University of Pittsburgh
Home ›

Cognitive-behavioral therapy for physical and emotional disturbances in adolescents with polycystic ovary syndrome: A pilot study

Authors
Author(s) internal: 
Robert B. Noll
Other author(s): 
Rofey, D.L., Szigethy, E.M., Dahl, R.E., Iobst, E., Arslanian, S.A.
Title of journal, book, etc.: 
Journal of Pediatric Psychology
Date published: 
Sun, 2009-03-01
Image: 
image

Abstract

Objective

To evaluate the feasibility and effectiveness of an enhanced cognitive–behavioral 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).

Method

In 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).

Results

Weight showed a significant decrease across the eight sessions from an average of 104 kg (SD¼26) to an average of 93 kg (SD¼18), t(11)¼6.6, p <.05. Depressive symptoms on the Children’s Depression Inventory significantly decreased from a mean of 17 (SD¼3) to a mean of 9.6 (SD¼2), t(11)¼16.8, p <.01.

Conclusion

A manual-based CBT approach to treat depression in adolescents with PCOS and obesity appears to be promising.