A contemporary conceptual model of hypochondriasis
Abstract
Hypochondriasis (HC), which involves preoccupation with the fear of having a serious illness despite appropriate medical examination, is often encountered in medical settings. The most conspicuous feature of this disorder is seeking excessive reassurance from physicians, medical references, or self-inspection; however, many patients also fear they will receive upsetting information if evaluated and thus avoid consultations and remain preoccupied with physiologic events, believing they are physically ill. Thus, HC causes personal suffering for the patient and practical and cost management problems for professionals across fields of clinical practice. The past 2 decades have seen considerable improvement in the understanding and treatment of HC. In this article, we review a contemporary conceptual model of HC and an effective form of treatment called cognitive-behavioral therapy that is derived from this model. Recommendations for presenting this conceptualization to patients and encouraging proper treatment are also discussed.
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Safety behaviours associated with health anxiety include seeking reassurance from external sources, including doctors, social media and internet searches.
“Safety behaviours associated with health anxiety include seeking reassurance from external sources, including doctors, social media and internet searches [30].”
From Health anxiety, coping mechanisms and COVID 19: An Indian community sample at week 1 of lockdown (2021) · cites this paper as [30]
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- Authors
- Abramowitz, J. S., Schwartz, S. A., & Whiteside, S. P.
- Affiliations
- Mayo Clinic (US)
- Corresponding author
- Abramowitz, Jonathan S.
- Venue
- Mayo Clinic Proceedings
- Publisher
- Elsevier BV
- Published
- 2002-12
- Volume
- 77
- Issue
- 12
- Pages
- 1323-1330
- ISSN
- 0025-6196 (ISSN-L)
- OpenAlex
- W2021170244
- Cited by
- 139
- References
- 33
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 5 · 2023: 3 · 2022: 5 · 2021: 32 · 2020: 4 · 2019: 8 · 2018: 4 · 2017: 4 · 2016: 7 · 2015: 4 · 2014: 6 · 2013: 11 · 2012: 5
- FWCI
- 0.21
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Mayo Clinic Proceedings (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
- Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
- Keywords
- health anxiety, conceptual model, cognitive behavioral therapy, fear of illness, patient education, treatment guidelines
- MeSH terms
- Attention, Humans, Hypochondriasis, Models, Psychological, Patient Education as Topic, Cognitive Behavioral Therapy
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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