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. 2009 Mar;34(2):156-63.
doi: 10.1093/jpepsy/jsn057. Epub 2008 Jun 12.

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

Dana L Rofey  1 , Eva M Szigethy, Robert B Noll, Ronald E Dahl, Emily Lobst, Silva A Arslanian
Affiliations

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

Dana L Rofey et al. J Pediatr Psychol. 2009 Mar.

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 (SD = 26) to an average of 93 kg (SD = 18), t(11) = 6.6, p <.05. Depressive symptoms on the Children's 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.

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

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Figures

Figure 1.
Figure 1.
Screening process for adolescents with PCOS.
Figure 2.
Figure 2.
Weight in kilograms at baseline and postintervention for all 12 participants.
Figure 3.
Figure 3.
Number of depressive symptoms on the CDI at baseline and posttreatment for all 12 participants.
See this image and copyright information in PMC

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