Abnormal illness attitudes in patients with irritable bowel syndrome

Gomborone, J. E.; Dewsnap, Paul; Libby, G. W.; Farthing, M. J. G.

doi:10.1016/0022-3999(94)00126-p

Cited by 59 publications

(29 citation statements)

References 15 publications

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“…This means that the IAS items are not excessively influenced by psychiatric symptoms other than hypochondriacal fears and beliefs. For the same reason the IAS scores were not significantly correlated with those of depression and anxiety [161, 164]. This finding has suggested that the abnormal illness attitudes of patients with functional somatic symptoms are not merely a consequence of concomitant emotional disturbances, but they are probably ascribable to the absence of clear explanations and effective treatments for the impairing physical symptoms [161, 164].…”

Section: Resultsmentioning

confidence: 91%

“…The good content validity made the IAS, in particular the hypochondriacal beliefs and bodily preoccupations scales, superior to other hypochondriasis-related measures in discriminating between subjects with functional somatic symptoms and patients with organic disorders [161,162,163], depressed patients [161] and normal controls [161, 163, 164]. This means that the IAS items are not excessively influenced by psychiatric symptoms other than hypochondriacal fears and beliefs.…”

Section: Resultsmentioning

confidence: 96%

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The Illness Attitude Scales

Sirri

Grandi²,

Fava³

2008

Psychother Psychosom

118

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Background: The Illness Attitude Scales (IAS) were developed by Robert Kellner as a clinimetric index for measuring hypochondriacal fears and beliefs (worry about illness, concerns about pain, health habits, hypochondriacal beliefs, thanatophobia, disease phobia, bodily preoccupations, treatment experience and effects of symptoms). The IAS have been extensively used in the past two decades, but there has been no comprehensive review of their properties and applications. Methods: A review of the literature using both computerized (Medline, PsycINFO) and manual searches was performed. Results: The IAS were found to successfully discriminate between hypochondriacal patients and control subjects, and between patients with various manifestations of illness behaviour. They showed a high test-retest reliability in normal subjects, and changed in the expected direction after treatment of hypochondriasis. The IAS were also positively related to other hypochondriasis-related measures, and yielded important information in a variety of medical and surgical settings. Their content has paved the way for the development of some of the Diagnostic Criteria for Psychosomatic Research. Conclusions: The clinimetric properties and high sensitivity of the IAS make them the gold standard for the self-rated assessment of hypochondriacal fears and beliefs.

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Section: Resultsmentioning

confidence: 91%

Section: Resultsmentioning

confidence: 96%

The Illness Attitude Scales

Sirri

Grandi²,

Fava³

2008

Psychother Psychosom

118

View full text Add to dashboard Cite

show abstract

“…Also, hypochondriacal symptoms are higher in patients with functional and psychiatric disturbances than in those with organic illnesses. For example, one study found significantly higher hypochondriasis scores in patients with irritable bowel syndrome than in those with organic gastrointestinal disease [21]. Health anxiety and hypochondriasis tend to be associated with increased symptom reporting and functional impairment in clinical populations.…”

Section: Discussionmentioning

confidence: 99%

Are premenstrual symptoms associated with health anxiety in nursing graduates?

Noyes²,

Hartz³

et al. 2011

OJPsych

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Objective: This study examined retrospectively the relationship between premenstrual symptoms and health anxiety. Methods: Premenstrual symptoms of nursing school graduates were assessed in 1985 and again in 1991 using the Premenstrual Assessment Form (PAF). A total of 571 women completed the survey in 1991, along with items relating to their physical and mental health. The latter included depression, anxiety, and panic attacks. Health anxiety was also assessed using the Whiteley Index (WI). After women who were amenorrheic for any reason were excluded, a final sample of 410 women aged 25 to 52 years was obtained. Factor analyses yielded 57 items that were useful for calculating a total PAF score. A stepwise multivariate linear regression model was used to find the association of PAF scores with various participant characteristics. Results: Thirtyone of the 410 (7.6%) women had WI scores of ≥5 and were considered to have significant health-related anxiety. The PAF score had statistically significant associations with health anxiety, as well as depression and anxiety. Conclusions: Our results suggest that the premenstrual symptoms often coexist with health anxiety as well as other psychological symptoms. Clinicians should be alert to the fact that PMS may be associated with treatable psychiatric conditions.

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“…53 It may be that fearful cognitive responses are evoked during stress. Catastrophic cognitions about the meaning of symptoms appear to be common among patients who have particular concerns about their IBS 54 and may result in unhelpful behaviours such as an increase in consulting behaviour. For example, van Dulmen and colleagues found that patients who continue to attribute their symptoms to a purely physical cause are more likely to continue to consult.…”

Section: A Cognitive Behavioural Model For Understanding Ibsmentioning

confidence: 99%

Cognitive behavioural therapy in addition to antispasmodic therapy for irritable bowel syndrome in primary care: randomised controlled trial

Kennedy¹,

Chalder²,

McCrone³

et al. 2006

Health Technol Assess

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Abnormal illness attitudes in patients with irritable bowel syndrome

Cited by 59 publications

References 15 publications

The Illness Attitude Scales

The Illness Attitude Scales

Are premenstrual symptoms associated with health anxiety in nursing graduates?

Cognitive behavioural therapy in addition to antispasmodic therapy for irritable bowel syndrome in primary care: randomised controlled trial

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