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01-06-2013 | Brief Report

The Effects of Attention Training on the Perception of Bodily Sensations in Patients with Hypochondriasis: A Randomized Controlled Pilot Trial

Auteurs: Florian Weck, Julia M. B. Neng, Ulrich Stangier

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 3/2013

Abstract

The theory of somatosensory amplification, cognitive-behavioral models, and empirical research underline the importance of selective attention to bodily sensations for the maintenance of hypochondriasis. Thirty-six patients with the diagnosis of DSM-IV hypochondriasis were randomly assigned to Cognitive Therapy (CT) or Exposure Therapy (ET). In the current study, the first three sessions of CT served as an attention modification group (AMG), including attention training, and the first three sessions of ET served as an active control group (ACG), which did not include any attention-related interventions. After AMG and ACG, both patients and therapists reported a significant reduction of health-related anxieties, which did not differ significantly between the two groups. However, only in the AMG was a significant reduction of body-focused attention (d = 0.36) found. Attention-focused interventions were effective in reducing attention to bodily sensations, but the reduction of body-focused attention was not a necessary condition for the change in health anxiety.

vorige artikel Commentary on the Distress Tolerance Special Issue

volgende artikel Automatic Evaluative Processes in Health Anxiety and Their Relations to Emotion Regulation

American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text revision). Washington, DC: American Psychiatric Association.

Barsky, A. J., & Wyshak, G. (1990). Hypochondriasis and somatosensory amplification. British Journal of Psychiatry, 157, 404–409.PubMedCrossRef

Buwalda, F. M., Bouman, T. K., & van Duijn, M. A. J. (2006). Psychoeducation for hypochondriasis: A comparison of a cognitive-behavioural approach and a problem-solving approach. Behaviour Research and Therapy, 45, 887–899.PubMedCrossRef

Derogatis, L. R., & Melisaratos, N. (1983). The brief symptom inventory: An introductory report. Psychological Medicine, 13, 595–605.PubMedCrossRef

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.

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.

Hedman, E., Ljótsson, B., Andersson, E., Rück, C., Andersson, G., & Lindefors, N. (2010). Effectiveness and cost offset analysis of group CBT for hypochondriasis delivered in a psychiatric setting: An open trial. Cognitive Behaviour Therapy, 39, 239–250.PubMedCrossRef

Hiller, W., Rief, W., & Fichter, M. M. (2002). Dimensional and categorical approaches to hypochondriasis. Psychological Medicine, 32, 707–718.PubMedCrossRef

Kellner, R. (1986). Somatization and hypochondriasis. New York: Praeger Publishers.

Longley, S. L., Watson, D., & Noyes, R. (2005). Assessment of the hypochondriasis domain: The multidimensional inventory of hypochondriacal traits (MIHT). Psychological Assessment, 17, 3–14.PubMedCrossRef

Marcus, D. K., Gurley, J. R., Marchi, M. M., & Bauer, C. (2007). Cognitive and perceptual variables in hypochondriasis and health anxiety: A systematic review. Clinical Psychology Review, 27, 127–139.PubMedCrossRef

Olatunji, B. O., Etzel, E. N., Tomarken, A. J., Ciesielski, B. G., & Deacon, B. (2011). The effects of safety behaviors on health anxiety: An experimental investigation. Behavior Research and Therapy, 49, 719–728.CrossRef

Papageorgiou, C., & Wells, A. (1998). Effects of attention training on hypochondriasis: A brief case series. Psychological Medicine, 28, 193–200.PubMedCrossRef

Papageorgiou, C., & Wells, A. (2000). Treatment of recurrent major depression with attention training. Cognitive and Behavioral Practice, 7, 407–413.CrossRef

Sirri, L., Grandi, S., & Fava, G. A. (2008). The illness attitude scales. Psychotherapy and Psychosomatics, 77, 337–350.PubMedCrossRef

Visser, S., & Bouman, T. K. (2001). The treatment of hypochondriasis: Exposure plus response prevention vs. cognitive therapy. Behaviour Research and Therapy, 39, 423–442.PubMedCrossRef

Warwick, H. M. C., & Salkovskis, P. M. (1990). Hypochondriasis. Behaviour Research and Therapy, 28, 105–117.PubMedCrossRef

Weck, F., Bleichhardt, G., & Hiller, W. (2009). The factor structure of the illness attitude scales in a German population. International Journal of Behavioral Medicine, 16, 164–171.PubMedCrossRef

Weck, F., Neng, J. M. B., Richtberg, S., & Stangier, U. (2012). Dysfunctional beliefs about symptoms and illness in patients with hypochondriasis. Psychosomatics, 53, 148–154.PubMedCrossRef

Wells, A. (1990). Panic disorder in association with relaxation induced anxiety: An attentional training approach to treatment. Behavior Therapy, 21, 273–280.CrossRef

Wells, A., White, J., & Carter, K. (1997). Attention training: Effects on anxiety and beliefs in panic and social phobia. Clinical Psychology and Psychotherapy, 4, 226–232.CrossRef

Wittchen, H.-U., & Fydrich, T. (1997). Strukturiertes Klinische Interview für DSM-IV [Structured clinical interview for DSM-IV]. Göttingen: Hogrefe.

Wittchen, H.-U., Zaudig, M., Spengler, P., Mombour, W., Hiller, W., Essau, C. A., et al. (1991). Wie zuverlässig ist operationalisierte Diagnostik?—Die Test-Retest-Reliabilität des Strukturierten Klinischen Interviews für DSM-III-R [How reliable are operationalized diagnoses?—The test-retest reliability of the structured clinical interview for DSM-III-R]. Zeitschrift für Klinische Psychologie, 20, 136–153.

Witthöft, M., Haaf, A., Rist, F., & Bailer, J. (2010). Erfassung von Krankheitsangst mit dem multidimensional inventory of hypochondriacal traits (MIHT) [German validation of the Multidimensional Inventory of Hypochondriacal Traits (MIHT)]. Diagnostica, 56, 2–12.CrossRef

Titel: The Effects of Attention Training on the Perception of Bodily Sensations in Patients with Hypochondriasis: A Randomized Controlled Pilot Trial
Auteurs: Florian Weck
Julia M. B. Neng
Ulrich Stangier
Publicatiedatum: 01-06-2013
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 3/2013
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-012-9482-3

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