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Internet-based cognitive-behavioural therapy for severe health anxiety: randomised controlled trial

Hedman, Erik (author)
Karolinska Institutet
Andersson, Gerhard (author)
Karolinska Institutet,Linköpings universitet,Avdelningen för klinisk och socialpsykologi (CS),Filosofiska fakulteten
Andersson, Erik (author)
Karolinska Institutet
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Ljotsson, Brjann (author)
Karolinska Institutet
Ruck, Christian (author)
Karolinska Institutet
Asmundson, Gordon J G (author)
University of Regina
Lindefors, Nils (author)
Karolinska Institutet
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 (creator_code:org_t)
2018-01-02
2011
English.
In: British Journal of Psychiatry. - : Royal College of Psychiatrists. - 0007-1250 .- 1472-1465. ; 198:3, s. 230-236
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Background Hypochondriasis, characterised by severe health anxiety, is a common condition associated with functional disability. Cognitive-behavioural therapy (CBT) is an effective but not widely disseminated treatment for hypochondriasis. Internet-based CBT, including guidance in the form of minimal therapist contact via email, could be a more accessible treatment, but no study has investigated internet-based CBT for hypochondriasis. less thanbrgreater than less thanbrgreater thanAims To investigate the efficacy of internet-based CBT for hypochondriasis. less thanbrgreater than less thanbrgreater thanMethod A randomised controlled superiority trial with masked assessment comparing internet-based CBT (n = 40) over 12 weeks with an attention control condition (n = 41) for people with hypochondriasis. The primary outcome measure was the Health Anxiety Inventory. This trial is registrated with ClinicalTrials.gov (NCT00828152). less thanbrgreater than less thanbrgreater thanResults Participants receiving internet-based CBT made large and superior improvements compared with the control group on measures of health anxiety (between-group Cohens d range 1.52-1.62). less thanbrgreater than less thanbrgreater thanConclusions Internet-based CBT is an efficacious treatment for hypochondriasis that has the potential to increase accessibility and availability of CBT for hypochodriasis.

Keyword

SOCIAL SCIENCES
SAMHÄLLSVETENSKAP

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