TY  - JOUR
A1  - Schwind, Julia
A1  - Neng, Julia M. B.
A1  - Weck, Florian
T1  - Changes in Free Symptom Attributions in Hypochondriasis after Cognitive Therapy and Exposure Therapy
JF  - Behavioural and cognitive psychotherapy : ournal of the British Association for Behavioural and Cognitive Psychotherapies
KW  - Attribution
KW  - hypochondriasis
KW  - free association
KW  - cognitive-behavioural therapy
Y1  - 2016
U6  - https://doi.org/10.1017/S1352465816000163
SN  - 1352-4658
SN  - 1469-1833
VL  - 44
SP  - 601
EP  - 614
PB  - Cambridge Univ. Press
CY  - New York
ER  - 
TY  - GEN
A1  - Schwind, Julia
A1  - Neng, Julia M. B.
A1  - Weck, Florian
T1  - Changes in free symptom attributions in hypochondriasis after cognitive therapy and exposure therapy
T2  - Postprints der Universität Potsdam : Humanwissenschaftliche Reihe
N2  - Background: Cognitive-behavioural therapy can change dysfunctional symptom attributions in patients with hypochondriasis. Past research has used forced-choice answer formats, such as questionnaires, to assess these misattributions; however, with this approach, idiosyncratic attributions cannot be assessed. Free associations are an important complement to existing approaches that assess symptom attributions. Aims: With this study, we contribute to the current literature by using an open-response instrument to investigate changes in freely associated attributions after exposure therapy (ET) and cognitive therapy (CT) compared with a wait list (WL). Method: The current study is a re-examination of a formerly published randomized controlled trial (Weck, Neng, Richtberg, Jakob and Stangier, 2015) that investigated the effectiveness of CT and ET. Seventy-three patients with hypochondriasis were randomly assigned to CT, ET or a WL, and completed a 12-week treatment (or waiting period). Before and after the treatment or waiting period, patients completed an Attribution task in which they had to spontaneously attribute nine common bodily sensations to possible causes in an open-response format. Results: Compared with the WL, both CT and ET reduced the frequency of somatic attributions regarding severe diseases (CT: Hedges's g = 1.12; ET: Hedges's g = 1.03) and increased the frequency of normalizing attributions (CT: Hedges's g = 1.17; ET: Hedges's g = 1.24). Only CT changed the attributions regarding moderate diseases (Hedges's g = 0.69). Changes in somatic attributions regarding mild diseases and psychological attributions were not observed. Conclusions: Both CT and ET are effective for treating freely associated misattributions in patients with hypochondriasis. This study supplements research that used a forced-choice assessment.
T3  - Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe - 457 
KW  - attribution
KW  - hypochondriasis
KW  - free association
KW  - cognitive-behavioural therapy
Y1  - 2018
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:517-opus4-414169
IS  - 457
ER  - 
TY  - JOUR
A1  - Richtberg, Samantha
A1  - Jakob, Marion
A1  - Hoefling, Volkmar
A1  - Weck, Florian
T1  - Patient Characteristics and Patient Behavior as Predictors of Outcome in Cognitive Therapy and Exposure Therapy for Hypochondriasis
JF  - Journal of clinical psychology
N2  - ObjectivePsychotherapy for hypochondriasis has greatly improved over the last decades and cognitive-behavioral treatments are most promising. However, research on predictors of treatment outcome for hypochondriasis is rare. Possible predictors of treatment outcome in cognitive therapy (CT) and exposure therapy (ET) for hypochondriasis were investigated. MethodCharacteristics and behaviors of 75 patients were considered as possible predictors: sociodemographic variables (sex, age, and cohabitation); psychopathology (pretreatment hypochondriacal symptoms, comorbid mental disorders, and levels of depression, anxiety, and somatic symptoms); and patient in-session interpersonal behavior. ResultsSeverity of pretreatment hypochondriacal symptoms, comorbid mental disorders, and patient in-session interpersonal behavior were significant predictors in multiple hierarchical regression analyses. Interactions between the predictors and the treatment (CT or ET) were not found. ConclusionsIn-session interpersonal behavior is an important predictor of outcome. Furthermore, there are no specific contraindications to treating hypochondriasis with CT or ET.
KW  - cognitive-behavioral therapy
KW  - hypochondriasis
KW  - illness anxiety disorder
KW  - interpersonal behavior
KW  - predictors of outcome
Y1  - 2016
U6  - https://doi.org/10.1002/jclp.22356
SN  - 0021-9762
SN  - 1097-4679
VL  - 73
IS  - 6
SP  - 612
EP  - 625
PB  - Wiley
CY  - Hoboken
ER  -