Course of hypochondriasis in an international primary care study

Simon, Gregory E.; Gureje, Oye; Fullerton, Claudio

doi:10.1016/s0163-8343(01)00115-3

Cited by 36 publications

(19 citation statements)

References 23 publications

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“…After assessing the full publication, 13 articles fulfilled all inclusion criteria [67]. and were included in our review [28][29][30][31][32][33][34][35][36][37][38][39][40]. Major reasons for excluding papers were focus not on patients with medically unexplained symptoms (n=30) and no study of prognostic factors (n=14).…”

Section: Resultsmentioning

confidence: 99%

“…Six studies reported on MUS [28][29][30][31]36,37], six studies on hypochondriasis [32][33][34][35]38,39], and one study on abridged somatisation [40]. The abridged definition of somatisation required the presence of four symptoms in males and six symptoms in females [41].…”

Section: Resultsmentioning

confidence: 99%

“…So whether the natural course or course during treatment was studied cannot be concluded. Selection bias and confounding were present in all studies and in four of the six studies information bias was presented [32,33,38,39] (see Table 1). Loss to follow-up ranged from 4% to 36.6%.…”

Section: Study Characteristicsmentioning

confidence: 99%

See 2 more Smart Citations

Medically unexplained symptoms, somatisation disorder and hypochondriasis: Course and prognosis. A systematic review

Hartman¹,

Borghuis²,

Lucassen³

et al. 2009

Journal of Psychosomatic Research

227

142

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Medically unexplained symptoms, somatisation disorder and hypochondriasis: Course and prognosis. A systematic review

Hartman¹,

Borghuis²,

Lucassen³

et al. 2009

Journal of Psychosomatic Research

227

142

View full text Add to dashboard Cite

“…An early study of treated hypochondriasis, employing explanatory psychotherapy as well as medication, was conducted by Kellner [30]with the result that favorable outcome two years later was associated with shorter illness duration and absence of personality disorder. Only a few naturalistic studies have used a prospective design to re-assess hypochondriacal patients after longer periods of time [12, 39, 40, 41, 42]. One major problem of these studies is that treatment between inception and follow-up was not systematically controlled for.…”

Section: Discussionmentioning

confidence: 99%

Predictors of Course and Outcome in Hypochondriasis after Cognitive-Behavioral Treatment

Hiller

Leibbrand²,

Rief³

et al. 2002

Psychother Psychosom

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Background: Predictors of treatment outcome were evaluated in a clinical sample suffering from hypochondriasis. Methods: The sample consisted of 96 patients with hypochondriacal disorder according to DSM-IV or high syndrome scores on the Illness Attitude Scales (IAS) or Whiteley Index (WI). After intense inpatient cognitive-behavioral treatment (CBT), 60% of the patients were classified as responders because of substantial improvements or recovery from hypochondriacal symptomatology. Results: Non-responders were characterized by a higher degree of pre-treatment hypochondriasis, more somatization symptoms and general psychopathology (SCL-90R), more dysfunctional cognitions related to bodily functioning, higher levels of psychosocial impairments, and more utilization of the health care system as indicated by the number of hospital days and costs for inpatient treatments and medication. No predictive value was found for sociodemographic variables, comorbidity with other mental disorders and chronicity. Multiple linear regression showed that pre-treatment variables significantly predicted IAS scores at post-treatment (R² = 0.59), changes during treatment (0.10), IAS scores at follow-up two years later (0.41) and changes between baseline and follow-up (0.25). Conclusions: The results demonstrate the relevance of various psychopathological variables and health care utilization as important indicators for outcome and further course of clinical hypochondriasis.

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“…Those conducted in primary care have shown that between one and two thirds still meet DSM criteria after 1–5 years [110,111,112]. In these studies, definite improvement in hypochondriacal symptoms was observed; yet, most patients remained concerned about serious disease and were more worried about health than others.…”

Section: Domains In Which Differences May Be Foundmentioning

confidence: 99%

Distinguishing between Hypochondriasis and Somatization Disorder: A Review of the Existing Literature

Noyes

Stuart

Watson³

et al. 2006

Psychother Psychosom

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A valid classification is important for further understanding of the somatoform disorders. The main disorders in this grouping – somatization disorder and hypochondriasis – have lengthy historical traditions and are defined in a contrasting manner. Various authors point to distinguishing demographic and clinical features, but there have been few direct comparisons of patients with these disorders. A review of the literature indicates those domains where differences are most likely to be found. Research assessing these may serve to refine and validate these key somatoform categories and/or dimensions.

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Course of hypochondriasis in an international primary care study

Cited by 36 publications

References 23 publications

Medically unexplained symptoms, somatisation disorder and hypochondriasis: Course and prognosis. A systematic review

Medically unexplained symptoms, somatisation disorder and hypochondriasis: Course and prognosis. A systematic review

Predictors of Course and Outcome in Hypochondriasis after Cognitive-Behavioral Treatment

Distinguishing between Hypochondriasis and Somatization Disorder: A Review of the Existing Literature

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