Integrating illness concerns into cognitive behavioral therapy for children and adolescents with inflammatory bowel disease and co‐occurring anxiety

Reigada, Laura C.; Benkov, Keith; Bruzzese, Jean-Marie; Hoogendoorn, Claire J.; Szigethy, Eva; Briggie, Alexis; Walder, Deborah J.; Warner, Carrie Masia

doi:10.1111/jspn.12019

Cited by 31 publications

(44 citation statements)

References 63 publications

(57 reference statements)

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“…Some studies allowed for the use of telephone sessions, sessions at home, or sessions at the same time/venue as medical appointments, to reduce the burden on families. This more flexible approach was particularly seen in the IBD studies,31 35 which also showed good patient satisfaction. Clinically, a more flexible approach would be a step towards creating services that are more accessible for this population.…”

Section: Discussionmentioning

confidence: 91%

“…In general, where outcomes related to physical health showed significant improvement, these were related to subjective measures (eg, pain scales, self-reported self-management); no consistent significant difference was found for objective measures of physical health, such as glycaemic control 28 29 31 33–35…”

Section: Resultsmentioning

confidence: 99%

“…Four were delivered in a one-to-one format; one31 also added three parent sessions and one30 combined the results of an individual and group intervention.…”

Section: Resultsmentioning

confidence: 99%

“…Three28 29 31 related the material to illness-specific stressors (for IBD, diabetes and cystic fibrosis). In one, the intervention was particularly revised to account for the increased rates of learning problems found in children with epilepsy 27.…”

Section: Resultsmentioning

confidence: 99%

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Psychological interventions for mental health disorders in children with chronic physical illness: a systematic review

Bennett¹,

et al. 2015

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BackgroundChildren with chronic physical illness are significantly more likely to develop common psychiatric symptoms than otherwise healthy children. These children therefore warrant effective integrated healthcare yet it is not established whether the known, effective, psychological treatments for symptoms of common childhood mental health disorders work in children with chronic physical illness.MethodsEMBASE, MEDLINE, PsycINFO and CINAHL databases were searched with predefined terms relating to evidence-based psychological interventions for psychiatric symptoms in children with chronic physical illness. We included all studies (randomised and non-randomised designs) investigating interventions aimed primarily at treating common psychiatric symptoms in children with a chronic physical illness in the review. Two reviewers independently assessed the relevance of abstracts identified, extracted data and undertook quality analysis.ResultsTen studies (209 children, including 70 in control groups) met the criteria for inclusion in the review. All studies demonstrated some positive outcomes of cognitive behavioural therapy for the treatment of psychiatric symptoms in children with chronic physical illness. Only two randomised controlled trials, both investigating interventions for symptoms of depression, were found.ConclusionsThere is preliminary evidence that cognitive behavioural therapy has positive effects in the treatment of symptoms of depression and anxiety in children with chronic physical illness. However, the current evidence base is weak and fully powered randomised controlled trials are needed to establish the efficacy of psychological treatments in this vulnerable population.

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Section: Discussionmentioning

confidence: 91%

Section: Resultsmentioning

confidence: 99%

“…Four were delivered in a one-to-one format; one31 also added three parent sessions and one30 combined the results of an individual and group intervention.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Psychological interventions for mental health disorders in children with chronic physical illness: a systematic review

Bennett¹,

et al. 2015

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“…The SCARED has been successfully implemented in various medical settings to screen for elevated anxiety in youth with a chronic illness (20,21) including IBD (22). A total sum score of 20 has been used as a cutoff score to identify children and adolescents with IBD in distress who may meet the criteria for a clinical anxiety disorder (22). Scores range from 0 to 82, with higher scores signifying higher distress.…”

Section: Anxiety Symptom Questionnairementioning

confidence: 99%

Anxiety Symptoms and Disease Severity in Children and Adolescents With Crohn Disease

Reigada

Hoogendoorn

Walsh

et al. 2015

J. pediatr. gastroenterol. nutr.

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E-Health interventions for anxiety and depression in children and adolescents with long-term physical conditions

Thabrew

Stasiak

Hetrick

et al. 2018

Cochrane Database of Systematic Reviews

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At present, the field of e-health interventions for the treatment of anxiety or depression in children and adolescents with long-term physical conditions is limited to five low quality trials. The very low-quality of the evidence means the effects of e-health interventions are uncertain at this time, especially in children aged under 10 years.Although it is too early to recommend e-health interventions for this clinical population, given their growing number, and the global improvement in access to technology, there appears to be room for the development and evaluation of acceptable and effective technologically-based treatments to suit children and adolescents with long-term physical conditions.

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Integrating illness concerns into cognitive behavioral therapy for children and adolescents with inflammatory bowel disease and co‐occurring anxiety

Abstract: Anxiety screening and a mental health referral to professionals familiar with medical management issues is important.

Cited by 31 publications

References 63 publications

Psychological interventions for mental health disorders in children with chronic physical illness: a systematic review

Psychological interventions for mental health disorders in children with chronic physical illness: a systematic review

Anxiety Symptoms and Disease Severity in Children and Adolescents With Crohn Disease

E-Health interventions for anxiety and depression in children and adolescents with long-term physical conditions

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