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Cognitive Behaviour Therapy for Health Anxiety: A Systematic Review and Meta-Analysis
Open accessAbstract
Background: Health anxiety (HA), or hypochondriasis, is a psychological problem characterized by a preoccupation with the belief that one is physically unwell. A 2007 Cochrane review (Thomson and Page, 2007) found cognitive behavioural therapy (CBT) to be an effective intervention for individuals with HA. Similar findings were reported in a recent meta-analysis (Olatunji et al., 2014), which did not employ a systematic search strategy. The current review aimed to investigate the efficacy of CBT for HA, and to update the existing reviews. Method: A systematic search was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidance, including randomized controlled trials that compared CBT with a control condition for people with HA. Five hundred and sixty-seven studies were found in the original search, of which 14 were included in the meta-analysis. Results: Meta-analysis was conducted on 21 comparisons and a large effect size for CBT compared with a control condition was found at post therapy d = 1.01 (95% confidence interval 0.77–1.25), as well as at 6- and 12-month follow-up. Conclusions: This systematic review and meta-analysis provides support for the hypothesis that CBT is an effective intervention for HA when compared with a variety of control conditions, e.g. treatment-as-usual, waiting list, medication, and other psychological therapies.
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“Furthermore, more specific interventions for HA in childhood and adolescence need to be developed and tested (Frostholm & Rask, 2019), although treatment with primarily cognitive behavioural therapy in adults overall have shown positive and potent results (Cooper et al., 2017).”
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Hypochondrie und Gesundheitssorgen
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“…illness (Hedman-Lagerl¨of et al., 2019), the proxy form may be particularly relevant in ASD, where uncertainty about the child ’ s subjective experiences (due to communication de fi cits and atypical emotional expression) can heighten parental vigilance (Cobham et al., 1998; Cooper et al., 2017).”
Senger, A. R., Ayers, Z. S., Zvolensky, M. J., & Gallagher, M. W. (2025) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2025.2597846 · Cited by 1
“…health anxiety in the future as a potential vulnerability or risk factor for patients who report both mental and somatic complaints and address it via evidence-based interventions, as discussed in (Cooper et al., 2017), before attempting to promote better well-being via strength-building variables.”
Cyberchondria and perceived stress: the mediating role of cognitive flexibility
Akat, M., Okur, S., Akbulut, Ö. F., Hamarta, E., & Satıcı, S. A. (2026) · Current Psychology · doi:10.1007/s12144-025-08975-6 · Cited by 1
Rashidi, Z., Feili, A., & Foruzandeh, E. (2026) · Geopsychiatry · doi:10.1016/j.geopsy.2026.100093 · Cited by 1
Lau‐Zhu, A., & Brümmer, L. (2022) · Behaviour Change · doi:10.1017/bec.2022.22 · Cited by 1
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Macroeconomia - capítulo II - o balanço de pagamentos
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Sassen, B. (2012) · Bohn Stafleu van Loghum eBooks · doi:10.1007/978-90-368-1489-8_6
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Visser, S., & Reinders, M. (2019) · Bohn Stafleu van Loghum eBooks · doi:10.1007/978-90-368-2021-9_10
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Shah, A., BARSKY, A. J., Hamilton, M. J., Mufson, M. J., Rittenberg, E., & Teslyar, P. (2020) · Harvard Review of Psychiatry · doi:10.1097/hrp.0000000000000262
“Cognitivebehavior therapy is beneficial in moderating worrisome thoughts about symptoms, curtailing illness and sick role behaviors, reducing bodily vigilance, and learning techniques of selective attention and distraction.(8,9) Therapeutic success will be measured not in improved somatic symptoms but in significant i…”
BackgroundHealth-Related Anxiety in the Management of Oral Soreness in an HIVSeropositive Patient
Mandasari, M., Syarif, Z. O., & Rahmayanti, F. (2020) · Journal of Dentistry Indonesia · doi:10.14693/jdi.v27i1.1121
Axelsson, E., & Hedman‐Lagerlöf, E. (2020) · Expert Review of Pharmacoeconomics & Outcomes Research · doi:10.1080/14737167.2020.1831240
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Sassen, B. (2019) · Bohn Stafleu van Loghum eBooks · doi:10.1007/978-90-368-2320-3_3
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Martin, A., & Henningsen, P. (2021) · Elsevier eBooks · doi:10.1016/b978-3-437-22601-4.00014-0
رازانی, ف., & Haghayegh, S. A. (2021) · Health Research Journal · doi:10.52547/hrjbaq.6.3.207
Patiëntenvoorlichting en het bevorderen van zelfmanagement door verpleegkundigen
Sassen, B. (2018) · Bohn Stafleu van Loghum eBooks · doi:10.1007/978-90-368-2012-7_6
A Cognitive Behaviour Therapy Chatbot (Otis) for Health Anxiety Management: Pilot Study (Preprint)Preprint
Goonesekera, Y., & Donkin, L. (2022) · doi:10.2196/preprints.37877
Metadata
- Authors
- Cooper, K., Gregory, J. D., Walker, I., Lambe, S., & Salkovskis, P. M.
- Affiliations
- University of Bath (GB)
- Venue
- Behavioural and Cognitive Psychotherapy
- Publisher
- Cambridge University Press (CUP)
- Published
- 2017-02-23
- Volume
- 45
- Issue
- 2
- Pages
- 110-123
- ISSN
- 1352-4658 (ISSN-L)
- 1469-1833
- OpenAlex
- W2541165905
- Cited by
- 118
- References
- 31
- Citations by year
- 2026: 9 · 2025: 15 · 2024: 16 · 2023: 10 · 2022: 14 · 2021: 13 · 2020: 15 · 2019: 16 · 2018: 7 · 2017: 1
- FWCI
- 1.68
- Type
- journal article
- Language
- en
- Open access
- Licence
- Locations
- Behavioural and Cognitive Psychotherapy (publishedVersion)
- PubMed (publishedVersion)
- ORCA Online Research @Cardiff (Cardiff University) (acceptedVersion)
- ORCA Online Research @Cardiff (Cardiff University) (submittedVersion)
- The University of Bath Online Publications Store (The University of Bath) (submittedVersion)
- Pure (University of Bath) (submittedVersion, other-oa)
- 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
- cognitive behavioral therapy, health anxiety, treatment efficacy, psychological intervention, control conditions, follow-up outcomes
- MeSH terms
- Anxiety, Anxiety Disorders, Humans, Hypochondriasis, Psychotherapy, Cognitive Behavioral Therapy
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