Objective: The aim of the study was to evaluate the effectiveness of individual explanatory therapy in hypochondriasis. Method: Twenty patients with DSM-IV hypochondriasis were randomly assigned to 2 groups. One received explanatory therapy and was assessed again after a 6-month follow-up. The other was first assigned to a waiting list and subsequently treated with explanatory therapy. All patients received usual medical care from their physicians. Assessments involved both observer and self-rated instruments. Results: In both groups, explanatory therapy was significantly associated with a reduction of hypochondriacal fears and beliefs, improvement in affective disturbances and anxiety sensitivity, and a decrease in health care utilization. Therapeutic gains were maintained at follow-up. Substantial residual symptomatology, however, remained. Conclusion: The results suggest that hypochondriasis is a treatable condition and that explanatory therapy is a viable therapeutic tool. Further research should disclose the actual components of the mechanism of change in hypochondriacal patients

Fava, G., Grandi, S., Rafanelli, C., Fabbri, S., & Cazzaro, M. (2000). Explanatory therapy in hypochondriasis. JOURNAL OF CLINICAL PSYCHIATRY, 61(4), 317-322 [10.4088/JCP.v61n0414].

Explanatory therapy in hypochondriasis

Cazzaro, M.
2000

Abstract

Objective: The aim of the study was to evaluate the effectiveness of individual explanatory therapy in hypochondriasis. Method: Twenty patients with DSM-IV hypochondriasis were randomly assigned to 2 groups. One received explanatory therapy and was assessed again after a 6-month follow-up. The other was first assigned to a waiting list and subsequently treated with explanatory therapy. All patients received usual medical care from their physicians. Assessments involved both observer and self-rated instruments. Results: In both groups, explanatory therapy was significantly associated with a reduction of hypochondriacal fears and beliefs, improvement in affective disturbances and anxiety sensitivity, and a decrease in health care utilization. Therapeutic gains were maintained at follow-up. Substantial residual symptomatology, however, remained. Conclusion: The results suggest that hypochondriasis is a treatable condition and that explanatory therapy is a viable therapeutic tool. Further research should disclose the actual components of the mechanism of change in hypochondriacal patients
No
Articolo in rivista - Articolo scientifico
Scientifica
explanatory therapy; hypochondriasis; residual symptoms; DSM-IV; permutation test
English
317
322
6
Fava, G., Grandi, S., Rafanelli, C., Fabbri, S., & Cazzaro, M. (2000). Explanatory therapy in hypochondriasis. JOURNAL OF CLINICAL PSYCHIATRY, 61(4), 317-322 [10.4088/JCP.v61n0414].
Fava, G; Grandi, S; Rafanelli, C; Fabbri, S; Cazzaro, M
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/10281/3992
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