Symptoms of health anxiety in obsessive–compulsive disorder: Relationship with treatment outcome and metacognition

Solem, Stian; Borgejordet, Synne; Haseth, Svein; Hansen, Bjarne; Håland, Åshild Tellefsen; Bailey, Robin

doi:10.1016/j.jocrd.2015.03.002

Cited by 24 publications

(22 citation statements)

References 53 publications

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“…In an Italian community sample, Melli, Carraresi, Poli and Bailey (2016) identified metacognitive beliefs were associated with symptoms of health anxiety (range of correlations .20 to .50). Bailey & Wells (In press) in a replication study found that metacognitive beliefs were again associated with health anxiety (range of correlations .52 to .68) Solem et al, (2015) Bailey & Wells, 2015b) that is more specific to health anxiety than the MCQ and is also grounded in the metacognitive model.…”

Section: A C C E P T E D Accepted Manuscriptmentioning

confidence: 98%

Is metacognition a causal moderator of the relationship between catastrophic misinterpretation and health anxiety? A prospective study

Bailey

Wells

2016

Behaviour Research and Therapy

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Section: A C C E P T E D Accepted Manuscriptmentioning

confidence: 98%

Is metacognition a causal moderator of the relationship between catastrophic misinterpretation and health anxiety? A prospective study

Bailey

Wells

2016

Behaviour Research and Therapy

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“…Both, health anxiety and obsessive-compulsive symptoms are sometimes referred to as Bchronic disorders of control ( Starcevic 1990 p. 346), denoting mainly the difficulty in dealing with ambiguity and uncertainty (Deacon and Abramowitz 2008). Some authors claim that health anxiety and obsessive-compulsive symptoms stem from the shared pattern of intrusive thoughts and repetitive and purposeful behaviors and belong to one broad spectrum of obsessivecompulsive disorders (Abramowitz 2005;Abramowitz and Braddock 2006;Solem et al 2015). Others however, indicate that the two constructs are distinct due to differences in evaluating obsessive thoughts and behavioral reactions upon their occurrence (Starcevic 2014;Hedman et al 2017).…”

Section: Health Anxiety Obsessive-compulsive Symptoms and Cyberchondriamentioning

confidence: 99%

Self-esteem and cyberchondria: The mediation effects of health anxiety and obsessive–compulsive symptoms in a community sample

Bajcar

Babiak

2019

Curr Psychol

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Cyberchondria refers to the excessive and repeated searching for medical information on the Internet and may be considered as health-related problematic Internet use. Previous findings indicated that cyberchondria is positively associated with health anxiety and obsessive-compulsive symptoms. Also, research suggests that excessive or problematic Internet use as well as health worries and compulsive behaviors are present among individuals with low self-esteem. This study sought to examine: (1) the association between self-esteem and cyberchondria, and (2) the mediating role of health anxiety and obsessivecompulsive symptoms in the relationship between self-esteem and cyberchondria. Participants (N = 207) from a community sample completed self-report measures assessing global self-esteem, health anxiety, obsessive-compulsive symptoms, and cyberchondria. We found that self-esteem directly predicted cyberchondria and that health anxiety and obsessive-compulsive symptoms parallelly mediated the relationship between self-esteem and cyberchondria. These findings suggest that low selfesteem, health anxiety and obsessive-compulsive symptoms can be considered vulnerability factors for cyberchondria. In addition, the reverse mediation model indicated that cyberchondria potentially predicts self-esteem both directly and through health anxiety and obsessive-compulsive symptoms. The bidirectional relationship among the analyzed variables are discussed in the context of potential psychological predictors and consequences of cyberchondria and possible mechanisms explaining cyberchondria. The current study provides further insight into the conceptualization of cyberchondria and the feasibility of specific treatment directions.

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“…As these variables were not controlled for, future research should assess whether Physical Health status is worsened by an unhealthy lifestyle. Alternatively, it may be that patients with OCD have health anxiety and selective attention mechanisms on bodily signs leading to misinterpretations of them, and then to a worse perception of Health Status [14]. A clinical implication of this may be the use of interventions targeting anxiety sensitivity in OCD, which can reduce OCD symptoms by decreasing hypervigilance on body signs and misinterpretations of them [50].…”

Section: Discussionmentioning

confidence: 99%

“…A clinical implication of this may be the use of interventions targeting anxiety sensitivity in OCD, which can reduce OCD symptoms by decreasing hypervigilance on body signs and misinterpretations of them [50]. Perceived Physical Health Status should be a target of treatment; the implication of these results may be that health-focused interventions may be included as adjuncts to standard treatment [15, 51, 52]. Also, mindfulness-based therapy may be useful for Physical Health in OCD as it enables the person to decenter from intrusive thoughts and have a non-judgemental attitude towards the body [17].…”

Section: Discussionmentioning

confidence: 99%

“…For instance, contamination fears and engagement in repetitive washing behaviours can lead the patient to avoid social contacts or sports or to follow unhealthy eating habits. Moreover, there is an overlap in the cognitive and behavioural maintenance mechanisms of OCD and health anxiety, such as anxiety sensitivity and reassurance seeking [13, 14].…”

Section: Introductionmentioning

confidence: 99%

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The Perception of Physical Health Status in Obsessive-Compulsive Disorder: A Systematic Review and Meta-Analysis

Pozza¹,

Ferretti²,

Coluccia³

2019

CPEMH

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Background:Physical Health Status is a neglected outcome in clinical practice with Obsessive-Compulsive Disorder (OCD) and a systematic review is lacking.Objective:The current study presents the first systematic review and meta-analysis summarizing the evidence on (a) perceived Physical Health Status, Bodily Pain and Role Limitations due to Physical Problems in patients with OCD compared with controls, (b) age, gender, severity of OCD symptoms, study publication date, study methodological quality as moderators of perceived Physical Health Status.Methods:Case-control studies were included if they (a) compared OCD patients with healthy/general population participants as controls, and (b) used validated self-report instruments. Two reviewers searched electronic databases, contacted corresponding authors, and examined reference lists/conference proceedings/theses.Results:Fourteen studies were included. A large significant negative effect size without publication bias showed that controls reported higher perceived Physical Health Status than patients with OCD. Medium and small effect sizes favouring controls emerged for Role Limitations due to Physical Problems and Bodily Pain, respectively. Higher age, females percentage, and publication date were associated with larger effect sizes; higher OCD severity and methodological quality were associated with smaller effect sizes.Conclusion:Perceived Physical Health should be evaluated and addressed by clinicians during treatment, particularly with older, female and less severe patients. Lifestyle interventions might be implemented.

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Symptoms of health anxiety in obsessive–compulsive disorder: Relationship with treatment outcome and metacognition

Cited by 24 publications

References 53 publications

Is metacognition a causal moderator of the relationship between catastrophic misinterpretation and health anxiety? A prospective study

Is metacognition a causal moderator of the relationship between catastrophic misinterpretation and health anxiety? A prospective study

Self-esteem and cyberchondria: The mediation effects of health anxiety and obsessive–compulsive symptoms in a community sample

The Perception of Physical Health Status in Obsessive-Compulsive Disorder: A Systematic Review and Meta-Analysis

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