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Cited by 92Psychosomatic Disorders and Their TreatmentsPsychoanalysis and Psychopathology ResearchChild Abuse and Trauma

Childhood Antecedents Of Hypochondriasis

Noyes, Russell, Stuart, Scott, Langbehn, Douglas R., Happel, Rachel L., Longley, Susan L., Yagla, Steven J.·2002·Psychosomatics
DOI 10.1176/appi.psy.43.4.282
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Abstract

According to the interpersonal model of hypochondriasis, early environmental adversity may give rise to attachment insecurity that finds adult expression in care-seeking behavior. To identify antecedents of this disturbance, we interviewed general medicine patients and obtained from them self-reports of traumatic events, adverse circumstances, and symptoms experienced in childhood. Patients who met DSM-III-R criteria for hypochondriasis more often reported traumatic events and circumstances, including serious illness or injury. Among all patients, the level of hypochondriacal symptoms in adulthood was correlated with poor health, hypochondriacal worry, and separation anxiety in childhood. These findings are consistent with a growing literature that links childhood adversity to adult hypochondriasis; they support the interpersonal model.

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Crossref · 10.1176/appi.psy.43.4.282

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  • The onset of health anxiety typically occurs in early adulthood, but some research suggests it may start as early as childhood in some cases.

    “While the onset of health anxiety typically occurs in early adulthood [1], some research suggests that it may start as early as childhood in some cases [12, 13, 16–18].”

    From Illness Anxiety Disorder: A Review of the Current Research and Future Directions (2024) · cites this paper as [16]

  • Recent evidence suggests health anxiety may start, at least for some, in childhood and adolescence.

    “Finally, recent evidence suggests health anxiety may start, at least for some, in childhood and adolescence.”

    From Illness Anxiety Disorder: A Review of the Current Research and Future Directions (2024) · cites this paper as [16]

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Authors
Noyes, R., Stuart, S., Langbehn, D. R., Happel, R. L., Longley, S. L., & Yagla, S. J.
Affiliations
University of Iowa (US)
Corresponding author
Noyes, Russell
ORCID
Venue
Psychosomatics
Publisher
Elsevier BV
Published
2002-07
Volume
43
Issue
4
Pages
282-289
ISSN
0033-3182 (ISSN-L)
DOI
10.1176/appi.psy.43.4.282
OpenAlex
W2006432570
Cited by
92
References
71
Citations by year
2026: 2 · 2025: 1 · 2024: 3 · 2023: 3 · 2022: 5 · 2021: 5 · 2020: 3 · 2019: 7 · 2018: 6 · 2017: 1 · 2016: 6 · 2015: 3 · 2014: 5 · 2013: 6 · 2012: 5
FWCI
1.49
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Psychosomatics (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
  • Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
Keywords
health anxiety, childhood adversity, insecure attachment, interpersonal model, traumatic events, separation anxiety, care-seeking behavior, internal medicine patients
MeSH terms
Adult, Child, Female, Humans, Hypochondriasis, Life Change Events, Male, Middle Aged, Risk Factors, Chi-Square Distribution, Linear Models

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