The DOI matches its Crossref record; 31 of the 31 references it cites were found in a registry or an index.
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.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The text we found for this paper looks like another document, so the self-check wasn’t run.
Citations
Cites
Preferred reporting items for systematic reviews and meta-analyses: the PRISMA Statement.
(2009) · PubMed Central · Cited by 44,859
Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & the PRISMA Group* (2009) · Annals of Internal Medicine · doi:10.7326/0003-4819-151-4-200908180-00135 · Cited by 37,554
The Cochrane Collaboration's tool for assessing risk of bias in randomised trials
Higgins, J. P. T., Altman, D. G., Gotzsche, P. C., Juni, P., Moher, D., Oxman, A. D., Savovic, J., Schulz, K. F., Weeks, L., Sterne, J. A. C., et al. (2011) · BMJ · doi:10.1136/bmj.d5928 · Cited by 33,817
Cochrane Handbook for Systematic Reviews of Interventions: Cochrane Book Series
(2008) · doi:10.1002/9780470712184 · Cited by 25,048
BARSKY, A. J., Orav, E. J., & Bates, D. W. (2005) · Archives of General Psychiatry · doi:10.1001/archpsyc.62.8.903 · Cited by 912
Warwick, H. M. C., & Salkovskis, P. M. (1990) · Behaviour Research and Therapy · doi:10.1016/0005-7967(90)90023-c · Cited by 587 · cited 2×
“Warwick and Salkovskis (1990) have suggested that HA is best thought of as a continuum, with full clinical diagnosis at the upper end.”
BackgroundSelf-citationSalkovskis, P. M., & Warwick, H. M. C. (1986) · Behaviour Research and Therapy · doi:10.1016/0005-7967(86)90041-0 · Cited by 475 · cited 1×
“…of HA (Warwick & Salkovskis, 1990) has resulted in the development of a focused treatment (Salkovskis, Warwick, & Deale, 2003) which has been tested in single cases (Salkovskis & Warwick, 1986), case series (Warwick & Marks, 1988), and randomised controlled trials (Clark et al., 1998).”
BackgroundSelf-citationA systematic review of the epidemiology of somatisation disorder and hypochondriasis
Creed, F., & Barsky, A. (2004) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(03)00622-6 · Cited by 421
Cognitive Behavior Therapy for Hypochondriasis
BARSKY, A. J., & Ahern, D. K. (2004) · JAMA · doi:10.1001/jama.291.12.1464 · Cited by 322
Two psychological treatments for hypochondriasis: A randomised controlled trial
Clark, D. M., Salkovskis, P. M., Hackmann, A., Wells, A., Fennell, M., Ludgate, J., Ahmad, S., Richards, H. C., & Gelder, M. (1998) · British Journal of Psychiatry · doi:10.1192/bjp.173.3.218 · Cited by 270
Self-citationHartman, O. (2009) · doi:10.1016/j.jpsychores.2008.09.018 · Cited by 261
A controlled trial of cognitive-behavioural treatment of hypochondriasis
Warwick, H. M. C., Clark, D. M., Cobb, A. M., & Salkovskis, P. M. (1996) · British Journal of Psychiatry · doi:10.1192/bjp.169.2.189 · Cited by 240
Internet-based cognitive-behavioural therapy for severe health anxiety: randomised controlled trial
Hedman, E., Andersson, G., Andersson, E., Ljótsson, B., Rück, C., Asmundson, G. J. G., & Lindefors, N. (2011) · British Journal of Psychiatry · doi:10.1192/bjp.bp.110.086843 · Cited by 212
The syndrome of hypochondriasis: a cross-national study in primary care
Gureje, O., Üstün, T. B., & Simon, G. E. (1997) · Psychological Medicine · doi:10.1017/s0033291797005345 · Cited by 189
Greeven, A., van Balkom, A. J. L. M., Visser, S., Merkelbach, J. W., van Rood, Y. R., van Dyck, R., Van der Does, A. J. W., Zitman, F. G., & Spinhoven, P. (2007) · American Journal of Psychiatry · doi:10.1176/ajp.2007.164.1.91 · Cited by 183
Olatunji, B. O., Kauffman, B. Y., Meltzer, S., Davis, M. L., Smits, J. A. J., & Powers, M. B. (2014) · Behaviour Research and Therapy · doi:10.1016/j.brat.2014.05.002 · Cited by 167
Tyrer, P., Cooper, S., Salkovskis, P., Tyrer, H., Crawford, M., Byford, S., Dupont, S., Finnis, S., Green, J., McLaren, E., et al. (2014) · The Lancet · doi:10.1016/s0140-6736(13)61905-4 · Cited by 167
Self-citationThe treatment of hypochondriasis: exposure plus response prevention vs cognitive therapy.
Visser, S., & Bouman, T. (2001) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(00)00022-x · Cited by 147
Psychotherapies for hypochondriasis
Thomson, A., & Page, L. (2007) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd006520.pub2 · Cited by 141
Cognitive‐Behavioral Treatment for Severe and Persistent Health Anxiety (Hypochondriasis)
Salkovskis, P. M., Warwick, H. M. C., & Deale, A. C. (2003) · Brief Treatment and Crisis Intervention · doi:10.1093/brief-treatment/mhg026 · Cited by 132
Self-citationTransient and persistent hypochondriacal worry in primary care
Robbins, J. M., & Kirmayer, L. J. (1996) · Psychological Medicine · doi:10.1017/s0033291700035650 · Cited by 110
Behavioural Treatment of Illness Phobia and Hypochondriasis
Warwick, H. M. C., & Marks, I. M. (1988) · The British Journal of Psychiatry · doi:10.1192/bjp.152.2.239 · Cited by 110
Hedman, E., Axelsson, E., Görling, A., Ritzman, C., Ronnheden, M., Alaoui, S. E., Andersson, E., Lekander, M., & Ljótsson, B. (2014) · British Journal of Psychiatry · doi:10.1192/bjp.bp.113.140913 · Cited by 103
Sørensen, P. S., Birket‐Smith, M., Wattar, U., Buemann, I., & Salkovskis, P. M. (2010) · Psychological Medicine · doi:10.1017/s0033291710000292 · Cited by 86
Self-citationSeivewright, H., Green, J., Salkovskis, P., Barrett, B., Nur, U., & Tyrer, P. (2008) · British Journal of Psychiatry · doi:10.1192/bjp.bp.108.052936 · Cited by 81
Self-citationWeck, F., Neng, J. M. B., Richtberg, S., Jakob, M., & Stangier, U. (2014) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000013 · Cited by 81
Cognitive and Behavioural Treatment of Hypochondriasis
Bouman, T. K., & Visser, S. (1998) · Psychotherapy and Psychosomatics · doi:10.1159/000012283 · Cited by 75
Buwalda, F. M., Bouman, T. K., & van Duijn, M. A. J. (2006) · Behaviour Research and Therapy · doi:10.1016/j.brat.2006.08.004 · Cited by 48
The role of bibliotherapy in health anxiety: an experimental study
Jones, F. A. (2002) · British Journal of Community Nursing · doi:10.12968/bjcn.2002.7.10.10662 · Cited by 34
Bourgault-Fagnou, M. D., & Hadjistavropoulos, H. D. (2012) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2012.717302 · Cited by 25
Psychological Treatments for Hypochondriasis: A Narrative Review
Bouman, T. K. (2014) · Current Psychiatry Reviews · doi:10.2174/1573400509666131119010612 · Cited by 10
Research works printed but not linked: 1
- 2013, Diagnostic and Statistical Manual of Mental Disorders
Cited by
Sorted by citations
The Efficacy of Hypnosis as a Treatment for Anxiety: A Meta-Analysis
Valentine, K. E., Milling, L. S., Clark, L. J., & Moriarty, C. L. (2019) · International Journal of Clinical and Experimental Hypnosis · doi:10.1080/00207144.2019.1613863 · Cited by 121
“Finally, Cooper et al. (2017) noted an effect size of 1.45 (95% CI = 1.13 to 1.77) when CBT was utilized to treat health anxiety.”
BackgroundResultInfluentialBajcar, B., & Babiak, J. (2021) · Current Psychology · doi:10.1007/s12144-019-00216-x · Cited by 109
Axelsson, E., & Hedman-Lagerlöf, E. (2019) · Expert Review of Pharmacoeconomics & Outcomes Research · doi:10.1080/14737167.2019.1703182 · Cited by 96
“We did not include RCTs where medically unexplained symptoms, heightened health-care consumption, or distress due to physical symptoms were the principal clinical problem because such phenomena can be present regardless of health anxiety [24,31].”
BackgroundResultIllness Anxiety Disorder: Psychopathology, Epidemiology, Clinical Characteristics, and Treatment.
Scarella, T. M., Boland, R. J., & Barsky, A. J. (2019) · Psychosomatic Medicine · doi:10.1097/psy.0000000000000691 · Cited by 102
Haig-Ferguson, A., Cooper, K., Cartwright, E., Loades, M. E., & Daniels, J. (2021) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465820000636 · Cited by 84
“CBT is effective in treating HA in adults (Cooper et al., 2017; Hart and Bjorgvinsson, 2010; Newby et al., 2018).”
BackgroundSelf-citation
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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review