Why health anxiety needs to be recognised in hospital practice.
Health anxiety
hypochondriasis
medically unexplained symptoms
psychological treatment
reassurance
Journal
Clinical medicine (London, England)
ISSN: 1473-4893
Titre abrégé: Clin Med (Lond)
Pays: England
ID NLM: 101092853
Informations de publication
Date de publication:
05 2020
05 2020
Historique:
entrez:
17
5
2020
pubmed:
18
5
2020
medline:
15
5
2021
Statut:
ppublish
Résumé
Health anxiety, formerly part of hypochondriasis, but now reformulated as excessive concern about health and, by extension, illness, comprises a large proportion of consultations in hospital practice. For too long it has been ignored in practice and not formally treated. This belief is no longer tenable, and in the last few years a number of easily administered psychological treatments have shown consistent benefit that help patients, practitioners and planners of services. A stepped care approach in which physicians and nurses are first helped to identify health anxiety, explain its significance to patients and then, if necessary, administer these treatments in the clinical setting without referral to psychiatric services, is recommended as a way forward. This approach should be embraced in secondary care.
Identifiants
pubmed: 32414727
pii: 20/3/339
doi: 10.7861/clinmed.2019-0346
pmc: PMC7354014
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
339-342Informations de copyright
© Royal College of Physicians 2020. All rights reserved.
Références
Pacing Clin Electrophysiol. 2014 Dec;37(12):1641-50
pubmed: 25196176
BMJ. 2019 Mar 12;364:l774
pubmed: 30862624
Am J Psychiatry. 2007 Jan;164(1):91-9
pubmed: 17202549
Health Technol Assess. 2017 Sep;21(50):1-58
pubmed: 28877841
BMC Med. 2019 Jan 23;17(1):16
pubmed: 30670044
J R Soc Med. 2017 Feb;110(2):65-72
pubmed: 28169588
J Psychosom Res. 2001 Jul;51(1):361-7
pubmed: 11448704
J Psychosom Res. 2011 Dec;71(6):392-4
pubmed: 22118381
N Engl J Med. 1981 Jun 4;304(23):1394-6
pubmed: 7231461
Curr Psychiatry Rep. 2018 Jun 22;20(7):49
pubmed: 29931576
Psychol Med. 2016 Jan;46(1):103-15
pubmed: 26281857
Front Psychiatry. 2018 Nov 23;9:626
pubmed: 30532714
Heart. 2007 Apr;93(4):458-63
pubmed: 16790531
Behav Res Ther. 1986;24(5):597-602
pubmed: 3753387
Open Heart. 2017 May 16;4(1):e000582
pubmed: 28674627
Ann Epidemiol. 2014 Jun;24(6):463-8
pubmed: 24731699
J Anxiety Disord. 2016 Oct;43:32-40
pubmed: 27497667
Am J Psychiatry. 2017 Aug 1;174(8):756-764
pubmed: 28659038
Psychol Med. 1997 Sep;27(5):1021-31
pubmed: 9300508
Behav Res Ther. 2014 Jul;58:65-74
pubmed: 24954212
Int J STD AIDS. 2004 Aug;15(8):519-22
pubmed: 15307961
Int J Nurs Stud. 2015 Mar;52(3):686-94
pubmed: 25542343
Heart. 2015 Aug;101(15):1240-9
pubmed: 25882503