Case study: longitudinal treatment of adolescents with depression and inflammatory bowel disease.
OBJECTIVE
To assess longitudinal maintenance of improvements in depression, anxiety, global functioning, and physical health perception in 11 adolescents at 6 and 12 months following completion of manual-based cognitive-behavioral therapy.


METHODS
Standardized instruments assessed follow-up changes in depression, anxiety, physical health, and global psychological functioning.


RESULTS
At both assessments, 10 adolescents did not meet criteria for mood disorders. Improvements in depression, anxiety, global functioning, and physical health perceptions at completion of the cognitive-behavioral therapy were maintained during the 12-month period. Additional cognitive-behavioral therapy sessions (mean = 4.36; SD = 4.37) and psychopharmacology (n = 5) were required during the follow-up period.


CONCLUSIONS
CBT with maintenance sessions and medication offers promise to adolescents facing comorbid depressive and physical disorders.
Szigethy
Eva
E
Department of Psychiatry, Children's Hospital Boston, MA, USA. szigethye@upmc.edu
Carpenter
Johanna
J
Baum
Emily
E
Kenney
Elyse
E
Baptista-Neto
Lourival
L
Beardslee
William R
WR
Demaso
David Ray
DR
D000203:Activities of Daily Living; D000293:Adolescent; D001007:Anxiety; D015928:Cognitive Behavioral Therapy; D003866:Depressive Disorder / Q000523:psychology / Q000628:therapy*; D005260:Female; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000523:psychology / Q000628:therapy*; D008137:Longitudinal Studies; D008297:Male; D012720:Severity of Illness Index