Cognitive-Behavioral Therapy for Depression in Adolescents With Inflammatory Bowel Disease: A Pilot Study
To evaluate the safety and feasibility of cognitive-behavioral therapy (CBT) for depression in physically ill adolescents. In an open trial, 11 adolescents (12–17 years) with inflammatory bowel disease and either major or minor depression underwent 12 sessions of a manual-based CBT enhanced by socia...
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| Veröffentlicht in: | Journal of the American Academy of Child and Adolescent Psychiatry 2004-12, Vol.43 (12), p.1469-1477 |
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| container_issue | 12 |
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| container_title | Journal of the American Academy of Child and Adolescent Psychiatry |
| container_volume | 43 |
| creator | SZIGETHY, EVA WHITTON, SARAH W LEVY-WARREN, ANNA DeMaso, DAVID RAY WEISZ, JOHN BEARDSLEE, WILLIAM R |
| description | To evaluate the safety and feasibility of cognitive-behavioral therapy (CBT) for depression in physically ill adolescents.
In an open trial, 11 adolescents (12–17 years) with inflammatory bowel disease and either major or minor depression underwent 12 sessions of a manual-based CBT enhanced by social skills, physical illness narrative, and family psychoeducation components. Standardized instruments assessed pre- to posttreatment changes in depression, physical health, global psychological functioning, and social functioning. Perceived helpfulness and satisfaction with CBT were assessed.
There were significant reductions in DSM-IV depression diagnoses and depressive symptoms and improvements in global psychological and social functioning. Adolescents’ perceptions of their general health and physical functioning improved, although illness severity measures were unchanged. High subject satisfaction and helpfulness ratings for CBT were found along with no adverse events and high subject adherence.
A manual-based CBT approach adapted to treat depression in physically ill adolescents appears to be a safe, feasible, and promising intervention. |
| doi_str_mv | 10.1097/01.chi.0000142284.10574.1f |
| format | Article |
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In an open trial, 11 adolescents (12–17 years) with inflammatory bowel disease and either major or minor depression underwent 12 sessions of a manual-based CBT enhanced by social skills, physical illness narrative, and family psychoeducation components. Standardized instruments assessed pre- to posttreatment changes in depression, physical health, global psychological functioning, and social functioning. Perceived helpfulness and satisfaction with CBT were assessed.
There were significant reductions in DSM-IV depression diagnoses and depressive symptoms and improvements in global psychological and social functioning. Adolescents’ perceptions of their general health and physical functioning improved, although illness severity measures were unchanged. High subject satisfaction and helpfulness ratings for CBT were found along with no adverse events and high subject adherence.
A manual-based CBT approach adapted to treat depression in physically ill adolescents appears to be a safe, feasible, and promising intervention.</description><identifier>ISSN: 0890-8567</identifier><identifier>EISSN: 1527-5418</identifier><identifier>DOI: 10.1097/01.chi.0000142284.10574.1f</identifier><identifier>PMID: 15564816</identifier><identifier>CODEN: JAAPEE</identifier><language>eng</language><publisher>Hagerstown, MD: Elsevier Inc</publisher><subject>Adolescent ; Adolescent Behavior - psychology ; Adolescents ; Behavior therapy. Cognitive therapy ; Biological and medical sciences ; Bowel disease ; Child ; Child psychology ; Cognitive therapy ; Cognitive Therapy - methods ; cognitive-behavioral therapy ; depression ; Depression (Psychology) ; Depressive Disorder, Major - diagnosis ; Depressive Disorder, Major - etiology ; Depressive Disorder, Major - therapy ; Diagnostic and Statistical Manual of Mental Disorders ; Diseases ; Female ; Humans ; inflammatory bowel disease ; Inflammatory Bowel Diseases - psychology ; Interpersonal Competence ; Male ; Medical sciences ; Mental depression ; Patient Satisfaction ; Physical Health ; physical illness ; Pilot Projects ; Psychiatry ; Psychology ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Severity of Illness Index ; Teenagers ; Therapy ; Treatments</subject><ispartof>Journal of the American Academy of Child and Adolescent Psychiatry, 2004-12, Vol.43 (12), p.1469-1477</ispartof><rights>2004 The American Academy of Child and Adolescent Psychiatry</rights><rights>2005 INIST-CNRS</rights><rights>Copyright Lippincott Williams & Wilkins Dec 2004</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c485t-9c3248fe83803c365cfb42358d401742082e865ec8717fbefa203cf0791b8cb13</citedby><cites>FETCH-LOGICAL-c485t-9c3248fe83803c365cfb42358d401742082e865ec8717fbefa203cf0791b8cb13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1097/01.chi.0000142284.10574.1f$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,30999,45995</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ696730$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16291961$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15564816$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>SZIGETHY, EVA</creatorcontrib><creatorcontrib>WHITTON, SARAH W</creatorcontrib><creatorcontrib>LEVY-WARREN, ANNA</creatorcontrib><creatorcontrib>DeMaso, DAVID RAY</creatorcontrib><creatorcontrib>WEISZ, JOHN</creatorcontrib><creatorcontrib>BEARDSLEE, WILLIAM R</creatorcontrib><title>Cognitive-Behavioral Therapy for Depression in Adolescents With Inflammatory Bowel Disease: A Pilot Study</title><title>Journal of the American Academy of Child and Adolescent Psychiatry</title><addtitle>J Am Acad Child Adolesc Psychiatry</addtitle><description>To evaluate the safety and feasibility of cognitive-behavioral therapy (CBT) for depression in physically ill adolescents.
In an open trial, 11 adolescents (12–17 years) with inflammatory bowel disease and either major or minor depression underwent 12 sessions of a manual-based CBT enhanced by social skills, physical illness narrative, and family psychoeducation components. Standardized instruments assessed pre- to posttreatment changes in depression, physical health, global psychological functioning, and social functioning. Perceived helpfulness and satisfaction with CBT were assessed.
There were significant reductions in DSM-IV depression diagnoses and depressive symptoms and improvements in global psychological and social functioning. Adolescents’ perceptions of their general health and physical functioning improved, although illness severity measures were unchanged. High subject satisfaction and helpfulness ratings for CBT were found along with no adverse events and high subject adherence.
A manual-based CBT approach adapted to treat depression in physically ill adolescents appears to be a safe, feasible, and promising intervention.</description><subject>Adolescent</subject><subject>Adolescent Behavior - psychology</subject><subject>Adolescents</subject><subject>Behavior therapy. Cognitive therapy</subject><subject>Biological and medical sciences</subject><subject>Bowel disease</subject><subject>Child</subject><subject>Child psychology</subject><subject>Cognitive therapy</subject><subject>Cognitive Therapy - methods</subject><subject>cognitive-behavioral therapy</subject><subject>depression</subject><subject>Depression (Psychology)</subject><subject>Depressive Disorder, Major - diagnosis</subject><subject>Depressive Disorder, Major - etiology</subject><subject>Depressive Disorder, Major - therapy</subject><subject>Diagnostic and Statistical Manual of Mental Disorders</subject><subject>Diseases</subject><subject>Female</subject><subject>Humans</subject><subject>inflammatory bowel disease</subject><subject>Inflammatory Bowel Diseases - psychology</subject><subject>Interpersonal Competence</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental depression</subject><subject>Patient Satisfaction</subject><subject>Physical Health</subject><subject>physical illness</subject><subject>Pilot Projects</subject><subject>Psychiatry</subject><subject>Psychology</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Severity of Illness Index</subject><subject>Teenagers</subject><subject>Therapy</subject><subject>Treatments</subject><issn>0890-8567</issn><issn>1527-5418</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkVFv0zAUhS0EYmXwDxCyJsFbiu3YjrO3rt1gaBJIDPFoOc419ZTGnZ0U9d_PpRGVeMIPtuTz3XuP7kHogpI5JXX1kdC5Xfs5yYdyxhTP36LKt3uGZlSwqhCcqudoRlRNCiVkdYZepfRw4CulXqIzKoTkisoZ8svwq_eD30FxBWuz8yGaDt-vIZrtHrsQ8Qq2EVLyoce-x4s2dJAs9EPCP_2wxre968xmY4YQ9_gq_IYOr3wCk-ASL_A334UBfx_Gdv8avXCmS_Bmes_Rj5vr--Xn4u7rp9vl4q6wXImhqG3JuHKgSkVKW0phXcNZKVTLs3vOiGKgpACrKlq5BpxhmXOkqmmjbEPLc_Th2Hcbw-MIadAbnw13nekhjEnLipJS8QN48Q_4EMbYZ2-aUSZ5nsoydHmEbAwpRXB6G_3GxL2mRB_S0ITqnIY-paH_pKGpy8Xvpgljs4H2VDqtPwPvJ8AkazoXTW99OnGS1bSWB6tvjxxEb__K119kLauSZHk1yXmvOw9RJ-uht9D6CHbQbfD_Y_cJzG2yDg</recordid><startdate>20041201</startdate><enddate>20041201</enddate><creator>SZIGETHY, EVA</creator><creator>WHITTON, SARAH W</creator><creator>LEVY-WARREN, ANNA</creator><creator>DeMaso, DAVID RAY</creator><creator>WEISZ, JOHN</creator><creator>BEARDSLEE, WILLIAM R</creator><general>Elsevier Inc</general><general>Lippincott Williams & Wilkins</general><general>Lippincott</general><general>Elsevier BV</general><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7TK</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>20041201</creationdate><title>Cognitive-Behavioral Therapy for Depression in Adolescents With Inflammatory Bowel Disease: A Pilot Study</title><author>SZIGETHY, EVA ; WHITTON, SARAH W ; LEVY-WARREN, ANNA ; DeMaso, DAVID RAY ; WEISZ, JOHN ; BEARDSLEE, WILLIAM R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c485t-9c3248fe83803c365cfb42358d401742082e865ec8717fbefa203cf0791b8cb13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adolescent</topic><topic>Adolescent Behavior - psychology</topic><topic>Adolescents</topic><topic>Behavior therapy. Cognitive therapy</topic><topic>Biological and medical sciences</topic><topic>Bowel disease</topic><topic>Child</topic><topic>Child psychology</topic><topic>Cognitive therapy</topic><topic>Cognitive Therapy - methods</topic><topic>cognitive-behavioral therapy</topic><topic>depression</topic><topic>Depression (Psychology)</topic><topic>Depressive Disorder, Major - diagnosis</topic><topic>Depressive Disorder, Major - etiology</topic><topic>Depressive Disorder, Major - therapy</topic><topic>Diagnostic and Statistical Manual of Mental Disorders</topic><topic>Diseases</topic><topic>Female</topic><topic>Humans</topic><topic>inflammatory bowel disease</topic><topic>Inflammatory Bowel Diseases - psychology</topic><topic>Interpersonal Competence</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mental depression</topic><topic>Patient Satisfaction</topic><topic>Physical Health</topic><topic>physical illness</topic><topic>Pilot Projects</topic><topic>Psychiatry</topic><topic>Psychology</topic><topic>Psychology. 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In an open trial, 11 adolescents (12–17 years) with inflammatory bowel disease and either major or minor depression underwent 12 sessions of a manual-based CBT enhanced by social skills, physical illness narrative, and family psychoeducation components. Standardized instruments assessed pre- to posttreatment changes in depression, physical health, global psychological functioning, and social functioning. Perceived helpfulness and satisfaction with CBT were assessed.
There were significant reductions in DSM-IV depression diagnoses and depressive symptoms and improvements in global psychological and social functioning. Adolescents’ perceptions of their general health and physical functioning improved, although illness severity measures were unchanged. High subject satisfaction and helpfulness ratings for CBT were found along with no adverse events and high subject adherence.
A manual-based CBT approach adapted to treat depression in physically ill adolescents appears to be a safe, feasible, and promising intervention.</abstract><cop>Hagerstown, MD</cop><pub>Elsevier Inc</pub><pmid>15564816</pmid><doi>10.1097/01.chi.0000142284.10574.1f</doi><tpages>9</tpages></addata></record> |
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| ispartof | Journal of the American Academy of Child and Adolescent Psychiatry, 2004-12, Vol.43 (12), p.1469-1477 |
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| subjects | Adolescent Adolescent Behavior - psychology Adolescents Behavior therapy. Cognitive therapy Biological and medical sciences Bowel disease Child Child psychology Cognitive therapy Cognitive Therapy - methods cognitive-behavioral therapy depression Depression (Psychology) Depressive Disorder, Major - diagnosis Depressive Disorder, Major - etiology Depressive Disorder, Major - therapy Diagnostic and Statistical Manual of Mental Disorders Diseases Female Humans inflammatory bowel disease Inflammatory Bowel Diseases - psychology Interpersonal Competence Male Medical sciences Mental depression Patient Satisfaction Physical Health physical illness Pilot Projects Psychiatry Psychology Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Severity of Illness Index Teenagers Therapy Treatments |
| title | Cognitive-Behavioral Therapy for Depression in Adolescents With Inflammatory Bowel Disease: A Pilot Study |
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