Health anxiety by proxy in women with severe health anxiety: A case control study

Thorgaard, Mette Viller; Frostholm, Lisbeth; Walker, Lynn S.; Jensen, Jens Søndergaard; Morina, Butrin; Lindegaard, Hanne; Salomonsen, Lone; Rask, Charlotte Ulrikka

doi:10.1016/j.janxdis.2017.09.001

Cited by 31 publications

(16 citation statements)

References 34 publications

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“…Our results reflect those of Thorgaard et al 2017 20 who showed that parents’ with severe health‐related worries tend to interpret their child more ill than parents without health‐related preoccupation and, further, that parental health‐related worries had a weak association with child's own symptom reports 19 . A study conducted in a similar school survey dataset as used in our study showed that parental health worries toward IEQ may in some cases partially explain the association between IEQ and symptom reporting 25 .…”

Section: Discussionsupporting

confidence: 93%

“…Parental health‐related preoccupation and excessive thought of their own disease have recently been shown to associate with poor reported health outcomes in their children 18,19 . Thorgaard et al 20 showed that parent's excessive worries about health associate with conceiving their child more ill than parents without these concerns and excessive parental health worries have been shown to associate with children's health‐related worries 21,22 . There are also some data available that parental health worries related to environmental factors associate with adolescents’ health worries and risk for misinterpreting bodily sensations 23,24 .…”

Section: Introductionmentioning

confidence: 99%

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Parent’s self‐reported indoor environment‐related symptoms and health worry increase symptom reports among their children at school—Study in two independent populations

2021

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Little is known whether parent's indoor environment quality (IEQ)‐related symptoms or health perceptions influence the risk of self‐ or parent‐reported symptoms in their children. We assessed (i) the association of parents’ IEQ‐related symptoms with IEQ‐related symptoms in their children at school and (ii) whether parental IEQ‐related health worry increases the risk for children's symptoms. We used two Finnish studies: a national, population‐based survey of indoor air and related health problems (n = 611 parents) and a subset of survey for all primary school pupils (grade 3–6) and their parents in Helsinki, which also included school IEQ‐related symptoms reported by children (n = 1617 parent‐child dyads). In the school survey, parent's own symptoms increased strongly their reporting of their children's symptoms at school (aOR 4.0, 95% CI 2.7–6.0 for parents experiencing a lot of symptoms) and also symptoms reported by the child itself (aOR 2.2, 95% CI 1.5–3.1). Similar, but slightly weaker associations were seen with parental IEQ‐related health worries. Results remained unchanged when adjusted for the IEQ of school buildings or parental and children's allergic diseases. Similar associations were seen in the national survey between parent's symptoms at work and child's symptoms at school. The results suggest that parents’ health perceptions may increase the reporting of children's IEQ‐related symptoms even more than is typically seen for many indoor air contaminants.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Parent’s self‐reported indoor environment‐related symptoms and health worry increase symptom reports among their children at school—Study in two independent populations

2021

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“…However, there is a lack of research that applies approaches to improve the outcomes for parents who currently do not benefit from proxy OHIS. Moreover, taking into consideration the relational aspect between seeker and subject may lead to a better understanding of the prevention of negative outcomes for parents searching for health information [ 75 ].…”

Section: Discussionmentioning

confidence: 99%

Online Health Information Seeking by Parents for Their Children: Systematic Review and Agenda for Further Research

Kubb¹,

Foran²

2020

J Med Internet Res

122

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Background Parents commonly use the internet to search for information about their child’s health-related symptoms and guide parental health-related decisions. Despite the impact of parental online health seeking on offline health behaviors, this area of research remains understudied. Previous literature has not adequately distinguished searched behaviors when searching for oneself or one`s child. Objective The purpose of this review is to examine prevalences and associated variables of parent-child online health information seeking; investigate parents’ health-related online behavior regarding how they find, use, and evaluate information; and identify barriers and concerns that they experience during the search. Based on this analysis, we develop a conceptual model of potentially important variables of proxy online health information seeking, with a focus on building an agenda for further research. Methods We conducted a comprehensive systematic literature review of the PsycINFO, JMIR, and PubMed electronic databases. Studies between January 1994 and June 2018 were considered. The conceptual model was developed using an inductive mixed methods approach based on the investigated variables in the study sample. Results A total of 33 studies met the inclusion criteria. Findings suggest that parents worldwide are heavy online users of health-related information for their children across highly diverse circumstances. A total of 6 studies found high parental health anxiety, with prevalences ranging from 14% to 52%. Although parents reported wishing for more guidance from their pediatrician on how to find reliable information, they rarely discussed retrieved information from the web. The conceptual model of proxy online health information seeking includes 49 variables. Conclusions This systematic review identifies important gaps regarding the influence of health-related information on parents’ health behavior and outcomes. Follow-up studies are required to offer parents guidance on how to use the web for health purposes in an effective way, as well as solutions to the multifaceted problems during or after online health information seeking for their child. The conceptual model with the number of studies in each model category listed highlights how previous studies have hardly considered relational variables between the parent and child. An agenda for future research is presented.

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“…It is worth noting that this study did, together with the vast majority of ACT interventions, include elements from second wave CBT such as psychoeducation using the vicious circle of anxiety and interoceptive exposure http://funktionellelidelser.dk/fileadmin/www.funktionellelidelser.au.dk/Publikationer/ ACT_Manual.pdf With regard to younger age groups, HA is an emerging topic in the scientific literature. Integrating potential early childhood and family risk factors can help inform the development of specialised third wave therapies in children and adolescents (Thorgaard, Frostholm, & Rask, 2018) as well as for parents with so-called health anxiety by proxy (Thorgaard et al, 2017), i.e. parents who present with excessive and seemingly unreasonable concern about their child's symptoms.…”

Section: Evidence For Third Wave Treatment In Hamentioning

confidence: 99%

Third Wave Treatments for Functional Somatic Syndromes and Health Anxiety Across the Age Span: A Narrative Review

Frostholm¹,

Rask²

2019

CPE

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Functional disorders (FD) are present across the age span and are commonly encountered in somatic health care. Psychological therapies have proven effective, but mostly the effects are slight to moderate. The advent of third wave cognitive behavioural therapies launched an opportunity to potentially improve treatments for FD.A narrative review of the literature on the application of mindfulness-based therapies (MBT) and Acceptance & Commitment Therapy (ACT) in children and adult populations with FD.There were very few and mainly preliminary feasibility studies in children and adolescents. For adults there were relatively few trials of moderate to high methodological quality. Ten MBT randomised trials and 15 ACT randomised trials of which 8 were internet-delivered were identified for more detailed descriptive analysis. There was no evidence to suggest higher effects of third wave treatments as compared to CBT. For MBT, there seemed to be minor effects comparable to active control conditions. A few interventions combining second and third wave techniques found larger effects, but differences in outcomes, formats and dosage hamper comparability.Third wave treatments are getting established in treatment delivery and may contribute to existing treatments for FD. Future developments could further integrate second and third wave treatments across the age span. Elements unambiguously targeting specific illness beliefs and exposure should be included. The benefit of actively engaging close relatives in the treatment not only among younger age groups but also in adults, as well as the effect of more multimodal treatment programmes including active rehabilitation, needs to be further explored.The methodological quality of third wave interventions for FD should be improved, especially in younger age groups.The effect of ACT interventions may be comparable to CBT in adults with FD.The evidence for third wave interventions in young people with FD is still very limited.Newer studies combining second and third wave treatments show some promise.Agreement on, and for child populations further development of, core outcomes, could help determine effect across studies.The methodological quality of third wave interventions for FD should be improved, especially in younger age groups.The effect of ACT interventions may be comparable to CBT in adults with FD.The evidence for third wave interventions in young people with FD is still very limited.Newer studies combining second and third wave treatments show some promise.Agreement on, and for child populations further development of, core outcomes, could help determine effect across studies.

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Health anxiety by proxy in women with severe health anxiety: A case control study

Cited by 31 publications

References 34 publications

Parent’s self‐reported indoor environment‐related symptoms and health worry increase symptom reports among their children at school—Study in two independent populations

Parent’s self‐reported indoor environment‐related symptoms and health worry increase symptom reports among their children at school—Study in two independent populations

Online Health Information Seeking by Parents for Their Children: Systematic Review and Agenda for Further Research

Third Wave Treatments for Functional Somatic Syndromes and Health Anxiety Across the Age Span: A Narrative Review

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