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Mindfulness-based cognitive therapy for severe health anxiety (hypochondriasis): an interpretative phenomenological analysis of patients' experiences.

The British journal of clinical psychology
November 1, 2011
Matthew J Williams et al. (4 authors)
Comparative StudyJournal ArticleResearch Support, Non-U.S. Gov'tHuman Study
Study Details

Study Goal

The researchers aimed to explore the experiences and acceptability of Mindfulness-based Cognitive Therapy (MBCT) for individuals with severe health anxiety (hypochondriasis).

Results Summary

Participants found MBCT acceptable and beneficial, reporting improvements in health anxiety and broader functioning. The practice of focusing on bodily sensations did not worsen their health anxiety.

Population

Individuals with severe health anxiety (hypochondriasis).

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (3)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Mindfulness-based Cognitive Therapy (MBCT)
decrease
health anxiety
participants with severe health anxiety
-
considered to be an acceptable and beneficial treatment
#1
Mindfulness-based Cognitive Therapy (MBCT)
increase
broader functioning
participants with severe health anxiety
-
reported beneficial impacts
#2
focusing of attention upon bodily sensations required in MBCT practice
no change
health anxiety
participants
-
did not exacerbate
#3
Abstract

OBJECTIVE. Severe health anxiety (hypochondriasis) is a common and disabling condition for which existing psychological treatments have limited effects (Thomson & Page, 2007). Hence, it is a priority to examine both the efficacy and acceptability of new psychological treatments for health anxiety. The aim of this study was to explore the experiences of participants with severe health anxiety who received Mindfulness-based Cognitive Therapy (MBCT) as part of a randomized controlled trial. DESIGN. Semi-structured interviews were carried out 3 months after participants completed MBCT in order to explore their experiences of the course and subsequent self-managed practice. METHODS. Interpretative Phenomenological Analysis (Smith, 1996) was used to analyze interview transcripts from nine participants who had received MBCT. RESULTS. Two main themes emerged from the analysis: (1) My awareness of barriers to experiencing change through MBCT, and (2) Cultivation of a new approach to health anxiety and my life in general. CONCLUSIONS. The majority of participants considered MBCT to be an acceptable and beneficial treatment for health anxiety. Participants reported beneficial impacts of MBCT both on their health anxiety and on their broader functioning. Importantly, the focusing of attention upon bodily sensations required in MBCT practice did not exacerbate participants' health anxiety.

Medical Subject Headings (MeSH)
AdultCognitive Behavioral TherapyFemaleFollow-Up StudiesHumansHypochondriasisInterview, PsychologicalMaleMeditationMiddle AgedPatient Acceptance of Health CareQualitative ResearchRandomized Controlled Trials as TopicSensationSeverity of Illness IndexTreatment Outcome
Study Links
Quality Scores
Safety85
Efficacy75/10
Quality70/10
Citation Metrics
Total Citations33
Citations/Year2.4
Relative Citation Ratio1.51
NIH Percentile65.2%
Research Impact Scores
APT Score0.50
Weight Score1.28
Normalized Score0.78
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Mindfulness-based cognitive therapy for severe health anxiet... | Panacea Index