Changes in negative implicit evaluations in patients of hypochondriasis after treatment with cognitive therapy or exposure therapy
- Publikationstyp:
- Zeitschriftenaufsatz
- Metadaten:
-
- Autoren
- Franziska Schreiber
- Michael Witthoeft
- Julia MB Neng
- Florian Weck
- Autoren-URL
- https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=fis-test-1&SrcAuth=WosAPI&KeyUT=WOS:000367213200019&DestLinkType=FullRecord&DestApp=WOS_CPL
- DOI
- 10.1016/j.jbtep.2015.07.005
- eISSN
- 1873-7943
- Externe Identifier
- Clarivate Analytics Document Solution ID: CZ6LQ
- PubMed Identifier: 26204567
- ISSN
- 0005-7916
- Zeitschrift
- JOURNAL OF BEHAVIOR THERAPY AND EXPERIMENTAL PSYCHIATRY
- Schlüsselwörter
- Hypochondriasis
- Health anxiety
- Affect misattribution procedure
- Cognitive therapy
- Exposure therapy
- Paginierung
- 139 - 146
- Datum der Veröffentlichung
- 2016
- Status
- Published
- Titel
- Changes in negative implicit evaluations in patients of hypochondriasis after treatment with cognitive therapy or exposure therapy
- Sub types
- Article
- Ausgabe der Zeitschrift
- 50
Datenquelle: Web of Science (Lite)
- Andere Metadatenquellen:
-
- Autoren
- Franziska Schreiber
- Michael Witthöft
- Julia MB Neng
- Florian Weck
- DOI
- 10.1016/j.jbtep.2015.07.005
- ISSN
- 0005-7916
- Zeitschrift
- Journal of Behavior Therapy and Experimental Psychiatry
- Sprache
- en
- Paginierung
- 139 - 146
- Datum der Veröffentlichung
- 2016
- Status
- Published
- Herausgeber
- Elsevier BV
- Herausgeber URL
- http://dx.doi.org/10.1016/j.jbtep.2015.07.005
- Datum der Datenerfassung
- 2018
- Titel
- Changes in negative implicit evaluations in patients of hypochondriasis after treatment with cognitive therapy or exposure therapy
- Ausgabe der Zeitschrift
- 50
Datenquelle: Crossref
- Abstract
- <h4>Background and objectives</h4>Previous studies using modified versions of the Affect Misattribution Procedure (AMP; Payne, Cheng, Govorun, & Stewart, 2005) have revealed that there is an implicit negative evaluation bias of illness-related information in patients with hypochondriasis (HYP), which might be a maintaining feature of HYP. However, there is no evidence on whether this bias might be targeted successfully by effective treatments, such as exposure therapy (ET) or cognitive therapy (CT). This is the first study to examine the change in negative implicit evaluations in a randomized controlled trial, including individual CT and ET, compared to a wait-list control group for HYP.<h4>Methods</h4>An AMP with illness, symptom and neutral primes was used in 70 patients with HYP before and after treatment (wait-list respectively).<h4>Results</h4>There was no significant change in negative implicit affective evaluations in both CT and ET, compared to wait-list. However, comparisons between the two active treatments revealed an interaction effect, that only for CT were the affective reactions on illness-as well as symptom-related prime trials (but not neutral primes) significantly more positive at post-compared to pre-treatment. In CT but not in ET, the reduction of implicit negative evaluation bias regarding symptom-related primes was significantly related to the reduction of self-reported health anxiety.<h4>Limitations</h4>The small subsample sizes for CT and ET, in comparison to wait-list, prohibit the detection of smaller effects.<h4>Conclusions</h4>Formal cognitive restructuring is necessary for reducing implicit negative evaluation bias in HYP, but the latter is not a prerequisite for reducing health anxiety. Thus, the importance of the negative implicit evaluation bias for the maintenance of HYP remains questionable.
- Addresses
- Department of Clinical Psychology and Psychotherapy, Goethe-University, Frankfurt am Main, Germany. Electronic address: schreiber@psych.uni-frankfurt.de.
- Autoren
- Franziska Schreiber
- Michael Witthöft
- Julia MB Neng
- Florian Weck
- DOI
- 10.1016/j.jbtep.2015.07.005
- eISSN
- 1873-7943
- Externe Identifier
- PubMed Identifier: 26204567
- Funding acknowledgements
- German Research Foundation: WE 4654/2-3
- German Research Foundation: WE 4654/2-1
- Open access
- false
- ISSN
- 0005-7916
- Zeitschrift
- Journal of behavior therapy and experimental psychiatry
- Schlüsselwörter
- Humans
- Treatment Outcome
- Hypochondriasis
- Implosive Therapy
- Adult
- Middle Aged
- Female
- Male
- Cognitive Behavioral Therapy
- Sprache
- eng
- Medium
- Print-Electronic
- Online publication date
- 2015
- Paginierung
- 139 - 146
- Datum der Veröffentlichung
- 2016
- Status
- Published
- Datum der Datenerfassung
- 2015
- Titel
- Changes in negative implicit evaluations in patients of hypochondriasis after treatment with cognitive therapy or exposure therapy.
- Sub types
- Research Support, Non-U.S. Gov't
- Randomized Controlled Trial
- Journal Article
- Ausgabe der Zeitschrift
- 50
Datenquelle: Europe PubMed Central
- Abstract
- BACKGROUND AND OBJECTIVES: Previous studies using modified versions of the Affect Misattribution Procedure (AMP; Payne, Cheng, Govorun, & Stewart, 2005) have revealed that there is an implicit negative evaluation bias of illness-related information in patients with hypochondriasis (HYP), which might be a maintaining feature of HYP. However, there is no evidence on whether this bias might be targeted successfully by effective treatments, such as exposure therapy (ET) or cognitive therapy (CT). This is the first study to examine the change in negative implicit evaluations in a randomized controlled trial, including individual CT and ET, compared to a wait-list control group for HYP. METHODS: An AMP with illness, symptom and neutral primes was used in 70 patients with HYP before and after treatment (wait-list respectively). RESULTS: There was no significant change in negative implicit affective evaluations in both CT and ET, compared to wait-list. However, comparisons between the two active treatments revealed an interaction effect, that only for CT were the affective reactions on illness-as well as symptom-related prime trials (but not neutral primes) significantly more positive at post-compared to pre-treatment. In CT but not in ET, the reduction of implicit negative evaluation bias regarding symptom-related primes was significantly related to the reduction of self-reported health anxiety. LIMITATIONS: The small subsample sizes for CT and ET, in comparison to wait-list, prohibit the detection of smaller effects. CONCLUSIONS: Formal cognitive restructuring is necessary for reducing implicit negative evaluation bias in HYP, but the latter is not a prerequisite for reducing health anxiety. Thus, the importance of the negative implicit evaluation bias for the maintenance of HYP remains questionable.
- Date of acceptance
- 2015
- Autoren
- Franziska Schreiber
- Michael Witthöft
- Julia MB Neng
- Florian Weck
- Autoren-URL
- https://www.ncbi.nlm.nih.gov/pubmed/26204567
- DOI
- 10.1016/j.jbtep.2015.07.005
- eISSN
- 1873-7943
- Zeitschrift
- J Behav Ther Exp Psychiatry
- Schlüsselwörter
- Affect misattribution procedure
- Cognitive therapy
- Exposure therapy
- Health anxiety
- Hypochondriasis
- Adult
- Cognitive Behavioral Therapy
- Female
- Humans
- Hypochondriasis
- Implosive Therapy
- Male
- Middle Aged
- Treatment Outcome
- Sprache
- eng
- Country
- Netherlands
- Paginierung
- 139 - 146
- PII
- S0005-7916(15)30011-2
- Datum der Veröffentlichung
- 2016
- Status
- Published
- Datum, an dem der Datensatz öffentlich gemacht wurde
- 2016
- Titel
- Changes in negative implicit evaluations in patients of hypochondriasis after treatment with cognitive therapy or exposure therapy.
- Sub types
- Journal Article
- Randomized Controlled Trial
- Research Support, Non-U.S. Gov't
- Ausgabe der Zeitschrift
- 50
Datenquelle: PubMed
- Beziehungen:
- Eigentum von