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Hypokondri: Diagnostiske kriterier

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Karakteristisk for hypokondri er vedvarende opptatthet av muligheten for å ha en eller flere alvorlige og fremadskridende kroppslige lidelser. Pasienten gir uttrykk for vedvarende plager. Normale og trivielle fornemmelser og utslag tolkes ofte som unormale eller foruroligende av pasienten. Som regel vil oppmerksomheten være konsentrert rundt ett eller to organer eller kroppssystemer (pasientens antatte forklaring). Uttalt depresjon og andre former for angst kan være både årsak og konsekvens av hypokondri.

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Det er ikke lett å si med sikkerhet at pasienten lider av hypokondri, også når kroppslig sykdom er tilstrekkelig utelukket. Noen andre tilstander som kan minne om hypokondri er depresjon, generalisert angstlidelse, panikklidelse, tvangslidelse, paranoid psykose og somatiseringslidelse.

Vil du vite mer

Dette dokumentet er basert på det profesjonelle dokumentet Hypokondri . Referanselisten for dette dokumentet vises nedenfor

  1. 1Weck F. Richtberg S, Neng JMB. (2014) Epidemiology of Hypochondriasis and Health Anxiety: Comparison of Different Diagnostic Criteria. Current Psychiatry Reviews, 10, 14-23. doi:10.2174/1573400509666131119004444.
  2. Gureje O, Ustün TB, Simon GE. The syndrome of hypochondriasis: a cross-national study in primary care. Psychol Med. 1997 Sep;27(5):1001-10.PMID: 9300506. PubMed
  3. Barsky AJ, Wyshak G, Klerman GL, Latham KS. The prevalence of hypochondriasis in medical outpatients. Soc Psychiatry Psychiatr Epidemiol. 1990 Mar;25(2):89-94.PMID: 2336583. PubMed
  4. Fallon BA, Qureshi AI, Laje G, Klein B. Hypochondriasis and its relationship to obsessive-compulsive disorder. Psychiatr Clin North Am. 2000 Sep;23(3):605-16. PMID: 10986730. PubMed
  5. Fallon BA, Harper KM, Landa A, et al. Personality disorders in hypochondriasis: prevalence and comparison with two anxiety disorders. Psychosomatics. 2012 Nov-Dec;53(6):566-74. Epub 2012 May 31. PMID: 22658329. PubMed
  6. Noyes R Jr. The relationship of hypochondriasis to anxiety disorders. Gen Hosp Psychiatry. 1999 Jan-Feb;21(1):8-17. PMID: 10068915. PubMed
  7. Furer P, Walker JR, Chartier MJ, Stein MB. Hypochondriacal concerns and somatization in panic disorder. Depress Anxiety. 1997;6(2):78-85. PMID: 9451549. PubMed
  8. Warwick HM, Clark DM, Cobb AM, Salkovskis PM. A controlled trial of cognitive-behavioural treatment of hypochondriasis. Br J Psychiatry. 1996 Aug;169(2):189-95. PMID: 8871795. PubMed
  9. Clark DM, Salkovskis PM, Hackmann A, et al. Two psychological treatments for hypochondriasis. A randomised controlled trial. Br J Psychiatry. 1998 Sep;173:218-25. PMID: 9926097. PubMed
  10. Sørensen P, Birket-Smith M, Wattar U, et al. A randomized clinical trial of cognitive behavioural therapy versus short-term psychodynamic psychotherapy versus no intervention for patients with hypochondriasis. Psychol Med. 2011 Feb;41(2):431-41. Epub 2010 Apr 12. PMID: 20380779. PubMed
  11. Tyrer P, Salkovskis P, Tyrer H, et al. Cognitive-behaviour therapy for health anxiety in medical patients (CHAMP): a randomised controlled trial with outcomes to 5 years. Health Technol Assess. 2017 Sep;21(50):1-58. PMID: 28877841. PubMed
  12. Greeven A, van Balkom AJ, Visser S, et al. Cognitive behavior therapy and paroxetine in the treatment of hypochondriasis: a randomized controlled trial. Am J Psychiatry. 2007 Jan;164(1):91-9. PMID: 17202549. PubMed
  13. Axelsson E, Hedman-Lagerlöf E. Cognitive behavior therapy for health anxiety: systematic review and meta-analysis of clinical efficacy and health economic outcomes. Expert Rev Pharmacoecon Outcomes Res. 2019 Dec;19(6):663-676. Epub 2019 Dec 20. PMID: 31859542. PubMed
  14. Hedman E, Andersson G, Andersson E, et al. Internet-based cognitive-behavioural therapy for severe health anxiety: randomised controlled trial. Br J Psychiatry. 2011 Mar;198(3):230-6. PMID: 21357882. PubMed
  15. Axelsson E, Andersson E, Ljótsson B, et al. Effect of Internet vs Face-to-Face Cognitive Behavior Therapy for Health Anxiety: A Randomized Noninferiority Clinical Trial. JAMA Psychiatry. 2020 Sep 1;77(9):915-924. PMID: 32401286. PubMed
  16. Veddegjærde KF, Sivertsen B, Skogen JC, Smith ORF, Wilhelmsen I. Long-term effect of cognitive-behavioural therapy in patients with Hypochondriacal Disorder. BJPsych Open. 2020 Apr 29;6(3):e42. doi: PMID: 32345417. PubMed
  17. Eriksen HR, Ihlebaek C, Ursin H. A scoring system for subjective health complaints (SHC). Scand J Public Health. 1999 Mar;27(1):63-72. PMID: 10847674. PubMed
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