The meaning of psychological symptoms: Effectiveness of a group intervention with hypochondriacal patients

被引：55

作者：

Avia, MD ^{[1
]}

Ruiz, MA ^{[1
]}

Olivares, ME ^{[1
]}

Crespo, M ^{[1
]}

Guisado, AB ^{[1
]}

Sanchez, A ^{[1
]}

Varela, A ^{[1
]}

机构：

[1] UNIV NACL EDUC DISTANCIA, E-28040 MADRID, SPAIN

来源：

BEHAVIOUR RESEARCH AND THERAPY | 1996年 / 34卷 / 01期

关键词：

D O I：

10.1016/0005-7967(95)00052-Y

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

A group treatment for hypochondriasis was administered to 14 subjects. It was based on Barsky, Geringer and Wool (1988) [General Hospital Psychiatry, 10, 322-327] cognitive-behavioral formulation and presented as an educational course to explain the origins of an enhanced perception of somatic symptoms. Initially, one experimental group (N = 9) and a waiting list control (N = 8) were formed. Experimental subjects showed significant reductions in illness fears and attitudes, reported somatic symptoms and dysfunctional beliefs. Waiting-list controls also changed some illness attitudes, but showed no change in somatic symptoms and increased the number of visits to doctors. Experimental and control subjects differed on several change measures. Afterwards, part of the waiting list subjects (N = 5) received treatment. Overall, treatment was effective for the target measures and produced long-term positive effects on other fears, dysphoric mood and well-being. After treatment, subjects were significantly more extroverted, open and warm. The clinical impression was that treatment was not limited to less severe cases.

引用

页码：23 / 31

页数：9

共 40 条

[1]

ANDREWS G, 1987, AM J PSYCHIAT, V144, P1331

[2]

[Anonymous], 1972, MMPI HDB

[3]

[Anonymous], 1967, Minnesota multiphasic personality inventory (MMPI)

[4]

AVIA MD, 1996, IN PRESS EUROPEAN J

[5]

AVIA MD, 1993, HIPOCONDRIA

[6]

AVIA MD, 1995, UNPUB DEV MEASURE DY

[7]

AVIA MD, 1995, UNPUB ED WORRIED WEL

[8] PATIENTS WHO AMPLIFY BODILY SENSATIONS [J].

BARSKY, AJ .

ANNALS OF INTERNAL MEDICINE, 1979, 91 (01) :63-70

[9]

BARSKY AJ, 1986, ARCH GEN PSYCHIAT, V43, P493

[10] A STRUCTURED DIAGNOSTIC INTERVIEW FOR HYPOCHONDRIASIS - A PROPOSED CRITERION STANDARD [J].

BARSKY, AJ ;

CLEARY, PD ;

WYSHAK, G ;

SPITZER, RL ;

WILLIAMS, JBW ;

KLERMAN, GL .

JOURNAL OF NERVOUS AND MENTAL DISEASE, 1992, 180 (01) :20-27

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