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

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(Barsky & Ahern, 2004), <strong>and</strong> reduced health service consultations (Seivewright et al,<br />

2008). These results were <strong>of</strong>ten ma<strong>in</strong>ta<strong>in</strong>ed at follow-up (e.g., Barsky & Ahern, 2004, at<br />

6- <strong>and</strong> 12-month follow-up; Bleichhardt et al., 2005 at 12-month follow-up; Sorensen et<br />

al., 2010, at 6- <strong>and</strong> 12-month follow-up).<br />

Several recent health anxiety studies delivered CBT <strong>in</strong> a group format. Buwalda<br />

<strong>and</strong> colleagues (2008) provided a 6-week psychoeducational course (six, 2-hour sessions)<br />

about hypochondriacal metacognition (treatment n = 20; wait-list n =15): The effect sizes<br />

were large (hypochondriacal compla<strong>in</strong>ts d = 0.90; depression d = 0.90). Wattar <strong>and</strong><br />

colleagues (2005) exam<strong>in</strong>ed the effectiveness <strong>of</strong> group (10 - 15 sessions) <strong>and</strong> <strong>in</strong>dividual<br />

CBT (6 - 8 sessions) <strong>in</strong> a cl<strong>in</strong>ical sett<strong>in</strong>g (n = 16): The treatment was beneficial (effect<br />

size unavailable). Martínez <strong>and</strong> Botella (2005) provided 10 sessions <strong>of</strong> group CBT (n =<br />

12): The treatment effects were large (health anxiety d = 1.00; depression d = 1.95).<br />

Bouman (2002) adm<strong>in</strong>istered six, 2-hour sessions <strong>of</strong> group cognitive-educational therapy<br />

(n = 21): The effect sizes were large (health anxiety d = 1.05; depression d = 0.89).<br />

These group treatment studies showed substantial <strong>and</strong> cl<strong>in</strong>ically significant<br />

improvements <strong>in</strong> symptoms <strong>of</strong> health anxiety (Bouman, 2002; Buwalda et al., 2008;<br />

Martínez & Botella, 2005; Wattar et al., 2005), depression (Buwalda et al., 2008; Wattar<br />

et al., 2005), <strong>and</strong> general anxiety (Buwalda et al., 2008; Wattar et al., 2005). Sometimes<br />

there was <strong>not</strong> a complete reduction <strong>in</strong> symptoms compared to healthy control groups<br />

(e.g., Martínez & Botella, 2005). The improvement <strong>in</strong> symptoms were <strong>of</strong>ten ma<strong>in</strong>ta<strong>in</strong>ed<br />

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