Warwick H M, Salkovskis P M
University of Oxford, Department of Psychiatry, Warneford Hospital, England.
Behav Res Ther. 1990;28(2):105-17. doi: 10.1016/0005-7967(90)90023-c.
Hypochondriasis and other syndromes in which health anxiety is prominent are frequently seen in clinical practice and often pose problems of management. In contrast with other anxiety problems, the conceptualization and treatment of health anxiety has developed very little in recent years. Behavioural approaches to treatment have only recently been applied. In the present paper, current theoretical models are critically evaluated and a cognitive-behavioural approach is proposed to account for the development and maintenance of hypochondriacal problems. Principles of cognitive-behavioural treatment based on this approach are outlined, together with some suggestions for research.
疑病症和其他以健康焦虑为突出表现的综合征在临床实践中屡见不鲜，且常常带来管理方面的问题。与其他焦虑问题不同，近年来健康焦虑的概念化和治疗进展甚微。行为治疗方法直到最近才得以应用。在本文中，对当前的理论模型进行了批判性评估，并提出了一种认知行为方法来解释疑病症问题的产生和维持。基于这种方法的认知行为治疗原则被概述出来，同时还给出了一些研究建议。
