Cited by 140Psychosomatic Disorders and Their TreatmentsAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPain Management and Placebo Effect

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A Contemporary Conceptual Model of Hypochondriasis

Abramowitz, Jonathan S., Schwartz, Stefanie A., Whiteside, Stephen P.·2002·Mayo Clinic Proceedings

DOI 10.4065/77.12.1323

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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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Authors: Abramowitz, J. S., Schwartz, S. A., & Whiteside, S. P.
Affiliations: Mayo Clinic (US)
Corresponding author: Abramowitz, Jonathan S.
ORCID: Abramowitz, Jonathan S.
Whiteside, Stephen P.
Venue: Mayo Clinic Proceedings
Publisher: Elsevier BV
Published: 2002-12
Volume: 77
Issue: 12
Pages: 1323-1330
ISSN: 0025-6196 (ISSN-L)
DOI: 10.4065/77.12.1323
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
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
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

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A Contemporary Conceptual Model of Hypochondriasis

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