Integrating illness concerns into cognitive behavioral therapy for children and adolescents with inflammatory bowel disease and co-occurring anxiety

Laura C. Reigada, Keith J. Benkov, Jean Marie Bruzzese, Claire Hoogendoorn, Eva Szigethy, Alexis Briggie, Deborah J. Walder, Carrie Masia Warner

Research output: Contribution to journalArticlepeer-review

15 Scopus citations

Abstract

Purpose: To examine the feasibility and preliminary benefits of an integrative cognitive behavioral therapy (CBT) with adolescents with inflammatory bowel disease and anxiety. Design and Methods: Nine adolescents participated in a CBT program at their gastroenterologist's office. Structured diagnostic interviews, self-report measures of anxiety and pain, and physician-rated disease severity were collected pretreatment and post-treatment. Results: Postintervention, 88% of adolescents were treatment responders, and 50% no longer met criteria for their principal anxiety disorder. Decreases were demonstrated in anxiety, pain, and disease severity. Practice Implications: Anxiety screening and a mental health referral to professionals familiar with medical management issues is important.

Original languageEnglish
Pages (from-to)133-143
Number of pages11
JournalJournal for Specialists in Pediatric Nursing
Volume18
Issue number2
DOIs
StatePublished - 1 Apr 2013

Keywords

  • Adolescent
  • Anxiety
  • Chronic illness
  • Cognitive behavioral therapy
  • Inflammatory bowel disease
  • Psychosocial

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