Cognitive Behavioral Therapy in an Adolescent with Juvenile Ankylosing Spondylitis: a Case Study

Juvenile ankylosing spondylitis (JAS) is a systemic inflammatory arthritis that can negatively impact quality of life and mood. While psychological interventions, such as cognitive behavioral therapy (CBT), are recommended for addressing mood and adjustment in juvenile rheumatic diseases, there is currently no literature describing the application of CBT in adolescents with JAS. This case study presents the first use of a CBT framework in an adolescent with JAS. A 15-year-old male participated in 17 CBT sessions targeting pain management, anxiety, and functional impairments related to his JAS. Therapy focused on the acquisition of coping and self-regulation skills to improve functioning, reduce mood concerns, and manage pain. CBT led to significant improvements in depression, anxiety, and quality of life measures. The patient reported subjective enhancements in health behaviors, pain, and general functioning. This study discusses areas in which CBT may benefit adolescents with JAS and suggests avenues for future research.