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Læknablaðið - 15.12.2010, Síða 24

Læknablaðið - 15.12.2010, Síða 24
F R Æ Ð I G R E I RANNSÓKN N A R MR lyfjameðferð heilsukvíðans og annarrar tengdrar röskunar.32'34 Sérstaklega ber að nefna nýlega rannsókn sem sýndi fram á áþekkan árangur með paroxetín og hugrænni atferlismeðferð gegn heilsukvíða.35 í töflu III má sjá yfirlit yfir helstu lyf og skammta sem notuð eru við heilsukvíða. Algengt er að það þurfi að nota nokkuð háa skammta en eigi að síður er nauðsynlegt að byrja hægt þar sem heilsukvíðnir eru sérstaklega viðkvæmir fyrir aukaverkunum, ekki síst í byrjun meðferðar.33-36-37 Þakkir Höfundarnir þakka Aðalheiði D. Matthíasdóttur, Pétri Berg Matthíassyni og Helenu Jónsdóttur fyrir yfirlestur greinarinnar og góðar ábendingar. Heimildir 1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders (4th ed., text rev.).: APA, Washington DC 2000. 2. Simon G. Psychiatric disorders and functional somatic symptoms as predictors of health care use. Psychiatr Med 1992; 10: 49-59. 3. Barsky AJ, Wyshak G, Latham KS, Klerman GL. Hypochondriacal patients, their physicians, and their medical care. J Gen Intem Med 1991; 6: 413-9. 4. Magarinos M, Zafar U, Nissenson K, Blanco C. Epidemiology and treatment of hypochondriasis. CNS Drugs 2002; 16: 9-22. 5. Barsky AJ. Clinical practice. The patient with hypochondriasis. N Engl J Med. 2001; 345:1395-9. 6. Barsky AJ, Wyshak G, Klerman GL, Latham KS. The prevalence of hypochondriasis in medical outpatients. Soc Psychiatry Psychiatr Epidemiol 1990; 25: 89-94. 7. Kellner R. Hypochondriasis and somatization. JAMA 1987; 258: 2718-22. 8. Barsky AJ. The validity of bodily symptoms in medical outpatients. In: Stone AA, Turkkan JS, Bachrach CA, Jobe JB, Kurtzman HS, Cain VS eds. The science of self-report: Implications for research and practice. Mahwah, NJ: Erlbaum, 2000: 339-61. 9. Kellner R. Somatization and hypochondriasis. Praeger, New York 1986. 10. Faravelli C, Salvatori S, Galassi F, Aiazzi L, Drei C, Cabras P. Epidemiology of somatoform disorders: a community survay in Florence. Soc Psychiatry Psychiatr Epidemiol 1997; 32: 24-9. 11. Gureje O, Ustum TB, Simon GE. The syndrome of hypochondriasis: a cross-national study in primary care. Psychol Med 1997; 27:1001-10. 12. Salkovskis PM, Warwick HMC. Making sense of hypchondriasis: A cognitive model of health anxiety. In Asmundson GJG, Taylor S, Cox BJ (Eds.) Health anxiety: Clinical and research perspectives on hypochondriasis and related conditions. John Wiley & Sons Ltd, New York 2001: 46-64. 13. Haenen MA, de Jong PJ, Schmidt AJ, Stevens S, Visser L. Hypochondriacs' estimation of negative outcomes: domain- specificity and responsiveness to reassuring and alarming information. Behav Res Ther 2000; 38: 819-33. 14. Rief W, Hiller W, Margraf J. Cognitive aspects of hypochondriasis and the somatization syndrome. J Abnorm Psychol 1998; 107: 587-95. 15. Wells A. Cognitive Therapy of Anxiety Disorders. John Wiley & Sons, Chichester 1997. 16. Brown HD, Kosslyn SM, Delamater B, Fama J, Barsky AJ. Perceptual and memory biases for health-related information in hypochondriacal individuals. J Psychosom Res 1999; 47: 67-78. 17. Pauli P, Alpers GW. Memory bias in patients with hypochondriasis and somatoform pain disorder. J Psychosom Res 2002; 52: 45-53. 18. Miller SM, Brody DS, Summerton J. Styles of coping with threat: implications for health. J Pers Soc Psychol 1988; 54: 142-8. 19. Haenen MA, Schmidt AJ, Kroeze S, van den Hout MA. Hypochondriasis and symptom reporting - the effect of attention versus distraction. Psychother Psychosom 1996; 65: 43-8. 20. Taylor S, Asmundson GJG. Treating Health Anxiety: A Cognitive-Behavioral Approach. The Guilford Press, New York 2004. 21. Salkovskis PM, Warwick HM. Morbid preoccupations, health anxiety and reassurance: a cognitive-behavioural approach to hypochondriasis. Behav Res Ther 1986; 24: 597- 602. 22. Abromowitz JS, Braddock AE. Hypochondriasis: Conceptualization, Treatment, and Relationship to Obsessive - Compulsive Disorder. Psychiatr Clin N Am 2006; 29: 503- 19. 23. Starcevic V. Relationship between Hypochondriasis and Obsessive-Compulsive Personality Disorder: Close Relatives Seperated by Nosological Schemes? Am J Psychother 1990; 154: 340-7. 24. Greeven A, van Balkom AJ, van Rood YR, van Oppen P, Spinhoven P. The boundary between hypochondriasis and obsessive-compulsive disorder: a cross-sectional study from the Netherlands. J Clin Psychiatry. 2006; 67:1682-9. 25. Fallon BA, Qureshi AI, Laje G, Klein B. Hypochondriasis and its relationship to obsessive-compulsive disorder. Psychiatr Clin North Am. 2000; 23: 605-16. 26. Barsky AJ. Hypochondriasis and obsessive compulsive disorder. Psychiatr Clin North Am. 1992; 15: 791-801. 27. Cohen J. Statistical Power Analysis for the Behavioral Sciences (2. útg.). Lawrence Erlbaum Associates, Hillsdale 1988. 28. Bouman TK. A community-based psychoeducational group approach to hypochondriasis. Psychother Psychosom 2002; 71: 326-32. 29. Kroenke K, Swindle R. Cognitive-behavioral therapy for somatization and symptom syndromes: a critical review of controlled clinical trials. Psychother Psychosom 2000; 69: 205-15. 30. Clark DM, Salkovskis PM, Hackmann A, et al. Two psychological treatments for hypochondriasis: a randomised controlled trial. Br J Psychiatry 1998; 173: 218-25. 31. Stern R, Fernandez M. Group cognitive and behavioural treatment for hypochondriasis. BMJ 1991; 303:1229-31. 32. Noyes R, Reich J, Clancy J, O'Gorman TW. Reduction in hypochondriasis with treatment of panic disorder. Br J Psychiatry 1986; 149: 631-5. 33. Keeley R, Smith M, Miller J. Somatoform symptoms and treatment nonadherence in depressed family medicine outpatients. Arch Fam Med 2000; 9: 46-54. 34. Fava GA, Mangelli L. Hypochondriasis and anxiety disorders. In: Starcevic V, Lipsitt DR, eds. Hypochondriasis: modem perspectives on an ancient malady. Oxford University Press, Oxford, England 2001: 89-102. 35. Greeven A, van Balkom AJ, van der Leeden R, Merkelbach JW, van den Heuvel OA, Spinhoven P. Cognitive behavioural therapy versus paroxetine in the treatment of hypochondriasis: an 18-month naturalistic follow-up. J Behav Ther Exp Psychiatr 2009; 40: 487-96. 36. O'Malley PG, Jackson JL, Santoro J, Tomkins G, Balden E, Kroenke K. Antidepressant therapy for unexplained symptoms and symptom syndromes. J Fam Pract 1999; 48: 980-90. 37. Fallon BA, Schneier FR, Marshall R, et al. The pharmacotherapy of hypochondriasis. Psychopharmacol Bull 1996; 32: 607-11. 760 LÆKNAblaöið 2010/96

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