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Prevalence of health anxiety problems in medical clinics
Authors:Tyrer Peter  Cooper Sylvia  Crawford Mike  Dupont Simon  Green John  Murphy David  Salkovskis Paul  Smith Georgina  Wang Duolao  Bhogal Sharandeep  Keeling Mary  Loebenberg Gemma  Seivewright Richard  Walker Gemma  Cooper Faye  Evered Rachel  Kings Stephanie  Kramo Kofi  McNulty Antoinette  Nagar Jessica  Reid Steven  Sanatinia Rahil  Sinclair Julie  Trevor David  Watson Charlotte  Tyrer Helen
Affiliation:aCentre for Mental Health, Department of Medicine, Imperial College, London, UK;bGreenacres Centre, Hillingdon Hospital, Uxbridge, UK;cCentral North West London NHS Foundation Trust, London, UK;dClinical Health Psychology, Charing Cross Hospital, London, UK;eDepartment of Clinical Psychology, University of Bath, Bath, UK;fDepartment of Medical Statistics, London School of Hygiene and Tropical Medicine, London, UK;gInstitute of Mental Health, Sir Colin Campbell Building, University of Nottingham, Innovation Park, Nottingham, UK
Abstract:

Objectives

To determine the prevalence of significant health anxiety (hypochondriasis) in patients aged 16–75 in cardiology, respiratory medicine, neurological, endocrine and gastrointestinal clinics in general hospitals in London, Middlesex and North Nottinghamshire.

Method

The Health Anxiety Inventory (HAI) (short form) was administered to patients attending the five clinics over a 21 month period and all those who scored 20 or more invited to take part in a further assessment for a randomised controlled trial.

Results

Of 43,205 patients attending the clinics 28,991 (67.1%) were assessed and of these, after exclusion of ineligible patients 5747 (19.8%) had significant health anxiety. 444 subsequently agreed to take part in a randomised controlled trial of treatment. The prevalence levels varied by clinic with neurology (24.7%) having the highest prevalence followed by respiratory medicine (20.9%), gastroenterology (19.5%), cardiology (19.1%), and endocrinology (17.5%).

Conclusion

Abnormal health anxiety is common and a significant problem in those attending medical clinics and deserves greater awareness.
Keywords:Health anxiety   Hypochondriasis   Prevalence   Secondary care
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