Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Researchers study interpersonal effects of hypochondriasis

14.07.2003


Hypochondriasis, or excessive worry over one’s health, is a psychiatric disorder that can affect every aspect of a person’s life -- especially interpersonal relationships. University of Iowa researchers are finding ways to study the condition and how it affects relationships, including patient-doctor interaction.



Hypochondriasis involves preoccupation with a fear of having or developing a serious illness, despite lack of physical evidence of illness. It affects 4 to 9 percent of family practice or primary care outpatients, according to Russell Noyes, M.D., professor emeritus of psychiatry in the UI Roy J. and Lucille A. Carver College of Medicine.

Noyes and co-investigator Scott Stuart, M.D., UI associate professor of psychiatry, studied the interpersonal model of hypochondriasis, which regards the condition as a care-eliciting behavior. By communicating their anxiety and distress over physical symptoms to other people, patients with hypochondriasis hope to obtain care and concern.


The investigators studied the interpersonal model by assessing primary care outpatients for hypochondriasis and attachment style, which is the way in which people form relationships with others. The findings appeared in the March-April 2003 issue of Psychosomatic Medicine.

"The study we did was the first demonstration applying this model," Noyes said. "People are securely attached or not so securely attached to people who are important in their lives. What we showed was that hypochondriacal people are insecurely attached."

Patients who are insecurely attached in other relationships are also likely to feel insecure in the physician-patient relationship, which can lead to problems with health care satisfaction. Often encountering what they interpret as rejection from physicians, people with hypochondriasis go "doctor shopping," searching for a physician to reassure them in some way, Noyes said.

In a separate study published in 2000, Noyes and Stuart found that hypochondriacal and non-hypochondriacal patients interviewed about recent health problems and medical care both gave equal numbers of positive comments about physicians, but the hypochondriacal patients made significantly more negative comments overall. Many of these patients saw physicians as unskilled and uncaring, and felt their relationship with the physician had suffered because of poor communication. Physicians need to be more aware of hypochondriasis to improve physician-patient relationships, Noyes said.

"Doctors don’t do a very good job of recognizing hypochondriasis and they rarely diagnosis it, but it is a real psychiatric disorder and source of distress," Noyes said. "One of the reasons they fail to recognize hypochondriasis is that it comes in a disguised form -- the patient presents physical symptoms and the doctor examines and finds no physical explanation, then dismisses the patient.

"Another problem is that, until recently, there haven’t been good treatments for hypochondriasis, and we tend to diagnose things we have treatments for," Noyes added.

While there have been preliminary trials with antidepressant medications like Prozac, hypochondriasis is generally treated with cognitive behavioral therapy. This therapy teaches hypochondriacal patients what generates their symptoms and how to overcome worrisome thoughts. Interpersonal therapy is designed to identify a patient’s interpersonal problems and help the patient correct them, Noyes said.

"It’s been a neglected subject, and in the past, there’s been considerable pessimism over treatment of hypochondriasis. Doctors have regarded these as ’difficult’ people to treat, and patients have not been satisfied with the care they’ve received," Noyes said. "The most important thing is to establish this as a valid diagnosis for which there is effective treatment, and that’s beginning to occur."

As part of the interpersonal study, Noyes and Stuart found some evidence that childhood adversity -- such as physical or sexual abuse, becoming seriously ill as a child, or having parents that are neglectful or overly attentive during a child’s illness -- can contribute to hypochondriasis in adulthood. The researchers found that as many as a third of the hypochondriacal patients in the study reported a serious childhood illness, much higher than in the patients who were not hypochondriacal.


STORY SOURCE: University of Iowa Health Science Relations, 5139 Westlawn, Iowa City, Iowa 52242-1178

Becky Soglin | EurekAlert!
Further information:
http://www.uiowa.edu/

More articles from Studies and Analyses:

nachricht Obstructing the ‘inner eye’
07.07.2017 | Friedrich-Schiller-Universität Jena

nachricht Drone vs. truck deliveries: Which create less carbon pollution?
31.05.2017 | University of Washington

All articles from Studies and Analyses >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Manipulating Electron Spins Without Loss of Information

Physicists have developed a new technique that uses electrical voltages to control the electron spin on a chip. The newly-developed method provides protection from spin decay, meaning that the contained information can be maintained and transmitted over comparatively large distances, as has been demonstrated by a team from the University of Basel’s Department of Physics and the Swiss Nanoscience Institute. The results have been published in Physical Review X.

For several years, researchers have been trying to use the spin of an electron to store and transmit information. The spin of each electron is always coupled...

Im Focus: The proton precisely weighted

What is the mass of a proton? Scientists from Germany and Japan successfully did an important step towards the most exact knowledge of this fundamental constant. By means of precision measurements on a single proton, they could improve the precision by a factor of three and also correct the existing value.

To determine the mass of a single proton still more accurate – a group of physicists led by Klaus Blaum and Sven Sturm of the Max Planck Institute for Nuclear...

Im Focus: On the way to a biological alternative

A bacterial enzyme enables reactions that open up alternatives to key industrial chemical processes

The research team of Prof. Dr. Oliver Einsle at the University of Freiburg's Institute of Biochemistry has long been exploring the functioning of nitrogenase....

Im Focus: The 1 trillion tonne iceberg

Larsen C Ice Shelf rift finally breaks through

A one trillion tonne iceberg - one of the biggest ever recorded -- has calved away from the Larsen C Ice Shelf in Antarctica, after a rift in the ice,...

Im Focus: Laser-cooled ions contribute to better understanding of friction

Physics supports biology: Researchers from PTB have developed a model system to investigate friction phenomena with atomic precision

Friction: what you want from car brakes, otherwise rather a nuisance. In any case, it is useful to know as precisely as possible how friction phenomena arise –...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

Closing the Sustainability Circle: Protection of Food with Biobased Materials

21.07.2017 | Event News

»We are bringing Additive Manufacturing to SMEs«

19.07.2017 | Event News

The technology with a feel for feelings

12.07.2017 | Event News

 
Latest News

NASA looks to solar eclipse to help understand Earth's energy system

21.07.2017 | Earth Sciences

Stanford researchers develop a new type of soft, growing robot

21.07.2017 | Power and Electrical Engineering

Vortex photons from electrons in circular motion

21.07.2017 | Physics and Astronomy

VideoLinks
B2B-VideoLinks
More VideoLinks >>>