Patient Characteristics and Patient Behavior as Predictors of Outcome in Cognitive Therapy and Exposure Therapy for Hypochondriasis
| Autor: | Volkmar Höfling, Florian Weck, Marion Jakob, Samantha Richtberg |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
050103 clinical psychology
medicine.medical_specialty medicine.medical_treatment 05 social sciences Exposure therapy Illness anxiety disorder medicine.disease Outcome (game theory) 030227 psychiatry Cognitive behavioral therapy 03 medical and health sciences Clinical Psychology 0302 clinical medicine Arts and Humanities (miscellaneous) medicine Cognitive therapy Anxiety 0501 psychology and cognitive sciences medicine.symptom Psychiatry Psychology Depression (differential diagnoses) Psychopathology Clinical psychology |
| Zdroj: | Journal of Clinical Psychology. 73:612-625 |
| ISSN: | 0021-9762 |
| DOI: | 10.1002/jclp.22356 |
| Popis: | Objective Psychotherapy for hypochondriasis has greatly improved over the last decades and cognitive-behavioral treatments are most promising. However, research on predictors of treatment outcome for hypochondriasis is rare. Possible predictors of treatment outcome in cognitive therapy (CT) and exposure therapy (ET) for hypochondriasis were investigated. Method Characteristics and behaviors of 75 patients were considered as possible predictors: sociodemographic variables (sex, age, and cohabitation); psychopathology (pretreatment hypochondriacal symptoms, comorbid mental disorders, and levels of depression, anxiety, and somatic symptoms); and patient in-session interpersonal behavior. Results Severity of pretreatment hypochondriacal symptoms, comorbid mental disorders, and patient in-session interpersonal behavior were significant predictors in multiple hierarchical regression analyses. Interactions between the predictors and the treatment (CT or ET) were not found. Conclusions In-session interpersonal behavior is an important predictor of outcome. Furthermore, there are no specific contraindications to treating hypochondriasis with CT or ET. |
| Databáze: | OpenAIRE |
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