section name header

Evidence summaries

Psychotherapies for Hypochondriasis

Cognitive therapy, behavioural therapy, cognitive behavioural therapy and behavioural stress management may be effective in reducing symptoms of hypochondriasis. Level of evidence: "C"

A Cochrane review [Abstract] 1 included 6 studies with a total of 440 subjects. Recruited subjects were from primary and secondary care and also volunteers who responded to public announcements. The interventions examined were cognitive therapy (CT), behavioural therapy (BT), cognitive behavioural therapy (CBT), behavioural stress management (BSM) and psychoeducation. All forms of psychotherapy except psychoeducation showed a significant improvement in hypochondriacal symptoms compared to waiting list control SMD 95% CI -0.86 (-1.25 to -0.46). For some therapies, significant improvements were found in the secondary outcomes of general functioning (CBT), resource use (psychoeducation), anxiety (CT, BSM), depression (CT, BSM) and physical symptoms (CBT). These secondary outcome findings were based on smaller numbers of participants.

Comment: The quality of evidence is downgraded by study quality (inadequate or unclear allocation concealment) and by imprecise results (few patients and wide confidence intervals).

    References

    • Thomson AB, Page LA. Psychotherapies for hypochondriasis. Cochrane Database Syst Rev 2007 Oct 17;(4):CD006520. [PubMed]

Primary/Secondary Keywords