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Contents of It's not All in Your Head by Asmundson and Taylor

Contents of It's not All in Your Head by Asmundson and Taylor

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1. INTRODUCTION AND LITERARTURE REVIEW<br />

Health anxiety is a psychological construct that ranges on a cont<strong>in</strong>uum from<br />

normal health awareness to hypochondriasis <strong>in</strong> its extreme form (<strong>Taylor</strong> & <strong>Asmundson</strong>,<br />

2004). Individuals with health anxiety believe they are physically ill, are <strong>of</strong>ten<br />

hypervigilant to bodily sensations <strong>and</strong> changes, <strong>and</strong> experience recurrent thoughts about<br />

serious disease (<strong>Taylor</strong> & <strong>Asmundson</strong>, 2004). Until recently, there were no effective<br />

treatments for health anxiety (Avia, Ruiz, Olivares, & Crespo, 1996; Barsky, Bailey,<br />

Fama, & Ahern, 2000; Barsky, Ger<strong>in</strong>ger, & Wool, 1988; <strong>Taylor</strong> & <strong>Asmundson</strong>, 2004);<br />

however, a number <strong>of</strong> empirically supported treatment options such as cognitive-<br />

behavioural therapy (CBT) are now available (<strong>Taylor</strong>, <strong>Asmundson</strong>, & Coons, 2005).<br />

Dur<strong>in</strong>g a typical CBT protocol for health anxiety, <strong>in</strong>dividuals learn about the<br />

nature <strong>of</strong> health-related anxiety, are exposed to health <strong>and</strong> disease-related stimuli, endure<br />

the associated anxiety, <strong>and</strong> learn that the outcomes <strong>of</strong> anxiety will <strong>not</strong> be catastrophic<br />

(<strong>Taylor</strong> & <strong>Asmundson</strong>, 2004). Most recently, efforts have been directed at translat<strong>in</strong>g<br />

therapist-delivered CBT treatments <strong>in</strong>to more accessible self-help programs for health<br />

anxiety <strong>and</strong> a spectrum <strong>of</strong> related disorders (i.e., the health anxiety disorders). However,<br />

these approaches have <strong>not</strong> received much empirical scrut<strong>in</strong>y <strong>and</strong> warrant further<br />

<strong>in</strong>vestigation. The purpose <strong>of</strong> this feasibility trial was to determ<strong>in</strong>e the efficacy (capacity<br />

for beneficial change) <strong>of</strong> a CBT self-help book for health anxiety (i.e., It’s Not <strong>All</strong> <strong>in</strong> <strong>Your</strong><br />

<strong>Head</strong>, <strong>Asmundson</strong> & <strong>Taylor</strong>, 2005), relative to a wait-list control group. The f<strong>in</strong>d<strong>in</strong>gs <strong>of</strong><br />

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