ICBT for Severe Health Anxiety
Severe health anxiety is characterised by a persistent and exaggerated fear of serious illness, based on misinterpretations of bodily symptoms. It is a common condition, especially in medical settings, and associated with functional disability. The disorder exhibits features similar to obsessive-compulsive disorder, panic disorder and generalised anxiety disorder and can be conceptualised as an anxiety disorder.
ICBT for severe health anxiety is a treatment based on systematic exposure and response prevention integrating mindfulness components to facilitate an accepting stance towards thoughts and feelings. The treatment has been found to be highly effective in two large-scale randomised controlled trials and yields improvements above and beyond that of taking part of an active and credible psychological treatment. The treatment seems to be working for most clients and is suitable for those with high levels of health anxiety. The treatment is highly cost-effective and the cost of treatment is offset by net societal economic gains in a short time frame. The research area is however new and there are many important future research questions yet to be answered.
KeywordsHealth anxiety Cognitive behaviour therapy Exposure and responsprevention Internet
- American Psychiatric Association (2000) Diagnostic criteria from dsm-iv-tr. American Psychiatric Association, Washington, DCGoogle Scholar
- Andersson G, Cuijpers P, Carlbring P, Riper H, Hedman E (2014) Internet-based vs. Face-to-face cognitive behaviour therapy for psychiatric and somatic disorders: a systematic review and meta-analysis. World Psychiatry 13:288–295Google Scholar
- Furer P, Walker JR, Stein MB (2007) Treating health anxiety and fear of death: a practitioner’s guide. Springer, New YorkGoogle Scholar
- Hedman E, Axelsson E, Görling A, Ritzman C, Ronnheden M, El Alaoui S, Andersson E, Lekander M, Ljótsson B (2014) Internet-delivered exposure-based cognitive-behavioural therapy and behavioural stress management for severe health anxiety: randomised controlled trial. Br J Psychiatry 205(4):307–314Google Scholar
- Tyrer P, Cooper S, Crawford M, Dupont S, Green J, Murphy D, Salkovskis P, Smith G, Wang D, Bhogal S, Keeling M, Loebenberg G, Seivewright R, Walker G, Cooper F, Evered R, Kings S, Kramo K, McNulty A, Nagar J, Reid S, Sanatinia R, Sinclair J, Trevor D, Watson C, Tyrer H (2011) Prevalence of health anxiety problems in medical clinics. J Psychosom Res 71:392–394CrossRefPubMedGoogle Scholar