tailieunhanh - Báo cáo y học: " CHAMP: Cognitive behaviour therapy for health anxiety in medical patients, a randomised controlled trial"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: CHAMP: Cognitive behaviour therapy for health anxiety in medical patients, a randomised controlled trial | Tyrer et al. BMC Psychiatry 2011 11 99 http 1471-244X 11 99 BMC Psychiatry STUDY PROTOCOL Open Access CHAMP Cognitive behaviour therapy for health anxiety in medical patients a randomised controlled trial 1 I- I 1 1 2 1 3 3 Peter Tyrer Sylvia Cooper Helen Tyrer Paul Salkovskis Mike Crawford John Green Georgina Smith c D C I3 c I r 11 I k k 4 4 l 3 k ĨI I h II I A 5 c K S A D V I6 l 3 I I I A z t 7 D D- rrr bb6 Steven Reid Simon Dupont David Murphy Sarah Byrord Duolao Wang and Barbara Barrett Abstract Background Abnormal health anxiety also called hypochondriasis has been successfully treated by cognitive behaviour therapy CBT in patients recruited from primary care but only one pilot trial has been carried out among those attending secondary medical clinics where health anxiety is likely to be more common and have a greater impact on services. The CHAMP study extends this work to examine both the clinical and cost effectiveness of CBT in this population. Method Design The study is a randomized controlled trial with two parallel arms and equal randomization of 466 eligible patients assuming a 20 drop-out to an active treatment group of 5-10 sessions of cognitive behaviour therapy and to a control group. The aim at baseline after completion of all assessments but before randomization was to give a standard simple explanation of the nature of health anxiety for all participants. Subsequently the control group was to receive whatever care might usually be available in the clinics which is normally a combination of clinical assessment appropriate tests and reassurance. Those allocated to the active treatment group were planned to receive between 5 and 10 sessions of an adapted form of cognitive behaviour therapy based on the Salkovskis Warwick model in which a set of treatment strategies are chosen aimed at helping patients understand the factors that drive and maintain health anxiety. The therapy was planned to be given by graduate research .

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