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Biomedical subjects

H M Warwick

Publications and source records attributed to H M Warwick.

7 recordsLinked to original sources

Hypochondriasis.

Hypochondriasis and other syndromes in which health anxiety is prominent are frequently seen in clinical practice and often pose problems of management. In contrast with other anxiety problems, the conceptualization and treatment of health anxiety has developed very little in recent years. Behavioural approaches to treatment have only recently been applied. In the present paper, current theoretical models are critically evaluated and a cognitive-behavioural approach is proposed to account for the development and maintenance of hypochondriacal problems. Principles of cognitive-behavioural treatment based on this approach are outlined, together with some suggestions for research.

Behavior Therapy

Psychiatric morbidity in an accident and emergency department. Characteristics of patients at presentation and one month follow-up.

In order to evaluate how many patients presenting at accident and emergency (A&E) departments show signs of psychiatric disturbance, 140 consecutive medical presentations to an A&E department were evaluated using a range of simple self-report and rater measures, then followed up a month later. High levels of reported psychological problems were detected at screening, and these persisted at follow-up. Correlates of psychological disturbance and repeated attendance at A&E were investigated, indicating the relevance and feasibility of psychiatric intervention related to simple predictors.

Adult

Unwanted erections in obsessive-compulsive disorder.

The presentation of inappropriate penile erections calls for great caution in making a diagnosis. Two patients who had unwanted erections also had obsessive-compulsive disorder--a previously unreported association. Obsessive-compulsive disorder is not inconsistent with unwanted erections and should be considered in assessment.

Adult

A cognitive-behavioural approach to hypochondriasis and health anxiety.

Primary hypochondriasis is a poorly understood condition for which there is no accepted effective treatment. A cognitive-behavioural formulation is described which identifies the psychological processes and factors involved in the aetiology and maintenance of the condition. Using this formulation, it is also possible to account for the development and course of health concerns in non-hypochondriacal individuals. Modification of the aetiological and maintaining factors identified by the cognitive-behavioural formulation should provide an effective treatment for primary hypochondriasis. Cognitive-behavioural treatment strategies derived directly from the formulation have been used successfully in case-studies and require further systematic evaluation.

Anxiety