Integrating illness concerns into cognitive behavioral therapy for children and adolescents with inflammatory bowel disease and co-occurring anxiety

Purpose To examine the feasibility and preliminary benefits of an integrative cognitive behavioral therapy (CBT) with adolescents with inflammatory bowel disease and anxiety. Design and Methods Nine adolescents participated in a CBT program at their gastroenterologist's office. Structured diagn...

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Veröffentlicht in:Journal for specialists in pediatric nursing 2013-04, Vol.18 (2), p.133-143
Hauptverfasser: Reigada, Laura C., Benkov, Keith J., Bruzzese, Jean-Marie, Hoogendoorn, Claire, Szigethy, Eva, Briggie, Alexis, Walder, Deborah J., Warner, Carrie Masia
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container_end_page 143
container_issue 2
container_start_page 133
container_title Journal for specialists in pediatric nursing
container_volume 18
creator Reigada, Laura C.
Benkov, Keith J.
Bruzzese, Jean-Marie
Hoogendoorn, Claire
Szigethy, Eva
Briggie, Alexis
Walder, Deborah J.
Warner, Carrie Masia
description Purpose To examine the feasibility and preliminary benefits of an integrative cognitive behavioral therapy (CBT) with adolescents with inflammatory bowel disease and anxiety. Design and Methods Nine adolescents participated in a CBT program at their gastroenterologist's office. Structured diagnostic interviews, self‐report measures of anxiety and pain, and physician‐rated disease severity were collected pretreatment and post‐treatment. Results Postintervention, 88% of adolescents were treatment responders, and 50% no longer met criteria for their principal anxiety disorder. Decreases were demonstrated in anxiety, pain, and disease severity. Practice Implications Anxiety screening and a mental health referral to professionals familiar with medical management issues is important.
doi_str_mv 10.1111/jspn.12019
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Design and Methods Nine adolescents participated in a CBT program at their gastroenterologist's office. Structured diagnostic interviews, self‐report measures of anxiety and pain, and physician‐rated disease severity were collected pretreatment and post‐treatment. Results Postintervention, 88% of adolescents were treatment responders, and 50% no longer met criteria for their principal anxiety disorder. Decreases were demonstrated in anxiety, pain, and disease severity. 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subjects Adolescent
Anxiety
Anxiety Disorders - etiology
Anxiety Disorders - therapy
Behavior modification
Child
Child psychology
Childrens health
chronic illness
cognitive behavioral therapy
Cognitive therapy
Cognitive Therapy - methods
Combined Modality Therapy
Feasibility Studies
Female
Health behavior
Humans
Inflammatory bowel disease
Inflammatory Bowel Diseases - complications
Inflammatory Bowel Diseases - psychology
Inflammatory Bowel Diseases - therapy
Male
New York City
Nursing
psychosocial
Teenagers
Treatment Outcome
title Integrating illness concerns into cognitive behavioral therapy for children and adolescents with inflammatory bowel disease and co-occurring anxiety
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