Premium
Integrating illness concerns into cognitive behavioral therapy for children and adolescents with inflammatory bowel disease and co‐occurring anxiety
Author(s) -
Reigada Laura C.,
Benkov Keith J.,
Bruzzese JeanMarie,
Hoogendoorn Claire,
Szigethy Eva,
Briggie Alexis,
Walder Deborah J.,
Warner Carrie Masia
Publication year - 2013
Publication title -
journal for specialists in pediatric nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.499
H-Index - 38
eISSN - 1744-6155
pISSN - 1539-0136
DOI - 10.1111/jspn.12019
Subject(s) - anxiety , referral , medicine , cognitive behavioral therapy , disease , inflammatory bowel disease , cognition , clinical psychology , psychiatry , mental health , family medicine
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.