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Feasibility Study of Group Cognitive Behavioral Therapy for Severe Health Anxiety
Journal of Cognitive Psychotherapy ( IF 0.813 ) Pub Date : 2018-10-01 , DOI: 10.1891/0889-8391.32.4.223
Mathias Skjernov , Per Fink , Brian Fallon , Flemming Rasmussen , Erik Simonsen

Severe health anxiety (SHA) is prevalent, often undiagnosed, persistent untreated, and costly. Meta-analyses have shown effectiveness of mostly individual cognitive behavioral therapy (CBT), whereas Group-CBT has only been studied and shown feasibility in one uncontrolled study of psychiatric outpatients also including self-referrals. We aimed to examine feasibility of Group-CBT for physician-referred psychiatric outpatients with SHA and a future randomized controlled trial (RCT). Group-CBT was conducted in two groups of seven participants. Feasibility was examined about recruitment rate, attrition, organization, and effectiveness. Effectiveness was measured by standardized self-report questionnaires: Whiteley Index-7 (WI-7) and Short Health Anxiety Inventory, and clinician rated remission and functioning from baseline to 3-month follow-up (3FU). Recruitment rate was 1.4 participant per month. Attrition showed dropout of 7%. Organization harbored only one senior therapist. Group-CBT showed effectiveness on all measures except WI-7 at 3FU; this latter explained by participants with concurrent borderline personality disorder. Group-CBT seems feasible for physician-referred psychiatric outpatients with SHA. With modifications, an RCT seems feasible.

中文翻译:

团体认知行为疗法治疗严重健康焦虑的可行性研究

严重的健康焦虑症(SHA)普遍存在,通常未被诊断,持续未经治疗且费用昂贵。荟萃分析显示了大多数个人认知行为疗法(CBT)的有效性,而Group-CBT仅在一项未经控制的精神科门诊患者(包括自我推荐)研究中进行了研究,并显示出可行性。我们的目的是检查Group-CBT在SHA医师转诊的精神科门诊患者以及未来的随机对照试验(RCT)中的可行性。CBT小组分为两组,每组七个参与者。研究了关于招聘率,人员流失,组织和有效性的可行性。有效性通过标准化的自我报告调查表:Whiteley Index-7(WI-7)和“短期健康焦虑量表”以及临床医师对从基线到3个月随访(3FU)的缓解和功能进行评估。招聘率为每月1.4名参与者。损耗显示出7%的辍学率。该组织只有一名高级治疗师。CBT组对除3FU的WI-7以外的所有措施均显示有效。后者由并发性边缘人格障碍的参与者解释。对于内科医师推荐的SHA精神科门诊患者,CBT组似乎可行。经过修改,RCT似乎可行。
更新日期:2018-10-01
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