Longitudinal results of cognitive behavioral treatment for youths with inflammatory bowel disease and depressive symptoms.
Youths with chronic physical illnesses face increased rates of psychological problems and the burden of coping with physical illness-related challenges. The following data describes treatment outcome maintenance results from a randomized clinical trial investigating the impact of a cognitive behavioral intervention Primary and Secondary Control Enhancement Therapy-Physical Illness (PASCET-PI) as compared to treatment as usual (TAU) on youths with inflammatory bowel disease (IBD). Forty-one participants aged 11-17 with IBD and concurrent depressive symptomatology were randomized to PASCET-PI (n = 22) or TAU (n = 19). Self-reported depressive features, global functioning, and DSM-IV depressive symptomatology were assessed immediately post-treatment (T2), followed by assessments at 6-months (T3) and 12-months (T4) post-treatment initiation. Repeated measure models revealed significantly improved global psychosocial functioning in youths randomized to PASCET-PI compared to youths randomized to TAU. Improvements in self-reported depressive features and DSM-IV depressive symptoms were found at the trend level for youths randomized to PASCET-PI relative to those receiving TAU. Effect size estimates for all outcome variables suggested large to medium treatment effects.
Department of Psychiatry, Children's Hospital of Pittsburgh, University of Pittsburgh, 4401 Penn Avenue, Pittsburgh, PA 15224, USA.
Rachel D
RD
Thompson
Anna
A
Craig
Emily A
EA
Crawford
Diane
D
Fairclough
Joseph
J
Gonzalez-Heydrich
Athos
A
Bousvaros
Robert B
RB
Noll
David R
DR
DeMaso
Eva
E
Szigethy
D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D000293:Adolescent; D002648:Child; D015928:Cognitive Behavioral Therapy; D015897:Comorbidity; D003863:Depression / Q000453:epidemiology / Q000628:therapy*; D003865:Major Depressive Disorder / Q000517:prevention & control; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000453:epidemiology / Q000523:psychology*; D007389:Internal-External Control; D008297:Male; D014481:United States