, including postgrad students. Sparked discussion, requests for more information and discussions about ongoing collaboration
Year(s) Of Engagement Activity 2018
 
Description Institute of Education 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact 200 deleage=ates attended a talk on the development and treatment of child anxiety. delagates included policymakers, health professionals and charity organisations

None known
Year(s) Of Engagement Activity 2011
 
Description Kings College London 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact 40 cinicians (and clinical acedmics) attended a talk, sparked questions and discussion and potential future collaboration
Year(s) Of Engagement Activity 2017
 
Description Kings PWPs 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact Workshop for trainee primary wellbeing practitioners who will implement treatment developed through research
Year(s) Of Engagement Activity 2017
 
Description Kristiansand, Norway 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Presentation to Norwegian national organisation for child and adolescent mental health practitioners. Sparked questions, discussion and requests for further information to promote implementation.
Year(s) Of Engagement Activity 2017
 
Description London PWPs workshop 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact Workshop for trainee clinicians. Sparked discussion and requests for more information to support implementation
Year(s) Of Engagement Activity 2018
 
Description Lund, Sweden 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Health professionals
Results and Impact 20-30 health professionals attended a workshop on working with families in cogntive behavioural therapy for childhood problems.

Extremely positive feedback from delagates, and invitation for further visit next year.
Year(s) Of Engagement Activity 2011
 
Description MHA public event 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Public/other audiences
Results and Impact Sparked question and discussion. Very positive feedback received with requests for future similar events.

Multiple requests for similar events
Year(s) Of Engagement Activity 2014
 
Description Munich talk 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Talk to international research group, including postgrad students and clinicians. Sparked discussion, requests for more information and discussions about ongoing collaboration
Year(s) Of Engagement Activity 2018
 
Description NIHr Blogs 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact Blog on NIHR website on research project and findings.
Year(s) Of Engagement Activity 2015
 
Description OCTC 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Type Of Presentation Workshop Facilitator
Geographic Reach National
Primary Audience Public/other audiences
Results and Impact 25 health professionals attended clinical workshop

Health professionals keen to apply within clinical settings
Year(s) Of Engagement Activity 2013
 
Description OCTC 2 day workshop (PW) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Health professionals
Results and Impact Participants asked questions, engaged in discussion and practiced treatment techniques

Increased awareness and improved identification and treatment of anxiety disorders
Year(s) Of Engagement Activity 2013,2014
 
Description OCTC workshop 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Workshop for CBT therapists. Sparked question, discussion and requests for further information to facilitate implementation
Year(s) Of Engagement Activity 2018
 
Description OptimusEducation 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Public/other audiences
Results and Impact Talk to education professionals (teachers, SENCOs, educational psychologists)

None known
Year(s) Of Engagement Activity 2011
 
Description OxAHSN 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Health professionals
Results and Impact Talk sparked questiosn and discussion. Invited to prepare clinical research case example for NHS England.

Invited to prepare clinical research case example for NHS England.
Year(s) Of Engagement Activity 2014
 
Description Oxford DClin 2013 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Type Of Presentation Workshop Facilitator
Geographic Reach Regional
Primary Audience Health professionals
Results and Impact 20 Trainee clinical psychologists attended workshop on treatment approach.

Role play and discussion re application in practice
Year(s) Of Engagement Activity 2013
 
Description Oxford DClinPsy 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact Training session for 16 trainee clinical psychologists. Sparked interest in treatment approach and application in own practice.
Year(s) Of Engagement Activity 2016
 
Description Oxford DClinPsy 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact Training for 16 trainee clinical psychologists. Sparked interest in treatment approach and application in own practice.
Year(s) Of Engagement Activity 2017
 
Description Oxford clin psychs 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Health professionals
Results and Impact Training to 20 clinical psychology trainees

One trainee approached team and later successfully completed trainingplacement in lab.
Year(s) Of Engagement Activity 2011
 
Description Oxford psychiatists 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact Invited presentation to regional psychiatry group.
Much discussion followed particularly on dissemination within their own services.
Year(s) Of Engagement Activity 2015
 
Description Press articles 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Public/other audiences
Results and Impact Numerous press articles citing work of the research clinic including "The Mirror", "The Express", "Sainsburys Magazine", "Prima-Baby".

No measurable impact
Year(s) Of Engagement Activity 2008
 
Description Reading Conference 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Type Of Presentation Paper Presentation
Geographic Reach Regional
Primary Audience Other academic audiences (collaborators, peers etc.)
Results and Impact 100 people attended a conference which presented the progress of Mach study. This was in April 2012 following completion of recruitment and immediate post treatment assessments. Attendees included academics, health professionals and senior management from the loal Healthcare Trust

widespread interest in our work
Year(s) Of Engagement Activity 2012
 
Description Reading seminar 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Type Of Presentation Keynote/Invited Speaker
Geographic Reach International
Primary Audience Health professionals
Results and Impact Talk on recent research findings to 100 health professionals

Discussion of treatment implications followed
Year(s) Of Engagement Activity 2012
 
Description Rome 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Health professionals
Results and Impact About 200 people attended this talk. Discussion was especially lively as the model of cinical care proposed differs markedly from the Rome orthodoxy.

Several people in the audience sought further information from us on the treatment manuals we have used in our research.
Year(s) Of Engagement Activity 2011
 
Description Royal College Psychiatrists 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Talk to about 30 psychiatrists. Sparked interest in treatment approach and application in practice.
Year(s) Of Engagement Activity 2016
 
Description Thames Valley Mental Health Research Network 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Health professionals
Results and Impact Invited address at Thames Valley Mental Health Research network conference, University of Reading, UK, to audience including NHS managers, GPs, Psychiatrists, Clinical Psychologists and other Health Professionals

No measurable impacts
Year(s) Of Engagement Activity 2009
 
Description The European Association for Behavioural and Cognitive Therapy 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Health professionals
Results and Impact Presentation to child psychiatrists, psychologists, health professionals

none known
Year(s) Of Engagement Activity 2009
 
Description UCL DClin 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Health professionals
Results and Impact Talk to 40 clinical psychology trainees

None known
Year(s) Of Engagement Activity 2011
 
Description UCL DClinPsy 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact Training for 45 trainee clinical psychologists. Sparked interest in treatment approach and application in own practice.
Year(s) Of Engagement Activity 2016
 
Description University Queensland talk 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Talk to international reserach group, including postgrad students. Sparked discussion, requests for more information and discussions about ongoing collaboration
Year(s) Of Engagement Activity 2018
 
Description University Sydney- talk 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Talk to international colleagues, including postgrad students. Sparked discussion, requests for more information and discussions about ongoing collaboration
Year(s) Of Engagement Activity 2018
 
Description University of Copenhagen 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Type Of Presentation Workshop Facilitator
Geographic Reach National
Primary Audience Health professionals
Results and Impact 30 health professionals attended 2 day workshop to learn treatment approaches developed and used in study

participants found very useful, rated highly and planned to use therapeutic approaches in on-going clinical work
Year(s) Of Engagement Activity 2012
 
Description University of Massachusetts 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Health professionals
Results and Impact 30 clinicians attended the workshop, as part of a Diploma in mother-child interventions.

Professor Murray and I have been invited to contribute to this series annually.
Year(s) Of Engagement Activity 2010
 
Description University of Perugia lecture 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Health professionals
Results and Impact About 80 undergraduates(year 3) clinical psychology students attended. The material was new to them and clearly impressed them as very different from their usual lecture material, as it was all evidence based.

The senior academics in attendance expressed interest in translating our clinical manuals (and I put them in touch with the Bologna group).
Year(s) Of Engagement Activity 2011
 
Description Workshop Oxford Cognitive Therapy Centre 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Type Of Presentation Workshop Facilitator
Geographic Reach National
Primary Audience Health professionals
Results and Impact 30 health professionals attended 2 day workshop to learn treatment approaches developed and used in study

Participants rated the workshop as excellent and planned to use the therapeutic approaches developed within the study in their ongoing clinical work
Year(s) Of Engagement Activity 2012
 
Description World Congress 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Talk to approx 40 clinicians, academics and postgraduate students. Sparked interest in treatment approach and requests for further information to promote application in practice.
Year(s) Of Engagement Activity 2016
 
Description World Congress in Behavioural and Cognitive Therapies- Boston 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Health professionals
Results and Impact Presentation to international audience of psychiatrists, psychologists, CBT therapists and other health professionals

None known.
Year(s) Of Engagement Activity 2010