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Gepubliceerd in: Cognitive Therapy and Research 4/2011

01-08-2011 | Original Article

Explicit and Implicit Anxiety: Differences Between Patients with Hypochondriasis, Patients with Anxiety Disorders, and Healthy Controls

Auteurs: Florian Weck, Gaby Bleichhardt, Michael Witthöft, Wolfgang Hiller

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 4/2011

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Abstract

Empirical research has found comparable levels of anxiety in patients with hypochondriasis and those with various anxiety disorders. However, the majority of these investigations were based exclusively on questionnaires (Q-data). In the present study, we included the implicit association task-anxiety (IAT-anxiety; Egloff and Schmukle in J Personal Soc Psychol, 83:1441–1455 2002) as an implicit test (T-data) of anxiety. Results showed that patients with hypochondriasis (n = 36) and those with anxiety disorders (n = 25) did not differ with respect to explicit (brief symptom inventory) or implicit measures (IAT-anxiety) of anxiety, with both groups exhibiting higher values than healthy controls (n = 34). For measures of hypochondriacal attributes (illness attitude scales), patients with hypochondriasis exhibited the highest values, and the values of patients with anxiety disorders lay between those of healthy controls and those of hypochondriacal patients. The results indicate a clear overlap between hypochondriasis and anxiety disorders with respect to explicit and implicit measures of anxiety.
Literatuur
go back to reference Abramowitz, J. S., Olatunji, B. O., & Deacon, B. J. (2007). Health anxiety, hypochondriasis, and the anxiety disorders. Behavior Therapy, 38, 86–94.PubMedCrossRef Abramowitz, J. S., Olatunji, B. O., & Deacon, B. J. (2007). Health anxiety, hypochondriasis, and the anxiety disorders. Behavior Therapy, 38, 86–94.PubMedCrossRef
go back to reference American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (text revision) (4th ed.). Washington, D.C.: APA.CrossRef American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (text revision) (4th ed.). Washington, D.C.: APA.CrossRef
go back to reference Barsky, A. J., Barnett, M. C., & Cleary, P. D. (1994). Hypochondriasis and panic disorder–boundary and overlap. Archives of General Psychiatry, 51, 918–925.PubMed Barsky, A. J., Barnett, M. C., & Cleary, P. D. (1994). Hypochondriasis and panic disorder–boundary and overlap. Archives of General Psychiatry, 51, 918–925.PubMed
go back to reference Barsky, A. J., Wyshak, G., & Klerman, G. L. (1992). Psychiatric comorbidity in DSM-III-R hypochondriasis. Archives of General Psychiatry, 49, 101–108.PubMed Barsky, A. J., Wyshak, G., & Klerman, G. L. (1992). Psychiatric comorbidity in DSM-III-R hypochondriasis. Archives of General Psychiatry, 49, 101–108.PubMed
go back to reference Boulet, J., & Boss, M. W. (1991). Reliability and validity of the brief symptom inventory. Psychological Assessment, 3, 433–437.CrossRef Boulet, J., & Boss, M. W. (1991). Reliability and validity of the brief symptom inventory. Psychological Assessment, 3, 433–437.CrossRef
go back to reference Broday, S. F., & Mason, J. L. (1991). Internal consistency of the brief symptom inventory for counseling-center clients. Psychological Reports, 68, 94.PubMedCrossRef Broday, S. F., & Mason, J. L. (1991). Internal consistency of the brief symptom inventory for counseling-center clients. Psychological Reports, 68, 94.PubMedCrossRef
go back to reference Cattell, R. B., & Warburton, F. W. (1967). Objective personality and motivation tests. Urbana: University of Illinois Press. Cattell, R. B., & Warburton, F. W. (1967). Objective personality and motivation tests. Urbana: University of Illinois Press.
go back to reference Deacon, B., & Abramowitz, J. S. (2008). Is hypochondriasis related to obsessive-compulsive disorder, panic disorder, or both? An empirical evaluation. Journal of Cognitive Psychotherapy, 22, 115–127.CrossRef Deacon, B., & Abramowitz, J. S. (2008). Is hypochondriasis related to obsessive-compulsive disorder, panic disorder, or both? An empirical evaluation. Journal of Cognitive Psychotherapy, 22, 115–127.CrossRef
go back to reference Derogatis, L. R. (1993). Brief symptom inventory (BSI): Administration, scoring and procedures manual (3rd ed.). Mineapolis: National Computer Services. Derogatis, L. R. (1993). Brief symptom inventory (BSI): Administration, scoring and procedures manual (3rd ed.). Mineapolis: National Computer Services.
go back to reference Derogatis, L. R., & Melisaratos, N. (1983). The brief symptom inventory: An introductory report. Psychological Medicine, 13, 595–605.PubMedCrossRef Derogatis, L. R., & Melisaratos, N. (1983). The brief symptom inventory: An introductory report. Psychological Medicine, 13, 595–605.PubMedCrossRef
go back to reference Egloff, B., & Schmukle, S. C. (2002). Predictive validity of an implicit association test for assessing anxiety. Journal of Personality and Social Psychology, 83, 1441–1455.PubMedCrossRef Egloff, B., & Schmukle, S. C. (2002). Predictive validity of an implicit association test for assessing anxiety. Journal of Personality and Social Psychology, 83, 1441–1455.PubMedCrossRef
go back to reference Egloff, B., Schwerdtfeger, A., & Schmukle, S. C. (2005). Temporal stability of the implicit association test-anxiety. Journal of Personality Assessment, 84, 82–88.PubMedCrossRef Egloff, B., Schwerdtfeger, A., & Schmukle, S. C. (2005). Temporal stability of the implicit association test-anxiety. Journal of Personality Assessment, 84, 82–88.PubMedCrossRef
go back to reference Egloff, B., Weck, F., & Schmukle, S. C. (2008). Thinking about anxiety moderates the relationship between implicit and explicit anxiety measures. Journal of Research in Personality, 42, 771–778.CrossRef Egloff, B., Weck, F., & Schmukle, S. C. (2008). Thinking about anxiety moderates the relationship between implicit and explicit anxiety measures. Journal of Research in Personality, 42, 771–778.CrossRef
go back to reference Fava, G. A., Fabbri, S., Sirri, L., & Wise, T. N. (2007). Psychological factors affecting medical condition: A new proposal for DSM-V. Psychosomatics, 48, 103–111.PubMedCrossRef Fava, G. A., Fabbri, S., Sirri, L., & Wise, T. N. (2007). Psychological factors affecting medical condition: A new proposal for DSM-V. Psychosomatics, 48, 103–111.PubMedCrossRef
go back to reference Fava, G. A., & Mangelli, L. (2001). Hypochondriasis and anxiety disorders. In V. Starcevic & D. R. Lipsitt (Eds.), Hypochondriasis (pp. 89–102). New York: Oxford University Press. Fava, G. A., & Mangelli, L. (2001). Hypochondriasis and anxiety disorders. In V. Starcevic & D. R. Lipsitt (Eds.), Hypochondriasis (pp. 89–102). New York: Oxford University Press.
go back to reference Fazio, R. H., & Olson, M. A. (2003). Implicit measures in social cognition research: Their meaning and use. Annual Review of Psychology, 54, 297–327.PubMedCrossRef Fazio, R. H., & Olson, M. A. (2003). Implicit measures in social cognition research: Their meaning and use. Annual Review of Psychology, 54, 297–327.PubMedCrossRef
go back to reference First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1997). Structured clinical interview for DSM-IV axis I disorder (SCID-I). Washington, DC: American Psychiatric Press. First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1997). Structured clinical interview for DSM-IV axis I disorder (SCID-I). Washington, DC: American Psychiatric Press.
go back to reference Franke, G. H. (2000). Brief symptom inventory von L. R. Derogatis (Kurzform der SCL-90-R)—Deutsche version. Manual. [Short version of the SCL-90-R—German version] Göttingen: Beltz Test GmbH. Franke, G. H. (2000). Brief symptom inventory von L. R. Derogatis (Kurzform der SCL-90-R)—Deutsche version. Manual. [Short version of the SCL-90-R—German version] Göttingen: Beltz Test GmbH.
go back to reference Gamer, J., Schmukle, S. C., Luka-Krausgrill, U., & Egloff, B. (2008). Examining the dynamics of the implicit and explicit self-concept in social anxiety: Changes in the implicit association test-anxiety and the social phobia anxiety inventory following treatment. Journal of Personality Assessment, 90, 476–480.PubMedCrossRef Gamer, J., Schmukle, S. C., Luka-Krausgrill, U., & Egloff, B. (2008). Examining the dynamics of the implicit and explicit self-concept in social anxiety: Changes in the implicit association test-anxiety and the social phobia anxiety inventory following treatment. Journal of Personality Assessment, 90, 476–480.PubMedCrossRef
go back to reference García-Campayo, J., Lobo, A., Pérez-Echeverría, J., & Campros, R. (1998). Three forms of somatization presenting in primary care settings in Spain. The Journal of Nervous and Mental Disease, 186, 554–560.PubMedCrossRef García-Campayo, J., Lobo, A., Pérez-Echeverría, J., & Campros, R. (1998). Three forms of somatization presenting in primary care settings in Spain. The Journal of Nervous and Mental Disease, 186, 554–560.PubMedCrossRef
go back to reference Greenwald, A. G., & Banaji, M. R. (1995). Implicit social cognition: Attitudes, self-esteem, and stereotypes. Psychological Review, 102, 4–27.PubMedCrossRef Greenwald, A. G., & Banaji, M. R. (1995). Implicit social cognition: Attitudes, self-esteem, and stereotypes. Psychological Review, 102, 4–27.PubMedCrossRef
go back to reference Greenwald, A. G., Banaji, M. R., Rudman, L. A., Farnham, S. D., Nosek, B. A., & Mellott, D. S. (2002). A unified theory of implicit attitudes, stereotypes, self-esteem, and self-concept. Psychological Review, 109, 3–25.PubMedCrossRef Greenwald, A. G., Banaji, M. R., Rudman, L. A., Farnham, S. D., Nosek, B. A., & Mellott, D. S. (2002). A unified theory of implicit attitudes, stereotypes, self-esteem, and self-concept. Psychological Review, 109, 3–25.PubMedCrossRef
go back to reference Greenwald, A. G., McGhee, D. E., & Schwartz, J. L. K. (1998). Measuring individual differences in implicit cognition: The implicit association test. Journal of Personality and Social Psychology, 74, 1464–1480.PubMedCrossRef Greenwald, A. G., McGhee, D. E., & Schwartz, J. L. K. (1998). Measuring individual differences in implicit cognition: The implicit association test. Journal of Personality and Social Psychology, 74, 1464–1480.PubMedCrossRef
go back to reference Greenwald, A. G., Nosek, B. A., & Banaji, M. R. (2003). Understanding and using the implicit association test: I. An improved scoring algorithm. Journal of Personality and Social Psychology, 85, 197–216.PubMedCrossRef Greenwald, A. G., Nosek, B. A., & Banaji, M. R. (2003). Understanding and using the implicit association test: I. An improved scoring algorithm. Journal of Personality and Social Psychology, 85, 197–216.PubMedCrossRef
go back to reference Hiller, W., Leibbrand, R., Rief, W., & Fichter, M. M. (2005). Differentiating hypochondriasis from panic disorder. Journal of Anxiety Disorders, 19, 29–49.PubMedCrossRef Hiller, W., Leibbrand, R., Rief, W., & Fichter, M. M. (2005). Differentiating hypochondriasis from panic disorder. Journal of Anxiety Disorders, 19, 29–49.PubMedCrossRef
go back to reference Hiller, W., & Rief, W. (2004). Internationale Skalen für Hypochondrie. Deutschsprachige Adaptation des Whiteley-Index (WI) und der illness attitude scales (IAS) (Manual) [International scales of hypochondriasis]. Bern: Huber. Hiller, W., & Rief, W. (2004). Internationale Skalen für Hypochondrie. Deutschsprachige Adaptation des Whiteley-Index (WI) und der illness attitude scales (IAS) (Manual) [International scales of hypochondriasis]. Bern: Huber.
go back to reference Hiller, W., Rief, W., & Fichter, M. M. (2002). Dimensional and categorical approaches to hypochondriasis. Psychological Medicine, 32, 707–718.PubMedCrossRef Hiller, W., Rief, W., & Fichter, M. M. (2002). Dimensional and categorical approaches to hypochondriasis. Psychological Medicine, 32, 707–718.PubMedCrossRef
go back to reference Hiller, W., Zaudig, M., & Mombour, W. (1996). IDCL. International diagnostic checklists for ICD-10 and DSM-IV. Seattle: Hogrefe & Huber Publishers. Hiller, W., Zaudig, M., & Mombour, W. (1996). IDCL. International diagnostic checklists for ICD-10 and DSM-IV. Seattle: Hogrefe & Huber Publishers.
go back to reference Hiller, W., Zaudig, M., Mombour, W., & Bronisch, T. (1993). Routine psychiatric examinations guided by ICD-10 diagnostic checklists (international diagnostic checklists). European Archives of Psychiatry and Clinical Neuroscience, 242, 218–223.PubMedCrossRef Hiller, W., Zaudig, M., Mombour, W., & Bronisch, T. (1993). Routine psychiatric examinations guided by ICD-10 diagnostic checklists (international diagnostic checklists). European Archives of Psychiatry and Clinical Neuroscience, 242, 218–223.PubMedCrossRef
go back to reference Kellner, R. (1986). Somatization and hypochondriasis. New York: Praeger Publishers. Kellner, R. (1986). Somatization and hypochondriasis. New York: Praeger Publishers.
go back to reference Kellner, R., Hernandez, J., & Pathak, D. (1992). Hypochondriacal fears and beliefs, anxiety, and somatisation. The British Journal of Psychiatry, 160, 525–532.PubMedCrossRef Kellner, R., Hernandez, J., & Pathak, D. (1992). Hypochondriacal fears and beliefs, anxiety, and somatisation. The British Journal of Psychiatry, 160, 525–532.PubMedCrossRef
go back to reference Kellner, R., Slocumb, J. C., Wiggins, R. J., Abbott, P. J., Romanik, R. L., Winslow, W. W., et al. (1987). The relationship of hypochondriacal fears and beliefs to anxiety and depression. Psychiatric Medicine, 4, 15–24. Kellner, R., Slocumb, J. C., Wiggins, R. J., Abbott, P. J., Romanik, R. L., Winslow, W. W., et al. (1987). The relationship of hypochondriacal fears and beliefs to anxiety and depression. Psychiatric Medicine, 4, 15–24.
go back to reference Noyes, R. (1999). The relationship of hypochondriasis to anxiety disorders. General Hospital Psychiatry, 21, 8–17.PubMedCrossRef Noyes, R. (1999). The relationship of hypochondriasis to anxiety disorders. General Hospital Psychiatry, 21, 8–17.PubMedCrossRef
go back to reference Noyes, R., Kathol, R. G., Fisher, M. M., Phillips, B. M., Suelzer, M. T., & Woodman, C. L. (1994). Psychiatric comorbidity among patients with hypochondriasis. Psychiatry and Primary Care, 16, 78–87. Noyes, R., Kathol, R. G., Fisher, M. M., Phillips, B. M., Suelzer, M. T., & Woodman, C. L. (1994). Psychiatric comorbidity among patients with hypochondriasis. Psychiatry and Primary Care, 16, 78–87.
go back to reference Noyes, R., Reich, J., Clancy, J., & O′Gorman, T. W. (1986). Reduction in hypochondriasis with treatment of panic disorder. British Journal of Psychiatry, 149, 631–635.PubMedCrossRef Noyes, R., Reich, J., Clancy, J., & O′Gorman, T. W. (1986). Reduction in hypochondriasis with treatment of panic disorder. British Journal of Psychiatry, 149, 631–635.PubMedCrossRef
go back to reference Olatunji, B. O., Deacon, B. J., & Abramowitz, J. S. (2009). Is hypochondriasis an anxiety disorder? The British Journal of Psychiatry, 194, 481–482.PubMedCrossRef Olatunji, B. O., Deacon, B. J., & Abramowitz, J. S. (2009). Is hypochondriasis an anxiety disorder? The British Journal of Psychiatry, 194, 481–482.PubMedCrossRef
go back to reference Pilowsky, I. (1967). Dimensions of hypochondriasis. British Journal of Psychiatry, 131, 89–93.CrossRef Pilowsky, I. (1967). Dimensions of hypochondriasis. British Journal of Psychiatry, 131, 89–93.CrossRef
go back to reference Salkovskis, P. M., & Clark, D. M. (1993). Panic disorder and hypochondriasis. Advances in Behaviour Research and Therapy, 15, 23–48.CrossRef Salkovskis, P. M., & Clark, D. M. (1993). Panic disorder and hypochondriasis. Advances in Behaviour Research and Therapy, 15, 23–48.CrossRef
go back to reference Salkovskis, P. M., Rimes, K. A., Warwick, H. M., & Clark, D. M. (2002). The health anxiety inventory: Development and validation of scales for the measurement of health anxiety and hypochondriasis. Psychological Medicine, 32, 843–853.PubMedCrossRef Salkovskis, P. M., Rimes, K. A., Warwick, H. M., & Clark, D. M. (2002). The health anxiety inventory: Development and validation of scales for the measurement of health anxiety and hypochondriasis. Psychological Medicine, 32, 843–853.PubMedCrossRef
go back to reference Schmidt, A. J. M. (1994). Bottlenecks in the diagnosis of hypochondriasis. Comprehensive Psychiatry, 35, 306–315.PubMedCrossRef Schmidt, A. J. M. (1994). Bottlenecks in the diagnosis of hypochondriasis. Comprehensive Psychiatry, 35, 306–315.PubMedCrossRef
go back to reference Sirri, L., Grandi, S., & Fava, G. A. (2008). The illness attitude scales. Psychotherapy and Psychosomatics, 77, 337–350.PubMedCrossRef Sirri, L., Grandi, S., & Fava, G. A. (2008). The illness attitude scales. Psychotherapy and Psychosomatics, 77, 337–350.PubMedCrossRef
go back to reference van den Heuvel, O. A., Veltman, D. J., Groenewegen, H. J., Witter, M. P., Merkelbach, J., Cath, D. C., et al. (2005). Disorder-specific neuroanatomical correlates of attentional bias in obsessive-compulsive disorders, panic disorder, and hypochondriasis. Archives of General Psychiatry, 62, 922–933.PubMedCrossRef van den Heuvel, O. A., Veltman, D. J., Groenewegen, H. J., Witter, M. P., Merkelbach, J., Cath, D. C., et al. (2005). Disorder-specific neuroanatomical correlates of attentional bias in obsessive-compulsive disorders, panic disorder, and hypochondriasis. Archives of General Psychiatry, 62, 922–933.PubMedCrossRef
go back to reference Weck, F., Bleichhardt, G., & Hiller, W. (2009). Stellen Erfahrungen mit Krankheiten einen spezifischen Risikofaktor für Krankheitsängste dar? [Are past experiences of illness specific predictors for health anxiety?]. Zeitschrift für Klinische Psychologie und Psychotherapie, 38, 89–99.CrossRef Weck, F., Bleichhardt, G., & Hiller, W. (2009). Stellen Erfahrungen mit Krankheiten einen spezifischen Risikofaktor für Krankheitsängste dar? [Are past experiences of illness specific predictors for health anxiety?]. Zeitschrift für Klinische Psychologie und Psychotherapie, 38, 89–99.CrossRef
Metagegevens
Titel
Explicit and Implicit Anxiety: Differences Between Patients with Hypochondriasis, Patients with Anxiety Disorders, and Healthy Controls
Auteurs
Florian Weck
Gaby Bleichhardt
Michael Witthöft
Wolfgang Hiller
Publicatiedatum
01-08-2011
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 4/2011
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-010-9303-5

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