The Impact of Health Anxiety in Multiple Sclerosis

A Replication and Treatment Case Series

Neil Carrigan, Leon Dysch, Paul M. Salkovskis

Research output: Contribution to journalArticle

1 Citation (Scopus)
31 Downloads (Pure)

Abstract

Background: Multiple sclerosis (MS) is commonly associated with psychological complications. Previous research by Hayter and colleagues (2016) found that in patients with MS, health anxiety (HA) can account for part of the variance in quality of life (QoL) independent of physical and cognitive impairment caused by the disease. MS patients with HA perceived their intact physical and cognitive performance as impaired relative to those without HA and attributed the impairment to MS. These misperceptions might be useful targets in the treatment of HA in MS using cognitive behaviour therapy (CBT). Aims: Study 1 sought to replicate the main findings from Hayter et al. (2016). Study 2 examined the impact of HA-focused CBT in a case series. Method: In Study 1, twenty participants with MS were screened for HA and assigned to either a high or low HA group. They completed assessments of cognitive and physical functioning before rating their performance on these tasks, followed by measures of QoL, mood and physical disability. Four participants in the high HA group subsequently received six sessions of CBT using a consecutive AB case series in Study 2. Results: Study 1 replicated the main findings from the earlier study. In Study 2, three of the four patients who received treatment showed substantial improvements in HA and mood and all showed improvement in QoL. Conclusion: Given the high rates of HA in MS patients and its impact on QoL, this case series suggests that a brief CBT intervention could significantly improve patients’ wellbeing.

Original languageEnglish
Pages (from-to)148-167
Number of pages20
JournalBehavioural and Cognitive Psychotherapy
Volume46
Issue number2
Early online date9 Oct 2017
DOIs
Publication statusPublished - 1 Mar 2018

Fingerprint

Multiple Sclerosis
Anxiety
Health
Cognitive Therapy
Quality of Life
Therapeutics
Task Performance and Analysis
Psychology
Research

Keywords

  • cognitive behaviour therapy
  • health anxiety
  • multiple sclerosis
  • quality of life

ASJC Scopus subject areas

  • Clinical Psychology

Cite this

The Impact of Health Anxiety in Multiple Sclerosis : A Replication and Treatment Case Series. / Carrigan, Neil; Dysch, Leon; Salkovskis, Paul M.

In: Behavioural and Cognitive Psychotherapy, Vol. 46, No. 2, 01.03.2018, p. 148-167.

Research output: Contribution to journalArticle

@article{b32bfeb6d2454b40967b0da149ba5eee,
title = "The Impact of Health Anxiety in Multiple Sclerosis: A Replication and Treatment Case Series",
abstract = "Background: Multiple sclerosis (MS) is commonly associated with psychological complications. Previous research by Hayter and colleagues (2016) found that in patients with MS, health anxiety (HA) can account for part of the variance in quality of life (QoL) independent of physical and cognitive impairment caused by the disease. MS patients with HA perceived their intact physical and cognitive performance as impaired relative to those without HA and attributed the impairment to MS. These misperceptions might be useful targets in the treatment of HA in MS using cognitive behaviour therapy (CBT). Aims: Study 1 sought to replicate the main findings from Hayter et al. (2016). Study 2 examined the impact of HA-focused CBT in a case series. Method: In Study 1, twenty participants with MS were screened for HA and assigned to either a high or low HA group. They completed assessments of cognitive and physical functioning before rating their performance on these tasks, followed by measures of QoL, mood and physical disability. Four participants in the high HA group subsequently received six sessions of CBT using a consecutive AB case series in Study 2. Results: Study 1 replicated the main findings from the earlier study. In Study 2, three of the four patients who received treatment showed substantial improvements in HA and mood and all showed improvement in QoL. Conclusion: Given the high rates of HA in MS patients and its impact on QoL, this case series suggests that a brief CBT intervention could significantly improve patients’ wellbeing.",
keywords = "cognitive behaviour therapy, health anxiety, multiple sclerosis, quality of life",
author = "Neil Carrigan and Leon Dysch and Salkovskis, {Paul M.}",
year = "2018",
month = "3",
day = "1",
doi = "10.1017/S135246581700056X",
language = "English",
volume = "46",
pages = "148--167",
journal = "Behavioural and Cognitive Psychotherapy",
issn = "1352-4658",
publisher = "Cambridge University Press",
number = "2",

}

TY - JOUR

T1 - The Impact of Health Anxiety in Multiple Sclerosis

T2 - A Replication and Treatment Case Series

AU - Carrigan, Neil

AU - Dysch, Leon

AU - Salkovskis, Paul M.

PY - 2018/3/1

Y1 - 2018/3/1

N2 - Background: Multiple sclerosis (MS) is commonly associated with psychological complications. Previous research by Hayter and colleagues (2016) found that in patients with MS, health anxiety (HA) can account for part of the variance in quality of life (QoL) independent of physical and cognitive impairment caused by the disease. MS patients with HA perceived their intact physical and cognitive performance as impaired relative to those without HA and attributed the impairment to MS. These misperceptions might be useful targets in the treatment of HA in MS using cognitive behaviour therapy (CBT). Aims: Study 1 sought to replicate the main findings from Hayter et al. (2016). Study 2 examined the impact of HA-focused CBT in a case series. Method: In Study 1, twenty participants with MS were screened for HA and assigned to either a high or low HA group. They completed assessments of cognitive and physical functioning before rating their performance on these tasks, followed by measures of QoL, mood and physical disability. Four participants in the high HA group subsequently received six sessions of CBT using a consecutive AB case series in Study 2. Results: Study 1 replicated the main findings from the earlier study. In Study 2, three of the four patients who received treatment showed substantial improvements in HA and mood and all showed improvement in QoL. Conclusion: Given the high rates of HA in MS patients and its impact on QoL, this case series suggests that a brief CBT intervention could significantly improve patients’ wellbeing.

AB - Background: Multiple sclerosis (MS) is commonly associated with psychological complications. Previous research by Hayter and colleagues (2016) found that in patients with MS, health anxiety (HA) can account for part of the variance in quality of life (QoL) independent of physical and cognitive impairment caused by the disease. MS patients with HA perceived their intact physical and cognitive performance as impaired relative to those without HA and attributed the impairment to MS. These misperceptions might be useful targets in the treatment of HA in MS using cognitive behaviour therapy (CBT). Aims: Study 1 sought to replicate the main findings from Hayter et al. (2016). Study 2 examined the impact of HA-focused CBT in a case series. Method: In Study 1, twenty participants with MS were screened for HA and assigned to either a high or low HA group. They completed assessments of cognitive and physical functioning before rating their performance on these tasks, followed by measures of QoL, mood and physical disability. Four participants in the high HA group subsequently received six sessions of CBT using a consecutive AB case series in Study 2. Results: Study 1 replicated the main findings from the earlier study. In Study 2, three of the four patients who received treatment showed substantial improvements in HA and mood and all showed improvement in QoL. Conclusion: Given the high rates of HA in MS patients and its impact on QoL, this case series suggests that a brief CBT intervention could significantly improve patients’ wellbeing.

KW - cognitive behaviour therapy

KW - health anxiety

KW - multiple sclerosis

KW - quality of life

UR - http://www.scopus.com/inward/record.url?scp=85030832619&partnerID=8YFLogxK

U2 - 10.1017/S135246581700056X

DO - 10.1017/S135246581700056X

M3 - Article

VL - 46

SP - 148

EP - 167

JO - Behavioural and Cognitive Psychotherapy

JF - Behavioural and Cognitive Psychotherapy

SN - 1352-4658

IS - 2

ER -