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.
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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
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Research works printed but not linked: 1
- 2013, Diagnostic and Statistical Manual of Mental Disorders
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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).”
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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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