Effectiveness of disease-specific cognitive behavioral therapy on anxiety, depression, and quality of life in youth with inflammatory bowel disease: a randomized controlled trial
Open accessAbstract
Objective: To evaluate the effectiveness of a disease-specific cognitive behavioral therapy (CBT) protocol on anxiety and depressive symptoms and health-related quality of life (HRQOL) in adolescents and young adults with inflammatory bowel disease (IBD). Method: A parallel group randomized controlled trial was conducted in 6 centers of (pediatric) gastroenterology. Included were 70 patients and young adults (10-25 years) with IBD and subclinical anxiety and/or depressive symptoms. Patients were randomized into 2 groups, stratified by center: (a) standard medical care (care-as-usual [CAU]) plus disease-specific manualized CBT (Primary and Secondary Control Enhancement Training for Physical Illness; PASCET-PI), with 10 weekly sessions, 3 parent sessions, and 3 booster sessions (n = 37), or (b) CAU only (n = 33). Primary analysis concerned the reliable change in anxiety and depressive symptoms after 3 months (immediate posttreatment assessment). Exploratory analyses concerned (1) the course of anxiety and depressive symptoms and HRQOL in subgroups based on age, and (2) the influence of age, gender, and disease type on the effect of the PASCET-PI. Results: Overall, all participants improved significantly in their anxiety and depressive symptoms and HRQOL, regardless of group, age, gender, and disease type. Primary chi-square tests and exploratory linear mixed models showed no difference in outcomes between the PASCET-PI (n = 35) and the CAU group (n = 33). Conclusions: In youth with IBD and subclinical anxiety and/or depressive symptoms, preliminary results of immediate post-treatment assessment indicated that a disease-specific CBT added to standard medical care did not perform better than standard medical care in improving psychological symptoms or HRQOL. ClinicalTrials.gov: NCT02265588.
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A parallel group, randomized and controlled trial showed that IBD-specific CBT added to standard medical care did not perform better than standard medical care alone in improving psychological symptoms or HRQOL in youths with IBD.
“The preliminary results showed that IBD-specific CBT added to standard medical care did not perform better than standard medical care alone in improving psychological symptoms or HRQOL in youths with IBD (126).”
From Stress triggers flare of inflammatory bowel disease in children and adults (2019) · cites this paper as [126]
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Alternative & complementary treatment for pediatric inflammatory bowel disease
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Psychological Aspects of Inflammatory Bowel Disease in Children and Adolescents
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- Authors
- Stapersma, L., van den Brink, G., van der Ende, J., Szigethy, E. M., Beukers, R., Korpershoek, T. A., Theuns-Valks, S. D. M., Hillegers, M. H. J., Escher, J. C., & Utens, E. M. W. J.
- Affiliations
- Erasmus MC (NL)
- Department of Pediatric Gastroenterology, Erasmus MC-Sophia Children’s Hospital
- Department of Child and Adolescent Psychiatry/Psychology, Erasmus MC-Sophia’s Children’s Hospital
- University of Pittsburgh (US)
- Department of Gastroenterology and Hepatology, Albert Schweizer Hospital
- Albert Schweitzer Hospital (GA)
- Erasmus MC - Sophia Children’s Hospital (NL)
- Corresponding author
- Utens, Elisabeth M W J
- Venue
- Journal of Pediatric Psychology
- Publisher
- Oxford University Press (OUP)
- Published
- 2018-05-29
- Volume
- 43
- Issue
- 9
- Pages
- 967-980
- ISSN
- 0146-8693 (ISSN-L)
- 1465-735X
- PMC
- PMC6147749
- OpenAlex
- W2805508550
- Cited by
- 46
- References
- 56
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 5 · 2023: 6 · 2022: 4 · 2021: 8 · 2020: 4 · 2019: 7 · 2018: 3 · 2017: 1
- FWCI
- 7.20
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Pediatric Psychology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (publishedVersion)
- Pure Amsterdam UMC (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
- UvA-DARE (University of Amsterdam) (submittedVersion)
- Funders
- NIH
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- cognitive behavioral therapy, inflammatory bowel disease, adolescents, young adults, anxiety, depression, health-related quality of life, parental involvement
- MeSH terms
- Adolescent, Adult, Anxiety Disorders, Child, Depressive Disorder, Female, Humans, Male, Quality of Life, Inflammatory Bowel Diseases, Cognitive Behavioral Therapy, Treatment Outcome, Young Adult
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