2.1.6 Hypochondriasis

Hypochondriasis

Prevalence/Incidence:

The lifetime prevalence of hypochondriasis is estimated to be around 1-5% (Abramowitz et al., 2007).

Aetiology:

The aetiology of hypochondriasis is not well understood but is thought to involve both psychological and social factors.

Presentation:

Hypochondriasis is characterized by excessive and persistent fears of having a serious medical condition despite reassurances from healthcare professionals.

Treatment:

CBT is the preferred treatment for hypochondriasis, with or without medication. Education, reassurance, and monitoring of symptoms are also important components of treatment.

Outcome:

With appropriate treatment, most people with hypochondriasis can achieve significant symptom improvement and functional recovery.

 Hypochondriasis
Prevalence1-5%
OnsetTypically in early adulthood
GenderNo significant gender differences
AetiologyPsychological and social factors
PresentationExcessive and persistent fears of having a serious medical condition
TreatmentCBT, medication, education, reassurance, and monitoring
OutcomeSignificant symptom improvement and functional recovery

References:

  1. Semple, D., Smyth, R., & Burns, J. (Eds.). (2013). Oxford handbook of psychiatry (3rd ed.). Oxford University Press.