Cognitive-behavioral therapy for adolescents with inflammatory bowel disease and subsyndromal depression.

Objective: To examine the feasibility and efficacy of a manual-based cognitive-behavioral therapy (CBT) in reducing depressive symptomatology in adolescents with inflammatory bowel disease (IBD). Primary and Secondary Control Enhancement Therapy-Physical Illness (PASCET-PI) modified for youths with IBD was compared to treatment as usual (TAU), plus an information sheet about depression, without therapist contact using assessable patient analysis.

Method: Following assessment, participants 11 to 17 years old with IBD and mild to moderate subsyndromal depression were randomly assigned to PASCET-PI (n = 22) or comparison treatment (n = 19).

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.

Method: 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.