Health anxiety and illness-related fears across diverse chronic illnesses: A systematic review on conceptualization, measurement, prevalence, course, and correlates

被引:109
作者
Lebel, Sophie [1 ]
Mutsaers, Brittany [1 ]
Tomei, Christina [1 ]
Leclair, Caroline Seguin [1 ]
Jones, Georden [1 ]
Petricone-Westwood, Danielle [1 ]
Rutkowski, Nicole [1 ]
Ta, Viviane [1 ]
Trudel, Genevieve [1 ]
Laflamme, Simone Zofia [1 ]
Lavigne, Andree-Anne [1 ]
Dinkel, Andreas [2 ]
机构
[1] Univ Ottawa, Sch Psychol, Ottawa, ON, Canada
[2] Tech Univ Munich, Sch Med, Dept Psychosomat Med & Psychotherapy, Klinikum Rechts Isar, Munich, Germany
来源
PLOS ONE | 2020年 / 15卷 / 07期
关键词
QUALITY-OF-LIFE; HEART-FOCUSED ANXIETY; BREAST-CANCER SURVIVORS; IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR; PATIENTS CONCERNS INVENTORY; ADJUVANT ENDOCRINE THERAPY; SOMATIC SYMPTOM DISORDER; FALLS EFFICACY SCALE; CARDIAC ANXIETY; PARKINSONS-DISEASE;
D O I
10.1371/journal.pone.0234124
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Background Patients with chronic diseases commonly report fears of illness or symptoms recurring or worsening. These fears have been addressed from an illness-specific perspective (e.g., fear of cancer recurrence), a generic illness perspective (e.g., fear of progression), and a psychiatric perspective (DSM-5 illness anxiety disorder and somatic symptom disorder). The broader concept of health anxiety (HA) can also be applied to patients with a chronic disease. This review was conducted to investigate the conceptual, theoretical, measurement-overlap, and differences between these distinct perspectives. We also aimed to summarize prevalence, course, and correlates of these fears in different chronic illnesses. Methods We used PsycINFO, PubMED, CINAHL, Web of Science, SCOPUS, and PSYNDEX to conduct a systematic review of studies pertaining to these fears in chronic illness published from January 1996 to October 2017. A total of 401 articles were retained. Results There were commonalities across different conceptualizations and diseases: a high prevalence of clinical levels of fears (>20%), a stable course over time, and a deleterious impact on quality of life. Reviewed studies used definitions, models, and measures that were illness-specific, with only a minority employing a psychiatric perspective, limiting cross-disease generalizability. There appears to be some applicability of DSM-5 disorders to the experience of fear of illness/symptoms in patients with a chronic illness. While conceptualizing HA on a continuum ranging from mild and transient to severe may be appropriate, there is a lack of agreement about when the level of fear becomes 'excessive.' The definitions, models, and measures of HA across chronic illnesses involve affective, cognitive, behavioral, and perceptual features. Conclusions The concept of HA may offer a unifying conceptual perspective on the fears of illness/symptoms worsening or returning commonly experienced by those with chronic disease.
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