Journal ArticleDOI
Two psychological treatments for hypochondriasis. A randomised controlled trial.
David M. Clark,Paul M. Salkovskis,Ann Hackmann,Adrian Wells,Melanie J. V. Fennell,John Ludgate,S Ahmad,H C Richards,Michael Gelder +8 more
TLDR
It was shown that cognitive therapy was more effective than behavioural stress management on measures of hypochondriasis, but not general mood disturbance at mid-treatment and at post-treatment.Abstract:
BACKGROUND Hypochondriasis is generally considered difficult to manage. This study aimed to assess the effectiveness of cognitive therapy and to compare it with an equally credible, alternative treatment.
METHOD Forty-eight patients with hypochondriasis were initially randomly assigned to either cognitive therapy, behavioural stress management or a no treatment waiting list control group. At the end of the waiting period, patients in the control group were randomly assigned to one of the two treatments. Assessments were at pre-, mid- and post-treatment or waiting list and at three-, six- and 12-month post-treatment follow-up.
RESULTS Comparisons with the waiting list group showed both treatments were effective. Comparisons between the treatments showed that cognitive therapy was more effective than behavioural stress management on measures of hypochondriasis, but not general mood disturbance at mid-treatment and at post-treatment. One year after treatment patients who had received either treatment remained significantly better than before treatment, and on almost all measures the two therapies did not differ from each other.
CONCLUSIONS Cognitive therapy is a specific treatment for hypochondriasis. Behavioural stress management is also effective but its specificity remains to be demonstrated.read more
Citations
More filters
Journal ArticleDOI
The Health Anxiety Inventory: development and validation of scales for the measurement of health anxiety and hypochondriasis.
TL;DR: The HAI is a reliable and valid measure of health anxiety and likely to be useful as a brief screening instrument, as there is a short form which correlates highly with the longer version.
Journal ArticleDOI
Functional Somatic Syndromes
TL;DR: A six-step strategy for helping patients with functional somatic syndromes is presented here and helps to heighten their fears and pessimistic expectations, prolong their disability, and reinforce their sick role.
Journal ArticleDOI
Improving access to psychological therapy: Initial evaluation of two UK demonstration sites
David M. Clark,Richard Layard,Rachel Smithies,David Richards,Rupert Suckling,Benjamin Wright +5 more
TL;DR: In this paper, a session-by-session outcome monitoring system achieved unusually high levels of pre-to-post-treatment data completeness, with low-intensity interventions (such as guided self-help) being particularly helpful for achieving high throughput.
Journal ArticleDOI
Anxiety disorders: why they persist and how to treat them.
TL;DR: Six processes (safety-seeking behaviours, attentional deployment, spontaneous imagery, emotional reasoning, memory processes and the nature of the threat representation) that could maintain anxiety-related negative beliefs are outlined and their empirical status is reviewed.
Journal ArticleDOI
Evidence-based pharmacological treatment of anxiety disorders, post-traumatic stress disorder and obsessive-compulsive disorder: A revision of the 2005 guidelines from the British Association for Psychopharmacology
David S. Baldwin,David S. Baldwin,Ian M. Anderson,David J. Nutt,Christer Allgulander,Borwin Bandelow,Johan A. den Boer,David M Christmas,Simon J. C. Davies,Naomi A. Fineberg,Nicky Lidbetter,Andrea Malizia,Paul McCrone,Daniel Nabarro,Catherine O'Neill,Jan Scott,Nic J.A. van der Wee,Hans-Ulrich Wittchen +17 more
TL;DR: This revision of the 2005 British Association for Psychopharmacology guidelines for the evidence-based pharmacological treatment of anxiety disorders provides an update on key steps in diagnosis and clinical management, including recognition, acute treatment, longer-term treatment, combination treatment, and further approaches for patients who have not responded to first-line interventions.
References
More filters
Journal ArticleDOI
An inventory for measuring clinical anxiety: psychometric properties.
TL;DR: Un nouvel inventaire auto-administre destine a mesurer l'anxiete pathologique, le «Beck Anxiety Cheklist» (BAI) est decrit, evalue et compare au «Hamilton Anxiety Rating Scale» (test avec lequel des correlations moderees sont trouvees).
Book
Cognitive Therapy of Depression
Steven D. Hollon,Aaron T. Beck +1 more
TL;DR: Hollon and Shaw as discussed by the authors discuss the role of emotions in Cognitive Therapy and discuss the integration of homework into Cognitive Therapy, and discuss problems related to Termination and Relapse.
Journal ArticleDOI
Comparison of two modes of stress measurement: Daily hassles and uplifts versus major life events
TL;DR: It was found that the Hassles Scale was a better predictor of concurrent and subsequent psychological symptoms than were the life events scores, and that the scale shared most of the variance in symptoms accounted for by life events.
Journal ArticleDOI
Credibility of analogue therapy rationales
Thomas D. Borkovec,Sidney D. Nau +1 more
TL;DR: In this article, the credibility of the rationales and procedural descriptions of two therapy, three placebo, and one component-control procedure frequently used in analogue outcome research was evaluated, and the results indicated that the control conditions were, in general, less credible than the therapy conditions.
Related Papers (5)
Cognitive behavior therapy for hypochondriasis: a randomized controlled trial.
Arthur J. Barsky,David K. Ahern +1 more