Marcus David K, Gurley Jessica R, Marchi Melynda M, Bauer Craig
Department of Psychology, University of Southern Mississippi, 118 College Dr. #5025, Hattiesburg, MS 39406-5025, United States.
Clin Psychol Rev. 2007 Mar;27(2):127-39. doi: 10.1016/j.cpr.2006.09.003. Epub 2006 Nov 3.
This review examined (a) whether hypochondriacal/health-anxious individuals hold distinct assumptions about health and illness, (b) if triggering these assumptions leads to increased hypochondriacal concerns, and (c) whether these individuals perceive their bodily sensations differently from others (i.e., experience greater somatosensory amplification). There was clear evidence that health anxiety is related dysfunctional health-related beliefs. Few studies have examined how hypochondriacal concerns are triggered, and inconsistent results emerged from those that have. Health anxiety is also associated with self-reported higher levels of somatosensory amplification. However, there was little evidence that individuals high in health anxiety are actually more accurate perceivers of the their own autonomic processes. Although the results generally supported the central tenets of the cognitive-behavioral model of hypochondriasis and health anxiety, further research will be necessary to determine whether these beliefs are specific to hypochondriasis and to identify any cognitive processes that may be unique to hypochondriasis.
（a）疑病/健康焦虑个体是否对健康和疾病持有独特的假设；（b）触发这些假设是否会导致疑病担忧增加；以及（c）这些个体对自身身体感觉的认知是否与他人不同（即是否经历更强的体感放大）。有明确证据表明健康焦虑与功能失调的健康相关信念有关。很少有研究考察疑病担忧是如何被触发的，而相关研究结果并不一致。健康焦虑还与自我报告的更高水平的体感放大有关。然而，几乎没有证据表明健康焦虑程度高的个体实际上对自身自主过程的感知更准确。尽管研究结果总体上支持疑病症和健康焦虑认知行为模型的核心原则，但仍需要进一步研究来确定这些信念是否是疑病症所特有的，并识别出可能是疑病症独有的任何认知过程。
