Two psychological treatments for hypochondriasis: A randomised controlled trial
Abstract
BACKGROUND: Hypochondriasis is generally considered difficult to manage. This study aimed to assess the effectiveness of cognitive therapy and to compare it with an equally credible, alternative treatment. METHOD: Forty-eight patients with hypochondriasis were initially randomly assigned to either cognitive therapy, behavioural stress management or a no treatment waiting list control group. At the end of the waiting period, patients in the control group were randomly assigned to one of the two treatments. Assessments were at pre-, mid- and post-treatment or waiting list and at three-, six- and 12-month post-treatment follow-up. RESULTS: Comparisons with the waiting list group showed both treatments were effective. Comparisons between the treatments showed that cognitive therapy was more effective than behavioural stress management on measures of hypochondriasis, but not general mood disturbance at mid-treatment and at post-treatment. One year after treatment patients who had received either treatment remained significantly better than before treatment, and on almost all measures the two therapies did not differ from each other. CONCLUSIONS: Cognitive therapy is a specific treatment for hypochondriasis. Behavioural stress management is also effective but its specificity remains to be demonstrated.
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Stress management was found to be as effective as CBT in an early study of psychological treatments for health anxiety.
“Stress management was one of the treatment groups in an early study of psychological treatments for health anxiety (Clark 1998), when it was found to be as effective as CBT.”
From Health anxiety: Detection and treatment (2018) · cites this paper as Clark 1998
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 [8]
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- Authors
- Clark, D. M., Salkovskis, P. M., Hackmann, A., Wells, A., Fennell, M., Ludgate, J., Ahmad, S., Richards, H. C., & Gelder, M.
- Affiliations
- University of Oxford (GB)
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 1998-09
- Volume
- 173
- Issue
- 3
- Pages
- 218-225
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2154398635
- Cited by
- 270
- References
- 17
- Citations by year
- 2026: 2 · 2024: 3 · 2023: 1 · 2022: 2 · 2021: 1 · 2020: 5 · 2019: 7 · 2018: 4 · 2017: 10 · 2016: 7 · 2015: 10 · 2014: 21 · 2013: 14 · 2012: 12
- FWCI
- 9.48
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Wellcome Trust
- 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
- Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
- Keywords
- health anxiety, cognitive therapy, psychotherapy effectiveness, treatment comparison, mood disturbance, long-term treatment outcomes
- MeSH terms
- Adult, Behavior Therapy, Female, Follow-Up Studies, Humans, Hypochondriasis, Male, Patient Compliance, Stress, Psychological, Cognitive Behavioral Therapy, Treatment Outcome
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