Cognitive and perceptual variables in hypochondriasis and health anxiety: A systematic review

Marcus, David K.; Gurley, Jessica R.; Marchi, Melynda M.; Bauer, Craig

doi:10.1016/j.cpr.2006.09.003

Cited by 218Psychosomatic Disorders and Their TreatmentsAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPain Management and Placebo Effect

Cognitive and perceptual variables in hypochondriasis and health anxiety: A systematic review

Marcus, David K., Gurley, Jessica R., Marchi, Melynda M., Bauer, Craig·2007·Clinical Psychology Review

DOI 10.1016/j.cpr.2006.09.003

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Abstract

This review examined (a) whether hypochondriacal/health-anxious individuals hold distinct assumptions about health and illness, (b) if triggering these assumptions leads to increased hypochondriacal concerns, and (c) whether these individuals perceive their bodily sensations differently from others (i.e., experience greater somatosensory amplification). There was clear evidence that health anxiety is related dysfunctional health-related beliefs. Few studies have examined how hypochondriacal concerns are triggered, and inconsistent results emerged from those that have. Health anxiety is also associated with self-reported higher levels of somatosensory amplification. However, there was little evidence that individuals high in health anxiety are actually more accurate perceivers of the their own autonomic processes. Although the results generally supported the central tenets of the cognitive-behavioral model of hypochondriasis and health anxiety, further research will be necessary to determine whether these beliefs are specific to hypochondriasis and to identify any cognitive processes that may be unique to hypochondriasis.

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These dysfunctional beliefs are key vulnerability and maintaining factors in health anxiety, and are argued to develop in response to aversive learning experiences during childhood or later in life.
“These beliefs are key vulnerability and maintaining factors in health anxiety [42, 43], and are argued to develop in response to aversive learning experiences during childhood or later in life, such as the death or illness of an attachment figure [44].”
From Illness Anxiety Disorder: A Review of the Current Research and Future Directions (2024) · cites this paper as [43]
Illness-related bias occurs in highly health-anxious individuals and patients with pathological HA, and describes the tendency to focus on information that confirms health worries and to ignore contradictory information.
“It was found to occur in highly health-anxious individuals [97,98], as well as in patients with pathological HA [99-101] and describes the tendency to focus on information that confirms their health worries and to ignore information that is contradictory [58].”
From Conceptualizations of cyberchondria and relations to the anxiety spectrum: Systematic review and meta-analysis (2021) · cites this paper as [99]

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“It was found to occur in highly health-anxious individuals [97,98], as well as in patients with pathological HA [99-101] and describes the tendency to focus on information that confirms their health worries and to ignore information that is contradictory [58].”
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Authors: Marcus, D. K., Gurley, J. R., Marchi, M. M., & Bauer, C.
Affiliations: University of Southern Mississippi (US)
Sam Houston State University (US)
Corresponding author: Marcus, David K.
ORCID: Marcus, David K.
Venue: Clinical Psychology Review
Publisher: Elsevier BV
Published: 2007-03
Volume: 27
Issue: 2
Pages: 127-139
ISSN: 0272-7358 (ISSN-L)
DOI: 10.1016/j.cpr.2006.09.003
OpenAlex: W1999108153
Cited by: 218
References: 69
Citations by year: 2026: 6 · 2025: 10 · 2024: 7 · 2023: 9 · 2022: 8 · 2021: 20 · 2020: 12 · 2019: 11 · 2018: 8 · 2017: 10 · 2016: 20 · 2015: 16 · 2014: 16 · 2013: 12 · 2012: 15
FWCI: 0.88
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Clinical Psychology Review (publishedVersion)
PubMed (publishedVersion)
Aquila Digital Community (University of Southern Mississippi) (submittedVersion)
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
Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
Keywords: health anxiety, somatosensory amplification, cognitive-behavioral model, illness beliefs
MeSH terms: Anxiety, Arousal, Awareness, Culture, Humans, Hypochondriasis, Perceptual Distortion, Sensory Thresholds, Sick Role, Somatoform Disorders, Cognitive Behavioral Therapy

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Cognitive and perceptual variables in hypochondriasis and health anxiety: A systematic review

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