Prevalence of health anxiety problems in medical clinics

  • Peter Tyrer
  • , Sylvia Cooper
  • , Mike Crawford
  • , Simon Dupont
  • , John Green
  • , David Murphy
  • , Paul Salkovskis
  • , Georgina Smith
  • , Duolao Wang
  • , Sharandeep Bhogal
  • , Mary Keeling
  • , Gemma Loebenberg
  • , Richard Seivewright
  • , Gemma Walker
  • , Faye Cooper
  • , Rachel Evered
  • , Stephanie Kings
  • , Kofi Kramo
  • , Antoinette McNulty
  • , Jessica Nagar
  • Steven Reid, Rahil Sanatinia, Julie Sinclair, David Trevor, Charlotte Watson, Helen Tyrer

Research output: Contribution to journalArticlepeer-review

127 Citations (Scopus)

Abstract

Objectives: To determine the prevalence of significant health anxiety (hypochondriasis) in patients aged 16-75 in cardiology, respiratory medicine, neurological, endocrine and gastrointestinal clinics in general hospitals in London, Middlesex and North Nottinghamshire. Method: The Health Anxiety Inventory (HAI) (short form) was administered to patients attending the five clinics over a 21. month period and all those who scored 20 or more invited to take part in a further assessment for a randomised controlled trial. Results: Of 43,205 patients attending the clinics 28,991 (67.1%) were assessed and of these, after exclusion of ineligible patients 5747 (19.8%) had significant health anxiety. 444 subsequently agreed to take part in a randomised controlled trial of treatment. The prevalence levels varied by clinic with neurology (24.7%) having the highest prevalence followed by respiratory medicine (20.9%), gastroenterology (19.5%), cardiology (19.1%), and endocrinology (17.5%). Conclusion: Abnormal health anxiety is common and a significant problem in those attending medical clinics and deserves greater awareness.
Original languageEnglish
Pages (from-to)392-394
Number of pages3
JournalJournal of Psychosomatic Research
Volume71
Issue number6
DOIs
Publication statusPublished - 1 Dec 2011
Externally publishedYes

Keywords

  • Health anxiety
  • Hypochondriasis
  • Prevalence
  • Secondary care

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