Morbid preoccupations, health anxiety and reassurance: a cognitive-behavioural approach to hypochondriasis

Šalkovskis, Paul M.; Warwick, Hilary M. C.

doi:10.1016/0005-7967(86)90041-0

Cited by 412 publications

(294 citation statements)

References 18 publications

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“…Salkovskis's cognitive model of health anxiety (Salkovskis & Warwick, 1986;Warwick & Salkovskis, 1990) proposes that health anxiety is linked to four specific health related dysfunctional beliefs: 'the likelihood of contracting or having an illness', ' the awfulness of illness', ' the inability to cope with illness', and 'the inadequacy of medical services for treating illness' (Salkovskis & Warwick, 2001). A number of cross sectional studies have demonstrated that these dysfunctional beliefs are specific to health anxiety and strongly associated and predictive of this disorder (e.g.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Is metacognition a causal moderator of the relationship between catastrophic misinterpretation and health anxiety? A prospective study

Bailey

Wells

2016

Behaviour Research and Therapy

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Section: Accepted Manuscriptmentioning

confidence: 99%

Is metacognition a causal moderator of the relationship between catastrophic misinterpretation and health anxiety? A prospective study

Bailey

Wells

2016

Behaviour Research and Therapy

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“…According to the cognitive-behavioural hypothesis of health anxiety and hypochondriasis (Warwick and Salkovskis 1990), bodily signs and symptoms are perceived as more dangerous than they really are, and the chance of contracting a particular disease is believed to be more probable than it really is (Salkovskis 1989;Salkovskis and Warwick 1986;Warwick and Salkovskis 1989). This cognitive hypothesis accounts for the development of hypochondriasis, in that knowledge and past experiences of disease lead to the formation of specific assumptions about symptoms, disease and health behaviours.…”

Section: Introductionmentioning

confidence: 99%

The Effect of a Psychoeducational Course on Hypochondriacal Metacognition

2008

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Recently, it has become apparent that a metacognitive perspective may contribute to the understanding and treatment of psychopathology. In this study, the effect of a cognitive-behavioural psychoeducational group treatment for hypochondriasis on metacognitive aspects was examined. Furthermore, it was studied whether earlier found beneficial effects of the course on hypochondriacal complaints, depressive complaints and trait anxiety could be replicated. A total of 35 participants were randomized into either an immediate treatment group (n = 20), or a waiting list control group (n = 15). The participants in the waiting list control group were enrolled in the treatment after a period of 6 weeks. Results showed that the course had an effect on all subscales of the Metacognition-Cognitions about Health Anxiety questionnaire. Furthermore, in line with previous findings, the course proved to be effective in decreasing hypochondriacal complaints, depressive complaints and trait anxiety. It may be concluded that cognitive-behavioural psychoeducational treatment, in which a metacognitive level is implicitly addressed, shows beneficial effect on metacognitive aspects and hypochondriacal complaints.

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“…El tratamiento aplicado fue una adaptación del programa desarrollado por Salkovskis y Warwick (Salkovskis, 1989;Salkovskis y Warwick, 1986;Warwick, 1989;Warwick y Salkovskis, 1989,1990. La propuesta terapéutica de estos autores se centra en modificar las conductas, cogniciones y supuestos disfuncionales utilizando para ello técnicas tales como la exposición y la prevención de respuesta, las discusiones cognitivas, y los experimentos conductuales.…”

Section: Muestra Instrumento Y Procedimientounclassified

Tendencias atribucionales en la Hipocondria : caracterización y cambios con el tratamiento

Vaca¹,

Belloch²,

Arbona³

2001

RPPC

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El enfoque cognitivo plantea que la hipocondría y el trastorno de pánico se caracterizan por la interpretación errónea de las sensaciones corporales como señal de enfermedad. Las propuestas terapéuticas más efectivas para estos trastornos se centran en la modificación de dichos sesgos interpretativos. Para analizar estas cuestiones se han realizado dos estudios. En el primer estudio se examinan algunas diferencias entre las interpretaciones características de la hipocondría y aquéllas típicas del trastorno de pánico. Se administró el Cuestionario de Acontecimientos Ambiguos (CAÁ) y el Cuestionario de Interpretación de Sensaciones Corporales (CISC) a 17 pacientes con hipocondría, 17 pacientes con trastorno por angustia y 17 sujetos normales. Los resultados mostraron que los grupos clínicos difirieron en el tipo de sensaciones corporales que consideraban señal de enfermedad y en el curso temporal de la amenaza percibida, sin embargo mostraron las mismas conductas disfuncionales. En el segundo estudio se analizan los cambios producidos por un tratamiento cognitivo-conductual en el grupo de hipocondría. Se administró el CAÁ antes y después del tratamiento y a los 2 y 6 meses de seguimiento. Los resultados revelaron que la terapia consiguió mejorías en la tendencia de los pacientes a atribuir consecuencias negativas a los síntomas.Palabras clave: Hipocondría, trastorno por angustia, sensación corporal, interpretación errónea, conducta disfuncional, tratamiento cognitivo-conductual. Attributional tendencies in hypochondríasis: characterístics and changes with treatmentThe cognitive approach proposes that both hypochondríasis and panic disorder are characterized by the misinterpretation of bodily sensations as sign of diseeise. The more eSective therapeutic proposals for these disorders are focused on the modification of such interpretative bias. In order to analyse these topics two studies were carried out. The first study examined some differences between the interpretations characteristic of hypochondríasis and those typical of panic disorder. The Ambiguous Events Questionnaire (AEQ) and the Bodily Sensations Interpretation Questionnaire (BSIQ) were administered to 17 patients with hypochondríasis, 17 patients with panic disorder and 17 normal subjects. The results showed that the clinical groups differed in the type of bodily sensations that are considered as sign of disease and in the time course of perceived threat, however showed the same dysfunctional behaviours. The second study examined the changes caused by a cognitivebehavioural treatment in hypochondríasis group. The AEQ was administered before and after the treatment and at 2 and 6 months foUow-up. The results showed that the therapy improved the tendency of patients to attribute negative consequences at symptoms.

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Morbid preoccupations, health anxiety and reassurance: a cognitive-behavioural approach to hypochondriasis

Cited by 412 publications

References 18 publications

Is metacognition a causal moderator of the relationship between catastrophic misinterpretation and health anxiety? A prospective study

Is metacognition a causal moderator of the relationship between catastrophic misinterpretation and health anxiety? A prospective study

The Effect of a Psychoeducational Course on Hypochondriacal Metacognition

Tendencias atribucionales en la Hipocondria : caracterización y cambios con el tratamiento

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