A Taxometric Study of Hypochondriasis Symptoms
Abstract
Hypochondriasis has been conceptualized as both a distinct category that is characterized by a disabling illness preoccupation and as a continuum of health concerns. Empirical support for one of these theoretical models will clarify inconsistent assessment approaches and study designs that have impeded theory and research. To facilitate progress, taxometric analyses were conducted to determine whether hypochondriasis is best understood as a discrete category, consistent with the DSM, or as a dimensional entity, consistent with prevailing opinion and most self-report measures. Data from a large undergraduate sample that completed 3 hypochondriasis symptom measures were factor analyzed. The 4 factor analytically derived symptom indicators were then used in these taxometric analyses. Consistent with our hypotheses and existing theory, results supported a dimensional structure for hypochondriasis. Implications for the conceptualization of hypochondriasis and directions for future study are discussed.
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HA is seen as a dimensional rather than a categorical construct.
“As HA is seen as a dimensional rather than a categorical construct [61,62], findings from its whole spectrum are relevant.”
From Conceptualizations of cyberchondria and relations to the anxiety spectrum: Systematic review and meta-analysis (2021) · cites this paper as [62]
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- Authors
- Longley, S. L., Broman-Fulks, J. J., Calamari, J. E., Noyes, R., Wade, M., & Orlando, C. M.
- Affiliations
- Rosalind Franklin University of Medicine and Science (US)
- University of Iowa (US)
- Corresponding author
- Longley, Susan L.
- Venue
- Behavior Therapy
- Publisher
- Elsevier BV
- Published
- 2010-12
- Volume
- 41
- Issue
- 4
- Pages
- 505-514
- ISSN
- 0005-7894 (ISSN-L)
- OpenAlex
- W1985771211
- Cited by
- 103
- References
- 68
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 6 · 2023: 6 · 2022: 2 · 2021: 3 · 2020: 4 · 2019: 4 · 2018: 3 · 2017: 5 · 2016: 6 · 2015: 12 · 2014: 13 · 2013: 12 · 2012: 8
- FWCI
- 7.63
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behavior Therapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Keywords
- health anxiety, taxometric analysis, dimensional versus categorical models, symptom structure, DSM diagnostic criteria, health concerns, undergraduate students
- MeSH terms
- Adolescent, Adult, Factor Analysis, Statistical, Female, Humans, Hypochondriasis, Male, Middle Aged, Psychiatric Status Rating Scales, Models, Statistical, Self Report
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