Hypochondriasis: conceptualization, treatment, and relationship to obsessive compulsive disorder.

Hypochondriasis: conceptualization, treatment, and relationship to obsessive compulsive disorder.
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DOI:
10.1080/10401230500295339
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发表时间:
2005-10-01
期刊:
Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists
影响因子:
--
通讯作者:
Abramowitz, Jonathan S
Abramowitz, Jonathan S
中科院分区:
其他
文献类型:
--
作者:
Abramowitz, Jonathan S

文献摘要

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背景:脑下垂体(HC)涉及对严重疾病的恐惧。这种专注是持续的,并且基于对良性身体感觉的误解。作为回应,患者往往求助于医生,自己的身体和医疗参考的频繁检查,以确保自己的健康状况。一些作者将HC比作强迫症(OCD)的基础上的相似之处,强迫症和疾病的关注和仪式检查行为观察到在每个condition.METHODS:在这篇文章中,HC的现象学进行了讨论的因素,占这种疾病的发展和持久性。治疗是从这个概念模型派生的也described.RESULTS:HC是最好的被认为是一个焦虑的问题,其中病理性恐惧是集中在无害的身体感觉和其他健康相关的cooks.CONCLUSIONS:HC的许多心理机制是类似的那些存在于强迫症。
BACKGROUND: Hypochondriasis (HC) involves preoccupation with fears of having a serious illness. The preoccupation is persistent and based on misinterpretation of benign bodily sensations. In response, patients often resort to frequent checks with doctors, of their own body, and of medical references, to reassure themselves of their health status. Some authors have likened HC to obsessive-compulsive disorder (OCD) on the basis of similarities between obsessions and illness preoccupation and the ritualistic checking behavior observed in each condition.METHODS: In this article, the phenomenology of HC is discussed in terms of factors that account for the development and persistence of this disorder. Treatment that is derived from this conceptual model is also described.RESULTS: HC is best considered as an anxiety problem in which pathological fear is focused on innocuous bodily sensations and other health-relevant cues.CONCLUSIONS: Many of the psychological mechanisms of HC are similar to those present in OCD.