5 research outputs found
Psychological Outcomes of a Cognitive Behavioral Therapy for Youth with Inflammatory Bowel Disease: Results of the HAPPY-IBD Randomized Controlled Trial at 6-and 12-Month Follow-Up
Youth with infammatory bowel disease (IBD) often experience psychological difculties, such as anxiety and depression.
This randomized controlled study tested whether a 3-month disease-specifc cognitive behavioral therapy (CBT) in addition to
standard medical care versus standard medical care only was efective in improving these youth’s psychological outcomes. As
this study was aimed at prevention, we included 70 youth (10–25 years) with IBD and symptoms of subclinical anxiety and/
or depression, and measured psychological outcomes at 6- and 12-month follow-up. In general, participants in both groups
showed improvements in anxiety, depression, health-related quality of life, social functioning, coping, and illness perceptions,
sustained until 12 months follow-up. Overall, we found no diferences between those receiving additional CBT and those
receiving standard medical care only. We assume that this can be explained by the perceived low burden (both somatically
and psychologically) or heightened awareness of psychological difculties and IBD
Effectiveness of disease-specific cognitive-behavioural therapy on depression, anxiety, quality of life and the clinical course of disease in adolescents with inflammatory bowel disease
_Introduction:_ Adolescents with inflammatory bowel
disease (IBD) show a higher prevalence of depression
and anxiety, compared to youth with other chronic
diseases. The inflammation-depression hypothesis
might explain this association, and implies that treating
depression can decrease intestinal inflammation and
improve disease course. The present multicentre
randomised controlled trial aims to test the
effectiveness of an IBD-specific cognitive–behavioural
therapy (CBT) protocol in reducing symptoms of
subclinical depression and anxiety, while improving
quality of life and disease course in adolescents with
IBD.
_Methods and analysis:_ Adolescents with IBD (10–
20 years) from 7 hospitals undergo screening