title: Case study: longitudinal treatment of adolescents with depression and inflammatory bowel disease.
abstract: 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.
authors.affiliation: Department of Psychiatry, Children's Hospital Boston, MA, USA. szigethye@upmc.edu
authors.forename: Eva
authors.initials: E
authors.lastname: Szigethy
authors.forename: Johanna
authors.initials: J
authors.lastname: Carpenter
authors.forename: Emily
authors.initials: E
authors.lastname: Baum
authors.forename: Elyse
authors.initials: E
authors.lastname: Kenney
authors.forename: Lourival
authors.initials: L
authors.lastname: Baptista-Neto
authors.forename: William R
authors.initials: WR
authors.lastname: Beardslee
authors.forename: David Ray
authors.initials: DR
authors.lastname: Demaso
mesh_terms: 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