Cited by 167Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychosomatic Disorders and Their TreatmentsPsychotherapy Techniques and Applications

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Cognitive-behavioral therapy for hypochondriasis/health anxiety: A meta-analysis of treatment outcome and moderators

Olatunji, Bunmi O., Kauffman, Brooke Y., Meltzer, Sari, Davis, Michelle L., Smits, Jasper A.J., Powers, Mark B.·2014·Behaviour Research and Therapy

DOI 10.1016/j.brat.2014.05.002

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Abstract

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 was significantly associated with a lower in effect sizes at post-treatment. Although effect size did not vary as a function of blind assessment, smaller effect sizes were observed for CBT vs. treatment as usual control conditions than for CBT vs. waitlist control. A dose response relationship was also observed, such that a greater number of CBT sessions was associated with larger effect sizes at post-treatment. This review indicates that CBT is efficacious in the treatment of hypochondriasis/health anxiety and identifies potential moderators that are associated with outcome. The implications of these findings for further delineating prognostic and prescriptive indicators of CBT for hypochondriasis/health anxiety are discussed.

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Retracted

Authors: Olatunji, B. O., Kauffman, B. Y., Meltzer, S., Davis, M. L., Smits, J. A. J., & Powers, M. B.
Affiliations: Vanderbilt University (US)
The University of Texas at Austin (US)
Corresponding author: Olatunji, Bunmi O.
ORCID: Olatunji, Bunmi O.
Davis, Michelle L.
Smits, Jasper A.J.
Powers, Mark B.
Venue: Behaviour Research and Therapy
Publisher: Elsevier BV
Published: 2014-07
Volume: 58
Pages: 65-74
ISSN: 0005-7967 (ISSN-L)
DOI: 10.1016/j.brat.2014.05.002
OpenAlex: W2078070910
Cited by: 167
References: 78
Citations by year: 2026: 6 · 2025: 5 · 2024: 15 · 2023: 8 · 2022: 12 · 2021: 19 · 2020: 14 · 2019: 17 · 2018: 12 · 2017: 25 · 2016: 14 · 2015: 17 · 2014: 2
FWCI: 2.62
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)
Radboud Repository (Radboud University) (submittedVersion)
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 › Psychotherapy Techniques and Applications
Keywords: cognitive behavioral therapy, health anxiety, treatment outcomes, treatment moderators, depression, symptom severity, dose-response relationship, waitlist control, usual care
MeSH terms: Adult, Aged, Depression, Humans, Hypochondriasis, Middle Aged, Models, Psychological, Cognitive Behavioral Therapy, Treatment Outcome

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Cognitive-behavioral therapy for hypochondriasis/health anxiety: A meta-analysis of treatment outcome and moderators

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