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Hypochondriasis.

H M Warwick1, P M Salkovskis

  • 1University of Oxford, Department of Psychiatry, Warneford Hospital, England.

Behaviour Research and Therapy
|January 1, 1990
PubMed
Summary

Health anxiety, or hypochondriasis, is common but poorly understood. This paper proposes a cognitive-behavioral model for managing health anxiety and suggests treatment principles.

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Area of Science:

  • Psychiatry
  • Clinical Psychology

Background:

  • Health anxiety and hypochondriasis are prevalent clinical issues.
  • Management of these conditions presents significant challenges.
  • Recent advancements in conceptualization and treatment, particularly behavioral approaches, are limited.

Purpose of the Study:

  • To critically evaluate existing theoretical models of health anxiety.
  • To propose a cognitive-behavioral framework for understanding its development and maintenance.
  • To outline cognitive-behavioral treatment principles and suggest future research directions.

Main Methods:

  • Critical evaluation of current theoretical models.
  • Development of a cognitive-behavioral model.
  • Outline of treatment principles derived from the proposed model.

Main Results:

  • Existing theoretical models for health anxiety are critically reviewed.
  • A cognitive-behavioral model is proposed to explain the onset and persistence of hypochondriacal problems.
  • Principles for cognitive-behavioral treatment are presented.

Conclusions:

  • A cognitive-behavioral approach offers a promising framework for understanding and treating health anxiety.
  • Further research is needed to refine treatment strategies and evaluate their efficacy.
  • Integrating cognitive and behavioral techniques is crucial for effective management.

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