Case study: longitudinal treatment of adolescents with depression and inflammatory bowel disease.
Case study: longitudinal treatment of adolescents with depression and inflammatory bowel disease.
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案例研究：患有抑郁症和炎症性肠病的青少年的纵向治疗。
DOI：
10.1097/01.chi.0000198591.45949.a4
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发表时间：
2006
期刊：
影响因子：
--
通讯作者：
Demaso,DavidRay
中科院分区：
文献类型：
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作者：
Szigethy,Eva;Carpenter,Johanna;Baum,Emily;Kenney,Elyse;Baptista-Neto,Lourival;Beardslee,WilliamR;Demaso,DavidRay
目的评估11名青少年在完成手动认知行为治疗6个月和12个月后抑郁、焦虑、整体功能和身体健康知觉的纵向维持情况。方法标准化工具评估抑郁、焦虑、身体健康和整体心理功能的随访变化。结果两项评估中，10名青少年不符合情绪障碍标准。在12个月的时间里，在完成认知行为治疗后，抑郁、焦虑、全球功能和身体健康感知方面的改善保持不变。在随访期内，需要额外的认知-行为治疗(平均值=4.36；SD=4.37)和精神药理学(n=5)。结论SCBT的维持治疗和药物治疗为面临抑郁和身体障碍的青少年提供了希望。
OBJECTIVETo 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.METHODStandardized instruments assessed follow-up changes in depression, anxiety, physical health, and global psychological functioning.RESULTSAt both assessments, 10 adolescents did not meet criteria for mood disorders. Improvements in depression, anxiety, global functioning, and physical health perceptions at completion of the cognitive-behavioral therapy were maintained during the 12-month period. Additional cognitive-behavioral therapy sessions (mean = 4.36; SD = 4.37) and psychopharmacology (n = 5) were required during the follow-up period.CONCLUSIONSCBT with maintenance sessions and medication offers promise to adolescents facing comorbid depressive and physical disorders.