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Gepubliceerd in: Cognitive Therapy and Research 1/2020

13-11-2019 | Original Article

Autobiographical Memory and Episodic Future Thinking in Severe Health Anxiety: A Comparison with Obsessive–Compulsive Disorder

Auteurs: Tine B. Gehrt, Lisbeth Frostholm, Marie-Louise Obermann, Dorthe Berntsen

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 1/2020

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Abstract

Severe health anxiety is characterized by intrusive worries about harboring a serious illness. In the present study, 32 patients with severe health anxiety, 32 control participants and a clinical control group of 33 patients with obsessive–compulsive disorder (OCD) reported unprompted and anxiety-related autobiographical memories and episodic future thoughts. Compared to control participants, the patient groups displayed similar patterns in the characteristics of the reported events and regarding the maladaptive cognitive and behavioral strategies used, when the events came to mind. Patients with severe health anxiety reported more events related to their own illness or death than either of the other groups, and exploratory analyses suggested that they were more inclined than OCD patients to check their own bodies when anxiety-related events came to mind. Autobiographical memories and episodic future thoughts have not previously been examined in patients with severe health anxiety, but could play an important role in this disorder.
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1
Severe health anxiety is termed hypochondriasis in the ICD-10 and ICD-11 (World Health Organization (WHO) 1992, 2019), and illness anxiety disorder or somatic symptom disorder (Newby et al. 2017) in the DSM-5 (American Psychiatric Association, 2013).
 
2
In addition to the items reported in this article, participants completed a series of questionnaires addressing individual differences in cognition, which will be reported elsewhere.
 
3
Distance from present age to the reported events was measured in days for the everyday events. For the anxiety-related events, participants noted the age at which the event happened/might happen. One participant reported an age one year older than his/her current age in the anxiety-related past event. The written description of the event indicated that it was a past event, and the value was changed to the participant’s current age. Nine participants indicated an age lower than their current age in the anxiety-related future event. Of these, three indicated their age at the future event to be zero, this value was changed to the participant’s current age. Six participants reported other values and were treated as missing. The written descriptions of all nine events indicated that they were future events.
 
4
Simple effects analyses for interactions are reported more fully in Supplemental material C.
 
5
Simple effects analyses for interactions are reported more fully in Supplemental material C.
 
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Metagegevens
Titel
Autobiographical Memory and Episodic Future Thinking in Severe Health Anxiety: A Comparison with Obsessive–Compulsive Disorder
Auteurs
Tine B. Gehrt
Lisbeth Frostholm
Marie-Louise Obermann
Dorthe Berntsen
Publicatiedatum
13-11-2019
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 1/2020
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-019-10058-3

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