Treatment of Mental Hypochondriasis: A Case Report
Treatment of Mental Hypochondriasis: A Case Report
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DOI：
10.1007/s11126-013-9270-6
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发表时间：
2014-03
影响因子：
3.5
通讯作者：
Florian Weck
中科院分区：
文献类型：
--
作者：
Florian Weck
疑病症的特征是对严重疾病的强烈恐惧。大多数疑病症患者担心癌症等身体疾病，尽管在极少数情况下，患者报告对精神障碍(如精神分裂症)的严重恐惧，这种现象在文献中被描述为精神疑病症。然而，人们对这种罕见的疑病症知之甚少，专家们质疑精神疑病症与躯体疾病为重点的疑病症是否有太多相似之处。本文报告了一例女性精神分裂症恐惧症患者，采用认知疗法进行治疗。该患者符合DSM-IV的疑病诊断标准，并表现出许多特征(如选择性注意力、安全行为)，被认为是公认的疑病认知行为模型中的维持因素。对疑病的认知治疗策略(例如，注意力训练、行为实验)在这种精神疑病病例中也被证明是有效的。
Hypochondriasis is characterized by intensive fears of serious disease. Most patients with hypochondriasis worry about physical diseases like cancer, although in rare cases, patients report severe fears of mental disorders (e.g., schizophrenia), a phenomenon described in the literature as mental hypochondriasis. However, little is known about this rare subtype of hypochondriasis and experts have questioned whether mental hypochondriasis has much in common with the type of hypochondriasis in which somatic diseases are the focus of preoccupation. This paper presents, a case report of a woman with a fear of schizophrenia, which was treated with cognitive therapy. This patient fulfills the DSM-IV criteria of hypochondriasis and exhibits many characteristics (e.g., selective attention, safety behavior) considered to be maintaining factors in well-established cognitive-behavioral models of hypochondriasis. Cognitive treatment strategies for hypochondriasis (e.g., attention training, behavioral experiments) also proved effective in this case of mental hypochondriasis.