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

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The cognitive symptoms <strong>of</strong> health anxiety comprise various mistaken beliefs<br />

called, cognitive distortions (<strong>Taylor</strong> & <strong>Asmundson</strong>, 2004; see Table 1). Individuals with<br />

health anxiety experience disease conviction (i.e., the belief they are physically ill),<br />

hypervigilance to bodily sensations <strong>and</strong> changes, <strong>and</strong> recurrent thoughts about serious<br />

disease. These mis<strong>in</strong>terpretations are ma<strong>in</strong>ta<strong>in</strong>ed <strong>by</strong> selective attention <strong>in</strong> that people with<br />

health anxiety may have a memory bias for pa<strong>in</strong> words, a bias towards social <strong>and</strong> illness<br />

threats, <strong>and</strong> a tendency to mis<strong>in</strong>terpret health <strong>in</strong>formation (Hadjistavropoulos,<br />

Hadjistavropoulos, & Qu<strong>in</strong>e, 2000; Owens, <strong>Asmundson</strong>, Hadjistavropoulos, & Owens,<br />

2004). They also tend to have negative estimates <strong>of</strong> health outcomes <strong>and</strong> expect to be at<br />

higher risk for medical complications (Avia & Ruiz, 2005). Individuals with health<br />

anxiety may have <strong>in</strong>creased somatosensory amplification (i.e., a tendency to focus<br />

attention on bodily sensations <strong>and</strong> mis<strong>in</strong>terpret those sensations; Bleichhardt, Timmer, &<br />

Rief, 2005). Therefore, health anxiety has a pervasive impact on many areas <strong>of</strong> a person‘s<br />

cognitive function<strong>in</strong>g.<br />

The primary somatic feature <strong>of</strong> health anxiety is the tendency to overestimate the<br />

seriousness <strong>of</strong> bodily sensations, fluctuations, <strong>and</strong> symptoms <strong>of</strong> general medical<br />

conditions (<strong>Taylor</strong> & <strong>Asmundson</strong>, 2004; see Table 1). As a result, these symptoms are<br />

<strong>not</strong> attributed to common causes such as age, changes <strong>in</strong> diet, overwork, or fatigue<br />

(Barsky et al., 1988) <strong>and</strong> people with health anxiety become preoccupied with the<br />

mean<strong>in</strong>g general health symptoms (<strong>Taylor</strong> & <strong>Asmundson</strong>, 2004). People with<br />

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