The treatment of hypochondriasis: exposure plus response prevention vs cognitive therapy

被引:94
作者
Visser, S
Bouman, TK
机构
[1] Free Univ Amsterdam, Dept Psychiat, Psychiat Ctr Amsterdam, NL-1075 GV Amsterdam, Netherlands
[2] Univ Groningen, Dept Clin Psychol, Groningen, Netherlands
关键词
hypochondriasis; cognitive therapy; behaviour therapy; exposure; treatment outcome;
D O I
10.1016/S0005-7967(00)00022-X
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
In this study (1) exposure in vivo plus response prevention, (2) cognitive therapy and (3) a waiting-list control condition were compared on their efficacy on the treatment of hypochondriasis. Seventy-eight patients with a DSM-IV diagnosis of hypochondriasis were randomly assigned to one of these conditions. Patients in both active treatment conditions improved significantly on all the measures, whereas the patients in the waiting-list control condition did not improve. The improvements were clinically significant. Exposure in vivo plus response prevention and cognitive therapy were equally effective. The improvements were maintained at the 7 months follow up. (C) 2001 Elsevier Science Ltd. All rights reserved.
引用
收藏
页码:423 / 442
页数:20
相关论文
共 37 条
[21]   PSYCHOTHERAPY OUTCOME RESEARCH - METHODS FOR REPORTING VARIABILITY AND EVALUATING CLINICAL-SIGNIFICANCE [J].
JACOBSON, NS ;
FOLLETTE, WC ;
REVENSTORF, D .
BEHAVIOR THERAPY, 1984, 15 (04) :336-352
[22]  
Kellner R., 1986, SOMATIZATION HYPOCHO
[23]  
KELLNER RJ, 1987, ABRIDGED MANUAL ILNE
[24]  
Marks I.M., 1987, FEARS PHOBIAS RITUAL
[25]   Diagnostic and Statistical Manual of Mental Disorders [J].
Mittal, Vijay A. ;
Walker, Elaine F. .
PSYCHIATRY RESEARCH, 2011, 189 (01) :158-159
[26]  
Salkovskis PM, 1989, COGNITIVE BEHAV THER
[27]  
SCHOLING A, 1993, SOCIAL PHOBIA COGNIT
[28]  
SEPCKENS AEM, 1995, J PSYCHOSOM RES, V40, P95
[29]   COGNITIVE-BEHAVIORAL THERAPY FOR MEDICALLY UNEXPLAINED PHYSICAL SYMPTOMS - A RANDOMIZED CONTROLLED TRIAL [J].
SPECKENS, AEM ;
VANHEMERT, AM ;
SPINHOVEN, P ;
HAWTON, KE ;
BOLK, JH ;
ROOIJMANS, HGM .
BRITISH MEDICAL JOURNAL, 1995, 311 (7016) :1328-1332
[30]  
SPECKENS AEM, 1995, COGNITIVE BEHAV THER