THEORETICAL AND METHODOLOGICAL REVIEW OF HYPOCHONDRIA IN PSYCHOLOGICAL AND MEDICAL SCIENCES
Keywords:
hypochondria, hypochondria disorder, personality, mental health, psychological support
Abstract
Abstract. Nowadays, the problem of hypochondria affects both narrow subject biomedical areas and general medical practice, the role of psychological intervention in which is constantly growing. This study is aimed at historical and psychological analysis of works on hypochondria from medical and psychological perspectives. Aims: the paper aims to summarize the ideas about hypochondria in classical and contemporary psychological studies; substantiate the necessity of psychological support for patients with hypochondria. Theoretical basis: In psychoanalytic theory, hypochondria is associated with fears and can be interpreted as neurosis. In cognitive behavioral therapy, hypochondria is a habit of a catastrophic appraisal of somatic sensations, which results in interpreting them as symptoms of a severe disease. Perinatal psychology explains hypochondria through parental overprotection. Results: Theoretical and methodological analysis made it possible to find a contradiction that could affect the prospects for further study of hypochondria: despite the large amount of data on the problem of hypochondria, these studies do not provide information about express diagnostic programs and short-term care for patients with such personality features. Conclusion: According to the latest data, the frequency of hypochondria is increasing in the pandemic, which makes relevant systematic psychological care as far as the global COVID-19 situation requires effective diagnostic programs and short-term care techniques.
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References
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2. Pilowsky I. Primary and secondary hypochondriasis. Acta Psychiatrica Scandinavica. 1970;46(3):273–285. DOI: 10.1111/j.1600-0447.1970.tb02119.x.
3. Bekhterev V.M. [Somatophrenia]. Obozrenie psikhiatrii, nevrologii i refleksologii = Review of Psychiatry, Neurology, and Reflexology. 1928;1:5. (in Russ.).
4. Smulevich A.B., Volel B.A. [Personality disorders and somatic disease (the problem of hypochondriac personality development)]. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova = S.S. Korsakov Journal of Neurology and Psychiatry. 2008;10(108):4–12. (in Russ.).
5. Chamkina K.S., Kolosova P.S., Saiputdinova S.K., Ananeva A.A. [Features of dialogical communication between a doctor and a patient related to the hypochondriac type of reaction to the disease]. Byulleten meditsinskikh internet-konferentsii = Bulletin of medical Internet conferences. 2019;9(10):424. (in Russ.).
6. Pilyugina E.R. [Two-dimensional classification of psychological defense mechanisms]. Vestnik Permskogo universiteta. Filosofiya. Psikhologiya. Sotsiologiya = Bulletin of the Perm University. Philosophy. Psychology. Sociology. 2020;2:270–280. (in Russ.).
7. Momot G.N. [On the question of senestopathic syndrome in schizophrenia]. Zhurnal nevropatii i psikhiatrii = Journal of Neuropathy and Psychiatry. 1959;59(5):563. (in Russ.).
8. Rotshtein G.A. Ipokhondricheskaya shizofreniya [Hypochondriac schizophrenia]. Moscow, Meditsina Publ. 1961:185. (in Russ.).
9. Ermakova N.G. [Personality traits, attitude to the disease and to the treatment of patients with the consequences of stroke]. Vestnik psikhoterapii = Bulletin of psychotherapy. 2019;70(75):54–68. (in Russ.).
10. Jahrreiss W. Das hypochondrische Denken. Archiv für Psychiatrie und Nervenkrankheiten. 1930;92:686–823.
11. Burno M.E. Rozhkova V.E. Psikhoterapiya psikhastenii: Rukovodstvo po psikhoterapii [Psychotherapy of psychasthenia: A guide to psychotherapy]. Moscow, Meditsina Publ. 1974:177–189. (in Russ.).
12. Igovskaya A.S. [Differentiated psychotherapeutic care for hypochondria]. Vestnik poslediplomnogo meditsinskogo obrazovaniya = Bulletin of postgraduate medical education. 2017;4:90. (in Russ.).
13. Tiganov A.S. Rukovodstvo po psikhiatrii [The Handbook of Psychiatry]. Moscow, Meditsina Publ. 1999:235. (in Russ.).
14. Volel B.A. [Non-delusional hypochondria (literature review)]. Psikhicheskie rasstroistva v obshchei meditsine = Mental disorders in general medicine. 2009;2:49–63. (in Russ.).
15. Smulevich A.B., Dubnitskaya E.B. [Modern view on the problem of hypochondria in the aspect of clinic and therapy]. Farmateka. Nevrologiya, psikhiatriya = Pharmateca. Neurology, psychiatry. 2006;7(122):15. (in Russ.).
16. Smulevich A.B. Psikhopatologiya lichnosti i komorbidnykh rasstroistv [Psychopathology of personality and comorbid disorders]. Moscow, Medpress Publ. 2009:208 (in Russ.).
17. Larskikh M.V., Filippova T.V., Kutashov V.A. [Perfectionism and hypochondria]. Tsentralnyi nauchnyi vestnik = Central Scientific Bulletin. 2016;1(17):23–24. (in Russ.).
18. Nzhon Essobe Dit Mbangve E.A. [Hypochondria: causes, signs, symptoms]. Intellektualnye resursy – regionalnomu razvitiyu = Intellectual resources - for regional development. 2020;2:220–224. (in Russ.).
19. Ivanets N.N., Shestakova R.A., Goncharova E.M., Antropova E.A. [Non-delusional hypochondriacal disorders in late life]. Zhurnal nevrologii i psikhiatrii im. C.C. Korsakova = Korsakov Journal of Neurology and Psychiatry. 2019;119(11):109–115. (in Russ.).
20. Chaplygina V.Yu., Tsytsorina I.A. [Sociological research on some issues of psychotherapeutic assistance to the adult population of the Novosibirsk region]. Profilakticheskaya meditsina = Preventive medicine. 2019;22(6):92–96. (in Russ.).
21. Pogosov A.V., Bogushevskaya Yu.V. [Clinical, personal-psychological, and socio-demographic factors that prevent patients with somatized disorders from seeking specialized care]. Sibirskii vestnik psikhiatrii i narkologii = Siberian Bulletin of Psychiatry and Narcology. 2017;4:22–30. (in Russ.).
22. Racin N., Hetherington E., McArthur Br. A. Maternal depressive and anxiety symptoms before and during the COVID-19 pandemic in Canada: a longitudinal analysis. Lancet Psychiatry. 2021;8(5):405–415. DOI: 10.1016/S2215-0366(21)00074-2
23. Chrzanowski G. Neurasthenia and Hypochondriasis. American Handbook of Psychiatry. 1967. № 19. P. 258–271.
24. Adler G. The physician and the hypochondriacal patient. The New England Journal of Medicine. 1981;304(23):1394–1396. DOI: 10.1056/NEJM198106043042304
25. Lombardi R., Genovesi B., Isgro S. Successful Treatment of Psychosis by Means of Supervised Analysis. Psychoanalytic Quarterly. 2020;89:549–582. DOI: 10.1080/00332828.2020.1773149
26. Jean-Dit-Pannel R., Belot R.A., Viode C., Mellier D. A primary hypochondriacal parental preoccupation. Psychiatrie De L Enfant. 2020;63: 33–50.
27. Barsky A.J., Geringer E., Wool C.A. A cognitive-educational treatment for hypochondriasis. General Hospital Psychiatry. 1988;10:322–327. DOI: 10.1016/0163-8343(88)90003-5.
28. Sauer K.S., Witthoft M. Illness Anxiety Disorder and Hypochondria. Fortschritte Der Neurologie Psychiatrie. 2020;88:730–744. DOI: 10.1055/a-1165-7461.
29. Barsky A.J. Hypochondriasis and obsessive-compulsive disorder. Psychiatric Clinics of North America. 1992;15:791–801.
30. Barsky A.J., Ahern D.K. Cognitive Behavior Therapy for Hypochondriasis a Randomized Controlled Trial. Journal of the American Medical Association. 2004;291:1464–1470.
31. Tkhostov A., Rasskazova E., Ispravnikova I., Zueva Y. Relationship to somatic complaints in interpersonal communication in patients with non-delirious hypochondria. European Psychiatry. 2020;63(S1):S45–S282. DOI:10.1192/j.eurpsy.2020.5
32. Burno M.E. O kharakterakh lyudei (psikhoterapevticheskaya kniga) [About the characters of people (psychotherapy book)]. Moscow, Akademicheskii Proekt, Fond “Mir” Publ. 2008:639 (in Russ.).
33. Fiorenzato E., Zabberoni S., Costa A., Cona G. Cognitive and mental health changes and their vulnerability factors related to COVID-19 lockdown in Italy. Plos One. 2021;16. DOI 10.1371/journal.pone.0246204.
34. Kola L., Kohrt Br.A., Hanlon Ch. et al. COVID-19 mental health impact and responses in low-income and middle-income countries: reimagining global mental health. Lancet Psychiatry. 2021;8(6):535–550. DOI: 10.1016/S2215-0366(21)00025-0.
35. Pirkis J., John A., Shin S. et al. Suicide trends in the early months of the COVID-19 pandemic: an interrupted time-series analysis of preliminary data from 21 countries. Lancet Psychiatry. 2021;8(7):579–588. DOI: 10.1016/S2215-0366(21)00091-2.
36. Fancourt D. Steptoe A., Bu F. Trajectories of anxiety and depressive symptoms during enforced isolation due to COVID-19 in England: a longitudinal observational study. Lancet Psychiatry. 2021;8(2):141–149. DOI: 10.1016/S2215-0366(20)30482-X.
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Published
2021-12-31
How to Cite
Shadrina, A., & Volkova, O. (2021). THEORETICAL AND METHODOLOGICAL REVIEW OF HYPOCHONDRIA IN PSYCHOLOGICAL AND MEDICAL SCIENCES. Psychology. Psychophysiology, 14(4), 94-104. https://doi.org/10.14529/jpps210409
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Section
Medical (clinical) psychology
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