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Impact of personality status on the outcomes and cost of cognitive–behavioural therapy for health anxiety

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Title: Impact of personality status on the outcomes and cost of cognitive–behavioural therapy for health anxiety
Author(s): Sanatinia, R
Wang, D
Tyrer, P
Tyrer, H
Crawford, M
Cooper, S
Loebenberg, G
Barrett, B
Item Type: Journal Article
Abstract: BACKGROUND: Health anxiety, hypochondriasis and personality disturbance commonly coexist. The impact of personality status was assessed in a secondary analysis of a randomised controlled trial (RCT). AIMS: To test the impact of personality status using ICD-11 criteria on the clinical and cost outcomes of treatment with cognitive-behavioural therapy for health anxiety (CBT-HA) and standard care over 2 years. METHOD: Personality dysfunction was assessed at baseline in 444 patients before randomisation and independent assessment of costs and outcomes made on four occasions over 2 years. RESULTS: In total, 381 patients (86%) had some personality dysfunction with 184 (41%) satisfying the ICD criteria for personality disorder. Those with no personality dysfunction showed no treatment differences (P = 0.90) and worse social function with CBT-HA compared with standard care (P<0.03) whereas all other personality groups showed greater improvement with CBT-HA maintained over 2 years (P<0.001). Less benefit was shown in those with more severe personality disorder (P<0.05). Costs were less with CBT-HA except for non-significant greater differences in those with moderate or severe personality disorder. CONCLUSIONS: The results contradict the hypothesis that personality disorder impairs response to CBT in health anxiety in both the short and medium term.
Publication Date: 1-Sep-2016
Date of Acceptance: 8-Feb-2016
URI: http://hdl.handle.net/10044/1/39914
DOI: http://dx.doi.org/10.1192/bjp.bp.115.173526
ISSN: 1472-1465
Publisher: Royal College of Psychiatrists
Start Page: 244
End Page: 250
Journal / Book Title: British Journal of Psychiatry
Volume: 209
Issue: 3
Sponsor/Funder: Department of Health
Funder's Grant Number: 07/01/2026
Copyright Statement: © The Royal College of Psychiatrists 2016. This is an open access article distributed under the terms of the Creative Commons Attribution (CC BY) licence.
Keywords: Psychiatry
11 Medical And Health Sciences
17 Psychology And Cognitive Sciences
Publication Status: Published
Appears in Collections:Department of Medicine
Faculty of Medicine



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