Heart Rate Variability and Inflammatory Bowel Disease

Inclusion Criteria:

• Diagnosis with biopsy-confirmed IBD for at least 4 months,

• ages 13 through 18 years inclusive,

• speak English,

• enrolling with at least 1 parent/guardian who is willing to participate bycompleting surveys,

• positive depression or anxiety screens using the PHQ-4, - access to home internet toparticipate in virtual intervention,

• youth and parent agree to the conditions of study participation, includingrandomization, participation in intervention, and follow-up assessments,

• youth is medically approved to engage in normal daily activities (e.g., attendschool, extracurricular activities)

Exclusion Criteria:

• previous diagnosis of developmental disabilities that require full-time specialeducation or that impair the ability to respond to treatment,

• diagnosis with any other chronic disease (e.g., diabetes, epilepsy, etc.),

• diagnosis of abnormal thyroid function,

• treatment with any drug with known autonomic cardiovascular influences includingbeta-blockers, central sympatholytic agents, or antidepressants.