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

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e useful in clinical settings where a limited number of sessions are available to clients. It provides ample information to reduce the symptoms of health anxiety. In-person sessions could be focused on assisting clients with skills building and practice and telephone check-in sessions could be provided for client assistance and motivation between sessions. Participants in this study reported they found the self-help treatment to be helpful and valued the learning experience. They experienced reduced symptoms even with limited therapist contact and many thought that the work was manageable. However, some participants had difficulty with the time constraints of the program and had trouble completing exercises without therapist guidance. Therefore, in a clinical setting the duration of treatment should be extended and sessions spaced out so that clients have enough time to read chapters and complete exercises. Important exercises such as relaxation training, interoceptive exposure, and ERP should be practiced during in-person sessions. This would ensure that clients are performing the exercises correctly, receiving motivational support, and developing a good therapeutic alliance. Clients can be provided with a flexible timeline for treatment so that they are not overwhelmed by the amount of work (perhaps 4 - 5 months instead of only 2 as provided in this study). Brief questionnaires, such as the SHAI and CES-D can be administered to clients pre-, mid-, and post-treatment so that they can review their progress and stay motivated. A long 85
attery of tests is not recommended as many participants in this study disliked the repetitive questionnaires. The treatment provided significant reductions in health anxiety and depression symptoms and there was some preliminary evidence that it was more efficacious than WLC. At the end of treatment, although there were significant improvements, participants still had residual symptoms of health anxiety. In previous health anxiety studies there were often residual differences between the treatment and control groups or in comparison to questionnaire norms (e.g., Barsky & Ahern, 2006; Fava et al, 2000; Martínez & Botella, 2005) indicating that there should not be an expectation for the complete normalization of symptoms after treatment. In clinical settings, clients need to be provided with reasonable expectations for treatment and be informed that they will experience fewer health anxiety symptoms and be better equipped to manage those symptoms; but it may take months before their symptoms are reduced to a healthy range (reduction to a healthy range may not occur in some cases). It was very apparent in this study that few individuals were interested in participating and many who passed the initial screening declined participation. Therefore effort has to be made to explain the benefits of the treatment and motivate clients to participate and remain in treatment. 86
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RANDOMIZED CONTROLLED FEASIBILITY T
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Abstract The purpose of this feasib
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Acknowledgement This research was f
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Table of Contents Abstract………
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3.2.1. Content analysis…………
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List of figures Figure 1. The cogni
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Table C7. Comparison of WLC pre- an
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this study will inform a future, la
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Disorders Draft (APA, 2010) propose
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The cognitive symptoms of health an
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somatosensory amplification have a
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clients with health anxiety from cl
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Interview Schedule [Robins, Helzer,
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Today, effective clinically-support
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decreased disease conviction, witho
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identification and reattribution of
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within treatment sessions and as ho
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more efficacious than wait-list con
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participants‘ functioning. The CB
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at follow-up (e.g., Bouman, 2002, a
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et al., 2003). Self-help treatments
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1.2. Statement of purpose The purpo
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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 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: usy schedules, worry about reading
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
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