liu.seSearch for publications in DiVA
Change search
ReferencesLink to record
Permanent link

Direct link
Predictors of outcome in Internet-based cognitive behavior therapy for severe health anxiety
Karolinska Institute, Sweden .
Karolinska Institute, Sweden .
Linköping University, Department of Behavioural Sciences and Learning, Psychology. Linköping University, Faculty of Arts and Sciences. Karolinska Institute, Sweden .ORCID iD: 0000-0003-4753-6745
Karolinska Institute, Sweden .
Show others and affiliations
2013 (English)In: Behaviour Research and Therapy, ISSN 0005-7967, E-ISSN 1873-622X, Vol. 51, no 10, 711-717 p.Article in journal (Refereed) Published
Abstract [en]

Internet-based cognitive behavior therapy (CBT) for severe health anxiety can be effective, but not all patients achieve full remission. Under these circumstances, knowledge about predictors is essential for the clinician in order to make reliable treatment recommendations. The primary aim of this study was to investigate clinical, demographic, and therapy process-related predictors of Internet-based CBT for severe health anxiety. We performed three types of analyses on data from a sample comprising participants (N = 81) who had received Internet-based CBT in a randomized controlled trial. Outcomes were a) end state health anxiety, b) improvement in health anxiety (continuous change scores), and c) clinically significant improvement. Outcomes were assessed at six-month follow-up. The results showed that the most stable predictors of both end state health anxiety and improvement were baseline health anxiety and depressive symptoms. Treatment adherence, i.e. the number of completed treatment modules, also significantly predicted outcome. Notably, health anxiety at baseline was positively associated with symptom improvement while depressive symptoms was negatively related to improvement. Demographic factors were largely without significant impact on end state symptoms or improvement. We conclude that baseline symptom burden and adherence to treatment have strong predictive effects in Internet-based CBT for severe health anxiety.

Place, publisher, year, edition, pages
Elsevier , 2013. Vol. 51, no 10, 711-717 p.
Keyword [en]
Severe health anxiety, Predictors, Cognitive behavior therapy, Internet
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-100310DOI: 10.1016/j.brat.2013.07.009ISI: 000325241400013OAI: diva2:661491
Available from: 2013-11-04 Created: 2013-11-04 Last updated: 2014-11-28

Open Access in DiVA

No full text

Other links

Publisher's full text

Search in DiVA

By author/editor
Andersson, Gerhard
By organisation
PsychologyFaculty of Arts and Sciences
In the same journal
Behaviour Research and Therapy
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 180 hits
ReferencesLink to record
Permanent link

Direct link