One-Year Follow-up of Medical Outpatients With Hypochondriasis

Noyes, Russell; Kathol, Roger G.; Fisher, Mary M.; Phillips, Brenda M.; Suelzer, Michael T.; Woodman, Catherine

doi:10.1016/s0033-3182(94)71722-9

Cited by 55 publications

(29 citation statements)

References 25 publications

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“…An early study of treated hypochondriasis, employing explanatory psychotherapy as well as medication, was conducted by Kellner [30]with the result that favorable outcome two years later was associated with shorter illness duration and absence of personality disorder. Only a few naturalistic studies have used a prospective design to re-assess hypochondriacal patients after longer periods of time [12, 39, 40, 41, 42]. One major problem of these studies is that treatment between inception and follow-up was not systematically controlled for.…”

Section: Discussionmentioning

confidence: 99%

“…However, these studies have tentatively indicated the existence of some general prognostic factors. For example, better outcome seems to be associated with less medical morbidity and less comorbid major depressive and anxiety disorders at inception [12], shorter duration of hypochondriasis, lower neuroticism scores and the demographic variables of being employed and married [39], and with a less pathological combination of somatization, amplification of bodily sensations and attribution of symptoms to disease [40, 41]. Most of these factors have not been confirmed consistently enough and therefore do not yet constitute a comprehensive model.…”

Section: Discussionmentioning

confidence: 99%

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Predictors of Course and Outcome in Hypochondriasis after Cognitive-Behavioral Treatment

Hiller

Leibbrand²,

Rief³

et al. 2002

Psychother Psychosom

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Background: Predictors of treatment outcome were evaluated in a clinical sample suffering from hypochondriasis. Methods: The sample consisted of 96 patients with hypochondriacal disorder according to DSM-IV or high syndrome scores on the Illness Attitude Scales (IAS) or Whiteley Index (WI). After intense inpatient cognitive-behavioral treatment (CBT), 60% of the patients were classified as responders because of substantial improvements or recovery from hypochondriacal symptomatology. Results: Non-responders were characterized by a higher degree of pre-treatment hypochondriasis, more somatization symptoms and general psychopathology (SCL-90R), more dysfunctional cognitions related to bodily functioning, higher levels of psychosocial impairments, and more utilization of the health care system as indicated by the number of hospital days and costs for inpatient treatments and medication. No predictive value was found for sociodemographic variables, comorbidity with other mental disorders and chronicity. Multiple linear regression showed that pre-treatment variables significantly predicted IAS scores at post-treatment (R² = 0.59), changes during treatment (0.10), IAS scores at follow-up two years later (0.41) and changes between baseline and follow-up (0.25). Conclusions: The results demonstrate the relevance of various psychopathological variables and health care utilization as important indicators for outcome and further course of clinical hypochondriasis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Predictors of Course and Outcome in Hypochondriasis after Cognitive-Behavioral Treatment

Hiller

Leibbrand²,

Rief³

et al. 2002

Psychother Psychosom

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“…Recent studies have supplemented our understanding. Noyes et al 11 conducted a prospective, casecontrolled, follow-up of 48, DSM-III-R hypochondriacal patients. After 1 year, 67% (n = 32) of the hypochondriacal patients still met diagnostic criteria for hypochondriasis, and these patients were significantly higher than the comparison group on measures of hypochondriacal symptoms, somatization, anxiety and depressive symptoms, and medical utilization.…”

Section: Discussionmentioning

confidence: 99%

A Prospective 4- to 5-Year Study of DSM-III-R Hypochondriasis

Barsky

Fama²,

Bailey³

et al. 1998

Arch Gen Psychiatry

125

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“…Those conducted in primary care have shown that between one and two thirds still meet DSM criteria after 1–5 years [110,111,112]. In these studies, definite improvement in hypochondriacal symptoms was observed; yet, most patients remained concerned about serious disease and were more worried about health than others.…”

Section: Domains In Which Differences May Be Foundmentioning

confidence: 99%

Distinguishing between Hypochondriasis and Somatization Disorder: A Review of the Existing Literature

Noyes

Stuart

Watson³

et al. 2006

Psychother Psychosom

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A valid classification is important for further understanding of the somatoform disorders. The main disorders in this grouping – somatization disorder and hypochondriasis – have lengthy historical traditions and are defined in a contrasting manner. Various authors point to distinguishing demographic and clinical features, but there have been few direct comparisons of patients with these disorders. A review of the literature indicates those domains where differences are most likely to be found. Research assessing these may serve to refine and validate these key somatoform categories and/or dimensions.

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One-Year Follow-up of Medical Outpatients With Hypochondriasis

Cited by 55 publications

References 25 publications

Predictors of Course and Outcome in Hypochondriasis after Cognitive-Behavioral Treatment

Predictors of Course and Outcome in Hypochondriasis after Cognitive-Behavioral Treatment

A Prospective 4- to 5-Year Study of DSM-III-R Hypochondriasis

Distinguishing between Hypochondriasis and Somatization Disorder: A Review of the Existing Literature

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