Studies testing the efficacy of behavioral interventions to modify psychosocial sequelae of IBD in children are limited. This report presents outcomes through a six month follow up from a large RCT testing the efficacy of a cognitive-behavioral intervention for children with IBD and their parents

Abdullah, Bisher

Baker, Melissa D.

Christie, Dennis L.

Claar, Robyn L.

DuPen, Melissa M.

Feld, Shara I.

Langer, Shelby L.

Levy, Rona L.

Mancl, Lloyd A.

Murphy, Tasha B.

Romano, Joan M.

Stoner, Susan A.

Swanson, Kimberly S.

Van Tilburg, Miranda A.L.

Walker, Lynn S.

Whitehead, William E.

English

PubMed

BACKGROUND:
Studies testing the efficacy of behavioral interventions to modify psychosocial sequelae of inflammatory bowel disease in children are limited. This report presents outcomes through a 6-month follow-up from a large randomized controlled trial testing the efficacy of a cognitive behavioral intervention for children with inflammatory bowel disease and their parents.  METHODS:
One hundred eighty-five children aged 8 to 17 years with a diagnosis of Crohn\u27s disease or ulcerative colitis and their parents were randomized to one of two 3-session conditions: (1) a social learning and cognitive behavioral therapy condition or (2) an education support condition designed to control for time and attention.  RESULTS:
There was a significant overall treatment effect for school absences due to Crohn\u27s disease or ulcerative colitis (P \u3c 0.05) at 6 months after treatment. There was also a significant overall effect after treatment for child-reported quality of life (P \u3c 0.05), parent-reported increases in adaptive child coping (P \u3c 0.001), and reductions in parents\u27 maladaptive responses to children\u27s symptoms (P \u3c 0.05). Finally, exploratory analyses indicated that for children with a higher level of flares (2 or more) prebaseline, those in social learning and cognitive behavioral therapy condition experienced a greater reduction in flares after treatment.  CONCLUSIONS:
This trial suggests that a brief cognitive behavioral intervention for children with inflammatory bowel disease and their parents can result in improved child functioning and quality of life, and for some children may decrease disease activity

Levy, R. L.

van Tilburg, Miranda A

Romano, Joan

Murphy, Tasha

Claar, R.

Christie, Dennis

Bisher, Abdullah

DuPen, Melissa

Swanson, K. S.

Baker, M. D.

Stoner, S. A.

CU FIND (Campbell University, Catherine W. Wood School of Nursing)

Effects of a Cognitive Behavioral Therapy Intervention Trial to Improve Disease Outcomes in Children with Inflammatory Bowel Disease

Carolina Digital Repository

Effects of a Cognitive Behavioral Therapy Intervention Trial to Improve Disease Outcomes in Children with Inflammatory Bowel Disease:

http://cdr.lib.unc.edu/downloads/70795d88p

Effects of a Cognitive Behavioral Therapy Intervention Trial to Improve Disease Outcomes in Children with Inflammatory Bowel Disease:

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CU FIND (Campbell University, Catherine W. Wood School of Nursing)

Carolina Digital Repository