Document Detail


Effectiveness and cost offset analysis of group CBT for hypochondriasis delivered in a psychiatric setting: an open trial.
MedLine Citation:
PMID:  20972912     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Hypochondriasis is highly prevalent in medical settings, has detrimental effects for affected individuals, and is associated with high societal costs. Although cognitive behavior therapy (CBT) has been shown to be effective in the treatment of hypochondriasis, it is not widely available because of a lack of properly trained therapists. Therefore, it is essential to evaluate therapy forms that require less therapist time. The authors investigated the effect and economic impact of group CBT delivered in a psychiatric setting among 24 people with hypochondriasis. A within-group design with prolonged baseline was used, and all participants received 10 weeks of group-based treatment. The primary outcome measures were the Health Anxiety Inventory and the Illness Attitude Scales. Results indicate significant improvement on both measures at posttreatment and 6-month follow-up (Cohen's d = 1.03-1.72). Medical and nonmedical costs were substantially lowered. The authors conclude that group-based CBT delivered in a psychiatric setting is an effective and potentially highly cost-effective treatment for hypochondriasis.
Authors:
Erik Hedman; Brjánn Ljótsson; Erik Andersson; Christian Rück; Gerhard Andersson; Nils Lindefors
Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Cognitive behaviour therapy     Volume:  39     ISSN:  1651-2316     ISO Abbreviation:  Cogn Behav Ther     Publication Date:  2010  
Date Detail:
Created Date:  2010-12-20     Completed Date:  2011-04-18     Revised Date:  2013-01-25    
Medline Journal Info:
Nlm Unique ID:  101143317     Medline TA:  Cogn Behav Ther     Country:  England    
Other Details:
Languages:  eng     Pagination:  239-50     Citation Subset:  IM    
Affiliation:
Department of Clinical Neuroscience, Division of Psychiatry, Karolinska Institutet, Stockholm, Sweden. erik.hedman.2@ki.se
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Anxiety / therapy
Attitude to Health
Cognitive Therapy / economics*,  methods
Female
Health Care Costs
Humans
Hypochondriasis / diagnosis,  psychology,  therapy*
Male
Middle Aged
Outcome and Process Assessment (Health Care)
Personality Inventory
Psychotherapy, Group / economics*,  methods

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