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Health anxiety disorders: A cognitive construal

Rachman, S.·2012·Behaviour Research and Therapy

DOI 10.1016/j.brat.2012.05.001

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Abstract

The features of severe health anxiety, intense and persistent anxiety about one's present and future health, are described. In common with other anxiety disorders such as GAD, PTSD and OCD, the core of HAD is distressing, uncontrollable anxiety, and is classifiable as an Anxiety Disorder, Health Anxiety Disorder (HAD). The cognitive construal of HAD proposes that health anxiety is caused by catastrophic misinterpretations of the significance of sensations and/or changes in bodily functions and appearance (such as swellings, pain, loss of energy, dizzy spells). The nature, causes, triggers, persistence, assessment and treatment of HAD are reviewed, and the present status of the cognitive model is appraised. Suggestions are made for future research and clinical applications, and the need for incisive evaluations of the main premises of the model is emphasized.

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Authors: Rachman, S.
Affiliations: University of London (GB)
Corresponding author: Rachman, S.
ORCID: Rachman, S.
Venue: Behaviour Research and Therapy
Publisher: Elsevier BV
Published: 2012-08
Volume: 50
Issue: 7-8
Pages: 502-512
ISSN: 0005-7967 (ISSN-L)
DOI: 10.1016/j.brat.2012.05.001
OpenAlex: W1990760775
Cited by: 161
References: 96
Citations by year: 2026: 12 · 2025: 12 · 2024: 9 · 2023: 22 · 2022: 16 · 2021: 14 · 2020: 19 · 2019: 11 · 2018: 6 · 2017: 5 · 2016: 10 · 2015: 9 · 2014: 10 · 2013: 6
FWCI: 1.18
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
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 › COVID-19 and Mental Health
Keywords: catastrophic misinterpretation, cognitive models, somatic symptoms, bodily sensations, anxiety disorders, health anxiety, cognitive construal
MeSH terms: Anxiety Disorders, Attitude to Health, Cognition Disorders, Humans, Hypochondriasis, Models, Psychological, Obsessive-Compulsive Disorder, Personality Inventory, Safety, Health Behavior, Panic Disorder

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Health anxiety disorders: A cognitive construal

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