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

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UNIVERSITY OF REGINA FACULTY OF GRADUATE STUDIES AND RESEARCH SUPERVISORY AND EXAMINING COMMITTEE Candice Vanessa Bovell, candidate for the degree of Doctor of Philosophy in Psychology, has presented a thesis titled, Randomized Controlled Feasibility Trial of a Self-Help Book for Health Anxiety, in an oral examination held on March 30, 2012. The following committee members have found the thesis acceptable in form and content, and that the candidate demonstrated satisfactory knowledge of the subject material. External Examiner: Dr. G. Ron Norton, University of Winnipeg Supervisor: Dr. Gordon Asmundson, Department of Psychology Committee Member: *Dr. Heather Hadjistavropoulos, Department of Psychology Committee Member: Dr. Richard MacLennan, Department of Psychology Committee Member: Dr. David Malloy, Faculty of Kinesiology & Health Studies Chair of Defense: Dr. Dongyan Blachford, Faculty of Graduate Studies and Research *Not present at defense
Abstract The purpose of this feasibility study was to determine the efficacy of a cognitive- behaviour therapy (CBT) self-help book for health anxiety titled, It’s Not All in Your Head (Asmundson & Taylor, 2005) relative to a wait-list control. It was hypothesized that using a CBT self-help book would be a more efficacious treatment than wait-list control. Health anxiety is marked by anxious preoccupation about having a physical disease, based on the catastrophic misinterpretation of innocuous bodily sensations. It is associated with unpleasant physiological, behavioural, cognitive, and affective symptoms. When elevated, health anxiety affects an individual‘s interpersonal relationships, especially with his or her doctor, and increases health utilization of primary care, diagnostic tests, and secondary care resources (Conradt, Cavanagh, Franklin, & Rief, 2006). Although once regarded as a chronic disorder resistant to treatment and often associated with a poor prognosis (Avia, Ruiz, Olivares, & Crespo, 1996; Barsky, Bailey, Fama, & Ahern), there are now several empirically-supported treatment options (Taylor, Asmundson, & Coons, 2005). In particular, CBT treatments that aim to identify maladaptive thoughts and behaviours and replace them with healthy and adaptive ones, have been proven effective, and are the treatment of choice for many (Furer, Walker, & Freeston, 2001). The development of CBT programs for treating elevated health anxiety has progressed to the point where widely accessible self-help options are available. In this trial, 14 volunteers experiencing health anxiety were recruited. Participants were i
Page 1: RANDOMIZED CONTROLLED FEASIBILITY T
Page 5 and 6: Acknowledgement This research was f
Page 7 and 8: Table of Contents Abstract………
Page 9 and 10: 3.2.1. Content analysis…………
Page 11 and 12: List of figures Figure 1. The cogni
Page 13 and 14: Table C7. Comparison of WLC pre- an
Page 15 and 16: this study will inform a future, la
Page 17 and 18: Disorders Draft (APA, 2010) propose
Page 19 and 20: The cognitive symptoms of health an
Page 21 and 22: somatosensory amplification have a
Page 23 and 24: clients with health anxiety from cl
Page 25 and 26: Interview Schedule [Robins, Helzer,
Page 27 and 28: Today, effective clinically-support
Page 29 and 30: decreased disease conviction, witho
Page 31 and 32: identification and reattribution of
Page 33 and 34: within treatment sessions and as ho
Page 35 and 36: more efficacious than wait-list con
Page 37 and 38: participants‘ functioning. The CB
Page 39 and 40: at follow-up (e.g., Bouman, 2002, a
Page 41 and 42: et al., 2003). Self-help treatments
Page 43 and 44: 1.2. Statement of purpose The purpo
Page 45 and 46: an Internet format because it was m
Page 47 and 48: � Do you carry things to use in t
Page 49 and 50: dimensional scales: (a) affective s
Page 51 and 52: severe (15 - 19), and extremely sev
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86 indicate a poor alliance. The HA
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included depression symptoms, gener
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mailed Part 1, Part 2, and Part 3 o
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equests were honored. All randomize
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literature; therefore, we had reaso
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3. RESULTS 3.1. Quantitative data a
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Table 2 Demographic statistics Mean
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Table 3 Comparison of SHB pre- and
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was no significant change (t = 1.28
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subscale (n = 5); T1 M = 16.80 (SD
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treatment participants would have o
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At T2 there were significant differ
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Table 7 SHB and WLC effect size and
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sample size or greater effect size
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3.2.1. Content analysis 3.2. Qualit
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analysis resulted in the descriptio
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During the creating subcategories a
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coded the entire data set. There we
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anxiety. After ethical clearance wa
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SHB group symptoms when compared to
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pain, fatigue, and poor health, tha
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3.4. Limitations The results of thi
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usy schedules, worry about reading
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attery of tests is not recommended
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ecommended that the program is exte
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4. REFERENCES American Psychiatric
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Barsky, A. J., Geringer, E., & Wool
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Coull, G, & Morris, P. G. (2011). T
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Furer, P., Walker, J. R., & Freesto
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Lidbeck, J. (1997). Group therapy f
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Nguyen, T. D., Attkisson, C. C., &
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Salkovskis, P. M., Rimes, K. A., Wa
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Taylor, S., Thordarson, D. S., Jang
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5. APPENDICIES Appendix A Contents
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o Week 4 o Week 5 o Things to Remem
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Appendix B SELF-HELP PROGRAM FOR HE
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Table C2 Comparison of SHB complete
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Table C4 Comparison of SHB and WLC
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Table C6 Comparison of WLC pre- and
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Appendix D Draft of unconstrained c
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Questionnaires the questionnaires T
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