A loneliness model of hypochondriasis among older adults: The mediating role of intolerance of uncertainty and anxious symptoms

Barnett, Michael D.; Moore, Jenna M.; Archuleta, William P.

doi:10.1016/j.archger.2019.03.027

Cited by 12 publications

(7 citation statements)

References 43 publications

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“…Previous studies have found that symptoms of anxiety (Barnett et al, 2019;Beutel et al, 2017) and depression (Cohen-Mansfield et al, 2016;Kuwert et al, 2014) are linked to greater loneliness. Similarly, poorer self-rated health, more chronic conditions, and functional disability have been associated with higher perceived loneliness among older adults (Cohen-Mansfield et al, 2016;Kuwert et al, 2014;Luhmann & Hawkley, 2016;von Soest et al, 2018).…”

Section: Introductionmentioning

confidence: 95%

Loneliness During the COVID-19 Pandemic Among Older Adults With Chronic Conditions

et al. 2021

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The COVID-19 pandemic may intensify loneliness among older adults with chronic conditions who are at high risk of severe illness, but little is known about factors associated with loneliness during the pandemic. We considered factors linked to loneliness among 701 adults aged 50 years and older with chronic conditions from Michigan (82.5%) and 33 other U.S. states. Participants completed an anonymous online survey between May 14 and July 9, 2020. About two thirds (66.4%) reported moderate to severe loneliness. The fully adjusted regression model revealed that being a person of color, having a spouse or cohabiting partner, and more emotional support were associated with lower levels of loneliness. Higher anxiety symptoms, more worry about COVID-19 infection, and more financial strain because of the pandemic were linked to greater loneliness. These findings inform strategies to support a vulnerable subgroup of older adults during this pandemic and in future public health crises.

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Section: Introductionmentioning

confidence: 95%

Loneliness During the COVID-19 Pandemic Among Older Adults With Chronic Conditions

et al. 2021

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“…discussed the role of loneliness in activating threat systems, and noted that in older adults, feeling lonely was associated with more hypochondria. [ 14 ]…”

Section: Discussionmentioning

confidence: 99%

Illness anxiety disorder and its relationship with social health in the elderly, Isfahan, Iran

2022

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Background: The present study investigated the prevalence of illness anxiety disorder and its relationship with social health in the elderly population. Materials and Methods: This cross-sectional study was conducted on 400 elderly people in Isfahan referred to the educational health service in 2020. In addition to demographic characteristics, they answered the 36-item Evans hypochondriasis questionnaire and the 28-item social health questionnaire. Results: Four hundred elderly participants with a mean age of 68.1 ± 6.6 (range: 60–89) were included in the study. One hundred and ninety-nine (49.8%) were female and 201 (50.3%) were male. Only 24.3% of the geriatrics were in the healthy group and 21.2% in the borderline category. Seventy-two of the geriatric population (18%) had poor social health and 299 of this population (74.8%) had moderate social health, and the social health status of 29 elderlies (7.3%) was favorable. There was an inverse relationship between hypochondriasis score and total social health score and its dimensions ( P < 0.05). Conclusion: High prevalence of hypochondriasis was observed in the geriatrics compared to global studies. Most of the elderly population had moderate social health. Gender and education do not affect hypochondriasis and social health in the elderly. People with higher social health scores were clearly less likely to get hypochondriasis. Therefore, by improving the various dimensions of social health of the geriatrics, we can help reduce the prevalence of hypochondriasis in this age group.

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“…Many studies have shown that low levels of tolerance of ambiguity are highly correlated with various mental disorders, and conversely, higher levels are associated with better psychological well-being (Bledsoe, 2011;Hancock & Mattick, 2020). Higher intolerance of uncertainty and anxious symptoms mediated the relationship between loneliness and hypochondriasis disorder (the last name of IAD) (Barnett, Moore, & Archuleta, 2019). Arnáez et al (2020) believe that intolerance of ambiguity as one of the illness-related Intrusive Thoughts (illness-ITs) generates many dysfunctional, emotional, cognitive, and behavioral consequences for a person with illness anxiety disorder.…”

Section: Plain Language Summarymentioning

confidence: 99%

“…As noted, although previous research has relatively examined the role of perfectionism (Arnáez et al, 2020;Koven & Abry, 2015) and tolerance of ambiguity (Arnáez et al, 2020;Barnett et al, 2019;Fergus et al, 2015) in IAD, the subtypes of this disorder have not yet been addressed. Knowing the difference between the subtypes of this disorder in terms of the degree of perfectionism or the ability to tolerate ambiguity is of paramount importance because it can help develop specific treatment programs for each subtype.…”

Section: Plain Language Summarymentioning

confidence: 99%

Comparison of Perfectionism and Tolerance of Ambiguity in the Subtypes of Illness Anxiety Disorder

Moloudi

Khademi

2021

PCP

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Objective: Illness Anxiety Disorder (IAD) has two subtypes, care-seeking type, and care-avoidant. There is little information about the differences between the two subtypes. Methods: This study was carried out to compare perfectionism and tolerance of ambiguity in the subtypes of the IAD. To this end, a causal-comparative design was employed. The statistical population of the study included clients with symptoms of IAD who were referred to psychiatric and psychological clinics in Urmia city (West Azerbaijan Province, Iran) in 2019. After conducting a semi-structured interview, 60 subjects were selected as samples, using a convenience sampling method. The Perfectionism Inventory and the Tolerance of Ambiguity questionnaire were utilized for data collection. The collected data were analyzed by the multivariate analysis of variance test. Results: The care-avoiding subtype showed significantly higher scores on some subscales of perfectionism, including concern over mistakes (F=8.735; P=0.005), need for approval (F=4.988; P=0.029), and organization (F=4.505; P=0.038). On the contrary, the care-seeking type showed a significantly lower tolerance of ambiguity than the care-avoidant type (t=2.689; P=0.001). Conclusion: The findings of this study suggest some subtle differences between the subtypes of IAD. As a result, paying attention to these differences can lead to developing tailored treatments for each of the IAD subtypes.

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A loneliness model of hypochondriasis among older adults: The mediating role of intolerance of uncertainty and anxious symptoms

Cited by 12 publications

References 43 publications

Loneliness During the COVID-19 Pandemic Among Older Adults With Chronic Conditions

Loneliness During the COVID-19 Pandemic Among Older Adults With Chronic Conditions

Illness anxiety disorder and its relationship with social health in the elderly, Isfahan, Iran

Comparison of Perfectionism and Tolerance of Ambiguity in the Subtypes of Illness Anxiety Disorder

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