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Hypochondriasis

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1. Patient Characteristics and Patient Behavior as Predictors of Outcome in Cognitive Therapy and Exposure Therapy for Hypochondriasis. (PubMed)

Patient Characteristics and Patient Behavior as Predictors of Outcome in Cognitive Therapy and Exposure Therapy for Hypochondriasis. Psychotherapy for hypochondriasis has greatly improved over the last decades and cognitive-behavioral treatments are most promising. However, research on predictors of treatment outcome for hypochondriasis is rare. Possible predictors of treatment outcome in cognitive therapy (CT) and exposure therapy (ET) for hypochondriasis were investigated.Characteristics (...) . Interactions between the predictors and the treatment (CT or ET) were not found.In-session interpersonal behavior is an important predictor of outcome. Furthermore, there are no specific contraindications to treating hypochondriasis with CT or ET.© 2016 Wiley Periodicals, Inc.

2018 Journal of clinical psychology

2. Cognitive therapy and exposure therapy for hypochondriasis (health anxiety): A 3-year naturalistic follow-up. (PubMed)

Cognitive therapy and exposure therapy for hypochondriasis (health anxiety): A 3-year naturalistic follow-up. Cognitive-behavioral therapy (CBT) has been shown to be effective in treating hypochondriasis. However, there are doubts regarding the long-term effectiveness of CBT for hypochondriasis, in particular for follow-up periods longer than 1 year. The aim of the present study was to evaluate the long-term effectiveness of cognitive therapy (CT) and exposure therapy (ET) for the treatment (...) of hypochondriasis.Seventy-five patients with a diagnosis of hypochondriasis who were previously treated with CT or ET were contacted 3 years after treatment. Fifty (67%) patients participated and were interviewed by an independent and blinded diagnostician using standardized interviews.We found further improvements after therapy in primary outcome measures (d = .37), general functioning (d = .38), and reduced doctor visits (d = .30) during the naturalistic follow-up period. At the 3-year follow-up, 72% of the patients

2017 Journal of Consulting and Clinical Psychology

3. A Randomized Controlled Trial of Medication and Cognitive-Behavioral Therapy for Hypochondriasis. (PubMed)

A Randomized Controlled Trial of Medication and Cognitive-Behavioral Therapy for Hypochondriasis. Prior studies of hypochondriasis demonstrated benefits for pharmacotherapy and for cognitive-behavioral therapy (CBT). This study examined whether joint treatment offers additional benefit.Patients with DSM-IV hypochondriasis (N=195) were randomly assigned to one of four treatments-placebo, CBT, fluoxetine, or joint treatment with both fluoxetine and CBT. Evaluations assessed hypochondriasis, other (...) psychopathology, adverse events, functional status, and quality of life. The primary analysis assessed outcome at week 24 among the intent-to-treat sample, with responders defined as having a 25% or greater improvement over baseline on both the Whiteley Index and a modified version of the Yale-Brown Obsessive Compulsive Scale for hypochondriasis (H-YBOCS-M). The Cochran-Armitage trend test assessed the hypothesized pattern of response: joint treatment > CBT or fluoxetine treatment > placebo treatment.The

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2017 American Journal of Psychiatry

4. Treatment of Hypochondriasis in Two Schizophrenia Patients Using Clozapine (PubMed)

Treatment of Hypochondriasis in Two Schizophrenia Patients Using Clozapine Hypochondriasis (HYPO), an obsessive-compulsive spectrum disorder, is frequent in patients with schizophrenia (SCH) (20%), especially among those treated with clozapine (36.7%). Treatment options for OCS/OCD in patients under clozapine (CLZ) include combining clozapine with amisulpride/aripiprazole or a mood stabilizer, augmenting clozapine with a serotoninergic reuptake inhibitor, adding cognitive behavioural therapy

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2017 Case reports in psychiatry

5. Validity of Current Treatment Protocols to Overcome Hypochondriasis (PubMed)

Validity of Current Treatment Protocols to Overcome Hypochondriasis Hypochondriasis has been difficult to define and its classification amongst diseases has been blurred since, time immemorial. Though decades have been passed since its discovery and known to the people that the disorder is of the mind itself, the treatment options are still limited for the disorder and therefore, in dire need of exploration and analysis. Hypochondriasis, also sometimes referred to as health anxiety, is much (...) more common in general health ward than previously accounted for. Thus, an efficient way of its management needs to be formulated and this review article helps to shed out light on the current treatment protocol available for hypochondriasis and their efficacy for the same. The treatment modules for hypochondriasis are unfortunately few and limited. None of the review articles have evaluated the efficacy of the tried treatment interventions and through this review article we want to highlight

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2017 Journal of clinical and diagnostic research : JCDR

6. Changes in Free Symptom Attributions in Hypochondriasis after Cognitive Therapy and Exposure Therapy. (PubMed)

Changes in Free Symptom Attributions in Hypochondriasis after Cognitive Therapy and Exposure Therapy. Cognitive-behavioural therapy can change dysfunctional symptom attributions in patients with hypochondriasis. Past research has used forced-choice answer formats, such as questionnaires, to assess these misattributions; however, with this approach, idiosyncratic attributions cannot be assessed. Free associations are an important complement to existing approaches that assess symptom (...) attributions.With this study, we contribute to the current literature by using an open-response instrument to investigate changes in freely associated attributions after exposure therapy (ET) and cognitive therapy (CT) compared with a wait list (WL).The current study is a re-examination of a formerly published randomized controlled trial (Weck, Neng, Richtberg, Jakob and Stangier, 2015) that investigated the effectiveness of CT and ET. Seventy-three patients with hypochondriasis were randomly assigned to CT, ET

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2016 Behavioural and cognitive psychotherapy

7. Hypochondriasis Circumscripta: A Neglected Concept with Important Implications in Psychodermatology. (PubMed)

Hypochondriasis Circumscripta: A Neglected Concept with Important Implications in Psychodermatology. The article is devoted to a psychodermatological disorder with self-destructive behavior - hypochondriasis circumscripta. Presented data are based on a clinical analysis of 22 consecutive cases (15 female; mean age - 56.1 ± 12.6 years) observed in the dermatologic department of First Moscow State Medical University and managed in a multidisciplinary approach by dermatologists and a consultation (...) -liaison psychiatrist. Psychopathology, clinical presentations, historical aspects and treatment options are discussed. The self-inflicted skin lesions result from a severe repetitive autodestruction of focal skin loci primarily affected with heterogeneous sensations associated with a hypochondrical over-valued idea. Hypochondriasis сircumscripta is a serious diagnostic and treatment challenge and should be distinguished from dermatitis artefacta, skin picking disorder and delusional infestation.

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2016 Acta Dermato-Venereologica

8. Hypochondriasis

Hypochondriasis Hypochondriasis Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Hypochondriasis Hypochondriasis Aka: Hypochondriasis (...) , Hypochondriac , Illness Anxiety Disorder From Related Chapters II. Epidemiology Peak onset: ages 20 to 40 years : 2 to 7% in U.S. primary care settings III. Diagnosis: DSM-V - Illness Anxiety Disorder (replaces Hypochondriasis) Meets criteria and is a subset of Preoccupation with either contracting or having a serious medical disorder SubTypes Care-seeking subtype Care-avoidant subtype IV. Diagnosis: DSM IV - Hypochondriasis Must meet criteria for a Unexplained physical symptoms Not due to condition

2018 FP Notebook

9. Changes in negative implicit evaluations in patients of hypochondriasis after treatment with cognitive therapy or exposure therapy. (PubMed)

Changes in negative implicit evaluations in patients of hypochondriasis after treatment with cognitive therapy or exposure therapy. Previous studies using modified versions of the Affect Misattribution Procedure (AMP; Payne, Cheng, Govorun, & Stewart, 2005) have revealed that there is an implicit negative evaluation bias of illness-related information in patients with hypochondriasis (HYP), which might be a maintaining feature of HYP. However, there is no evidence on whether this bias might

2015 Journal of behavior therapy and experimental psychiatry

10. Response and Remission After Cognitive and Exposure Therapy for Hypochondriasis. (PubMed)

Response and Remission After Cognitive and Exposure Therapy for Hypochondriasis. Cognitive behavioral therapy has demonstrated large effect sizes for the treatment of hypochondriasis. However, response and remission rates, which provide important additional information about clinically significant improvements, have seldom been reported. In the current study, rates of response and remission after cognitive therapy and exposure therapy were evaluated. The study was based on a randomized (...) controlled trial that treated patients with hypochondriasis (N = 75). The primary outcome measure was a clinician-administered structured interview for hypochondriasis. At posttreatment, response was found for 72.0% and remission for 45.3% of the patients. At 12-month follow-up, the response rate was 68.0%, and the remission rate was 54.7%. No significant differences in the frequency of response/remission were found between the cognitive therapy and the exposure therapy groups. Patients' and therapists

2015 The Journal of nervous and mental disease

11. Exposure therapy changes dysfunctional evaluations of somatic symptoms in patients with hypochondriasis (health anxiety). A randomized controlled trial. (PubMed)

Exposure therapy changes dysfunctional evaluations of somatic symptoms in patients with hypochondriasis (health anxiety). A randomized controlled trial. Dysfunctional evaluations of somatic symptoms are considered a central factor in maintaining hypochondriasis. The aim of the current study was to investigate whether exposure therapy (ET) without cognitive restructuring is sufficient to change dysfunctional evaluations of somatic symptoms. The current study was based on a randomized controlled (...) trial and compared patients with hypochondriasis (N=73) receiving ET or cognitive therapy (CT) to a wait list (WL) control group. In both the ET and CT groups, dysfunctional symptom evaluations changed significantly compared with the WL group. No differences between the ET and CT groups emerged. The relationship between the treatment condition (active treatment vs. WL) and reductions in health anxiety was mediated by changes in somatic symptom evaluations only in a specific card sorting procedure

2015 Journal of anxiety disorders

12. Cognitive-behavioral therapy for hypochondriasis/health anxiety: A meta-analysis of treatment outcome and moderators. (PubMed)

Cognitive-behavioral therapy for hypochondriasis/health anxiety: A meta-analysis of treatment outcome and moderators. The present investigation employed meta-analysis to examine the efficacy of cognitive-behavioral therapy (CBT) for hypochondriasis/health anxiety as well as potential moderators that may be associated with outcome. A literature search revealed 15 comparisons among 13 randomized-controlled trials (RCTs) with a total sample size of 1081 participants that met inclusion criteria (...) . Results indicated that CBT outperformed control conditions on primary outcome measures at post-treatment (Hedges's g = 0.95) and at follow-up (Hedges's g = 0.34). CBT also outperformed control conditions on measures of depression at post-treatment (Hedges's g = 0.64) and at follow-up (Hedges's g = 0.35). Moderator analyses revealed that higher pre-treatment severity of hypochondriasis/health anxiety was associated with greater effect sizes at follow-up visits and depression symptom severity

2014 Behaviour research and therapy

13. Cognitive Therapy Versus Exposure Therapy for Hypochondriasis (Health Anxiety): A Randomized Controlled Trial. (PubMed)

Cognitive Therapy Versus Exposure Therapy for Hypochondriasis (Health Anxiety): A Randomized Controlled Trial. Cognitive-behavioral therapy has proven to be highly effective in the treatment of hypochondriasis and health anxiety. However, little is known about which therapeutic interventions are most promising. The aim of the present study was to compare the efficacy of cognitive therapy (CT) with exposure therapy (ET).Eighty-four patients with a diagnosis of hypochondriasis were randomly (...) results suggest high efficacy of CT as well as ET in the treatment of hypochondriasis. Cognitive interventions were not a necessary condition for the change of dysfunctional cognitions. These findings are relevant to the conceptualization and psychotherapeutic treatment of hypochondriasis and health anxiety.(c) 2015 APA, all rights reserved).

2014 Journal of Consulting and Clinical Psychology

14. Implicit affective evaluation bias in hypochondriasis: findings from the Affect Misattribution Procedure. (PubMed)

Implicit affective evaluation bias in hypochondriasis: findings from the Affect Misattribution Procedure. Cognitive theories of hypochondriasis (HYP) suggest that catastrophic misinterpretations of benign body sensations are a core feature for the maintenance of the disorder. There is tentative support from an analog sample that the interpretation of illness-related information also involves an implicit affective component. This is the first study to examine this negative affective evaluation

2014 Journal of anxiety disorders

15. Hypochondriasis (Treatment)

Hypochondriasis (Treatment) Illness Anxiety Disorder (formerly Hypochondriasis) Treatment & Management: Medical Care, Surgical Care, Consultations Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjkwOTU1LXRyZWF0bWVudA== processing > Illness Anxiety Disorder (formerly Hypochondriasis) Treatment & Management Updated: Mar 06, 2018 Author: Debra Kahn, MD; Chief Editor: David Bienenfeld, MD Share Email Print Feedback Close Sections Sections Illness Anxiety Disorder (formerly Hypochondriasis) Treatment Medical Care Basic management principles Basic management principles include the following: Establish a firm therapeutic alliance with the patient Educate the patient regarding the manifestations of hypochondriasis

2014 eMedicine.com

16. Hypochondriasis (Overview)

Hypochondriasis (Overview) Illness Anxiety Disorder (formerly Hypochondriasis): Background, Pathophysiology, Epidemiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjkwOTU1LW92ZXJ2aWV3 processing > Illness (...) Anxiety Disorder (formerly Hypochondriasis) Updated: Mar 06, 2018 Author: Debra Kahn, MD; Chief Editor: David Bienenfeld, MD Share Email Print Feedback Close Sections Sections Illness Anxiety Disorder (formerly Hypochondriasis) Overview Background Hypochondriasis, which is now known as illness anxiety disorder, and the other somatic symptom disorders (e.g., factitious disorder, conversion disorder) are among the most difficult and most complex psychiatric disorders to treat in the general medical

2014 eMedicine.com

17. Hypochondriasis (Follow-up)

Hypochondriasis (Follow-up) Illness Anxiety Disorder (formerly Hypochondriasis) Follow-up: Inpatient & Outpatient Medications, Transfer, Complications Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjkwOTU1LWZvbGxvd3Vw processing > Illness Anxiety Disorder (formerly Hypochondriasis) Follow-up Updated: Mar 06, 2018 Author: Debra Kahn, MD; Chief Editor: David Bienenfeld, MD Share Email Print Feedback Close Sections Sections Illness Anxiety Disorder (formerly Hypochondriasis) Follow-up Inpatient & Outpatient Medications Continue successful long-term trials of medications for patients with illness anxiety disorder. For patients with comorbid disorders, consider maintenance of those trials because these disorders

2014 eMedicine.com

18. Somatoform Disorder: Hypochondriasis (Overview)

Somatoform Disorder: Hypochondriasis (Overview) Pediatric Illness Anxiety Disorder (Formerly Hypochondriasis): Background, Epidemiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvOTE4NTA2LW92ZXJ2aWV3 (...) processing > Pediatric Illness Anxiety Disorder (Formerly Hypochondriasis) Updated: Jan 30, 2019 Author: Maria Sandra Cely-Serrano, MD; Chief Editor: Caroly Pataki, MD Share Email Print Feedback Close Sections Sections Pediatric Illness Anxiety Disorder (Formerly Hypochondriasis) Overview Background Hippocrates used the term hypochondrium in the 4th century BC to refer to the anatomic area below the ribs. Later, the term hypochondriasis emerged to refer to the ill effects upon the psyche and soma

2014 eMedicine Pediatrics

19. Somatoform Disorder: Hypochondriasis (Follow-up)

Somatoform Disorder: Hypochondriasis (Follow-up) Pediatric Illness Anxiety Disorder (Formerly Hypochondriasis) Follow-up: Further Outpatient Care, Complications, Prognosis Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvOTE4NTA2LWZvbGxvd3Vw processing > Pediatric Illness Anxiety Disorder (Formerly Hypochondriasis) Follow-up Updated: Jan 30, 2019 Author: Maria Sandra Cely-Serrano, MD; Chief Editor: Caroly Pataki, MD Share Email Print Feedback Close Sections Sections Pediatric Illness Anxiety Disorder (Formerly Hypochondriasis) Follow-up Further Outpatient Care See the list below: See Medical Care for information about ongoing treatment in patients with hypochondriasis. Next: Complications See the list below: The primary health

2014 eMedicine Pediatrics

20. Somatoform Disorder: Hypochondriasis (Diagnosis)

Somatoform Disorder: Hypochondriasis (Diagnosis) Pediatric Illness Anxiety Disorder (Formerly Hypochondriasis): Background, Epidemiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvOTE4NTA2LW92ZXJ2aWV3 (...) processing > Pediatric Illness Anxiety Disorder (Formerly Hypochondriasis) Updated: Jan 30, 2019 Author: Maria Sandra Cely-Serrano, MD; Chief Editor: Caroly Pataki, MD Share Email Print Feedback Close Sections Sections Pediatric Illness Anxiety Disorder (Formerly Hypochondriasis) Overview Background Hippocrates used the term hypochondrium in the 4th century BC to refer to the anatomic area below the ribs. Later, the term hypochondriasis emerged to refer to the ill effects upon the psyche and soma

2014 eMedicine Pediatrics

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