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AbstractDespite being a core characteristic of anxiety disorders, little data have been reported on somatic symptoms (SSs) in youth with obsessive-compulsive disorder (OCD). Eighty-five children and adolescents with OCD were administered the Children's Yale Brown Obsessive-Compulsive Scale and completed the Children's Depression Inventory and Multidimensional Anxiety Scale for Children. Their parents completed the Child Behavior Checklist and Children's Obsessive-Compulsive Impact Scale. A subset of youth (n= 62) completed a trial of cognitive-behavioral therapy. The frequency of specific SSs was examined in relation to age, gender, OCD symptom severity, child-rated symptoms of depression and anxiety, parent-proxy ratings of internalizing and externalizing problems, and functional impairment. Ninety-six percent of youth experienced at least one SS, with 67% reporting five or more SSs. Child-rated SSs were positively associated with parent-ratings of child SSs, child-rated anxiety and depression, and parent ratings of the children's internalizing problems. Parent-rated SSs were positively related to parent-proxy ratings of internalizing problems and OCD-related impairment, clinician-rated OCD symptom severity, and child-rated generalized anxiety. Total and several specific SSs were reduced following cognitive-behavioral treatment. These results suggest that SSs are prevalent in youth with OCD, are associated with symptom severity, are reduced after participation in cognitive-behavioral therapy, and warrant attention during assessment and treatment. [ABSTRACT FROM AUTHOR]

Youth with insulin-dependent diabetes mellitus face complex treatment regimens and oftenhave difficulty adhering to treatment requirements. Many behavioral-health interventionstrategies, such as psychoeducational groups, diabetes summer camps, individual therapy,and residential treatment have been utilized to address this issue. While some have been effective,many barriers exist that limit the number of youth who are able to utilize these treatments.Additionally, the effectiveness of these treatments does not typically generalize to thehome environment. Telephone-based, intensive, behavioral-health interventions may addressbarriers to treatment access by providing lower cost treatment that is easier to access for youthwho do not live near a knowledgeable behavioral-health specialist. Additionally, delivery viatelephone enables the interventions to take place in the home. This, in combination withparental involvement in the treatment, may increase generalization of the positive treatmentoutcomes to the home environment. The purpose of this paper is to describe a controlled trialof a telehealth intervention for youth whose diabetes is poorly managed. Preliminary outcomedata for the trial are promising. Representative cases from the trial are presented in casestudyformat. [ABSTRACT FROM AUTHOR]