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

IF 1.6

Journal for specialists in pediatric nursing : JSPN Pub Date : 2013-04-01 Epub Date: 2013-03-05 DOI:10.1111/jspn.12019

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

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引用次数: 35

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.

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将疾病关注纳入儿童和青少年炎症性肠病和并发焦虑的认知行为治疗。

目的:探讨综合认知行为疗法(CBT)治疗青少年炎症性肠病和焦虑的可行性和初步疗效。设计与方法:九名青少年在他们的胃肠病学家办公室参加了CBT项目。在治疗前和治疗后收集结构化诊断访谈、焦虑和疼痛的自我报告测量以及医生评定的疾病严重程度。结果:干预后，88%的青少年对治疗有反应，50%不再符合其主要焦虑障碍的标准。焦虑、疼痛和疾病严重程度均有所下降。实践启示:焦虑筛查和心理健康转诊到专业人士熟悉的医疗管理问题是重要的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Journal for specialists in pediatric nursing : JSPN

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