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Journal of Pediatric Psychology Advance Access first published online on June 12, 2008
This version published online on June 21, 2008
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsn057
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© The Author 2008. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

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

Dana L. Rofey, PhD1,2, Eva M. Szigethy, MD1,2, Robert B. Noll, PhD1,2, Ronald E. Dahl, MD1,2, Emily lobst, MS1 and Silva A. Arslanian, MD1

1Children's Hospital of Pittsburgh and 2Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center

All correspondence concerning this article should be addressed to Dana L. Rofey, PhD, Children's Hospital of Pittsburgh, Weight Management and Wellness Center, 3510 Fifth Avenue, Pittsburgh, PA 15213, USA. E-mail: dana.rofey{at}chp.edu


  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.

Key words: cognitive–behavioral therapy; depression; obesity; polycystic ovary syndrome; weight loss.

Received August 3, 2007; revision received May 13, 2008; accepted May 14, 2008


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