Ak. Macleod et al., ATTRIBUTIONS ABOUT COMMON BODILY SENSATIONS - THEIR ASSOCIATIONS WITHHYPOCHONDRIASIS AND ANXIETY, Psychological medicine, 28(1), 1998, pp. 225-228
Background. Causal attributions about bodily sensations may determine
help-seeking and influence patients' demands for medical treatment. Th
e present study aimed to differentiate the causal attributions associa
ted with health-related and non-health-related anxiety. Methods. Anxio
us hypochondriacal, generally anxious, and non-anxious general practic
e attenders were compared on their propensity to give somatic, psychol
ogical or normalizing attributions for common bodily sensations, measu
red by number of each type of attribution in a given time period and t
he frequency of first response of each type. Results. The groups diffe
red in all three types of attributions. Giving more psychological and
fewer normalizing attributions was related to general anxiety whereas
giving more somatic attributions was related specifically to hypochond
riasis. Conclusions. Anxiety and hypochondriasis can be distinguished
in terms of their associated patterns of attributions for bodily sensa
tions, reinforcing the importance of attributional processes and inter
ventions which use reattributional training.