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Assessment of hypochondriasis

H M Warwick1

  • 1Department of Mental Health Sciences, St. George's Hospital Medical School, London, England.

Behaviour Research and Therapy
|September 1, 1995
PubMed
Summary

This article details the assessment of hypochondriasis (illness anxiety disorder), outlining its aims, methods, and application in cognitive-behavioral therapy. It also addresses challenges in the therapeutic relationship and patient acceptance of psychological treatment.

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Area of Science:

  • Psychology
  • Clinical Psychology
  • Psychiatry

Background:

  • Hypochondriasis, now often referred to as illness anxiety disorder, is a condition characterized by excessive worry about having a serious illness.
  • Accurate assessment is crucial for effective treatment planning and intervention.

Purpose of the Study:

  • To provide a comprehensive guide to the assessment of hypochondriasis.
  • To outline the specific information required during assessment.
  • To describe various assessment methods and their utility.

Main Methods:

  • Detailed description of information gathering during assessment.
  • Explanation of assessment methods employed.
  • Discussion of constructing cognitive-behavioral formulations.

Main Results:

  • Assessment provides a foundation for cognitive-behavioral formulation, identifying etiological and maintaining factors.
  • Information from assessment guides the modification of factors during treatment.
  • Strategies for overcoming therapeutic relationship challenges and enhancing patient acceptance of psychological treatment are presented.

Conclusions:

  • Comprehensive assessment is fundamental for tailoring cognitive-behavioral interventions for hypochondriasis.
  • Addressing therapeutic relationship issues and patient acceptance are key components of successful treatment.
  • Practical difficulties in assessment can be overcome with proposed solutions.

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