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Hypochondriasis and Somatosensory Amplification

Published online by Cambridge University Press:  02 January 2018

Arthur J. Barsky  and
Grace Wyshak
Arthur J. Barsky*
Affiliation:
Department of Psychiatry, Harvard Medical School, and Psychiatry Service and Primary Care Program, Massachusetts General Hospital, ACC 807, Fruit Street, Boston, MA 02114, USA
Grace Wyshak
Affiliation:
Department of Medicine, Harvard Medical School and Harvard Center for Population Studies, Harvard School of Public Health, 9 Bow Street, Cambridge, MA 02138
*
∗ Correspondence
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Extract

A self-report questionnaire completed by 177 out-patients showed that hypochondriasis and amplification had a zero-order correlation of 0.56, and in stepwise multiple regression amplification accounted for 31 % of the variance in hypochondriasis, after sociodemographic variables had been accounted for. Fears of ageing and death, and a childhood history of illness in the family, increased the R 2 to 0.50. Amplification was more powerful in women than in men and was also a significant (although weaker) correlate of somatisation, explaining 12% of the variance. Somatisation also correlated with being female, the propensity to seek medical care, and a diminished sense of efficacy over one's health. Our findings are consistent with the possibility that somatosensory amplification occurs in hypochondriasis.

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Type
Papers
Information
The British Journal of Psychiatry , Volume 157 , Issue 3 , September 1990 , pp. 404 - 409
Copyright
Copyright © Royal College of Psychiatrists, 1990 

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References

American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (3rd edn, revised) (DSM–III–R). Washington, DC: APA.Google Scholar
Barsky, A. J. (1988) Somatoform disorders. In Comprehensive Textbook of Psychiatry (5th edn) (eds. H. I. Kaplan & B. J. Sadock). Baltimore: Williams & Wilkins.Google Scholar
Barsky, A. J. & Klerman, G. L. (1983) Overview: hypochondriasis, bodily complaints, and somatic styles. American Journal of Psychiatry, 140, 273–283.Google Scholar
Barsky, A. J., Wyshak, G. & Klerman, G. L. (1986a) Hypochondriasis: an evaluation of the DSM–III criteria in medical out-patients. Archives of General Psychiatry, 43, 493–500.Google Scholar
Barsky, A. J., Wyshak, G. & Klerman, G. L. (1986b) Medical and psychiatric determinants of out-patient medical utilization. Medical Care, 24, 548–560.Google Scholar
Beaber, R. J. & Rodney, W. M. (1984) Underdiagnosis of hypochondriasis in family practice. Psychosomatics, 24, 39–45.Google Scholar
Bianchi, G. N. (1971) Origins of disease phobia. Australian & New Zealand Journal of Psychiatry, 5, 241–257.Google Scholar
Bianchi, G. N. (1973) Patterns of hypochondriasis: a principal components analyses. British Journal of Psychiatry, 122, 541–548 CrossRefGoogle Scholar
Derogatis, L. R., Lipman, R. S., Rickels, K., et al (1974) The Hopkins symptom checklist (HSCL): a self-report symptom inventory. Behavioral Science, 19, 1–15.Google Scholar
Derogatis, L. R., Rickels, K., Uhlenhuth, E. H., et al (1981) The Hopkins symptom checklist. In Psychological Measurements in Psychopharmacology (eds P. Pichot & R. Oliver-Martin), pp. 79–110. Basel: Karger.Google Scholar
Hanback, J. W. & Revelle, W. (1978) Arousal and perceptual sensitivity in hypochondriasis. Journal of Abnormal Psychology, 87, 523–530.CrossRefGoogle Scholar
Hollingshead, A. B. & Redlich, F. C. (1958) Social Class & Mental Illness: A Community Study. New York: Wiley.CrossRefGoogle Scholar
Kasteler, J., Kane, R. L., Olsen, D. M., et al (1967) Issues underlying prevalence of “doctor-shopping” behavior. Journal of Health and Social Behavior, 17, 328–339.Google Scholar
Kellner, R. (1986) Somatization and Hypochondriasis. New York: Praeger.Google Scholar
Kenyon, F. E. (1964) Hypochondriasis: a clinical study. British Journal of Psychiatry, 100, 478–488.CrossRefGoogle Scholar
Mechanic, D. (1980) The experience and reporting of common physical complaints. Journal of Health and Social Behavior, 21, 146–155.CrossRefGoogle ScholarPubMed
Merskey, H. & Evans, P. R. (1975) Variations in pain complaint threshold in psychiatric and neurological patients with pain. Pain, 1, 73–79.Google Scholar
Miller, L. C., Murphy, R. & Buss, A. H. (1981) Consciousness of body: private and public. Journal of Personality and Social Psychology, 41, 397–406.Google Scholar
Pennebaker, J. W. (1982) The Psychology of Physical Symptoms. New York: Springer-Verlag.Google Scholar
Petrie, A. (1978) Individuality in Pain and Suffering (2nd edn). Chicago: University of Chicago Press.Google Scholar
Pilowsky, I. (1967) Dimensions of hypochondriasis. British Journal of Psychiatry, 113, 89–93.CrossRefGoogle ScholarPubMed
Pilowsky, I. & Spence, N. D. (1977) Ethnicity and illness behavior. Psychological Medicine, 7, 447–452.Google Scholar
Rodin, J. (1978) Somatopsychics and attribution. Personality and Social Psychology Bulletin, 4, 531–540.Google Scholar
Tyrer, P., Lee, I. & Alexander, J. (1980) Awareness of cardiac function in anxious, phobic and hypochondriacal patients. Psychological Medicine, 10, 171–174.Google Scholar
Valins, S. & Nisbett, R. E. (1971) Attribution processes in the development and treatment of emotional disorder. In Attribution: Perceiving the Causes of Behavior (eds E. E. Jones, D. K. Karouse & H. H. Kelley). Morristown, NJ: General Learning.Google Scholar
Wheeler, E. O., Williamson, C. R. & Cohen, M. E. (1958) Heart scare, heart surveys, and iatrogenic heart disease. Journal of the American Medical Association, 167, 1096–1102.Google Scholar
Wright, D. D., Kane, R. L., Olsen, D. M., et al (1977) The effects of selected psychosocial factors on the self-reporting of pulmonary symptoms. Journal of Chronic Disease, 30, 195–206.Google Scholar
Ziesat, H. A. (1978) Correlates of the tourniquet ischemia pain ratio. Perceptual and Motor Skills, 47, 147–150.Google Scholar
Zonderman, A. B., Heft, M. W. & Costa, P. T. (1985) Does the Illness Behavior Questionnaire measure abnormal illness behavior? Health Psychology, 4, 425–436.Google Scholar
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