A Comparative Study of Health Anxiety in Neurology and Psychiatry Settings

Prabha, Lakshmi; Ganjekar, Sundarnag; Gupta, Vivek; Desai, Geetha; Chaturvedi, Santosh K.

doi:10.1055/s-0039-3399395

Cited by 5 publications

(2 citation statements)

References 14 publications

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“…An Indian study reported the occurrence of health anxiety as 25% and 19% in psychiatry and neurology settings, and in both scenarios, patients with somatoform disorder and multiple diagnoses had high health anxiety. [ 13 ] Health anxiety has been identified as a risk factor for the onset of panic disorder. [ 1 ] Panic disorder also has higher rates of health anxiety compared to other anxiety disorders.…”

Section: Introductionmentioning

confidence: 99%

Dissociative experiences and health anxiety in panic disorder

Ray

Singh

et al. 2021

Indian Journal of Psychiatry

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Background: Dissociative experiences and health anxiety are frequently encountered in anxiety disorders and contribute to the burden of illness. Aim: The aim was to assess and compare dissociative experiences and level of health anxiety in patients with panic disorder and normal individuals. Materials and Methods: We recruited forty eligible patients with panic disorder and forty healthy volunteers without any psychiatric diagnoses. Health anxiety was evaluated by the Short Health Anxiety Inventory and dissociative symptoms were assessed by the Dissociative Experiences Scale (DES). Results: Dissociative experiences were more frequently reported by patients with panic disorder compared to normal controls, but overall mean DES scores were lower in both groups compared to previous literature. A high level of health anxiety was also seen in panic disorder compared to normal individuals. Conclusion: Health anxiety and dissociative experiences, especially depersonalization-derealization, are commonly encountered in panic disorder and should be actively explored to understand how they influence psychopathology and treatment outcome.

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Section: Introductionmentioning

confidence: 99%

Dissociative experiences and health anxiety in panic disorder

Ray

Singh

et al. 2021

Indian Journal of Psychiatry

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“…As the predictive value is related to disease prevalence, estimates of predictive values for a range of estimated prevalence rates were modelled. These were 1, 2 and 4%, which relates to the prevalence of clinically significant health anxiety in the general population [ 42 ], 20% in medical clinics [ 43 ] and 25% to psychiatry outpatient settings [ 44 ].…”

Section: Methodsmentioning

confidence: 99%

The 14-item short health anxiety inventory (SHAI-14) used as a screening tool: appropriate interpretation and diagnostic accuracy of the Swedish version

et al. 2022

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Background The 14-item Short Health Anxiety Inventory (SHAI-14) is a common measure of health anxiety but its screening properties have not been studied. The aims of this study were to evaluate the SHAI-14 as a screening instrument, identify cut-offs for clinically significant health anxiety and investigate which scores correspond to different severity levels. Method The study included 1729 psychiatric patients and 85 healthy controls. Participants completed the SHAI-14 and underwent a diagnostic interview. Cut-off scores were evaluated in three scenarios to approximate screening 1) in a psychiatric clinic, 2) in a low prevalence setting and, 3) of healthy volunteers (cut-off for remission). Receiver operating characteristics were used. Classification of severity was based on the distribution of SHAI-14 scores reported by patients with clinically significant health anxiety. Results The area under the curve (AUC) values were high in all scenarios (above 0.95). The optimal cut-off scores on the SHAI-14 were 22 in the psychiatric context, 29 in a setting with low prevalence of psychiatric disorders and 18 versus healthy controls. SHAI-14 scores of 0–27 represented no or mild health anxiety, 28–32 moderate health anxiety and 33–42 substantial health anxiety. Conclusion Brief self-report measures used as screening instruments are a simple way of gathering information about the presence of specific symptoms and thus a way to detect the likelihood of a diagnosis. The SHAI-14 shows evidence of good diagnostic utility in both clinical and non-clinical settings. However, which cut-off score is to be used, depends on the intended purpose and the setting where the cut-off is used.

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A Comparative Study of Health Anxiety in Neurology and Psychiatry Settings

Cited by 5 publications

References 14 publications

Dissociative experiences and health anxiety in panic disorder

Dissociative experiences and health anxiety in panic disorder

The 14-item short health anxiety inventory (SHAI-14) used as a screening tool: appropriate interpretation and diagnostic accuracy of the Swedish version

Feasibility and preliminary efficacy of metacognitive therapy for health anxiety: A pilot RCT

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