Evidence map›Paper›PMID 40296354›Full record

Trial reportInflammatory bowel diseases2025

Biofeedback-Enhanced Cognitive-Behavioral Therapy Delivered Virtually to Youth With Inflammatory Bowel Disease: A Randomized Controlled Trial.

Kelly Rea, Abigail Robbertz, Adrianna Westbrook, Jessica Buzenski, Bonney Reed

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Inflammatory bowel diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Kelly ReaDivision of Pediatric Psychology, Department of Pediatrics, Michigan Medicine, Ann Arbor, MI, USA.ORCID 0000-0002-2676-7192
Abigail RobbertzDepartment of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Adrianna WestbrookDepartment of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA.
Jessica BuzenskiDepartment of Pediatrics, Emory/Children's Pediatric Institute, Atlanta, GA, USA.
Bonney ReedDepartment of Pediatrics, Emory/Children's Pediatric Institute, Atlanta, GA, USA.ORCID 0000-0003-1808-6132

Funding

Enhancing treatment adherence and health outcomesT32HD068223 · NICHD · CINCINNATI CHILDRENS HOSP MED CTR · PI Kevin Hommel, Meghan Eileen McGrady · 2012 to 2026
$3.6M
Brain-Gut biomarkers of anxiety and depressive symptoms in youth with inflammatory bowel diseaseK23DK122115 · NIDDK · EMORY UNIVERSITY · PI REED, BONNEY · 2020 to 2023
$689k
Heart rate variability as a modifiable biomarker of clinical symptoms and psychological functioning in pediatric patients with inflammatory bowel diseaseR03DK136975 · NIDDK · EMORY UNIVERSITY · PI REED, BONNEY · 2023 to 2023
$235k
NICHD NIH HHS T32 HD068223NIDDK NIH HHS K23 DK122115NIDDK NIH HHS R03 DK136975NIH HHS K23DK122115
6 · The paper itself

Abstract

backgroundInflammatory bowel diseases (IBDs) are increasingly recognized as products of the brain-gut axis associated with dysfunctions of the chronic stress response systems. The objectives of this study were to evaluate the feasibility, acceptability, and preliminary efficacy of a virtual, group-based heart rate variability (HRV) biofeedback-enhanced coping skills intervention for youth with IBD. Treatment targets included symptoms of anxiety, depression, gastrointestinal (GI) symptoms, and perceived stress.

methodsYouth with IBD (ages 13-18) and their caregivers were randomized to either immediate treatment or waitlist control groups. The intervention consisted of 6 virtually delivered, weekly group sessions combining cognitive-behavioral therapy (CBT) with HRV biofeedback training. Outcomes included measures of anxiety, depression, GI symptoms, perceived stress, and HRV parameters. Assessments were conducted at baseline and post-intervention.

resultsOf the 53 youth randomized, 50 participated in their assigned group. The intervention demonstrated strong feasibility with 84% of participants attending at least 4 of 6 sessions. Both adolescents and parents reported strong satisfaction. Following treatment, parents reported significant decreases in adolescent depressive symptoms, anxiety symptoms, and GI symptoms compared to controls. Adolescents reported reductions in GI symptoms and perceived stress compared to controls and reductions in symptoms of anxiety within the treatment group. No changes were observed in HRV parameters.

conclusionsThis pilot study supports the feasibility and acceptability of a virtual, group-based HRV biofeedback-enhanced coping skills intervention for youth with IBD. Preliminary efficacy was demonstrated for reducing psychological and physical symptoms. Future research should evaluate efficacy in a larger, more diverse sample with elevated baseline psychological symptoms.

Indexed as

AnxietyBiofeedback, PsychologyCognitive Behavioral TherapyDepressionInflammatory Bowel DiseasesStress, PsychologicalAdaptation, PsychologicalAdolescentFeasibility StudiesFemaleFollow-Up StudiesHeart RateHumansMaleTreatment Outcomeadolescentsbiofeedbackcognitive–behavioral therapyheart rate variabilityinflammatory bowel disease

Identifiers

PMID40296354
PMCPMC12558579

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.