Skip to main content
SpringerLink
Log in

Kognitiv-behaviorale Therapieansätze und ihre Wirksamkeit

  • Chapter
  • First Online:
Kognitive Verhaltenstherapie bei Hypochondrie und Krankheitsangst

Part of the book series: Psychotherapie: Praxis ((ÜSÜR))

  • 4701 Accesses

Zusammenfassung

In diesem Kapitel werden verschiedene kognitiv-behaviorale Therapieansätze ausführlich dargestellt, die Reihenfolge leitet sich historisch ab. So wird zunächst eine rückversicherungsgebende Behandlung vorgestellt. Es folgt ein schwerpunktmäßig psychoedukativer Ansatz, bevor dann die kognitive Verhaltenstherapie mit ihrer ganzen Bandbreite der Methoden dargestellt wird. Hier ist der Bezug zum vorliegenden Behandlungsmanual am größten. Zudem wird auf eine neuere Entwicklung, der Mindfulness-Based Cognitive Therapy sowie der Acceptance-and-Commitment-Therapie, eingegangen. Abschließend werden die empirischen Befunde zur Wirksamkeit kognitiver Verhaltenstherapie bei Hypochondrie im Einzel- und Gruppensetting aufgeführt.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 44.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 59.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Literatur

  • Bailer, J., Kerstner, T., Mier, D., Rist, F., Diener, C., Bleichhardt, G., & Witthöft, M. (2015). Elektronische Tagebücher optimieren die Kognitive Verhaltenstherapie bei Krankheitsängsten: Eine randomisiert-kontrollierte Studie. Zeitschrift für Psychiatrie, Psychologie und Psychotherapie, 63, 197–206.

    Article  Google Scholar 

  • Barsky, A. J., & Ahern, D. K. (2004). Cognitive behavior therapy for hypochondriasis: A randomized controlled trial. The Journal of the American Medical Association, 291, 1464–1470.

    Article  CAS  Google Scholar 

  • Barsky, A. J., Geringer, E. G., & Wool, C. A. (1988). A cognitive-educational treatment for hypochondriasis. General Hospital Psychiatry, 10, 322–327.

    Article  CAS  Google Scholar 

  • Bleichhardt, G., Timmer, B., & Rief, W. (2004). Cognitive-behavioural therapy for patients with multiple somatoform symptoms – A randomised controlled trial in tertiary care. Journal of Psychosomatic Research, 56, 449–454.

    Article  Google Scholar 

  • Bleichhardt, G., Timmer, B., & Rief, W. (2005). Hypochondriasis among patients with multiple somatoform symptoms – Psychopathology and outcome of a cognitive-behavioral therapy. Journal of Contemporary Psychotherapy, 35, 239–249.

    Article  Google Scholar 

  • Bouman, R. K. (2002). A community-based psychoeducational group approach to hypochondriasis. Psychotherapy and Psychosomatics, 71, 326–332.

    Article  Google Scholar 

  • Carpenter, J. K., Andrews, L. A., Witcraft, S. M., Powers, M. B., Smits, J. A. J., & Hofman, S. G. (2018). Cognitive behavioral therapy for anxiety and related disorders: A meta-analysis of randomized placebo-controlled trials. Depression and Anxiety, 35, 502–514.

    Article  CAS  Google Scholar 

  • Clark, D. M., Salkovskis, P. M., Hackmann, A., Wells, A., Fennell, M., Ludgate, J., Ahmad, H., Richards, C., & Gelder, M. (1998). Two psychological treatments for hypochondriasis. British Journal of Psychiatry, 173, 218–225.

    Article  CAS  Google Scholar 

  • Cuipers, P., Berking, M., Andersson, G., Quigley, L., Kleiboer, A., & Dobson, K. S. (2013). A meta-analysis of cognitive-behavioural therapy for adult depression, alone and in comparison with other treatments. Canadian Journal of Psychiatry, 58, 376–385.

    Article  Google Scholar 

  • Eilenberg, T., Kronstand, L., Fink, P., & Frostholm, L. (2013). Acceptance and commitment group therapy for health anxiety – Results from a pilot study. Journal of Anxiety Disorders, 27, 461–468.

    Article  CAS  Google Scholar 

  • Furer, P., & Walker, J. R. (2005). Treatment of hypochondriasis with exposure. Journal of Contemporary Psychotherapy, 35, 251–268.

    Article  Google Scholar 

  • Furer, P., & Walker, J. R. (2008). Death anxiety: A cognitive-behavioral approach. Journal of Cognitive Psychotherapy, 22, 167–182.

    Article  Google Scholar 

  • Furer, P., Walker, J. R., & Freeston, M. H. (2001). Integrated approach to cognitive-behavioral therapy for intense illness worries. In G. J. G. Asmundon, S. Taylor, & B. J. Cox (Hrsg.), Health anxiety. Clinical and research perspectives on hypochondriasis and related conditions. Chichester: Wiley.

    Google Scholar 

  • Furer, P., Walker, J. R., & Stein, M. B. (2007). Treating health anxiety and fear of death: A practitioner’s guide. New York: Springer.

    Google Scholar 

  • Greeven, A., van Balkom, A. J. L. M., Visser, S., Merkelbach, J. W., van Rood, Y. R., van Dyck, R., van der Does, A. J. W., Zitman, F. G., & Spinhoven, P. (2007). Cognitive behavior therapy and paroxetine in the treatment of hypochondriasis: A randomized controlled trial. American Journal of Psychiatry, 164, 91–99.

    Article  Google Scholar 

  • Hedman, E., Andersson, G., Anderson, E., Ljótsson, B., Rück, C., Asmundson, G. J. G., & Lindefors, N. (2011). Internet-based cognitive behavioural therapy for severe health anxiety: Randomised controlled trial. British Journal of Psychiatry, 198, 230–236.

    Article  Google Scholar 

  • Hedman, E., Axelsson, E., Gorling, A., Ritzman, C., Ronnheden, M., El Alaoui, S., Andersson, E., Lekander, M., & Ljotsson, B. (2014). Internet-delivered exposure-based cognitive-behavioural therapy and behavioural stress management for severe health anxiety: Randomized controlled trial. British Journal of Psychiatry, 205, 307–314.

    Article  Google Scholar 

  • Kabat-Zinn, J., & Kesper-Grossman, U. (1999). Stressbewältigung durch die Praxis der Achtsamkeit. Freiburg: Arbor.

    Google Scholar 

  • Kellner, R. (1986). Somatization and hypochondriasis. New York: Praeger Publishers.

    Google Scholar 

  • Khare, S., & Srivastava, M. N. (2017). Validity of current treatment protocols for overcome hypochondriasis. Journal of Clinical and Diagnostic Research, 11, VE01–VE04.

    PubMed  Google Scholar 

  • Martin, A., Härter, M., Henningsen, P., Hiller, W., Kröner-Herwig, B., & Rief, W. (2013). Evidenzbasierte Leitlinien zur Psychotherapie somatoformer Störungen und assoziierter Syndrome. Göttingen: Hogrefe.

    Google Scholar 

  • McManus, F., Muse, K., & Surawy, C. (2011). Mindfulness-based cognitive therapy (MBCT) for severe health anxiety: An overview of principles and practices. Healthcare Counselling and Psychotherapy Journal, 11, 19–23.

    Google Scholar 

  • McManus, F., Surawy, C., Muse, K., Vazquez-Montes, M., & Williams, J. M. G. (2012). A randomized clinical trial of mindfulness based cognitive therapy versus unrestricted services for health anxiety (hypochondriasis). Journal of Consulting and Clinical Psychology, 80, 817–828.

    Article  Google Scholar 

  • Nanke, A., & Rief, W. (2000). Biofeedback-Therapie bei somatoformen Störungen. Verhaltenstherapie, 10, 238–248.

    Article  Google Scholar 

  • Olatunji, B.O., Kauffman, B.Y., Meltzer, S., Davis, M.L., Smits, J.A.J., & Powers, M.B.. (2014). Cognitive-behavioral therapy for hypochondriasis/health anxiety: A meta-analysis of treatment outcome and moderators. Behaviour Research and Therapy, 58, 65–74. doi: https://doi.org/10.1016/j.brat.2014.05.002.

  • Rief, W., & Hiller, W. (2010). Somatisierungsstörung und medizinisch unklare körperliche Symptome. Fortschritte der Psychotherapie. Göttingen: Hogrefe.

    Google Scholar 

  • Rief, W., Bleichhardt, G., & Timmer, B. (2002). Gruppentherapie für somatoforme Störungen – Behandlungsleitfaden, Akzeptanz und Prozessqualität. Verhaltenstherapie, 12, 183–191.

    Article  Google Scholar 

  • Salkovskis, P. M., & Warwick, H. M. C. (1986). Morbid preoccupations, health anxiety and reassurance: A cognitive-behavioural approach to hypochondriasis. Behaviour Research and Therapy, 24, 597–602.

    Article  CAS  Google Scholar 

  • Stern, R., & Fernandez, M. (1991). Group cognitive and behavioural treatment for hypochondriasis. British Medical Journal, 303, 1229–1231.

    Article  CAS  Google Scholar 

  • Surawy, C., McManus, F., Muse, K., & Williams, J. M. G. (2015). Mindfulness-Based Cognitive Therapy (MBCT) for health anxiety (hypochondriasis): Rationale, implementation and case illustration. Mindfulness, 6, 382–392.

    Article  Google Scholar 

  • Taylor, S., Asmundson, G. J. G., & Coons, M. J. (2005). Current directions in the treatment of hypochondriasis. Journal of Cognitive Psychotherapy, 19, 285–304.

    Article  Google Scholar 

  • Teasdale, J. D., Segal, Z., & Williams, J. M. G. (1995). How does cognitive therapy prevent depressive relapse and why should attentional control (mindfulness) training help? Behavior Research and Therapy, 33, 25–39.

    Article  CAS  Google Scholar 

  • Thomson, A. B., & Page, L. A. (2007). Psychotherapies for hypochondriasis. Cochrane Database of Systematic Reviews (4), CD006520. https://doi.org/10.1002/14651858.CD006520.pub2.

  • Visser, S., & Bouman, T. K. (2001). The treatment of hypochondriasis: Exposure plus response prevention vs. cognitive therapy. Behaviour Research and Therapy, 39, 423–442.

    Article  CAS  Google Scholar 

  • Warwick, H. M., & Salkovskis, P. M. (2001). Cognitive-behavioral treatment of hypochondriasis. In V. Starcevic & D. R. Lipsitt (Hrsg.), Hypochondriasis – Modern perspectives on an ancient malady. New York: Oxford University Press.

    Google Scholar 

  • Wattar, U., Sorensen, P., Buemann, I., Birket-Smith, M., Salkovskis, P. M., Albertsen, M., & Strange, S. (2005). Outcome of cognitive-behavioural treatment for health anxiety (hypochondriasis) in a routine clinical setting. Behavioural and Cognitive Psychotherapy, 33, 165–175.

    Article  Google Scholar 

  • Weck, F., Neng, J. M. B., Richtberg, S., Jakob, M., & Stangier, U. (2015c). Cognitive therapy versus exposure therapy for hypochondriasis/health anxiety: A randomized controlled trial. Manuscript submitted for publication.

    Google Scholar 

  • Weck, F., Gropalis, M., Hiller, W., & Bleichhardt, G. (2015a). Effectiveness of cognitive-behavioral group therapy for patients with hypochondriasis (health anxiety). Journal of Anxiety Disorders, 30, 1–7.

    Article  Google Scholar 

  • Weck, F., Neng, J. M. B., Schwind, J., & Höfling, V. (2015b). Exposure therapy changes dysfunctional beliefs about symptoms and illnesses in patients with hypochondriasis (health anxiety). A randomized controlled trial. Journal of Anxiety Disorders, 34, 1–7.

    Article  Google Scholar 

  • Weck, F., Nagel, L. C., Höfling, V., & Neng, J. M. B. (2017a). Cognitive therapy and exposure therapy for hypochondriasis (health anxiety): A 3-year naturalistic follow-up. Journal of Consulting and Clinical Psychology, 85, 1012–1107.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Arbeitsgruppe Klinische Psychologie & Psychotherapie, Philipps-Universität Marburg, Marburg, Deutschland

    Dr. Gaby Bleichhardt

  2. Klin. Psychologie und Psychotherapie, Universität Potsdam, Potsdam, Deutschland

    Prof. Dr. Florian Weck

Authors
  1. Dr. Gaby Bleichhardt
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Prof. Dr. Florian Weck
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer-Verlag Berlin Heidelberg

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Bleichhardt, G., Weck, F. (2019). Kognitiv-behaviorale Therapieansätze und ihre Wirksamkeit. In: Kognitive Verhaltenstherapie bei Hypochondrie und Krankheitsangst. Psychotherapie: Praxis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-57941-1_3

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-57941-1_3

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-57940-4

  • Online ISBN: 978-3-662-57941-1

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics

Search

Navigation