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

More documents

Recommendations

Info

Table 1 Clinical features of health anxiety Symptoms Description Cognitive � Disease conviction: Belief that one has a serious disease � Disease preoccupation: Selective attention, recurrent thoughts, and intrusive images of disease and death � Hypervigilance to bodily sensations and changes � Difficulty accepting medical reassurance � Somatosensory amplification: Benign bodily changes and sensations (e.g., blemishes, mild aches and pains) that are misinterpreted Somatic � Anxiety-related bodily reactions (e.g., palpitations) Affective � Fear of currently having a harmful disease � Fear of contracting a harmful disease in the future � Fear or anxiety of exposure to disease-related stimuli Behavioural � Repeatedly checking one‘s body � Reassurance seeking (e.g., from physicians or significant others) that one does not have serious symptoms or disease � Repeated requests for medical tests � Checking other sources of medical information (e.g., Internet searches of medical websites) � Avoiding or escaping disease-related stimuli Note. Adapted from Taylor & Asmundson, 2004. 7
somatosensory amplification have a lower threshold for physical discomfort, focus more on bodily sensations, and perceive normal bodily sensations to be intensified and unpleasant (Barsky et al., 1988). Recent research has suggested that some people may have a genetic predisposition for these somatic symptoms (Taylor, Thordarson, Jang, & Asmundson, 2006). People with health anxiety experience health-related fears (see Table 1). The dominant fear is that of having a harmful disease (Taylor & Asmundson, 2004). Another related fear is the fear that one may contract a harmful disease (Taylor & Asmundson, 2004). For example, when people with health anxiety are exposed to bodily sensations or other disease-related stimuli (e.g., sick people, hospitals, health professionals, the Internet, health programs, newspaper and magazine articles), they often become anxious and exhibit anxiety symptoms (Taylor & Asmundson, 2004; Wattar et al., 2005). Fear and anxiety specific to having or contracting a disease are distinguishing features of health anxiety. When someone with health anxiety experiences health-related fear there is usually a behavioural reaction (Taylor & Asmundson, 2004; see Table 1). These reactions can include seeking reassurance from other people, repeatedly checking or examining the body, or seeking medical help and other remedies. This can lead to doctor shopping (finding and visiting various doctors), numerous tests, over-the-counter remedies, self- diagnosis, and do-it-yourself treatments. Individuals with health anxiety increase health 8
Page 1 and 2: RANDOMIZED CONTROLLED FEASIBILITY T
Page 3 and 4: Abstract The purpose of this feasib
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: The cognitive symptoms of health an
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
Page 53 and 54: 86 indicate a poor alliance. The HA
Page 55 and 56: included depression symptoms, gener
Page 57 and 58: mailed Part 1, Part 2, and Part 3 o
Page 59 and 60: equests were honored. All randomize
Page 61 and 62: literature; therefore, we had reaso
Page 63 and 64: 3. RESULTS 3.1. Quantitative data a
Page 65 and 66: Table 2 Demographic statistics Mean
Page 67 and 68: Table 3 Comparison of SHB pre- and
Page 69 and 70: was no significant change (t = 1.28
Page 71 and 72:
subscale (n = 5); T1 M = 16.80 (SD
Page 73 and 74:
treatment participants would have o
Page 75 and 76:
At T2 there were significant differ
Page 77 and 78:
Table 7 SHB and WLC effect size and
Page 79 and 80:
sample size or greater effect size
Page 81 and 82:
3.2.1. Content analysis 3.2. Qualit
Page 83 and 84:
analysis resulted in the descriptio
Page 85 and 86:
During the creating subcategories a
Page 87 and 88:
coded the entire data set. There we
Page 89 and 90:
anxiety. After ethical clearance wa
Page 91 and 92:
SHB group symptoms when compared to
Page 93 and 94:
pain, fatigue, and poor health, tha
Page 95 and 96:
3.4. Limitations The results of thi
Page 97 and 98:
usy schedules, worry about reading
Page 99 and 100:
attery of tests is not recommended
Page 101 and 102:
ecommended that the program is exte
Page 103 and 104:
4. REFERENCES American Psychiatric
Page 105 and 106:
Barsky, A. J., Geringer, E., & Wool
Page 107 and 108:
Coull, G, & Morris, P. G. (2011). T
Page 109 and 110:
Furer, P., Walker, J. R., & Freesto
Page 111 and 112:
Lidbeck, J. (1997). Group therapy f
Page 113 and 114:
Nguyen, T. D., Attkisson, C. C., &
Page 115 and 116:
Salkovskis, P. M., Rimes, K. A., Wa
Page 117 and 118:
Taylor, S., Thordarson, D. S., Jang
Page 119 and 120:
5. APPENDICIES Appendix A Contents
Page 121 and 122:
o Week 4 o Week 5 o Things to Remem
Page 123 and 124:
Appendix B SELF-HELP PROGRAM FOR HE
Page 125 and 126:
Table C2 Comparison of SHB complete
Page 127 and 128:
Table C4 Comparison of SHB and WLC
Page 129 and 130:
Table C6 Comparison of WLC pre- and
Page 131 and 132:
Appendix D Draft of unconstrained c
Page 133 and 134:
Questionnaires the questionnaires T
show all

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

Create successful ePaper yourself

Delete template?

Save as template?