Longitudinal results of cognitive behavioral treatment for youths with inflammatory bowel disease and depressive symptoms.
Longitudinal results of cognitive behavioral treatment for youths with inflammatory bowel disease and depressive symptoms.
复制标题
患有炎症性肠病和抑郁症状的青少年认知行为治疗的纵向结果。
DOI：
10.1007/s10880-012-9301-8
复制
发表时间：
2012
影响因子：
2.2
通讯作者：
Szigethy,Eva
中科院分区：
文献类型：
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作者：
Thompson,RachelD;Craig,Anna;Crawford,EmilyA;Fairclough,Diane;Gonzalez-Heydrich,Joseph;Bousvaros,Athos;Noll,RobertB;DeMaso,DavidR;Szigethy,Eva
患有慢性身体疾病的青少年面临着越来越多的心理问题和应对身体疾病相关挑战的负担。以下数据描述了一项随机临床试验的治疗结果维持结果，该试验调查了认知行为干预初级和次级控制增强治疗-身体疾病（PASCET-PI）与常规治疗（TAU）对炎症性肠病（IBD）青年的影响。41名年龄在11-17岁的IBD合并抑郁症状的参与者被随机分配到PASCET-PI （n= 22）或TAU （n= 19）组。自我报告的抑郁特征、整体功能和DSM-IV抑郁症状在治疗后（T2）立即进行评估，随后在治疗开始后6个月（T3）和12个月（T4）进行评估。重复测量模型显示，与随机分配给TAU的青少年相比，随机分配给PASCET-PI的青少年的整体社会心理功能显着改善。与接受TAU治疗的青少年相比，随机接受PASCET-PI治疗的青少年自我报告的抑郁特征和DSM-IV抑郁症状在趋势水平上有所改善。所有结果变量的效应量估计表明，治疗效果为大到中等。
Youths with chronic physical illnesses face increased rates of psychological problems and the burden of coping with physical illness-related challenges. The following data describes treatment outcome maintenance results from a randomized clinical trial investigating the impact of a cognitive behavioral intervention Primary and Secondary Control Enhancement Therapy-Physical Illness (PASCET-PI) as compared to treatment as usual (TAU) on youths with inflammatory bowel disease (IBD). Forty-one participants aged 11–17 with IBD and concurrent depressive symptomatology were randomized to PASCET-PI (n= 22) or TAU (n= 19). Self-reported depressive features, global functioning, and DSM-IV depressive symptomatology were assessed immediately post-treatment (T2), followed by assessments at 6-months (T3) and 12-months (T4) post-treatment initiation. Repeated measure models revealed significantly improved global psychosocial functioning in youths randomized to PASCET-PI compared to youths randomized to TAU. Improvements in self-reported depressive features and DSM-IV depressive symptoms were found at the trend level for youths randomized to PASCET-PI relative to those receiving TAU. Effect size estimates for all outcome variables suggested large to medium treatment effects.