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Meaning, Misinterpretations, and Medicine: A cognitive Behavioral Approach to Understanding Health Anxiety and Hypochondriasis
Abstract
On an Internet bulletin board, someone reported that ‘‘my psychiatrist has just told me that I am suffering from DSM-IV.” As therapists and researchers working with the problems characterized by severe and persistent health anxiety, we also suffer from DSM-IV (American Psychiatric Association, 1994), not least because it defines health anxiety as the somatoform disorder “Hypochondriasis.” This classification is theoretically misleading, as it diverts attention away from the importance of anxiety and therefore threat, and onto more superficial characteristics of the problem.
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“Dysfunctional health-related beliefs comprise of either disease conviction (i.e., the belief one has a feared illness or disease) and/or fear of contracting an illness or disease [40].”
From Illness Anxiety Disorder: A Review of the Current Research and Future Directions (2024) · cites this paper as [40]
In the citing paper
“Salkovskis and Warwick’s [40] Cognitive-Behavioural Model of health anxiety identifies four types of dysfunctional beliefs central to health anxiety, including the perceived i) likelihood and ii) awfulness of experiencing a health problem, iii) the inability to cope with experiencing a health problem, and (iv) inadequacy of medical resources to treat a health problem [40, 41].”
From Illness Anxiety Disorder: A Review of the Current Research and Future Directions (2024) · cites this paper as [40]
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Vismara, M., Caricasole, V., Starcevic, V., Cinosi, E., Dell'Osso, B., Martinotti, G., & Fineberg, N. A. (2020) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2020.152167 · Cited by 224
Cognitive and perceptual variables in hypochondriasis and health anxiety: A systematic review
Marcus, D. K., Gurley, J. R., Marchi, M. M., & Bauer, C. (2007) · Clinical Psychology Review · doi:10.1016/j.cpr.2006.09.003 · Cited by 218
Mathes, B. M., Norr, A. M., Allan, N. P., Albanese, B. J., & Schmidt, N. B. (2018) · Psychiatry Research · doi:10.1016/j.psychres.2018.01.002 · Cited by 209
An experimental analysis of hypochondriasis
Abramowitz, J. S., & Moore, E. L. (2006) · Behaviour Research and Therapy · doi:10.1016/j.brat.2006.04.005 · Cited by 151
Dimensional and categorical approaches to hypochondriasis
Hiller, W. F. A., Rief, W., & Fichter, M. M. (2002) · Psychological Medicine · doi:10.1017/s0033291702005524 · Cited by 133
Metadata
- Authors
- Salkovskis, P. M., & Warwick, H. M. C.
- Affiliations
- Warneford Hospital (GB)
- ORCID
- Salkovskis, Paul M
- Venue
- Hypochondriasis Modern Perspectives on an Ancient Malady
- Publisher
- Oxford University PressNew York, NY
- Published
- 2001-02-01
- Pages
- 202-222
- OpenAlex
- W15048986
- Cited by
- 105
- References
- 0
- Citations by year
- 2026: 9 · 2025: 1 · 2024: 6 · 2023: 3 · 2022: 14 · 2021: 9 · 2020: 3 · 2019: 1 · 2018: 2 · 2017: 1 · 2016: 5 · 2015: 2 · 2014: 6 · 2013: 7 · 2012: 4
- FWCI
- 9.37
- Type
- book chapter
- Language
- en
- Open access
- closed
- 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
- Social Sciences › Arts and Humanities › History and Philosophy of Science › Medicine, History, and Philosophy
- Keywords
- health anxiety, DSM-IV classification, somatoform disorders, cognitive-behavioral approach, threats, misinterpretation, psychiatric diagnosis
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