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

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Follow-Up Analysis Enrollment Allocation Allocated to Self-Help Book Group (SHB) Duration = 8 weeks -TI at 0 weeks (HAI, CCQ, SSPQ, MIHT, SHAI, BAI or DASS, CES-D, SF-36) -T2 at 3 weeks (MIHT, SHAI, BAI or DASS, CES-D, SF-36) -T3 at 8 weeks (MIHT, SHAI, BAI or DASS, CES-D, SF-36, CSQ-8, HAq- II) Debriefing -T4 at 4 months (MIHT, SHAI, BAI or DASS, CES-D, SF-36) Telephone or Online Screening (WI) Information Package Informed Consent Assessed for eligibility Randomization 41 Exclusion: severe psychotic disorders, schizophrenia & related disorders, primary alcohol or substance disorders, primary eating disorder, previous CBT treatment for health anxiety or hypochondriasis Allocated to Wait-List Control Group (WLC) Duration = 8 weeks -TI at 0 weeks (HAI, CCQ, SSPQ, MIHT, SHAI, BAI or DASS, CESD, SF-36) -T2 at 3 weeks (MIHT, SHAI, BAI or DASS, CES-D, SF-36) -T3 at 8 weeks (MIHT, SHAI, BAI or DASS, CES-D, SF-36, CSQ-8, HAq- II) Debriefing Allocated to Self-Help Book Group (SHB) ITT analysis with t-tests ITT analysis with t-tests Figure 2. Design of study Note. T=Time; WI = Whiteley Index; HAI= Health Anxiety Interview; CCQ= Charlson Comorbidity Index, SSPQ= Structured Clinical Interview for DSM-IV Axis I Disorders Screen Patient Questionnaire, MIHT= Multidimensional Inventory of Hypochondriacal Traits; SHAI = Short Health Anxiety Inventory, CES-D= Centre for Epidemiologic Studies Depression Scale; BAI= Beck Anxiety Inventory; DASS= Depression, Anxiety Stress scale; SF-36= Short Form 36 Health Survey; CSQ-8= Client Satisfaction Questionnaire 8; HAq-II= The Helping Alliance Questionnaire-II; and ITT = Intention to treat analysis.
included depression symptoms, general anxiety symptoms, and general health appraisals assessed using secondary outcome measures. 2.3.1. Setting and apparatus The setting of the experiment was the AIBL at the University of Regina, Regina, Saskatchewan, Canada. Online versions of the assessment questions were completed on computers at AIBL or at participants‘ homes. SHB participants received a copy of It’s Not All in Your Head by Asmundson and Taylor (2005). Although other self-help books are available (e.g., An Introduction to Coping With Health Anxiety by Young, Charles, & Hogan, 2007; Feeling Better: A 6-Week Mind-Body Program to Ease Your Chronic Symptoms by Barsky & Ahern, 2007), there were no other books available at the time of this study. This book provides a comprehensive and easily accessible guide to CBT for health anxiety and is accompanied by a therapist manual. The therapist manual, Treating Health Anxiety by Taylor and Asmundson (2004), was used in addition to the workbook to provide the SHB treatment. Gordon Asmundson, Ph.D. is an author of both books and was available for guidance and supervision of the treatments. Lastly, in comparison with the few other self-help books on the market pertaining to health anxiety, the two manuals are more recent publications. Clinical psychology graduate students served as the facilitators and they were blind to the trial hypotheses. The facilitators were required to read It’s Not All in Your Head (Asmundson & Taylor; 2005) and the clinician manual Treating Health Anxiety 42
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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 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: 86 indicate a poor alliance. The HA
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
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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
Page 131 and 132:
Appendix D Draft of unconstrained c
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Questionnaires the questionnaires T
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