Skip to main content
Erschienen in: Journal of Behavioral Medicine 2/2009

01.04.2009 | Original Paper

Is health anxiety a significant problem for individuals with multiple sclerosis?

verfasst von: Melissa D. Kehler, Heather D. Hadjistavropoulos

Erschienen in: Journal of Behavioral Medicine | Ausgabe 2/2009

Einloggen, um Zugang zu erhalten

Abstract

Although symptoms of anxiety and depression are often present in individuals with Multiple Sclerosis (MS), less is known about the role of health anxiety in this population. This study investigated the relationship between health anxiety and coping in a sample of people with MS (n = 246). Participants with MS reported higher levels of health anxiety compared to an age-matched control sample. Furthermore, compared to normal levels of health anxiety, participants with MS with elevated health anxiety (around 25%) were differentiated by endorsement of greater use of Emotional Preoccupation and Social Support and less use of Problem-Focused Coping. In addition, participants with elevated health anxiety experienced greater disability and generalized anxiety. We further explored the overlap between generalized anxiety and health anxiety in understanding coping strategies and found that health anxiety and generalized anxiety were both uniquely associated with Emotional Preoccupation coping, whereas only health anxiety was uniquely associated with Problem-Focused coping. The results provide support for the importance of assessing health anxiety in individuals with MS over and above generalized anxiety. Potential avenues for research and clinical practice are described.
Literatur
Zurück zum Zitat Endler, N. S., & Parker, J. D. A. (2000). Coping with Health Injuries and Problems (CHIP): Manual. Toronto: Multi-Health Systems Inc. Endler, N. S., & Parker, J. D. A. (2000). Coping with Health Injuries and Problems (CHIP): Manual. Toronto: Multi-Health Systems Inc.
Zurück zum Zitat Feinstein, A., O’Connor, P., Gray, T., & Feinstein, K. (1999). The effects of anxiety on psychiatric morbidity in patients with multiple sclerosis. Multiple Sclerosis, 5, 323–326.PubMed Feinstein, A., O’Connor, P., Gray, T., & Feinstein, K. (1999). The effects of anxiety on psychiatric morbidity in patients with multiple sclerosis. Multiple Sclerosis, 5, 323–326.PubMed
Zurück zum Zitat Furer, P., Walker, J. R., & Freeston, M. H. (2001). Approach to integrated cognitive-behavior therapy for intense illness worries. In G. J. G. Asmundson, S. Taylor & B. J. Cox (Eds.), Health anxiety: Clinical and research perspectives on hypochondriasis and related conditions (pp. 161–192). Toronto: Wiley. Furer, P., Walker, J. R., & Freeston, M. H. (2001). Approach to integrated cognitive-behavior therapy for intense illness worries. In G. J. G. Asmundson, S. Taylor & B. J. Cox (Eds.), Health anxiety: Clinical and research perspectives on hypochondriasis and related conditions (pp. 161–192). Toronto: Wiley.
Zurück zum Zitat Furer, P., Walker, J. R., & Stein, M. B. (2007). Treating Health Anxiety and Fear of Death: A Practitioner’s Guide. New York: Springer. Furer, P., Walker, J. R., & Stein, M. B. (2007). Treating Health Anxiety and Fear of Death: A Practitioner’s Guide. New York: Springer.
Zurück zum Zitat Gold, S. M., Schulz, H., Mönch, A., Schulz, K. H., & Heesen, C. (2003). Cognitive impairment in multiple sclerosis does not affect reliability and validity of self-report health measures. Multiple Sclerosis, 9, 404–410. doi:10.1191/1352458503ms927oa.PubMedCrossRef Gold, S. M., Schulz, H., Mönch, A., Schulz, K. H., & Heesen, C. (2003). Cognitive impairment in multiple sclerosis does not affect reliability and validity of self-report health measures. Multiple Sclerosis, 9, 404–410. doi:10.​1191/​1352458503ms927o​a.PubMedCrossRef
Zurück zum Zitat Gosling, S. D., Vazire, S., Srivastava, S., & John, O. P. (2004). Should we trust web-based studies? A comparative analysis of six preconceptions about Internet questionnaires. The American Psychologist, 59, 93–104. doi:10.1037/0003-066X.59.2.93.PubMedCrossRef Gosling, S. D., Vazire, S., Srivastava, S., & John, O. P. (2004). Should we trust web-based studies? A comparative analysis of six preconceptions about Internet questionnaires. The American Psychologist, 59, 93–104. doi:10.​1037/​0003-066X.​59.​2.​93.PubMedCrossRef
Zurück zum Zitat Hadjistavropoulos, H. D., Asmundson, G. J. G., & Kowalyk, K. M. (2004). Measures of anxiety: Is there a difference in their ability to predict functioning at three-month follow-up among pain patients? European Journal of Pain, 8, 1–11. doi:10.1016/S1090-3801(03)00059-4.PubMedCrossRef Hadjistavropoulos, H. D., Asmundson, G. J. G., & Kowalyk, K. M. (2004). Measures of anxiety: Is there a difference in their ability to predict functioning at three-month follow-up among pain patients? European Journal of Pain, 8, 1–11. doi:10.​1016/​S1090-3801(03)00059-4.PubMedCrossRef
Zurück zum Zitat Jean, V. M., Paul, R. H., & Beatty, W. W. (1999). Psychological and neurological predictors of coping patterns by patients with multiple sclerosis. Journal of Clinical Psychology, 55, 21–26. doi:10.1002/(SICI)1097-4679(199901)55:1<21::AID-JCLP2>3.0.CO;2-B.PubMedCrossRef Jean, V. M., Paul, R. H., & Beatty, W. W. (1999). Psychological and neurological predictors of coping patterns by patients with multiple sclerosis. Journal of Clinical Psychology, 55, 21–26. doi:10.1002/(SICI)1097-4679(199901)55:1<21::AID-JCLP2>3.0.CO;2-B.PubMedCrossRef
Zurück zum Zitat Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer. Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer.
Zurück zum Zitat Noonan, C. W., Kathman, S. J., & White, M. C. (2002). Prevalence estimates for MS in the United States and evidence of an increasing trend for women. Neurology, 58, 136–138. doi:10.1159/000064489.PubMed Noonan, C. W., Kathman, S. J., & White, M. C. (2002). Prevalence estimates for MS in the United States and evidence of an increasing trend for women. Neurology, 58, 136–138. doi:10.​1159/​000064489.PubMed
Zurück zum Zitat Pakenham, K. I. (2001). Coping with Multiple Sclerosis: Development of a measure. Psychology Health and Medicine, 6, 411–428.CrossRef Pakenham, K. I. (2001). Coping with Multiple Sclerosis: Development of a measure. Psychology Health and Medicine, 6, 411–428.CrossRef
Zurück zum Zitat Rossier, P., & Wade, D. T. (2002). The Guy’s Neurological Disability scale in patients with multiple sclerosis: A clinical evaluation of its reliability and validity. Clinical Rehabilitation, 16, 75–95. doi:10.1191/0269215502cr447oa.PubMedCrossRef Rossier, P., & Wade, D. T. (2002). The Guy’s Neurological Disability scale in patients with multiple sclerosis: A clinical evaluation of its reliability and validity. Clinical Rehabilitation, 16, 75–95. doi:10.​1191/​0269215502cr447o​a.PubMedCrossRef
Zurück zum Zitat Salkovskis, P. M., Rimes, K. A., Warwick, H. M. C., & Clark, D. M. (2002). The Health Anxiety Inventory: Development and validation of scales for the measurement of health anxiety and hypochondriasis. Psychological Medicine, 32, 843–853. doi:10.1017/S0033291702005822.PubMedCrossRef Salkovskis, P. M., Rimes, K. A., Warwick, H. M. C., & Clark, D. M. (2002). The Health Anxiety Inventory: Development and validation of scales for the measurement of health anxiety and hypochondriasis. Psychological Medicine, 32, 843–853. doi:10.​1017/​S003329170200582​2.PubMedCrossRef
Zurück zum Zitat Scherer, R. F., Luther, D. C., Wiebe, F. A., & Adams, J. S. (1988). Dimensionality of coping: Factor stability using the Ways of Coping Questionnaire. Psychological Reports, 62, 763–770.PubMed Scherer, R. F., Luther, D. C., Wiebe, F. A., & Adams, J. S. (1988). Dimensionality of coping: Factor stability using the Ways of Coping Questionnaire. Psychological Reports, 62, 763–770.PubMed
Zurück zum Zitat Seivewright, H., Salkovskis, P., Green, J., Mullan, N., Behr, G., Carlin, E., et al. (2004). Prevalence and service implications of health anxiety in genitourinary medicine clinics. International Journal of STD and AIDS, 15, 519–522. doi:10.1258/0956462041558122.PubMedCrossRef Seivewright, H., Salkovskis, P., Green, J., Mullan, N., Behr, G., Carlin, E., et al. (2004). Prevalence and service implications of health anxiety in genitourinary medicine clinics. International Journal of STD and AIDS, 15, 519–522. doi:10.​1258/​0956462041558122​.PubMedCrossRef
Zurück zum Zitat Sharrack, B., & Hughes, R. A. C. (1999). The Guy’s Neurological Disability Scale (GNDS): A new disability measure for multiple sclerosis. Multiple Sclerosis, 5, 223–233.PubMed Sharrack, B., & Hughes, R. A. C. (1999). The Guy’s Neurological Disability Scale (GNDS): A new disability measure for multiple sclerosis. Multiple Sclerosis, 5, 223–233.PubMed
Zurück zum Zitat Stenager, E., Knudsen, L., & Jensen, K. (1994). Multiple sclerosis: Correlation of anxiety, physical impairment and cognitive dysfunction. Italian Journal of Neurological Sciences, 15, 99–103. doi:10.1007/BF02340120.CrossRef Stenager, E., Knudsen, L., & Jensen, K. (1994). Multiple sclerosis: Correlation of anxiety, physical impairment and cognitive dysfunction. Italian Journal of Neurological Sciences, 15, 99–103. doi:10.​1007/​BF02340120.CrossRef
Zurück zum Zitat Tabachnick, B. G., & Fidell, L. S. (2001). Using multivariate statistics (Fourth Edition). Toronto, ON: Allyn and Bacon. Tabachnick, B. G., & Fidell, L. S. (2001). Using multivariate statistics (Fourth Edition). Toronto, ON: Allyn and Bacon.
Zurück zum Zitat Taylor, S., & Asmundson, G. J. G. (2004). Treating Health Anxiety: A Cognitive-Behavioral Approach. New York: The Guilford Press. Taylor, S., & Asmundson, G. J. G. (2004). Treating Health Anxiety: A Cognitive-Behavioral Approach. New York: The Guilford Press.
Zurück zum Zitat Tsivgoulis, G., Triantafyllou, N., Papageorgiou, C., Evangelopoulos, M. E., Kararizou, E., Sfagos, C., et al. (2007). Associations of the Expanded Disability Status Scale with anxiety and depression in multiple sclerosis outpatients. Acta Neurologica Scandinavica, 115, 67–72. doi:10.1111/j.1600-0404.2006.00736.x.PubMedCrossRef Tsivgoulis, G., Triantafyllou, N., Papageorgiou, C., Evangelopoulos, M. E., Kararizou, E., Sfagos, C., et al. (2007). Associations of the Expanded Disability Status Scale with anxiety and depression in multiple sclerosis outpatients. Acta Neurologica Scandinavica, 115, 67–72. doi:10.​1111/​j.​1600-0404.​2006.​00736.​x.PubMedCrossRef
Metadaten
Titel
Is health anxiety a significant problem for individuals with multiple sclerosis?
verfasst von
Melissa D. Kehler
Heather D. Hadjistavropoulos
Publikationsdatum
01.04.2009
Verlag
Springer US
Erschienen in
Journal of Behavioral Medicine / Ausgabe 2/2009
Print ISSN: 0160-7715
Elektronische ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-008-9186-z

Weitere Artikel der Ausgabe 2/2009

Journal of Behavioral Medicine 2/2009 Zur Ausgabe

ADHS-Medikation erhöht das kardiovaskuläre Risiko

16.05.2024 Herzinsuffizienz Nachrichten

Erwachsene, die Medikamente gegen das Aufmerksamkeitsdefizit-Hyperaktivitätssyndrom einnehmen, laufen offenbar erhöhte Gefahr, an Herzschwäche zu erkranken oder einen Schlaganfall zu erleiden. Es scheint eine Dosis-Wirkungs-Beziehung zu bestehen.

Typ-2-Diabetes und Depression folgen oft aufeinander

14.05.2024 Typ-2-Diabetes Nachrichten

Menschen mit Typ-2-Diabetes sind überdurchschnittlich gefährdet, in den nächsten Jahren auch noch eine Depression zu entwickeln – und umgekehrt. Besonders ausgeprägt ist die Wechselbeziehung laut GKV-Daten bei jüngeren Erwachsenen.

Darf man die Behandlung eines Neonazis ablehnen?

08.05.2024 Gesellschaft Nachrichten

In einer Leseranfrage in der Zeitschrift Journal of the American Academy of Dermatology möchte ein anonymer Dermatologe bzw. eine anonyme Dermatologin wissen, ob er oder sie einen Patienten behandeln muss, der eine rassistische Tätowierung trägt.

Spezielles Sportprogramm bei einer Reihe von psychischen Erkrankungen effektiv

08.05.2024 Psychotherapie Nachrichten

Sportliche Betätigung hilft nicht nur bei Depression, sondern auch in Gruppen von Patientinnen und Patienten mit unterschiedlichen psychischen Erkrankungen, wie Insomnie, Panikattacken, Agoraphobie und posttraumatischem Belastungssyndrom. Sie alle profitieren längerfristig.

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.