1. Impact of personality status on the outcomes and cost of cognitive-behavioural therapy for health anxiety.
- Author
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Sanatinia, Rahil, Duolao Wang, Tyrer, Peter, Tyrer, Helen, Crawford, Mike, Cooper, Sylvia, Loebenberg, Gemma, Barrett, Barbara, and Wang, Duolao
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COGNITIVE therapy ,ANXIETY disorders treatment ,HYPOCHONDRIA ,RANDOMIZED controlled trials ,MEDICAL care costs ,PERSONALITY disorder treatment ,COMPARATIVE studies ,RESEARCH methodology ,MEDICAL cooperation ,PERSONALITY disorders ,RESEARCH ,STATISTICAL sampling ,COMORBIDITY ,EVALUATION research ,THERAPEUTICS - Abstract
Background: Health anxiety, hypochondriasis and personality disturbance commonly coexist. The impact of personality status was assessed in a secondary analysis of a randomised controlled trial (RCT).Aims: To test the impact of personality status using ICD-11 criteria on the clinical and cost outcomes of treatment with cognitive-behavioural therapy for health anxiety (CBT-HA) and standard care over 2 years.Method: Personality dysfunction was assessed at baseline in 444 patients before randomisation and independent assessment of costs and outcomes made on four occasions over 2 years.Results: In total, 381 patients (86%) had some personality dysfunction with 184 (41%) satisfying the ICD criteria for personality disorder. Those with no personality dysfunction showed no treatment differences (P = 0.90) and worse social function with CBT-HA compared with standard care (P<0.03) whereas all other personality groups showed greater improvement with CBT-HA maintained over 2 years (P<0.001). Less benefit was shown in those with more severe personality disorder (P<0.05). Costs were less with CBT-HA except for non-significant greater differences in those with moderate or severe personality disorder.Conclusions: The results contradict the hypothesis that personality disorder impairs response to CBT in health anxiety in both the short and medium term. [ABSTRACT FROM AUTHOR]- Published
- 2016
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