Cognitive-behavioral therapy for physical and emotional disturbances in adolescents with polycystic ovary syndrome: a pilot study.
OBJECTIVE
To evaluate the feasibility and effectiveness of an enhanced cognitive-behavioral therapy (CBT), Primary and Secondary Control Enhancement Training (PASCET-PI-2), for physical (obesity) and emotional (depression) disturbances in adolescents with polycystic ovary syndrome (PCOS).


METHODS
In an open trial, 12 adolescents with PCOS, obesity, and depression underwent eight weekly sessions and three family-based sessions of CBT enhanced by lifestyle goals (nutrition and exercise), physical illness narrative (meaning of having PCOS), and family psychoeducation (family functioning).


RESULTS
Weight showed a significant decrease across the eight sessions from an average of 104 kg (SD = 26) to an average of 93 kg (SD = 18), t(11) = 6.6, p <.05. Depressive symptoms on the Children's Depression Inventory significantly decreased from a mean of 17 (SD = 3) to a mean of 9.6 (SD = 2), t(11) = 16.8, p <.01.


CONCLUSIONS
A manual-based CBT approach to treat depression in adolescents with PCOS and obesity appears to be promising.
Rofey
Dana L
DL
Children's Hospital of Pittsburgh, USA. dana.rofey@chp.edu
Szigethy
Eva M
EM
Noll
Robert B
RB
Dahl
Ronald E
RE
Lobst
Emily
E
Arslanian
Silva A
SA
D000223:Adaptation, Psychological; D000293:Adolescent; D002648:Child; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D017281:Cost of Illness; D003865:Major Depressive Disorder / Q000453:epidemiology* / Q000523:psychology / Q000628:therapy*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008019:Life Style; D009765:Obesity / Q000453:epidemiology / Q000523:psychology* / Q000628:therapy*; D010865:Pilot Projects; D011085:Polycystic Ovary Syndrome / Q000453:epidemiology* / Q000523:psychology*; D011795:Surveys and Questionnaires; D015431:Weight Loss