A Randomized Clinical Trial f Mindfulness-Based Cognitive Therapy Versus Unrestricted Services For Health Anxiety (Hypochondriasis)

McManus, F, Surawy, C, Muse, Kate ORCID: 0000-0001-5824-1841, Vazquez-Montes, M and Williams, J M (2012) A Randomized Clinical Trial f Mindfulness-Based Cognitive Therapy Versus Unrestricted Services For Health Anxiety (Hypochondriasis). Journal of Consulting and Clinical Psychology, 80 (5). pp. 817-828. doi:10.1037/a0028782

11007-(Muse)-McManus et al (2012) RCT MBCT for Health Anxiety (1).pdf - Accepted Version
Available under License All Rights Reserved.

Download (453kB) | Preview


Objective: The efficacy and acceptability of existing psychological interventions for health anxiety (hypochondriasis) are limited. In the current study, the authors aimed to assess the impact of mindfulness-based cognitive therapy (MBCT) on health anxiety by comparing the impact of MBCT in addition to usual services (unrestricted services) with unrestricted services (US) alone. Method: The 74 participants were randomized to either MBCT in addition to US (n 36) or US alone (n 38). Participants were assessed prior to intervention (MBCT or US), immediately following the intervention, and 1 year post intervention. In addition to independent assessments of diagnostic status, standardized self-report measures and assessor ratings of severity and distress associated with the diagnosis of hypochondriasis were used. Results: In the intention-to-treat (ITT) analysis (N 74), MBCT participants had significantly lower health anxiety than US participants, both immediately following the intervention (Cohen?s d 0.48) and at 1-year follow-up (d 0.48). The per-protocol (PP) analysis (n 68) between groups effect size was d 0.49 at postintervention and d 0.62 at 1-year follow-up. Mediational analysis showed that change in mindfulness mediated the group changes in health anxiety symptoms. Significantly fewer participants allocated to MBCT than to US met criteria for the diagnosis of hypochondriasis, both immediately following the intervention period (ITT 50.0% vs. 78.9%; PP 47.1% vs. 78.4%) and at 1-year follow-up (ITT 36.1% vs. 76.3%; PP 28.1% vs. 75.0%). Conclusions: MBCT may be a useful addition to usual services for patients with health anxiety.

Item Type: Article
Article Type: Article
Uncontrolled Keywords: health anxiety; Hypochondriasis; mindfulness; mindfulness-based cognitive therapy; treatment efficacy
Subjects: B Philosophy. Psychology. Religion > BF Psychology
Divisions: Schools and Research Institutes > School of Education and Science
Research Priority Areas: Health, Life Sciences, Sport and Wellbeing
Depositing User: Anne Pengelly
Date Deposited: 10 May 2022 12:28
Last Modified: 31 Aug 2023 09:05
URI: https://eprints.glos.ac.uk/id/eprint/11007

University Staff: Request a correction | Repository Editors: Update this record

University Of Gloucestershire

Bookmark and Share

Find Us On Social Media:

Social Media Icons Facebook Twitter Google+ YouTube Pinterest Linkedin

Other University Web Sites

University of Gloucestershire, The Park, Cheltenham, Gloucestershire, GL50 2RH. Telephone +44 (0)844 8010001.