The Research Clinic for Functional Disorders and Psychosomatics, Aarhus University Hospital, Barthsgade 5.1, 8200 Aarhus N, Denmark.
J Anxiety Disord. 2013 Jun;27(5):461-8. doi: 10.1016/j.janxdis.2013.06.001. Epub 2013 Jun 19.
Health anxiety (or hypochondriasis) is prevalent, may be persistent and disabling for the sufferers and associated with high societal costs. Acceptance and Commitment Therapy (ACT) is a new third-wave behavioral cognitive therapy that has not yet been tested in health anxiety. 34 consecutive Danish patients with severe health anxiety were referred from general practitioners or hospital departments and received a ten-session ACT group therapy. Patients were followed up by questionnaires for 6 months. There were significant reductions in health anxiety, somatic symptoms and emotional distress at 6 months compared to baseline: a 49% reduction in health anxiety (Whiteley-7 Index), a 47% decrease in emotional distress (SCL-8), and a 40% decrease in somatic symptoms (SCL-90R Somatization Subscale). The patients' emotional representations and perception of the consequences of their illness (IPQ) improved significantly, and 87% of the patients were very or extremely satisfied with the treatment.
健康焦虑（或疑病症）较为普遍，可能会使患者长期感到不适且丧失能力，并给社会带来较高的成本。接受与承诺疗法（ACT）是一种新的第三波浪潮行为认知疗法，尚未在健康焦虑症中进行过测试。34 名来自丹麦的严重健康焦虑症患者由全科医生或医院科室转介而来，并接受了十次 ACT 团体治疗。患者在 6 个月时通过问卷进行随访。与基线相比，6 个月时健康焦虑、躯体症状和情绪困扰均显著减少：健康焦虑（Whiteley-7 指数）减少 49%，情绪困扰（SCL-8）减少 47%，躯体症状（SCL-90R 躯体化子量表）减少 40%。患者的情绪表达和对疾病后果的感知（IPQ）显著改善，87%的患者对治疗非常满意或极其满意。
