The DOI matches its Crossref record; 65 of the 66 references it cites were found in a registry or an index.
Hypochondriasis
Abstract
Hypochondriasis and other syndromes in which health anxiety is prominent are frequently seen in clinical practice and often pose problems of management. In contrast with other anxiety problems, the conceptualization and treatment of health anxiety has developed very little in recent years. Behavioural approaches to treatment have only recently been applied. In the present paper, current theoretical models are critically evaluated and a cognitive-behavioural approach is proposed to account for the development and maintenance of hypochondriacal problems. Principles of cognitive-behavioural treatment based on this approach are outlined, together with some suggestions for research.
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In the citing paper
“SSD, in turn, is very much in line with mainstream theoretical approaches to chronic pain and medically unexplained symptoms, notable examples being the fearavoidance theory of pain 3 and the cognitive behavioral model of health anxiety.33”
From Symptom Preoccupation in Fibromyalgia: Prevalence and Correlates of Somatic Symptom Disorder in a Self-Recruited Sample (2020) · cites this paper as [33]
In the citing paper
“The cognitive-behavioral model of HA and hypochondriasis by Warwick and Salkovskis [58] postulates that the perception of normal bodily symptoms and their misinterpretation as harmful and as a sign of a serious illness as well as the mechanism of somatosensory amplification [59] lead to negative affect (eg, anxiety and worry).”
From Conceptualizations of cyberchondria and relations to the anxiety spectrum: Systematic review and meta-analysis (2021) · cites this paper as [58]
In the citing paper
“Third, past research has shown iCBT reduces maladaptive cognitions and beliefs, but no studies have examined the impact of iCBT on other key cognitive (e.g., intolerance of uncertainty, body hypervigilance) and behavioural (e.g., safety behaviours and avoidance) processes thought to perpetuate health anxiety ( Warwick & Salkovskis, 1990 ).”
From Internet-Based Cognitive Behavioral Therapy Versus Psychoeducation Control for Illness Anxiety Disorder and Somatic Symptom Disorder: A Randomized Controlled Trial (2018) · cites this paper as Warwick & Salkovskis, 1990
In the citing paper
“The program followed the protocol for MBCT for recurrent depression as outlined by Segal et al. (2002) but was modified for HA in that it was informed by Warwick and Salkovskis' (1990) cognitive model of HA.”
From Mindfulness-based cognitive therapy for severe health anxiety (hypochondriasis): An interpretative phenomenological analysis of patients' experiences (2011) · cites this paper as Warwick and Salkovskis, 1990
In the citing paper
“Third, cognitive-behavioural conceptualizations of HA have emphasized the role of heightened bodily focused attention in the maintenance of the disorder (e.g., Warwick & Salkovskis, 1990).”
From Mindfulness-based cognitive therapy for severe health anxiety (hypochondriasis): An interpretative phenomenological analysis of patients' experiences (2011) · cites this paper as Warwick & Salkovskis, 1990
In the citing paper
“However, for HA sufferers there may be less desire to alter one's life in order to cultivate a sense of mastery over their HA, since HA individuals' concerns are often about seeking and gaining medical attention and intervention (Warwick & Salkovskis, 1990).”
From Mindfulness-based cognitive therapy for severe health anxiety (hypochondriasis): An interpretative phenomenological analysis of patients' experiences (2011) · cites this paper as Warwick & Salkovskis, 1990
In the citing paper
“Disorder-specific cognitive-behavioural conceptual models of anxiety disorders have facilitated the understanding and treatment of anxiety in adults (Salkovskis, 1999;Warwick & Salkovskis, 1990;Wells, 1995).”
From Applicability of the intolerance of uncertainty model to Generalized Anxiety Disorder symptoms in young people (2021) · cites this paper as Warwick & Salkovskis, 1990
Citations
Cites
Cognitive, social, and physiological determinants of emotional state.
Schachter, S., & Singer, J. (1962) · Psychological Review · doi:10.1037/h0046234 · Cited by 6,223
Cognitive Therapy and the Emotional Disorders
Ince, L. P. (1977) · American Journal of Psychotherapy · doi:10.1176/appi.psychotherapy.1977.31.4.633 · Cited by 2,889
Clark, D. M. (1986) · Behaviour Research and Therapy · doi:10.1016/0005-7967(86)90011-2 · Cited by 2,422
Anxiety Disorders and Phobias: A Cognitive Perspective
Dietch, J. T. (1986) · Psychosomatics · doi:10.1016/s0033-3182(86)72726-6 · Cited by 1,514
Marks, I. M. (1987) · Cited by 978
Pilowsky, I. (1967) · British Journal of Psychiatry · doi:10.1192/bjp.113.494.89 · Cited by 865
Cognitive processes in anxiety
Butler, G., & Mathews, A. (1983) · Advances in Behaviour Research and Therapy · doi:10.1016/0146-6402(83)90015-2 · Cited by 738
Overview: hypochondriasis, bodily complaints, and somatic styles
BARSKY, A. J., & Klerman, G. L. (1983) · American Journal of Psychiatry · doi:10.1176/ajp.140.3.273 · Cited by 605
Somatic presentation of DSM-III psychiatric disorders in primary care
Bridges, K. W., & Goldberg, D. P. (1985) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(85)90064-9 · Cited by 534
Hypochondriasis, neuroticism, and aging: When are somatic complaints unfounded?
Costa, P. T., & McCrae, R. R. (1985) · American Psychologist · doi:10.1037//0003-066x.40.1.19 · Cited by 497
Panic—Psychological perspectives
Lindsay, S. (1989) · Behaviour Research and Therapy · doi:10.1016/0005-7967(89)90021-1 · Cited by 477
Salkovskis, P. M., & Warwick, H. M. C. (1986) · Behaviour Research and Therapy · doi:10.1016/0005-7967(86)90041-0 · Cited by 475
Self-citationHypochondriasis, neuroticism, and aging: When are somatic complaints unfounded?
Costa, P. T., & McCrae, R. R. (1985) · American Psychologist · doi:10.1037/0003-066x.40.1.19 · Cited by 369
Anticipatory anxiety and risk perception
Butler, G., & Mathews, A. (1987) · Cognitive Therapy and Research · doi:10.1007/bf01183858 · Cited by 365
Nemiah, J. C. (2010) · Psychotherapy and Psychosomatics · doi:10.1159/000287064 · Cited by 290
A cognitive model of panic attacks.
Clark, D. M. (1988) · Cited by 281
Fears, Beliefs, and Attitudes in DSM-III Hypochondriasis
KELLNER, R., ABBOTT, P., WINSLOW, W. W., & PATHAK, D. (1987) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-198701000-00004 · Cited by 258
Panic disorder and somatization
Katon, W. J. (1984) · The American Journal of Medicine · doi:10.1016/0002-9343(84)90443-1 · Cited by 220
Foa, E. B. (1981) · Behaviour Research and Therapy · doi:10.1016/0005-7967(81)90022-x · Cited by 218
Barlow, D. H., Vermilyea, J. A., Blanchard, E. B., Vermilyea, B. B., Nardo, P. A. D., & Cerny, J. A. (1985) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.94.3.320 · Cited by 194
Cognitive behaviour therapy for psychiatric problems—A practical guide
de Silva, P. (1990) · Behaviour Research and Therapy · doi:10.1016/0005-7967(90)90031-d · Cited by 193
A study of agoraphobic housewives
Buglass, D., Clarke, J., Henderson, A. S., Kreitman, N., & Presley, A. S. (1977) · Psychological Medicine · doi:10.1017/s0033291700023151 · Cited by 192
Cognitive factors in social anxiety and its treatment
Lucock, M. P., & Salkovskis, P. M. (1988) · Behaviour Research and Therapy · doi:10.1016/0005-7967(88)90081-2 · Cited by 186
Self-citationThe prevalence of somatization in primary care
Katon, W. J., Ries, R. K., & Kleinman, A. (1984) · Comprehensive Psychiatry · doi:10.1016/0010-440x(84)90009-9 · Cited by 171
Somatization and Hypochondriasis
Fava, G. A. (1986) · Psychosomatics · doi:10.1016/s0033-3182(86)72593-0 · Cited by 168
Hypochondriasis: A Clinical Study
Kenyon, F. E. (1964) · The British Journal of Psychiatry · doi:10.1192/bjp.110.467.478 · Cited by 168
Reduction in Hypochondriasis with Treatment of Panic Disorder
Noyes, R., Reich, J. H., Clancy, J., & O’Gorman, T. W. (1986) · The British Journal of Psychiatry · doi:10.1192/bjp.149.5.631 · Cited by 165
Functional Somatic Symptoms and Hypochondriasis
Kellner, R. (1985) · Archives of General Psychiatry · doi:10.1001/archpsyc.1985.01790310089012 · Cited by 161
The spontaneous decay of compulsive urges
Rachman, S., de Silva, P., & Röper, G. (1976) · Behaviour Research and Therapy · doi:10.1016/0005-7967(76)90091-7 · Cited by 139
Psychological preparation for surgery: A comparison of methods
Ridgeway, V. A., & Mathews, A. (1982) · British Journal of Clinical Psychology · doi:10.1111/j.2044-8260.1982.tb00565.x · Cited by 137
Tests of a Cognitive Theory of Panic
Clark, D. M., Salkovskis, P. M., Gelder, M., Koehler, C., Martin, M., Anastasiades, P., Hackmann, A., Middleton, H., & Jeavons, A. (1988) · Panic and Phobias 2 · doi:10.1007/978-3-642-73543-1_13 · Cited by 131
Self-citationCutting, J. (1984) · Journal of Neurology Neurosurgery & Psychiatry · doi:10.1136/jnnp.47.4.436-b · Cited by 131
Awareness of cardiac function in anxious, phobic and hypochondriacal patients
Tyrer, P. J., Lee, I., & Alexander, J. (1980) · Psychological Medicine · doi:10.1017/s0033291700039726 · Cited by 110
Behavioural Treatment of Illness Phobia and Hypochondriasis
Warwick, H. M. C., & Marks, I. M. (1988) · The British Journal of Psychiatry · doi:10.1192/bjp.152.2.239 · Cited by 110
Self-citationA cognitive-educational treatment for hypochondriasis
BARSKY, A. J., Geringer, E. S., & Wool, C. A. (1988) · General Hospital Psychiatry · doi:10.1016/0163-8343(88)90003-5 · Cited by 98
Warwick, H. M. C., & Salkovskis, P. M. (1985) · BMJ · doi:10.1136/bmj.290.6474.1028 · Cited by 98
Self-citationAffective responses to hyperventilation: A test of the cognitive model of panic
Salkovskis, P. M., & Clark, D. M. (1990) · Behaviour Research and Therapy · doi:10.1016/0005-7967(90)90054-m · Cited by 97
Self-citationBianchi, G. N. (1971) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/00048677109159654 · Cited by 90
A ‘Pseudo-AIDS' Syndrome following from Fear of AIDS
Miller, D., Green, J., Farmer, R., & Carroll, G. (1985) · The British Journal of Psychiatry · doi:10.1192/bjp.146.5.550 · Cited by 88
PRIMARY AND SECONDARY HYPOCHONDRIASIS
Pilowsky, I. (1970) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1970.tb02119.x · Cited by 84
Somatization: a borderland between medicine and psychiatry.
Lipowski, Z. J. (1986) · Europe PMC (PubMed Central) · Cited by 82
Experimental analyses of panic—II. Panic patients
Rachman, S., Lopatka, C., & Levitt, K. (1988) · Behaviour Research and Therapy · doi:10.1016/0005-7967(88)90031-9 · Cited by 77
Prognosis of treated hypochondriasis
Kellner, R. (1983) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1983.tb06725.x · Cited by 74
Mayou, R. (1976) · The British Journal of Psychiatry · doi:10.1192/bjp.129.1.55 · Cited by 74
Obsessional-compulsive imagery
de Silva, P. (1986) · Behaviour Research and Therapy · doi:10.1016/0005-7967(86)90193-2 · Cited by 72
Phenomenology, assessment, and the cognitive model of panic.
Salkovskis, P. M. (1988) · Cited by 67
Self-citationHypochondriacal fears and beliefs in DSM-III melancholia Changes with amitriptyline
KELLNER, R., Fava, G. A., Lisansky, J., Perini, G., & Zielezny, M. A. (1986) · Journal of Affective Disorders · doi:10.1016/0165-0327(86)90045-5 · Cited by 66
Goldiamond, I. (1976) · Journal of Applied Behavior Analysis · doi:10.1901/jaba.1976.9-509 · Cited by 63
The Fate of Obsessions in Depressive Psychosis
Gittleson, N. L. (1966) · The British Journal of Psychiatry · doi:10.1192/bjp.112.488.705 · Cited by 55
Hypochondriasis: a survey of some historical, clinical and social aspects*
Kenyon, F. E. (1965) · British Journal of Medical Psychology · doi:10.1111/j.2044-8341.1965.tb00534.x · Cited by 54
The Worried Well: Their Identification and Management
Miller, D., Acton, T. M. G., & Hedge, B. (1988) · Journal of the Royal College of Physicians of London · doi:10.1016/s0035-8819(25)02274-3 · Cited by 52
Hypochondriasis and Psychosomatic Disorders Masking Depression
Lesse, S. (1967) · American Journal of Psychotherapy · doi:10.1176/appi.psychotherapy.1967.21.3.607 · Cited by 46
The Response to Treatment in Hypochondriacal Disorders
Pilowsky, I. (1968) · Australian & New Zealand Journal of Psychiatry · doi:10.3109/00048676809159218 · Cited by 45
Somatization: A borderland between medicine and psychiatry
Howes, P. (1987) · Annals of Emergency Medicine · doi:10.1016/s0196-0644(87)80335-9 · Cited by 39
Cognitive therapy in clinical practice
Baker, T. M. (1992) · Behaviour Research and Therapy · doi:10.1016/0005-7967(92)90128-4 · Cited by 39
Individualization: the categorical imperative of behavior therapy practice.
Wolpe, J. (1986) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/0005-7916(86)90018-2 · Cited by 38
The Twenty-First Maudsley Lecture: Nosophobia
Ryle, J. A. (1948) · Journal of Mental Science · doi:10.1192/bjp.94.394.1 · Cited by 37
Some Similarities and Differences between Obsessional Ruminations and Morbid Preoccupations
Rachman, S. (1973) · Canadian Psychiatric Association Journal · doi:10.1177/070674377301800114 · Cited by 36
Burns, B. H. (1971) · The British Journal of Psychiatry · doi:10.1192/bjp.119.548.39 · Cited by 25
HETHERINGTON, R. R. (1976) · Behaviour Research and Therapy · doi:10.1016/0005-7967(76)90099-1 · Cited by 15
On the Treatment of Ideohypochondriac and Sensohypochondriac Neuroses
Leonhard, K. (1961) · International Journal of Social Psychiatry · doi:10.1177/002076406100700205 · Cited by 14
Stenbäckand, A., & Rimón, R. (1964) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1964.tb07491.x · Cited by 13
Kemp, R. (1963) · The Lancet · doi:10.1016/s0140-6736(63)91859-2 · Cited by 11
MANN, W. (1967) · Psychosomatic Medicine · doi:10.1097/00006842-196711000-00019 · Cited by 11
Agoraphobia: A Superstitious Conditioning Perspective
Thyer, B. A. (1986) · Psychological Reports · doi:10.2466/pr0.1986.58.1.95 · Cited by 9
Research works printed but not linked: 3
- Brownell, 1984, Behavioural medicine, Vol. 10
- Pilowsky, 1984, Hypohcondriasis, Vol. 4
- Wilson, 1984, Fear reduction methods and the treatment of anxiety disorders, Vol. 10
Cited by
Sorted by citations
Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art.
Vlaeyen, J. W. S., & Linton, S. J. (2000) · Pain · doi:10.1016/s0304-3959(99)00242-0 · Cited by 4,931
“In the ®eld of health anxiety (e.g. Warwick and Salkovskis, 1990), a number of studies have examined cognitive responses to different kinds of information about diagnostic tests.”
The importance of behaviour in the maintenance of anxiety and panic: A cognitive account
Salkovskis, P. M. (1991) · Behavioural Psychotherapy · doi:10.1017/s0141347300011472 · Cited by 780
“For example, it accounts for medical consultation and reassurance seeking in patients anxious about their health (Salkovskis, 1989a; Salkovskis and Warwick, 1986; Warwick and Salkovskis, 1990); the link between such behaviour and the fear of illness is obvious.”
BackgroundSelf-citationJungmann, S. M., & Witthöft, M. (2020) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2020.102239 · Cited by 635
“…Salkovskis, Rimes, Warwick, & Clark, 2002) is an 18-item self-report instrument based on the cognitive model of health anxiety and hypochondriasis (Warwick & Salkovskis, 1990), which assesses health anxiety over the past 6 months using a multiple choice format (each with four possible statements…”
MethodObsessions, responsibility and guilt
Rachman, S. (1993) · Behaviour Research and Therapy · doi:10.1016/0005-7967(93)90066-4 · Cited by 598
Enduring Effects for Cognitive Behavior Therapy in the Treatment of Depression and Anxiety
Hollon, S. D., Stewart, M. O., & Strunk, D. (2006) · Annual Review of Psychology · doi:10.1146/annurev.psych.57.102904.190044 · Cited by 466
“…theory suggests that hypochondriasis is a consequence of an enduring tendency to misinterpret innocuous physical sensations as symptoms of a serious illness, much as in panic disorder, with the key difference being the perceived imminence of the medical catastrophe (Warwick & Salkovskis 1990).”
Metadata
- Authors
- Warwick, H. M. C., & Salkovskis, P. M.
- Affiliations
- Warneford Hospital (GB)
- ORCID
- Salkovskis, Paul M.
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 1990
- Volume
- 28
- Issue
- 2
- Pages
- 105-117
- ISSN
- 0005-7967 (ISSN-L)
- OpenAlex
- W2911986200
- Semantic Scholar
- 23ea1c589ed8ff10851ee82876c1d45b5db0abcb
- Cited by
- 587
- References
- 66
- Citations by year
- 2026: 14 · 2025: 18 · 2024: 13 · 2023: 20 · 2022: 24 · 2021: 32 · 2020: 29 · 2019: 26 · 2018: 18 · 2017: 22 · 2016: 20 · 2015: 18 · 2014: 24 · 2013: 29 · 2012: 23
- FWCI
- 3.03
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- health anxiety, cognitive-behavioral intervention, cognitive-behavioral model, behavioral interventions, anxiety disorders
- MeSH terms
- Behavior Therapy, Humans, Hypochondriasis, Sick Role
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