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Health-related intrusive thoughts
M H Freeston1, F Gagnon, R Ladouceur
1Université Laval, Centre de Recherche, Ecole de Psychologie, Cite Universitare, Quebec, Canada.
Journal of Psychosomatic Research
|April 1, 1994
Summary
Health-related intrusive thoughts are common, affecting many adults and students. Cognitive appraisals significantly influence the frequency and distress associated with these health anxieties.
Area of Science:
- Psychology
- Clinical Psychology
- Cognitive Science
Background:
- Intrusive thoughts are common psychological phenomena.
- Health-related intrusive thoughts can cause significant distress and anxiety.
- Understanding the factors influencing these thoughts is crucial for clinical interventions.
Purpose of the Study:
- To investigate the prevalence of health-related intrusive thoughts in general hospital and university student populations.
- To examine the relationship between triggering stimuli, cognitive appraisals, and the subjective experience of intrusive thoughts.
- To explore the clinical implications for models of hypochondriasis and health anxiety.
Main Methods:
- Two studies were conducted, surveying adults in hospital waiting rooms and university students.
- Data collection involved assessing the frequency, triggers, and cognitive appraisals of intrusive thoughts.
- Statistical analyses were used to identify predictors of thought frequency, worry, and removal difficulty.
Main Results:
- A high prevalence of intrusive thoughts was reported, with a significant proportion being health-related.
- Triggering stimuli, high probability appraisals, perceived responsibility, and disapproval predicted thought frequency, worry, and difficulty in removal.
- More extreme cognitive appraisals were associated with more troublesome intrusive thoughts.
Conclusions:
- Cognitive appraisal plays a critical role in the subjective experience and distress of health-related intrusive thoughts.
- Findings support the link between cognitive appraisal and the severity of intrusive thoughts.
- The results have implications for understanding and treating health anxiety and hypochondriasis.