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

J Spec Pediatr Nurs. 2013 Apr;18(2):133-43. doi: 10.1111/jspn.12019. Epub 2013 Mar 5.


Purpose: To examine the feasibility and preliminary benefits of an integrative cognitive behavioral therapy (CBT) with adolescents with inflammatory bowel disease and anxiety.

Design and methods: Nine adolescents participated in a CBT program at their gastroenterologist's office. Structured diagnostic interviews, self-report measures of anxiety and pain, and physician-rated disease severity were collected pretreatment and post-treatment.

Results: Postintervention, 88% of adolescents were treatment responders, and 50% no longer met criteria for their principal anxiety disorder. Decreases were demonstrated in anxiety, pain, and disease severity.

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

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Anxiety Disorders / etiology
  • Anxiety Disorders / therapy*
  • Child
  • Cognitive Behavioral Therapy / methods*
  • Combined Modality Therapy
  • Feasibility Studies
  • Female
  • Humans
  • Inflammatory Bowel Diseases / complications
  • Inflammatory Bowel Diseases / psychology*
  • Inflammatory Bowel Diseases / therapy*
  • Male
  • New York City
  • Treatment Outcome