Skip to main content Accessibility help
×
Home

Reduction in Hypochondriasis with Treatment of Panic Disorder

Published online by Cambridge University Press:  29 January 2018

R. Noyes
Affiliation:
University of Iowa College of Medicine, 500 Newton Road, Iowa City, Iowa 52242
J. Reich
Affiliation:
University of Iowa College of Medicine, 500 Newton Road, Iowa City, Iowa 52242
J. Clancy
Affiliation:
University of Iowa College of Medicine, 500 Newton Road, Iowa City, Iowa 52242
T. W. O'Gorman
Affiliation:
University of Iowa College of Medicine, 500 Newton Road, Iowa City, Iowa 52242

Extract

Hypochondriasis was assessed in 60 patients with panic disorder and agoraphobia using the Illness Behavior Questionnaire. Before treatment, IBQ hypochondriasis scores were similar to those of a group of hypochondriacal psychiatric patients. In patients who improved with treatment, significant reductions in somatic preoccupation, disease phobia, and disease conviction occurred. Hypochondriasis appears to be a prominent feature of panic disorder and agoraphobia, and responds to treatment of the primary conditions. Our findings underscore the importance of providing adequate treatment and thereby avoiding wasteful use of medical resources and alienation of patients from doctors.

Type
Papers
Copyright
Copyright © 1986 The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below.

References

American Psychiatric Association (1985) Diagnostic and Statistical Manual of Mental Disorders (3rd. ed.), Revised draft, October 5,1985. Washington DC: APA.Google Scholar
Beck, A. T. et al (1974) Ideational components of anxiety neurosis. Archives of General Psychiatry, 31, 319325.CrossRefGoogle ScholarPubMed
Buglass, D., Clark, J., Henderson, A. S., Kreitman, N. & Presley, A. S. (1977) A study of agoraphobic housewives. Psychological Medicine, 7, 7386.CrossRefGoogle ScholarPubMed
Blrsky, A. J. & Klerman, G. L. (1983) Overview: hypochondriasis, bodily complaints and somatic styles. American Journal of Psychiatry, 140, 273283.Google Scholar
Clancy, J. & Noyes, R. Jr (1976) Anxiety neurosis: a disease for the medical model. Psychosomatics, 17, 15.CrossRefGoogle ScholarPubMed
Hamilton, M. (1959) The assessment of anxiety states by rating. British Journal of Medical Psychology, 32, 5055.CrossRefGoogle ScholarPubMed
Harper, M. & Roth, M. (1962) Temporal lobe epilepsy and the phobic anxiety-depersonalization syndrome. Part 1: a comparative study. Comparative Psychiatry, 3, 129151.Google Scholar
Katon, W. (1984) Panic disorder and somatization. American Journal of Medicine, 77, 101106.CrossRefGoogle ScholarPubMed
Lader, M. (1978) Physiological research in anxiety. In Research in Neurosis (ed. H. M. van Praag). New York: Spectrum Publications.Google Scholar
Noyes, R. Jr, Clancy, J., Hoenk, P. R. & Slymen, D. J. (1980) The prognosis of anxiety neurosis. Archives of General Psychiatry, 37, 173178.CrossRefGoogle ScholarPubMed
Pilowsky, I. (1967) Dimensions of hypochondriasis. British Journal of Psychiatry, 113, 8993.CrossRefGoogle ScholarPubMed
Pilowsky, I. (1980) Disagreement between patient and doctor: implications for diagnosis and management. American Family Physician, 9, 580584.Google ScholarPubMed
Pilowsky, I. & Spence, N. D. (1983) Manualfor the Illness Behavior Questionnaire (IBQ) (2nd ed.), Adelaide, South Australia: University of Adelaide Department of Psychiatry.Google Scholar
Pilowsky, I. & Spence, N. D. (1975) Patterns of illness behavior in patients with intractable pain. Journal of Psychosomatic Research, 19, 279287.CrossRefGoogle ScholarPubMed
Sheehan, D. V., Ballenger, J. & Jacobsen, G. (1980) Treatment of endogenous anxiety with phobic, hysterical, and hypochondriacal symptoms. Archives of General Psychiatry, 37, 5159.CrossRefGoogle ScholarPubMed
Spitzer, R. L. & Williams, J. B. W. (1982) Structured Clinical Interview for DSM-III (SCID). New York: Biometrics Research Department, New York State Psychiatric Institute.Google Scholar
Tyrer, P., Lee, I. & Alexander, J. (1980) Awareness of cardiac function in anxious, phobic and hypochondriacal patients. Psychological Medicine, 10, 171174.CrossRefGoogle ScholarPubMed
World Health Organization (1980) International Classification of Diseases (9th ed.) (ICD-9). Geneva: WHO.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.

Altmetric attention score

Full text views

Full text views reflects PDF downloads, PDFs sent to Google Drive, Dropbox and Kindle and HTML full text views.

Total number of HTML views: 0
Total number of PDF views: 27 *
View data table for this chart

* Views captured on Cambridge Core between 29th January 2018 - 23rd January 2021. This data will be updated every 24 hours.

Hostname: page-component-76cb886bbf-fv2z2 Total loading time: 0.398 Render date: 2021-01-23T17:41:35.079Z Query parameters: { "hasAccess": "0", "openAccess": "0", "isLogged": "0", "lang": "en" } Feature Flags: { "shouldUseShareProductTool": true, "shouldUseHypothesis": true, "isUnsiloEnabled": true, "metricsAbstractViews": false, "figures": false, "newCiteModal": false }

Send article to Kindle

To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Reduction in Hypochondriasis with Treatment of Panic Disorder
Available formats
×

Send article to Dropbox

To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

Reduction in Hypochondriasis with Treatment of Panic Disorder
Available formats
×

Send article to Google Drive

To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

Reduction in Hypochondriasis with Treatment of Panic Disorder
Available formats
×
×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *