A controlled trial of cognitive-behavioural treatment of hypochondriasis
Abstract
BACKGROUND: Hypochondriasis is a distressing disorder for which there is no adequate established treatment. This study evaluates the effect of cognitive-behavioural treatment of hypochondriasis, compared with a waiting list control. METHOD: Thirty-two patients were randomly assigned to either cognitive-behavioural therapy or a no treatment waiting list control. Cognitive-behavioural treatment consisted of 16 individual treatment sessions over a four-month period. The waiting list control lasted for four months and was followed by 16 sessions of cognitive-behavioural treatment. Assessments were made before allocation and after treatment or waiting list control. Patients who had cognitive-behavioural treatment were reassessed three months after completion of treatment. RESULTS: Paired comparisons on post-treatment/wait scores indicated that the cognitive-behavioural group showed significantly greater improvements than the waiting list on all but one patient rating, all therapist ratings and all assessor ratings. After three months the benefits of therapy were maintained. CONCLUSIONS: Cognitive-behavioural treatment is an effective therapy for hypochondriasis. Implications of the study are discussed.
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Cognitive behavior therapy is an effective treatment for severe health anxiety and has substantial empirical support.
“Cognitive behavior therapy (CBT) has been shown to be an effective treatment for severe health anxiety and has substantial empirical support [6,7,8,9,10].”
From Mediators in Internet-Based Cognitive Behavior Therapy for Severe Health Anxiety (2013) · cites this paper as [10]
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Tyrer, P. J., Seivewright, N., & Seivewright, H. (1999) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(98)00072-5 · Cited by 26 · see citing works
Hypochondriasis: Conceptualization, Treatment, and Relationship to Obsessive Compulsive Disorder
Abramowitz, J. S. (2005) · Annals of Clinical Psychiatry · doi:10.1080/10401230500295339 · Cited by 25 · see citing works
Greeven, A., Spinhoven, P., & van Balkom, A. J. L. M. (2009) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.634 · Cited by 25 · see citing works
Protocollaire behandeling van patiënten met onverklaarde lichamelijke klachten:
Speckens, A. E. M., Spinhoven, P., & van Rood, Y. R. (2004) · Bohn Stafleu van Loghum eBooks · doi:10.1007/978-90-313-7117-4_7 · Cited by 25 · see citing works
- Authors
- Warwick, H. M. C., Clark, D. M., Cobb, A. M., & Salkovskis, P. M.
- Affiliations
- Warneford Hospital (GB)
- Corresponding author
- Warwick, Hilary M. C.
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 1996-08
- Volume
- 169
- Issue
- 2
- Pages
- 189-195
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W1970745710
- Cited by
- 240
- References
- 14
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 1 · 2023: 1 · 2022: 1 · 2020: 8 · 2019: 3 · 2018: 4 · 2017: 4 · 2016: 4 · 2015: 5 · 2014: 11 · 2013: 12 · 2012: 9
- FWCI
- 11.28
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- 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 › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- health anxiety, cognitive behavioral therapy, treatment efficacy, waitlist control, maintenance of treatment effects, individual psychotherapy, somatic symptom disorder
- MeSH terms
- Adult, Female, Humans, Hypochondriasis, Male, Middle Aged, Cognitive Behavioral Therapy, Treatment Outcome
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