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

More documents

Recommendations

Info

Table 8 Comparison of SHB and WLC end of treatment and end of wait-list means using independent samples t tests SHB at T3 WLC at T3 Equality of variances Sig. (1-tailed) Measure M (SD) n = 10 M (SD) n = 4 F Sig. t df p value SHAI MIHT 21.70 (7.33) 38.00 (6.00) 0.19 .668 -3.92 12 .001** Cognition 21.40 (3.20) 24.50 (1.29) 7.41 .019 u -2.58 11.91 .012* Behaviour 25.80 (4.85) 29.25 (1.89) 3.95 .070 -1.36 12 .100 Perception 28.30 (6.04) 37.00 (0.82) 9.41 .010 u -4.46 9.78 .001** Affect 23.20 (4.44) 26.25 (1.26) 5.12 .043 u -1.98 11.58 .036* CES-D 11.60 (10.02) 23.25 (14.22) 0.49 .499 -1.76 12 .051 SF-36 PCS 48.71 (10.68) 48.60 (10.45) 0.00 .979 0.02 12 .494 MCS 32.50 (12.65) 26.55 (13.28) 0.02 .897 0.79 12 .224 Note. SHB = self-help book group; WLC = wait-list control group; T= time; SHAI = Short Health Anxiety Inventory; MIHT = Multidimensional Inventory of Hypochondriacal Traits; CES-D = Centre for Epidemiologic Studies Depression Scale; SF-36 = Short Form 36 Health Survey; PCS = Physical Component Summary; MCS = Mental Component Summary. u Unequal variance assumed. *p < .05. **p < .01. 65
sample size or greater effect size that the level of power would increase for the SHAI, MIHT, and CES-D. The effect sizes were large for the SHAI (d = 2.43), MIHT cognition (d = 1.27), behaviour (d = 0.94), perception (d = 2.02), and affect subscales (d = 0.93), and the CES-D (d = 0.95); and small on the SF-36 PCS (d = 0.01) and MCS (d = 0.46). There were no significant differences in WLC scores when comparing T1 and T2. When comparing WLC scores between T1 and T3 there was a significant decline in participants‘ ratings on the MCS (t = 3.49, df = 3, p = .020; power = .62 [low power]). However, the absence of significant differences in the WLC group may have been due to the small sample size and lack of statistical power. This made the analyses uncertain and it could not be confirmed whether or not changes occurred in the WLC group (analyses appear in Appendix C). There were difficulties recruiting and enrolling enough participants in this study. There were not enough participants allocated to WLC therefore within group comparisons could not be made for this group. Due to the inability to determine if the SHB and WLC were equivalent at T1 or if there were significant changes in the WLC group, there is only preliminary evidence for the trial hypothesis that using a CBT self- help book is a more efficacious treatment than WLC. The reduction of SHB participants‘ scores on the SHAI and the MIHT support the expectation that their scores would be lower than their baseline and WLC scores after treatment. It was promising that some positive results were obtained when no one actually finished the CBT treatment. As 66
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 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
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: Table 7 SHB and WLC effect size and
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
Page 105 and 106: 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
Page 121 and 122: o Week 4 o Week 5 o Things to Remem
Page 123 and 124: Appendix B SELF-HELP PROGRAM FOR HE
Page 125 and 126: 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
show all

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

Create successful ePaper yourself

Delete template?

Save as template?