Psychotherapies for hypochondriasis

摘要: Background Hypochondriasis is associated with significant medical morbidity and high health resource use. Recent studies have examined the treatment of hypochondriasis using various forms psychotherapy. Objectives To examine effectiveness comparative any form psychotherapy for hypochondriasis. Search methods 1. CCDANCTR-Studies CCDANCTR-References were searched on 7/8/2007, CENTRAL, Medline, PsycINFO, EMBASE, Cinahl, ISI Web Knowledge, AMED WorldCat Dissertations; Current Controlled Trials meta-register (mRCT), CenterWatch, NHS National Research Register clinicaltrials.gov; 2. Communication authors relevant other clinicians in field; 3. Handsearching reference lists included review articles, electronic citation search Knowledge all studies. Selection criteria All randomised controlled studies, both published unpublished, language, which adults treated a psychological intervention. Data collection analysis Data extracted independently by two standardised extraction sheet. Study quality was assessed qualitatively scale. Meta-analyses performed RevMan software. Standardised or weighted mean differences used to pool data continuous outcomes odds ratios dichotomous outcomes, together 95% confidence intervals. Main results Six included, total 440 participants. The interventions cognitive therapy (CT), behavioural (BT), (CBT), stress management (BSM) psychoeducation. All except psychoeducation showed improvement hypochondriacal symptoms compared waiting list control (SMD (random) [95% CI] = -0.86 [-1.25 -0.46]). For some therapies, improvements found secondary general functioning use (psychoeducation), anxiety (CT, BSM), depression BSM) physical (CBT). These outcome findings based smaller numbers participants there heterogeneity between studies. Authors' conclusions Cognitive therapy, are effective reducing hypochondriasis. However, small do not allow estimation effect size, comparison different types whether people "cured". Most long-term uncontrolled. Further should make validated rating scales, assess acceptability use, determine active ingredients nonspecific factors that important