Cognitive–behavioral therapy for physical and emotional disturbances in adolescents with polycystic ovary syndrome: a pilot study
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OBJECTIVE: To evaluate the feasibility and effectiveness of an enhanced cognitive-behavioral therapy (CBT), Primary and Secondary Control Enhancement Training (PASCET-PI-2), for physical (obesity) and emotional (depression) disturbances in adolescents with polycystic ovary syndrome (PCOS). METHOD: In an open trial, 12 adolescents with PCOS, obesity, and depression underwent eight weekly sessions and three family-based sessions of CBT enhanced by lifestyle goals (nutrition and exercise), physical illness narrative (meaning of having PCOS), and family psychoeducation (family functioning). RESULTS: Weight showed a significant decrease across the eight sessions from an average of 104 kg (SD = 26) to an average of 93 kg (SD = 18), t(11) = 6.6, p <.05. Depressive symptoms on the Children's Depression Inventory significantly decreased from a mean of 17 (SD = 3) to a mean of 9.6 (SD = 2), t(11) = 16.8, p <.01. CONCLUSION: A manual-based CBT approach to treat depression in adolescents with PCOS and obesity appears to be promising.
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Family therapy in addition to other lifestyle interventions shows beneficial effects on adolescent PCOS symptoms.
“However, family therapy in addition to other lifestyle interventions show beneficial effects on adolescent PCOS symptoms, and a small open trial shows that cognitive behavior therapy improved depressive symptoms [160, 174].”
From Polycystic Ovary Syndrome: Pathophysiology, Presentation, and Treatment With Emphasis on Adolescent Girls (2019) · cites this paper as [174]
A small open trial shows that cognitive behavior therapy improved depressive symptoms.
“However, family therapy in addition to other lifestyle interventions show beneficial effects on adolescent PCOS symptoms, and a small open trial shows that cognitive behavior therapy improved depressive symptoms [160, 174].”
From Polycystic Ovary Syndrome: Pathophysiology, Presentation, and Treatment With Emphasis on Adolescent Girls (2019) · cites this paper as [174]
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Psychosocial Factors and Obesity in Adolescence: A Case-Control Study
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Physiotherapy and related management for childhood obesity: A systematic scoping review
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Chapter 12. Disruptive Behavior Disorders
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Chapter 2. Developmental Considerations Across Childhood
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A multi-disciplinary approach to weight management of school-age girls: a study protocol
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Chapter 10. Chronic Physical Illness
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Self-citationChapter 9. Obsessive-Compulsive Disorder
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Psycho-Social and Sexual Well-Being in Women with Polycystic Ovary Syndrome
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Chapter 7. Childhood Anxiety Disorders
O’Neil, K. A., Brodman, D. M., Cohen, J., Edmunds, J., & Kendall, P. C. (2012) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615370955.es07 · Cited by 4 · see citing works
Polycystic ovary syndrome in North America
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Chapter 13. Enuresis and Encopresis
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Polycystic Ovary Syndrome Across the Life Span of Women: A Wellness-Based Integrative Intervention
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Evaluation of Psychological Problems in Teenagers Suffering from Polycystic Ovary Syndrome
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Polycystic ovary syndrome (PCOS) in urban India
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Childhood Obesity: Depression, Anxiety and Recommended Therapeutic Strategies
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Self-citationChapter 11. Obesity and Depression
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Self-citationChapter 1. Cognitive-Behavior Therapy
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Chapter 5. Depression and Suicidal Behavior
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Depression and anxiety screening among school students and its relation to weight status
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A policisztás ovárium szindróma (PCOS) pszichológiai következményei
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Chapter 4. Combined CBT and Psychopharmacology
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Chapter 8. Pediatric Posttraumatic Stress Disorder
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- Authors
- Rofey, D. L., Szigethy, E. M., Noll, R. B., Dahl, R. E., lobst, E., & Arslanian, S. A.
- Affiliations
- Children's Hospital of Pittsburgh (US)
- Venue
- Journal of Pediatric Psychology
- Publisher
- Oxford University Press (OUP)
- Published
- 2008-06-24
- Volume
- 34
- Issue
- 2
- Pages
- 156-163
- ISSN
- 0146-8693 (ISSN-L)
- 1465-735X
- PMC
- PMC2902827
- OpenAlex
- W2100457337
- Cited by
- 104
- References
- 36
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 2 · 2023: 4 · 2022: 7 · 2021: 8 · 2020: 8 · 2019: 5 · 2018: 9 · 2017: 4 · 2016: 5 · 2015: 4 · 2014: 7 · 2013: 6 · 2012: 19
- FWCI
- 5.03
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Pediatric Psychology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of Pittsburgh
- National Institutes of Health (UL1TR000005)
- Centers for Disease Control and Prevention
- National Center for Advancing Translational Sciences
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (K23HD061598)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Ovarian function and disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Keywords
- polycystic ovary syndrome, cognitive behavioral therapy, adolescents, obesity, depression, family psychoeducation, lifestyle intervention, nutrition and physical activity, weight loss, family functioning
- MeSH terms
- Adaptation, Psychological, Adolescent, Child, Major Depressive Disorder, Depressive Disorder, Major, Feasibility Studies, Female, Humans, Life Style, Obesity, Pilot Projects, Polycystic Ovary Syndrome, Surveys and Questionnaires, Weight Loss, Cognitive Behavioral Therapy, Cost of Illness
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