CognitiveBehavioral Therapy for Physical and Emotional Disturbances in Adolescents with Polycystic Ovary Syndrome: A Pilot Study

被引:69
作者
Rofey, Dana L. [1 ,2 ]
Szigethy, Eva M. [2 ]
Noll, Robert B. [2 ]
Dahl, Ronald E. [2 ]
Iobst, Emily
Arslanian, Silva A.
机构
[1] Childrens Hosp Pittsburgh, Weight Management & Wellness Ctr, Pittsburgh, PA 15213 USA
[2] Univ Pittsburgh, Med Ctr, Western Psychiat Inst & Clin, Pittsburgh, PA 15260 USA
关键词
cognitivebehavioral therapy; depression; obesity; polycystic ovary syndrome; weight loss; COGNITIVE-BEHAVIORAL THERAPY; LIFE-STYLE MODIFICATION; DEPRESSION; CHILDREN; WOMEN; RELIABILITY; DISORDERS; METFORMIN; VALIDITY; RISK;
D O I
10.1093/jpepsy/jsn057
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Objective To evaluate the feasibility and effectiveness of an enhanced cognitivebehavioral therapy (CBT), Primary and Secondary Control Enhancement Training (PASCET-PI-2), for physical (obesity) and emotional (depression) disturbances in adolescents with polycystic ovary syndrome (PCOS).MethodIn an open trial, 12 adolescents with PCOS, obesity, and depression underwent eight weekly sessions and three family-based sessions of CBT enhanced by lifestyle goals (nutrition and exercise), physical illness narrative (meaning of having PCOS), and family psychoeducation (family functioning).ResultsWeight showed a significant decrease across the eight sessions from an average of 104 kg (SD 26) to an average of 93 kg (SD 18), t(11) 6.6, p .05. Depressive symptoms on the Childrens Depression Inventory significantly decreased from a mean of 17 (SD 3) to a mean of 9.6 (SD 2), t(11) 16.8, p .01.ConclusionA manual-based CBT approach to treat depression in adolescents with PCOS and obesity appears to be promising.
引用
收藏
页码:156 / 163
页数:8
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