Top

Journal of Clinical Psychology in Medical Settings

Published in:

01-09-2012

Longitudinal Results of Cognitive Behavioral Treatment for Youths with Inflammatory Bowel Disease and Depressive Symptoms

Authors: Rachel D. Thompson, Anna Craig, Emily A. Crawford, Diane Fairclough, Joseph Gonzalez-Heydrich, Athos Bousvaros, Robert B. Noll, David R. DeMaso, Eva Szigethy

Published in: Journal of Clinical Psychology in Medical Settings | Issue 3/2012

Abstract

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.

American Academy of Child and Adolescent Psychiatry (AACAP). (2002). Facts for families of the depressed child. Retrieved May 11, 2009, from http://www.aacap.org/.

Band, E. B., & Weisz, J. R. (1990). Developmental differences in primary and secondary control coping and adjustment to juvenile diabetes. Journal of Clinical Child Psychology, 19, 150–158.CrossRef

Burke, P., & Elliot, M. (1999). Depression in pediatric chronic illness. A diathesis-stress model. Psychosomatics, 40, 5–17.PubMedCrossRef

Butler, A. C., Chapman, J. E., Forman, E. M., & Beck, A. T. (2006). The empirical status of cognitive-behavioral therapy: A review of meta-analyses. Clinical Psychology Review, 26, 17–31.PubMedCrossRef

Clarke, G. N., Rohde, P., Lewinsohn, P. M., Hops, H., & Seeley, J. R. (1999). Cognitive- behavioral treatment of adolescent depression: Efficacy of acute group treatment and booster sessions. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 272–279.PubMedCrossRef

Cooper, L. A., Gonzales, J. J., Gallo, J. J., Rost, K. M., Meredith, L. S., & Rubenstein, L. V. (2003). The acceptability of treatment for depression among African–American, Hispanic, and White primary care patients. Medical Care, 41, 479–489.PubMed

Engstrom, I. (1992). Mental health and psychological functioning in children and adolescents with inflammatory bowel disease: A comparison with children having other chronic illnesses and with healthy children. Journal of Child Psychology and Psychiatry, 33, 563–582.PubMedCrossRef

Goodhand, J. R., Wahed, M., & Rampton, D. S. (2009). Management of stress in inflammatory bowel disease: A therapeutic option? Expert Review of Gastroenterology and Hepatology, 3, 661–679.PubMedCrossRef

Hyams, J. S., Ferry, G. D., Mandel, F. S., Gryboski, J. D., Kibort, P. M., Kirschner, B. S., et al. (1991). Development and validation of a Pediatric Crohn’s Disease Activity Index. Journal of Pediatric Gastroenterology and Nutrition, 12, 439–447.PubMed

Kaufman, J., Birmaher, B., Brent, D., Rao, U., Flynn, C., Moreci, P., et al. (1997). Schedule for Affective Disorders and Schizophrenia for school-age children-present and lifetime version (K-SADS-PL): Initial reliability and validity data. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 980–988.PubMedCrossRef

Kovacs, M. (1992). Children’s Depression Inventory manual. New York: Multi-health Systems.

Kozarek, R. A., Patterson, D. J., Gelfand, M. D., Botoman, V. A., Ball, T. J., & Wilske, K. R. (1989). Methotrexate induces clinical and histologic remission in patients with refractory inflammatory bowel disease. Annals of Internal Medicine, 110, 353–356.PubMed

Lernmark, B., Persson, B., Fisher, L., & Rydelius, P. A. (1999). Symptoms of depression are important to psychological adaptation and metabolic control in children with diabetes mellitus. Diabetic Medicine, 16, 14–22.PubMedCrossRef

Lewinsohn, P. M., Rohde, P., & Seeley, J. R. (1998). Major depressive disorder in older adolescents: Prevalence, risk factors, and clinical implications. Clinical Psychology Review, 18, 765–794.PubMedCrossRef

Lewinsohn, P. M., Seeley, J. R., Hibbard, J., Rohde, P., & Sack, W. H. (1996). Cross-sectional and prospective relationships between physical morbidity and depression in older adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 1120–1129.PubMedCrossRef

Mackner, L. M., Crandall, W. V., & Szigethy, E. (2006). Psychosocial functioning in pediatric inflammatory bowel disease. Inflammatory Bowel Diseases, 12, 239–244.PubMedCrossRef

March, J., Silva, S., Curry, J., Wells, K., Fairbank, J., Burns, B., et al. (2009). The Treatment of Adolescents with Depression Study (TADS): Outcomes over 1 year of naturalistic follow-up. American Journal of Psychiatry, 166, 1141–1149.PubMedCrossRef

Murch, S. H., Baldassano, R., Buller, H., Chin, S., Griffiths, A. M., Hildebrand, H., et al. (2004). Inflammatory bowel disease: Working group report group report of the second world congress of pediatric gastroenterology, hepatology, and nutrition. Journal of Pediatric Gastroenterology and Nutrition, 39, S647–S654.PubMedCrossRef

Orvaschel, H., Puig-Antich, J., Chambers, W., Tabrizi, M. A., & Johnson, R. (1982). Retrospective assessment of prepubertal major depression with the kiddie-SADS-E. Journal of the American Academy of Child and Adolescent Psychiatry, 21, 392–397.CrossRef

Pavuluri, M., & Birmaher, B. (2004). A practical guide to using ratings of depression and anxiety in child psychiatric practice. Current Psychiatry Reports, 6, 108–116.PubMedCrossRef

Rofey, D. L., Szigethy, E. M., Noll, R. B., Dahl, R. E., Iobst, E., & Arslanian, S. A. (2009). Cognitive behavioral therapy for physical and emotional disturbances in adolescents with polycystic ovary syndrome: A pilot study. Journal of Pediatric Psychology, 34, 156–163.PubMedCrossRef

Rubin, D. T., Dubinsky, M. C., Panaccione, R., Siegel, C. A., Binion, D. G., Kane, S. V., et al. (2010). The impact of ulcerative colitis on patients’ lives compared to other chronic diseases: A patient survey. Digestive Diseases and Sciences, 55, 1044–1052.PubMedCrossRef

Shaffer, D., Gould, M. S., Brasic, J., Ambrosini, P., Fisher, P., Bird, H., et al. (1983). A Children’s Global Assessment Scale (CGAS). Archives of General Psychiatry, 40, 1228–1231.PubMedCrossRef

Sitarenios, G., & Stein, S. (2004). Use of the Children’s Depression Inventory. In M. E. Maruish (Ed.), The use of psychological testing for treatment planning and outcomes assessment (Vol. 2, pp. 1–37). Mahwah, NJ: Lawrence Erlbaum Associates.

Smucker, M. R., Craighead, W. E., Craighead, L. W., & Green, B. J. (1986). Normative and reliability data for the Children’s Depression Inventory. Journal of Abnormal Child Psychology, 14, 25–39.PubMedCrossRef

Strunk, R. (1987). Deaths from asthma in childhood: Patterns before and after professional intervention. Pediatric Asthma Allergy and Immunology, 1, 5–13.CrossRef

Szigethy, E., Kenney, E., Carpenter, J., Hardy, D. M., Fairclough, D., Bousvaros, A., et al. (2007). Cognitive-behavioral therapy for adolescents with inflammatory bowel disease and subsyndromal depression. Journal of the American Academy of Child and Adolescent Psychiatry, 46, 1290–1298.PubMedCrossRef

Szigethy, E. M., Levy-Warren, A., Whitton, S., Bousvaros, A., Gauvreau, K., Leichtner, A. M., et al. (2004a). Depressive symptoms and inflammatory bowel disease in children and adolescents: A cross-sectional study. Journal of Pediatric Gastroenterology and Nutrition, 39, 395–403.PubMedCrossRef

Szigethy, E. M., & Low, C. (2009). Cytokines. In R. E. Ingram (Ed.), International encyclopedia of depression (pp. 200–204). New York: Springer.

Szigethy, E. M., Whitton, S., Levy-Warren, A., DeMaso, D. R., Weisz, J., & Beardslee, W. R. (2004b). Cognitive behavioral therapy for depression in adolescents with inflammatory bowel disease: A pilot study. Journal of the American Academy of Child and Adolescent Psychiatry, Psychiatry, 43, 1469–1477.CrossRef

Tang, Y., Preuss, F., Turek, F. W., Jakate, S., & Keshavarzian, A. (2009). Sleep deprivation worsens inflammation and delays recovery in a mouse model of colitis. Sleep Medicine, 10, 597–603.PubMedCrossRef

Thompson, R. D., Delaney, P., Flores, I., & Szigethy, E. (2011). Cognitive-behavioral therapy for children with comorbid physical illness. Child and Adolescent Psychiatric Clinics of North America, 20, 329–348.PubMedCrossRef

Weisz, J. R., McCabe, M. A., & Dennig, M. D. (1994). Primary and secondary control among children undergoing medical procedures: Adjustment as a function of coping style. Journal of Consulting and Clinical Psychology, 62, 324–332.PubMedCrossRef

Weisz, J. R., Thurber, C. A., Sweeney, L., Proffitt, V. D., & LeGagnoux, G. L. (1997). Brief treatment of mild-to-moderate child depression using primary and secondary control enhancement training. Journal of Consulting and Clinical Psychology, 65, 703–707.PubMedCrossRef

Title: Longitudinal Results of Cognitive Behavioral Treatment for Youths with Inflammatory Bowel Disease and Depressive Symptoms
Authors: Rachel D. Thompson
Anna Craig
Emily A. Crawford
Diane Fairclough
Joseph Gonzalez-Heydrich
Athos Bousvaros
Robert B. Noll
David R. DeMaso
Eva Szigethy
Publication date: 01-09-2012
Publisher: Springer US
Published in: Journal of Clinical Psychology in Medical Settings / Issue 3/2012
Print ISSN: 1068-9583
Electronic ISSN: 1573-3572
DOI: https://doi.org/10.1007/s10880-012-9301-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Longitudinal Results of Cognitive Behavioral Treatment for Youths with Inflammatory Bowel Disease and Depressive Symptoms

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 3/2012

The Role of Parental and Adolescent Attributions in Adjustment of Adolescents with Chronic Illness

Cognitive-Behavioral and Pharmacological Interventions for Premenstrual Syndrome or Premenstrual Dysphoric Disorder: A Meta-Analysis

Dyadic Coping Among Couples with COPD: A Pilot Study

Authoritative Parenting, Parenting Stress, and Self-Care in Pre-Adolescents with Type 1 Diabetes

Impulse Control Disorders in Parkinson’s Disease: A Psychosocial Perspective

Gender Differences in the Social Functioning of Adolescents with Inflammatory Bowel Disease