{"id":12039,"date":"2017-03-09T08:03:34","date_gmt":"2017-03-09T08:03:34","guid":{"rendered":"http:\/\/wames.org.uk\/cms-english\/?p=12039"},"modified":"2017-03-09T08:03:34","modified_gmt":"2017-03-09T08:03:34","slug":"is-health-anxiety-aka-hypochondria-common-in-people-with-cfs","status":"publish","type":"post","link":"https:\/\/wames.org.uk\/cms-english\/is-health-anxiety-aka-hypochondria-common-in-people-with-cfs\/","title":{"rendered":"Is health anxiety aka hypochondria common in people with CFS?"},"content":{"rendered":"<p style=\"padding-left: 30px;\"><strong>Hypochondria (health anxiety)<\/strong> is excessive worrying about your health, to the point where it causes great distress and affects your everyday life.<\/p>\n<p style=\"padding-left: 30px;\">Some people with health anxiety have a medical condition, which they worry about excessively. Others have\u00a0medically unexplained symptoms, such as\u00a0chest pain or headaches, which they are concerned may be a sign of a serious illness, despite the doctor&#8217;s reassurance.\u00a0\u00a0 [from: <a href=\"http:\/\/www.nhs.uk\/conditions\/hypochondria\/Pages\/Introduction.aspx\" target=\"_blank\">NHS Direct Wales<\/a>]<\/p>\n<h3>Research from the <a href=\"https:\/\/www.nbt.nhs.uk\/our-services\/a-z-services\/bristol-chronic-fatigue-syndromeme-service\/chronic-fatigue-syndromeme-2\" target=\"_blank\">Bristol Chronic Fatigue Syndrome\/ME Service<\/a> and <a href=\"http:\/\/www.bath.ac.uk\/psychology\/research\/groups\/clinical-psychology\/\" target=\"_blank\">Department of Psychology, University of Bath<\/a>, UK:<\/h3>\n<p><strong>Abstract:<\/strong><\/p>\n<p>Objectives:<br \/>\nThere is a lack of research examining the incidence of health anxiety in\u00a0chronic fatigue syndrome\/ myalgic encephalomyelitis (CFS\/ME), despite\u00a0this being an important research area with potentially significant\u00a0clinical implications. This preliminary study aimed to determine the\u00a0incidence of anxiety and depression, more specifically health anxiety,\u00a0in a sample of CFS\/ME patients over a 3-month period.<\/p>\n<p>Design:<br \/>\nThe research was a cross-sectional questionnaire-based study, using a\u00a0consecutive sample of patients who were assessed in a CFS\/ME service.<\/p>\n<p>Method:<br \/>\nData were taken from the Short Health Anxiety Inventory and the Hospital\u00a0Anxiety and Depression Scale to identify incidence of anxiety,\u00a0depression, and health anxiety.<\/p>\n<p>Results:<br \/>\nData were collected from 45 CFS\/ME patients over the sampling period.\u00a0Thirty-one patients (68.9%) scored above the normal range but within the\u00a0subclinical range of health anxiety, and 19 patients (42.2%) scored\u00a0within the clinically significant health anxiety range. Anxiety and\u00a0depression were common, with prevalence rates of 42.2% and 33.3%\u00a0respectively, which is comparable to data found in a recent large-scale\u00a0trial.<\/p>\n<p>Conclusions:<br \/>\nHealth anxiety in CFS\/ME patients is likely to be common and warrants\u00a0further investigation to provide a better insight into how this may\u00a0influence treatment and symptom management.<\/p>\n<p><strong>Practitioner points<\/strong><\/p>\n<ul>\n<li>Anxiety and depression were common in a sample of chronic fatigue syndrome\/ myalgic encephalomyelitis (CFS\/ME) patients, with a high proportion meeting criteria for severe health anxiety.<\/li>\n<li>While CFS\/ME and health anxiety are distinct and separate conditions, it is unsurprising that patients with CFS\/ME, who commonly report feeling \u2018delegitimized\u2019, may experience high levels of anxiety relating to their physical symptoms.<\/li>\n<li>Clinicians should consider screening for health anxiety due to the possible clinical implications for treatment; mutual maintenance may negatively influence treatment success in a complex condition such as CFS\/ME.<\/li>\n<li>Health anxiety has been found to be common across other chronic medical conditions but has been shown to be effectively treated with appropriately tailored interventions.<\/li>\n<\/ul>\n<p><a href=\"http:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/papt.12118\/abstract\" target=\"_blank\">Anxiety and depression in chronic fatigue syndrome\/myalgic\u00a0encephalomyelitis (CFS\/ME): Examining the incidence of health\u00a0anxiety in CFS\/ME<\/a>, by\u00a0Jo Daniels, Amberly Brigden, Adela Kacorova <span style=\"text-decoration: underline;\">in<\/span> <em>Psychology and Psychotherapy<\/em> [Preprint\u00a0February 28, 2017]<\/p>\n<p><strong>Comment:<\/strong><\/p>\n<p>As the researchers\u00a0indicate, health anxiety has been researched and found to exist in other chronic conditions e.g. in Multiple sclerosis (<a href=\"https:\/\/www.researchgate.net\/profile\/Heather_Hadjistavropoulos\/publication\/23480222_Is_health_anxiety_a_significant_problem_for_individuals_with_multiple_sclerosis\/links\/0c96052cc4f48308df000000.pdf\" target=\"_blank\">Kehler<\/a>, &amp; <a href=\"http:\/\/journals.sagepub.com\/doi\/abs\/10.1177\/1352458506071161\" target=\"_blank\">Korostil)<\/a>.\u00a0 The treatment often recommended for this is <a href=\"https:\/\/www.mstrust.org.uk\/a-z\/cognitive-behavioural-therapy-cbt\" target=\"_blank\">CBT<\/a>.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Hypochondria (health anxiety) is excessive worrying about your health, to the point where it causes great distress and affects your everyday life. Some people with health anxiety have a medical condition, which they worry about excessively. Others have\u00a0medically unexplained symptoms, &hellip; <a href=\"https:\/\/wames.org.uk\/cms-english\/is-health-anxiety-aka-hypochondria-common-in-people-with-cfs\/\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[11,426,3579,3580,3581],"class_list":["post-12039","post","type-post","status-publish","format-standard","hentry","category-news","tag-cbt","tag-cognitive-behavioural-therapy","tag-dr-jo-daniels","tag-health-anxiety","tag-hypochondria"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p5qkYK-38b","_links":{"self":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/12039","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/comments?post=12039"}],"version-history":[{"count":5,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/12039\/revisions"}],"predecessor-version":[{"id":12150,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/12039\/revisions\/12150"}],"wp:attachment":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/media?parent=12039"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/categories?post=12039"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/tags?post=12039"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}