Long-Term Follow-Up of Hypochondriasis After Selective Serotonin Reuptake Inhibitor Treatment

Schweitzer, Pernilla J.; Zafar, Uzma; Pavlicová, Martina; Fallon, Brian A.

doi:10.1097/jcp.0b013e31821896c3

Cited by 22 publications

(7 citation statements)

References 17 publications

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“…To address the concern that the findings of negative outcomes associated with spanking in past research were a result of the confounding of spanking with overly harsh or potentially abusive methods, we identified seven studies that reported bivariate associations for both spanking and physical abuse. The latter was defined variously as “hitting with fist or object, beating up, kicking, or biting” (Bugental, Martorell, & Barraza, 2003), “beaten to injury” (Lau, Chan, Lam, Choi, & Lai, 2003), “been injured from a beating” (Lau et al, 2005), “frequent or severe physical punishment” (Fergusson, Boden, & Horwood, 2008), “use of a weapon, punching, or kicking” (Lynch et al, 2006), “severe physical assault” (Miller-Perrin, Perrin, & Kocur, 2009), and “physical abuse leading to bruising” (Schweitzer, Zavar, Pavlicova, & Fallon, 2011). Each of these studies employed a within-subjects design; in each case, the same respondent (either a parent or the adult child recalling the behavior) reported both how often the parent used spanking and, in a separate question, how often the parent used abusive methods of discipline.…”

Section: Resultsmentioning

confidence: 99%

Spanking and child outcomes: Old controversies and new meta-analyses.

Gershoff

Grogan‐Kaylor

2016

Journal of Family Psychology

681

521

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Whether spanking is helpful or harmful to children continues to be the source of considerable debate among both researchers and the public. This article addresses 2 persistent issues, namely whether effect sizes for spanking are distinct from those for physical abuse, and whether effect sizes for spanking are robust to study design differences. Meta-analyses focused specifically on spanking were conducted on a total of 111 unique effect sizes representing 160,927 children. Thirteen of 17 mean effect sizes were significantly different from zero and all indicated a link between spanking and increased risk for detrimental child outcomes. Effect sizes did not substantially differ between spanking and physical abuse or by study design characteristics. (PsycINFO Database Record

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Section: Resultsmentioning

confidence: 99%

Spanking and child outcomes: Old controversies and new meta-analyses.

Gershoff

Grogan‐Kaylor

2016

Journal of Family Psychology

681

521

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“…Studies also support a role base for pharmacotherapy, however the evidence is more sparse,. The strongest evidence exists for antidepressant medication, primarily serotonin selective reuptake inhibitors (SSRIs), which have been shown to be more effective than placebo (34) and similar in effectiveness as CBT (35) . The only randomized placebo-controlled study to have assessed CBT and medication together, found they were more effective than either alone (36).…”

Section: Managementmentioning

confidence: 99%

The Association Between Benign Fasciculations and Health Anxiety: A Report of Two Cases and a Systematic Review of the Literature

et al. 2019

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Background Benign fasciculation syndrome (BFS) is characterised by persistent spontaneous contractions of muscle fibres in the absence of a pathological cause. Patients with BFS often have concerns around having motor neuron disease (MND), in some cases fulfilling the criteria for health anxiety disorder. Research on how BFS and health anxiety relate to one another and how they should be optimally managed together is sparse. Objective We report two cases of BFS associated with health anxiety. We also review the existing literature on the association between BFS associated with health anxiety. Methods We systematically reviewed the literature using MEDLINE, Embase, PsychInfo, and OpenGrey for studies investigating benign fasciculation and anxiety symptoms up to August 2018. Results Both cases were successfully treated for health anxiety disorder with cognitive behavioural therapy and antidepressant medication. We identified eight studies that met inclusion criteria describing a total of 384 patients. The majority of studies were of moderate quality. Patients with BFS tended to be male and in their 30s or 40s. There was an over-representation of clinicians. Anxiety symptoms were common and frequently coexisted alongside fasciculation symptoms. Health anxiety was overwhelmingly focused around MND. Conclusion A proportion of individuals with BFS experience anxiety around having MND-to the point of developing health anxiety disorder. A bidirectional relationship may exist between BFS and health anxiety. Clinicians should be alert to the possibility of health anxiety in patients with BFS and have a low threshold to refer for psychiatric assessment. There is support for the role of psychological therapy, especially CBT, as well as pharmacotherapy, in the form of antidepressant medication. Furthermore, in severe or treatment-refractive cases, combined treatment may be indicated.

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“…Schweitzer et al [16] conducted a follow-up study of patients treated originally for hypochondriasis in two studies, one with fluoxetine and one with fluvoxamine. The average length of follow-up was 8.6 ± 4.5 years (4–16 years).…”

Section: Antidepressants Reevaluatedmentioning

confidence: 99%

“…The articles [3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22] are presented in groups according to similarity of their topic, not in any order of importance, preference or significance.…”

mentioning

confidence: 99%