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

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Gibbon, & Williams, 1996). The SSPQ was used to screen participants for the exclusion criteria of the study, but the instrument was not designed to provide diagnoses. The SSPQ gathers information about participants‘ history and symptoms related to six of the standard Axis I DSM-IV categories: Mood Disorders, Anxiety Disorders, Substance Use Disorders, Somatoform Disorders, Eating Disorders, and Schizophrenia and Other Psychotic Disorders. Test-retest reliability is adequate (r = .61 for current diagnosis and r = .68 for lifetime diagnosis), reliability is good (based on 84% diagnostic agreement), and validity is good based on Cohen‘s Kappa value (κ = .77; Cohen, 1960). 2.2.3. Primary outcome measures The SHAI (Salkovskis et al., 2002) is an 18-item self-report measure of health anxiety ranging from mild anxiety to hypochondriasis. Sample items include ―As a rule I am not afraid that I have a serious illness‖, and ―If I hear about an illness I often think I have it myself‖ (p. 852). The items are scored from 0 - 3. A total score is calculated by summing the item scores and can range from 0 - 54 with higher scores indicating more severe health anxiety symptoms. Internal consistency is good (α = .89) and test-retest reliability is good (r = .76). The Multidimensional Inventory of Hypochondriacal Traits (MIHT) was created by Longley, Watson, and Noyes (2005) and it is a new 31-item measure created to address the shortcomings of other health anxiety and hypochondriasis measures. It assesses health anxiety on four theoretically-derived and structurally-analyzed 35
dimensional scales: (a) affective subscale-excessive worry about health, (b) cognitive subscale-alienation from others due to their disbelief that one is ill, (c) behavioural subscale-dependency on reassurance seeking from others to reduce illness fears, and (d) perceptual subscale-somatic absorption with body sensations. Sample items include ―I wish others took my health complaints more seriously‖ and ―I worry a lot about my health‖ (p. 6). The scale uses a five-point response format. It has good internal consistency (α = .80 - .89 across various samples), good convergent validity (test-retest r = .75 - .78), and good external validity (r = .86). 2.2.4. Secondary outcome measures The Centre for Epidemiologic Studies Depression Scale (CES-D; Radloff, 1997) is a 20-item measure of depression symptoms in community samples (Radloff & Locke, 2000). Sample items include, ―I feel depressed‖, and ―I thought my life had been a failure‖ (p. 523). The items are rated on a scale of 0 - 4 based on symptoms over the past week. Total severity scores on the CES-D range from 0 - 60 with higher scores indicating more severe depression symptoms. Scores of 16 or greater may signify the presence of depressive illness. Internal consistency is good (� = .85 in community samples), alternate-forms reliability over 2 to 8 weeks is moderate (r = .51 - .67), and convergent validity ranges from moderate to excellent (r = .49 - .89). The computerized version of the CES-D has good internal consistency (� = .93; Smits, Cuijpers, & van Straten, 2011). 36
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 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: � Do you carry things to use in t
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
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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
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
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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
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
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