Test of an Interpersonal Model of Hypochondriasis

Noyes, Russell; Stuart, Scott; Langbehn, Douglas R.; Happel, Rachel L.; Longley, Susan L.; Muller, Barbara A.; Yagla, Steven J.

doi:10.1097/01.psy.0000058377.50240.64

Cited by 115 publications

(98 citation statements)

References 43 publications

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“…Studies have shown neuroticism to be strongly positively associated with health anxiety (McClure & Lilienfeld, 2001;Noyes et al, 1994;. In interpersonal models of health anxiety, neuroticism has been shown to be a predictor of health anxiety and strongly associated with attachment styles (Noyes, 2003). Some authors have proposed that health anxiety may just be a manifestation of neuroticism (Watson, 2012).…”

Section: Accepted Manuscriptmentioning

confidence: 99%

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: Accepted Manuscriptmentioning

confidence: 99%

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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“…In a large (n ϭ 701) sample of female primary care patients in a health maintenance organization, Ciechanowski and colleagues (14) found that patients with insecure attachment styles reported a significantly greater number of physical symptoms than those with a secure attachment style, and the strongest association was between fearful attachment style and greater symptom reporting. Similarly, Noyes and colleagues (11) found that insecure attachment, especially fearful attachment, was associated with greater symptom reporting in a sample of 162 patients in a general medical clinic. A critical question is whether attachment style might help explain the associations found previously between childhood trauma and adult somatic symptoms.…”

Section: Attachment and Somatizationmentioning

confidence: 99%

“…Bowlby (10) first proposed the idea that repeated interactions between infants and their caregivers prompt infants to develop models of both seeking and receiving care from those on whom they depend. These models, or attachment styles, tend to persist throughout life and influence the expectations that people bring to their dealings with others, particularly to their dealings with those they might depend on for needed support or advice such as family members, romantic partners, and physicians (11). Bartholomew and Horowitz (12) empirically validated a classification system of one secure and three insecure adult attachment styles.…”

Section: Attachment and Somatizationmentioning

confidence: 99%

Mapping the Road From Childhood Trauma to Adult Somatization: The Role of Attachment

Waldinger

Schulz

Barsky

et al. 2006

Psychosomatic Medicine

224

125

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Objective: This study tested whether insecure attachment mediates the link between childhood trauma and adult somatization. Methods: A community sample of 101 couples completed self-report measures, including the Relationship Scales Questionnaire, the Childhood Trauma Questionnaire, the Somatic Symptom Inventory, the Beck Depression Inventory, and the Conflict Tactics Scale. Results: Childhood trauma was associated with higher levels of somatization and insecure attachment. Insecure attachment style was also associated with higher levels of somatization. Controlling for age, income, and recent intimate partner violence, analyses showed that fearful attachment fully mediated the link between childhood trauma and somatization for women. For men, there was no such mediation, but both childhood trauma and insecure attachment styles made independent contributions to predicting levels of somatization. Conclusions: Findings are consistent with the hypothesis that, for women, childhood trauma influences adult levels of somatization by fostering insecure adult attachment. For men, findings suggest that trauma and attachment are both important independent predictors of adult somatization. Study results support the idea that childhood trauma shapes patients' styles of relating to others in times of need, and these styles, in turn, influence the somatization process and how patients respond to providers. Screening for attachment style may provide information that could allow health care providers to tailor treatment more effectively.

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“…The main disorder accompanying health anxiety is hypochondriasis, but this also commonly occurs in other somatic symptom disorders. 10 The aim of the present study was to investigate health anxiety and depressive symptoms in patients with FMS, and also to explore whether any relationships exist among health anxiety and disease activity scores (FIQ), pain levels (VAS) and depression scales.…”

Section: Introductionmentioning

confidence: 99%

Health anxiety and depression in patients with fibromyalgia syndrome

et al. 2015

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Objectives: To investigate health anxiety and depressive symptoms in patients with fibromyalgia syndrome (FMS). Methods: Patients with FMS and healthy control subjects were recruited. All participants completed the Health Anxiety Inventory Short Form (HAI-SF) and Beck Depression Inventory (BDI). Pain was assessed in patients with FMS using the Fibromyalgia Impact Questionnaire (FIQ) and Visual Analogue Scale (VAS). Results: This study involved 95 patients with FMS (15 male) and 95 healthy controls (17 male). Mean AE SD HAI-SF and BDI scores were significantly higher in patients with FMS ¼ than in controls¼. HAI-SF scores were 23.50 AE 10.78 and 9.38 AE 4.24 respectively; BDI scores were 18.64 AE 10.11 and 6.21 AE 4.05 respectively. There were highly significant correlations between FIQ and HAI-SF, FIQ and BDI, and HAI-SF and BDI. Conclusions: Patients with FMS had significantly higher HAI-SF and BDI scores than healthy controls. Psychiatric support is essential for patients with FMS. Treatment should include biological, psychological and social approaches.

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Test of an Interpersonal Model of Hypochondriasis

Abstract: The findings indicate that hypochondriacal patients are insecurely attached and have interpersonal problems that extend to and include the patient-physician relationship. These data support the proposed interpersonal model of hypochondriasis.

Cited by 115 publications

References 43 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

Mapping the Road From Childhood Trauma to Adult Somatization: The Role of Attachment

Health anxiety and depression in patients with fibromyalgia syndrome

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