Cognitive and behavioral responses to illness information: the role of health anxiety
Cognitive and behavioral responses to illness information: the role of health anxiety
复制标题
DOI：
10.1016/s0005-7967(98)00014-x
复制
发表时间：
1998-02-01
影响因子：
4.1
通讯作者：
Hadjistavropoulos, T
中科院分区：
文献类型：
--
作者：
Hadjistavropoulos, HD;Craig, KD;Hadjistavropoulos, T
健康焦虑的认知行为理论预测了健康方面的非典型反应：个体在接触健康相关信息时会感到焦虑。仍需要系统研究来支持该理论。这项调查对 192 名亚临床健康焦虑程度各异的参与者进行了调查，随机向他们提供表面诊断措施的反馈，表明健康并发症的积极、消极或模糊风险。然后测量对冷压任务的反应。结果表明，无论向患者提供何种类型的反馈，健康焦虑的个体都会表现出预测的认知（例如负面解释信息）和行为反应（例如增加寻求安慰）。确定了对健康焦虑的重要且可能是核心的认知。健康焦虑的人认为自己整体上患疾病的风险更大，并且更重视健康相关信息的准确性。扩展认知行为理论，发现壁炉焦虑与积极躯体症状监测的减少有关，这表明健康焦虑可能与未能采取保护策略有关。健康焦虑不会导致对疾病信息的认知或行为回避。描述了临床意义和未来的研究方向。 (C) 1998 年爱思唯尔科学。有限公司保留所有权利。
The cognitive-behavioral theory of health anxiety predicts atypical responses in health: anxious individuals when exposed to health related information. Systematic research is still needed to support the theory. This investigation examined 192 participants varying in subclinical levels of health anxiety, who were randomly given feedback on an ostensible diagnostic measure, indicating positive, negative or ambiguous risk for health complications. Responses to a cold presser task were then measured. The results indicated that regardless of the type of feedback patients were given, health anxious individuals displayed the predicted cognitive (e.g. negatively interpreted information) and behavioral responses (e.g. increased reassurance seeking). Important and perhaps central cognitions to health anxiety were identified. Health anxious individuals regarded themselves to be at greater risk for disease overall, and attached greater accuracy to health related information. Extending the cognitive-behavioural theory, hearth anxiety was found to be associated with decreased usage of positive somatic monitoring of symptoms, suggesting health anxiety may be associated with a failure to engage in protective strategies. Health anxiety did not result in cognitive or behavioural avoidance of illness information. Clinical implications and future directions for research are described. (C) 1998 Elsevier Science. Ltd. All rights reserved.