Evidence Based Treatments

Limited studies have been reported on psychiatric interventions in children and adolescents with cystic fibrosis. Glasscoe and Quittner (2008) compiled a meta-analysis of all available psychological treatments for children with cystic fibrosis. Their review was based on findings from eight studies. The interventions fell into four conceptually similar categories: 1) gene pretest education counseling; 2) biofeedback, massage, and music therapy to assist physiotherapy; 3) behavioral interventions to improve dietary intake in children; and 4) education regarding self-administration of treatment to promote independence and improve quality of life. These interventions were found to be largely educational. The investigators concluded that not enough evidence was available to show that the interventions improved clinical outcomes (Glasscoe and Quittner 2008). No authors have reported the effectiveness of psychotropic medications in patients who have cystic fibrosis with emotional and behavioral problems. In one case series addressing the treatment of depression in three children and adolescents with cystic fibrosis, results suggested that treatment with antidepressant medication had a positive influence on psychological outcomes (Elgu-din et al. 2004).

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