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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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up (<strong>Taylor</strong> et al., 2005). BSM may also be especially useful for <strong>in</strong>dividuals with<br />

comorbid disorders that are aggravated <strong>by</strong> stress. More research is needed to determ<strong>in</strong>e if<br />

BSM is as efficacious as CBT <strong>and</strong> to dist<strong>in</strong>guish the cl<strong>in</strong>ically important components that<br />

are common to both therapies.<br />

The efficacy <strong>of</strong> treatments for health anxiety (e.g., psychoeducation, cognitive<br />

therapy, behavioural therapy, ERP, CBT, <strong>and</strong> BSM) has been compared <strong>in</strong> many studies<br />

(e.g., Avia et al., 1996; Bouman & Visser, 1998; Clark et al., 1998; Fava, Gr<strong>and</strong>i,<br />

Rafanelli, Fabbri, & Cazzaro, 2000; Lidbeck, 1997; Speckens et al., 1995; Stern &<br />

Fern<strong>and</strong>ez, 1991; Visser & Bouman, 2001; Warwick et al., 1996). In these studies, effect<br />

sizes <strong>of</strong> treatments were calculated based on participants‘ scores on global measures <strong>of</strong><br />

health anxiety, anxiety, <strong>and</strong> depression (e.g., WI, Beck Anxiety Inventory [BAI], Beck<br />

Depression Inventory [BDI]) <strong>and</strong> have been expressed as Cohen‘s d statistic (1998). A<br />

small effect size or d is 0.20, a medium effect size is 0.50, <strong>and</strong> large effect size is 0.80 or<br />

higher (Cohen, 1988). Most <strong>of</strong> the treatments exam<strong>in</strong>ed were 6 to 21weeks <strong>in</strong> duration<br />

<strong>and</strong> had small sample sizes (6 – 79 participants). In these studies, more participants<br />

tended to drop out <strong>of</strong> the psychosocial treatment groups (2% - 13%) compared to the<br />

control groups (0 %).<br />

Psychosocial treatments (e.g., Avia et al., 1996; Bouman & Visser, 1998; Clark et<br />

al., 1998; Fava et al., 2000; Lidbeck, 1997; Sorensen et al., 2010; Speckens et al., 1995;<br />

Stern & Fern<strong>and</strong>ez, 1991; Visser & Bouman, 2001; Warwick et al., 1996) appear to be<br />

21

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