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

subscale reveals that, at the end of treatment, participants continued to feel alienated from
others because of their health anxiety.
Scores on the CES-D revealed a significant decline in depression symptoms after
treatment. Health anxiety is often associated with depression (Barsky et al, 1993; Looper
& Kirmayer, 2001; Noyes et al., 1994; Robbins & Kiramayer, 1996; Sarnie, & Klerman,
1993; Simon et al., 2001) and depression can increase one‘s preoccupation with illness,
death, and hypervigillance to bodily sensations. At the beginning of treatment, all
participants were experiencing clinically significant levels of depression symptoms
(Radloff, 1997) but treatment appeared to alleviate some of those symptoms for the SHB
group. In previous studies, CBT for health anxiety was associated with significant
decreases in depressive symptoms (Bouman, 2002; Buwalda et al., 2008; Clark et al.,
1998; Hiller et al., 2003; Martínez & Botella, 2005; Sorensen et al., 2010; Speckens et al.,
1995; Stern & Fernandez, 1991; Visser & Bouman, 2001; Warwick et al., 1996). The
improvement in mood was likely caused by participants‘ reduction in health anxiety
symptoms, confidence gained by understanding their symptoms and completing the
program, and some benefits of the therapeutic relationship. There was no significant
difference on the CES-D when comparing SHB and WLC at T3. This again may be due
to the small sample size.
The lack of improvement in the PCS score suggests that at the end of treatment
participants still experienced limitations in self-care, physical, social, and role activities,
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