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

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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.

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References

  • Barsky, A. J., Ettner, S. L., Horsky, J., & Bates, D. W. (2001). Resource utilization of patients with hypochondriacal health anxiety and somatization. Medical Care, 39, 705–715. doi:10.1097/00005650-200107000-00007.

    Article  PubMed  Google Scholar 

  • Beck, C. A., Metz, L. M., Svenson, L. W., & Patten, S. B. (2005). Regional variation of multiple sclerosis prevalence in Canada. Multiple Sclerosis, 11, 516–519. doi:10.1191/1352458505ms1192oa.

    Article  PubMed  Google Scholar 

  • Bombardier, C. H., D’Amico, C., & Jordan, J. S. (1990). The relationship of appraisal and coping to chronic illness adjustment. Behaviour Research and Therapy, 28, 297–304. doi:10.1016/0005-7967(90)90081-S.

    Article  PubMed  Google Scholar 

  • Chalk, H. M. (2007). Mind over matter: Cognitive-behavioral determinants of emotional distress in multiple sclerosis patients. Psychology Health and Medicine, 12, 556–566. doi:10.1080/13548500701244965.

    Article  Google Scholar 

  • Endler, N. S., Parker, J. D. A., & Summerfeldt, L. J. (1998). Coping with health problems: Developing a reliable and valid multidimensional measure. Psychological Assessment, 10, 195–205. doi:10.1037/1040-3590.10.3.195.

    Article  Google Scholar 

  • Endler, N. S., & Parker, J. D. A. (2000). Coping with Health Injuries and Problems (CHIP): Manual. Toronto: Multi-Health Systems Inc.

    Google Scholar 

  • 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  Google Scholar 

  • Freeston, M. H., Gagnon, F., Ladouceur, R., Thibodeau, N., Letarte, H., & Rheaume, J. (1994). Health-related intrusive thoughts. Journal of Psychosomatic Research, 38, 203–215. doi:10.1016/0022-3999(94)90116-3.

    Article  PubMed  Google Scholar 

  • 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.

    Google Scholar 

  • Furer, P., Walker, J. R., & Stein, M. B. (2007). Treating Health Anxiety and Fear of Death: A Practitioner’s Guide. New York: Springer.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Gureje, O., Üstün, T. B., & Simon, G. E. (1997). The syndrome of hypochondriasis: A cross-national study in primary care. Psychological Medicine, 27, 1001–1010. doi:10.1017/S0033291797005345.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Hadjistavropoulos, H. D., Craig, K. D., & Hadjistavropoulos, T. (1998). Cognitive and behavioral responses to illness information: The role of health anxiety. Behaviour Research and Therapy, 36, 149–164. doi:10.1016/S0005-7967(98)00014-X.

    Article  PubMed  Google Scholar 

  • Hadjistavropoulos, H. D., Hadjistavropoulos, T., & Quine, A. (2000). Health anxiety moderates the effects of distraction versus attention to pain. Behaviour Research and Therapy, 38, 425–438. doi:10.1016/S0005-7967(99)00044-3.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Langlois, F., & Ladouceur, R. (2004). Adaptation of a GAD treatment for hypochondriasis. Cognitive and Behavioral Practice, 11, 393–404. doi:10.1016/S1077-7229(04)80056-7.

    Article  Google Scholar 

  • Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer.

    Google Scholar 

  • Martin, A., & Jacobi, F. (2006). Features of hypochondriasis and illness worry in the general population in Germany. Psychosomatic Medicine, 68, 770–777. doi:10.1097/01.psy.0000238213.04984.b0.

    Article  PubMed  Google Scholar 

  • McCabe, M. P., McKern, S., & McDonald, E. (2004). Coping and psychological adjustment among people with multiple sclerosis. Journal of Psychosomatic Research, 56, 355–361. doi:10.1016/S0022-3999(03)00132-6.

    Article  PubMed  Google Scholar 

  • Mohr, D. C., & Cox, D. (2001). Multiple sclerosis: Empirical literature for the clinical health psychologist. Journal of Clinical Psychology, 57, 479–499. doi:10.1002/jclp.1042.

    Article  PubMed  Google Scholar 

  • 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  Google Scholar 

  • Pakenham, K. I. (1999). Adjustment to Multiple Sclerosis: Application of a stress and coping model. Health Psychology, 18, 383–392. doi:10.1037/0278-6133.18.4.383.

    Article  PubMed  Google Scholar 

  • Pakenham, K. I. (2001). Coping with Multiple Sclerosis: Development of a measure. Psychology Health and Medicine, 6, 411–428.

    Article  Google Scholar 

  • Pakenham, K. I. (2006). Investigation of the coping antecedents to positive outcomes and distress in multiple sclerosis (MS). Psychology and Health, 21, 633–649. doi:10.1080/14768320500422618.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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  Google Scholar 

  • Schwartz, C. E. (1999). Teaching coping skills enhances quality of life more than peer support: Results of a randomized trial with Multiple Sclerosis patients. Health Psychology, 18, 211–220. doi:10.1037/0278-6133.18.3.211.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Tabachnick, B. G., & Fidell, L. S. (2001). Using multivariate statistics (Fourth Edition). Toronto, ON: Allyn and Bacon.

    Google Scholar 

  • Taillefer, S., Kirmayer, L. J., Robbins, J. M., & Lasry, J. C. (2003). Correlates of illness worry in chronic fatigue syndrome. Journal of Psychosomatic Research, 54, 331–337. doi:10.1016/S0022-3999(02)00332-X.

    Article  PubMed  Google Scholar 

  • Taylor, S., & Asmundson, G. J. G. (2004). Treating Health Anxiety: A Cognitive-Behavioral Approach. New York: The Guilford Press.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Warwick, H. M. C., & Salkovskis, P. M. (1990). Hypochondriasis. Behaviour Research and Therapy, 28, 105–117. doi:10.1016/0005-7967(90)90023-C.

    Article  PubMed  Google Scholar 

  • Zigmond, A. S., & Snaith, R. P. (1983). The Hospital Anxiety and Depression scale. Acta Psychiatrica Scandinavica, 67, 361–370. doi:10.1111/j.1600-0447.1983.tb09716.x.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Psychology, University of Regina, 3737 Wascana Parkway, Regina, Saskatchewan, SK S4S OA2, Canada

    Melissa D. Kehler & Heather D. Hadjistavropoulos

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  1. Melissa D. Kehler
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  2. Heather D. Hadjistavropoulos
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Correspondence to Heather D. Hadjistavropoulos.

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Kehler, M.D., Hadjistavropoulos, H.D. Is health anxiety a significant problem for individuals with multiple sclerosis?. J Behav Med 32, 150–161 (2009). https://doi.org/10.1007/s10865-008-9186-z

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  • DOI: https://doi.org/10.1007/s10865-008-9186-z

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