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

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andomly assigned to either an 8-week self-help book treatment (SHB; n = 10) during which they read the self-help book and received therapist guidance sessions or an 8-week wait-list control group (WLC; n = 4). Health anxiety, depression, and general health symptoms were assessed at pre-, mid-, and post-treatment. T tests were used for statistical analyses and intention-to-treat analyses were employed. Relative to WLC, SHB participants reported minor reductions in health anxiety symptoms after 3 weeks of treatment and significant reductions in health anxiety and depression symptoms post- treatment. Unfortunately, due to the small sample size and lack of statistical power, some analyses could not be performed. These findings provide preliminary support the trial hypothesis and can be used to inform a future, large-scale, randomized controlled trial. Participants had mostly positive feedback about the treatment, but reported difficulty completing treatment in 8 weeks and a poor therapeutic alliance. Procedural difficulties were encountered during the trial that limit the generalizability of the results. A clinically supported, CBT-based, self-help treatment for health anxiety will potentially improve the psychological and social lives of many individuals and reduce the financial and time expenditures of mental health care providers. ii
Acknowledgement This research was funded by a Canadian Institutes of Health Research and Saskatchewan Health Research Foundation CIHR-SHRF Doctoral Research Award, funding through the Faculty of Graduate Studies and Research, and a scholarship from Breast Cancer Action Saskatchewan. iii
Page 1 and 2: RANDOMIZED CONTROLLED FEASIBILITY T
Page 3: Abstract The purpose of this feasib
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
Page 53 and 54: 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., &
Page 115 and 116:
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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