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Is hypochondriasis an anxiety disorder?

Published online by Cambridge University Press:  02 January 2018

Bunmi O. Olatunji
Department of Psychology, Vanderbilt University, Nashville, Tennessee
Brett J. Deacon
Department of Psychology, University of Wyoming, Laramie, Wyoming
Jonathan S. Abramowitz
Department of Psychology, University of North Carolina – Chapel Hill, North Carolina, USA
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Although hypochondriasis is currently classified as a somatoform disorder, the underlying cognitive processes may be more consistent with an anxiety disorder. This observation has important implications for treatment and subsequent revisions of the diagnostic classification of hypochondriasis.

Copyright © Royal College of Psychiatrists, 2009 


Declaration of interest



1 American Psychological Association. Diagnostic and Statistical Manual of Mental Disorders (4th edn, text revision) (DSM–IV–TR). American Psychiatric Publishing, 2006.Google Scholar
2 Katon, WJ, Walker, EA. Medically unexplained symptoms in primary care. J Clin Psychiat 1998; 59: 1521.Google ScholarPubMed
3 Warwick, HM, Salkovskis, PM. Hypochondriasis. Behav Res Ther 1990; 28: 105–17.CrossRefGoogle ScholarPubMed
4 Tyrer, P, Fowler-Dixon, R, Ferguson, B, Kelemen, A. A plea for the diagnosis of hypochondriacal personality disorder. J Psychosom Res 1990; 34: 637–42.CrossRefGoogle Scholar
5 Noyes, R. The relationship of hypochondriasis to anxiety disorders. Gen Hosp Psychiat 1999; 21: 817.CrossRefGoogle ScholarPubMed
6 Fallon, B, Javitch, J, Hollander, E, Liebowitz, M. Hypochondriasis and obsessive compulsive disorder: overlaps in diagnosis and treatment. J Clin Psychiat 1992; 52: 457–60.Google Scholar
7 Barsky, A, Barnett, MC, Cleary, PD. Hypochondriasis and panic disorder. Boundary and overlap. Arch Gen Psychiat 1995; 51: 918–25.Google Scholar
8 Salkovskis, PM. The importance of behaviour in the maintenance of anxiety and panic: a cognitive account. Behav Psychother 1991; 19: 619.CrossRefGoogle Scholar
9 Olatunji, BO, Deacon, BJ, Abramowitz, JS, Valentiner, DP. Body vigilance in nonclinical and anxiety disorder samples: structure, correlates, and prediction of health concerns. Behav Ther 2007; 38: 392401.CrossRefGoogle ScholarPubMed
10 Deacon, BJ, Abramowitz, JS. Is hypochondriasis related to OCD, panic disorder, or both? An empirical evaluation. J Cogn Psychother 2008; 22: 115–27.CrossRefGoogle Scholar
11 Deacon, BJ, Lickel, J, Abramowitz, JS. Medical utilization across the anxiety disorders. J Anxiety Disord 2008; 22: 344–50.CrossRefGoogle ScholarPubMed
12 Abramowitz, JS, Deacon, BJ, Valentiner, DP. The Short Health Anxiety Inventory in an undergraduate sample. Psychometric properties and construct validity in a non-clinical sample. Cogn Ther Res 2007; 31: 871–83.CrossRefGoogle Scholar
13 Warwick, HM, Clark, DM, Cobb, AM, Salkovskis, PM. A controlled trial of cognitive–behavioural treatment of hypochondriasis. Br J Psychiatry 1996; 169: 189–95.CrossRefGoogle ScholarPubMed
14 Clark, DM, Salkovskis, PM, Hackmann, A, Wells, A, Fennell, M, Ludgate, J, et al. Two psychological treatments for hypochondriasis. A randomised controlled trial. Br J Psychiatry 1998; 173: 218–25.CrossRefGoogle ScholarPubMed
15 Barsky, AJ, Ahern, DK. Cognitive behavior therapy for hypochondriasis: a randomized, controlled trial. JAMA 2004; 291: 1464–70.CrossRefGoogle Scholar
16 Greeven, A, van Balkom, A, Visser, S, Merkelbach, J, van Rood, Y, van Dyck, R, et al. Cognitive behavior therapy and paroxetine in the treatment of hypochondriasis: a randomized controlled trial. Am J Psychiatry 2007; 164: 91–9.CrossRefGoogle ScholarPubMed
17 Seivewright, H, Green, J, Salkovskis, P, Barrett, B, Nur, U, Tyrer, P. Cognitive–behavioural therapy for health anxiety in a genitourinary medicine clinic: randomised controlled trial. Br J Psychiatry 2008; 193: 332–7.CrossRefGoogle Scholar
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