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Linking Illness in Parents to Health Anxiety in Offspring: Do Beliefs about Health Play a Role?

Published online by Cambridge University Press:  25 June 2014

Nicole M. Alberts
Affiliation:
University of Regina, Saskatchewan, Canada
Heather D. Hadjistavropoulos*
Affiliation:
University of Regina, Saskatchewan, Canada
Simon B. Sherry
Affiliation:
Dalhousie University, Halifax, Canada
Sherry H. Stewart
Affiliation:
Dalhousie University, Halifax, Canada
*
Reprint requests to Heather Hadjistavropoulos, University of Regina, Psychology, 3737 Wascana Parkway, Regina, Saskatchewan S4S 0A2, Canada. E-mail: [email protected]

Abstract

Background: The cognitive behavioural (CB) model of health anxiety proposes parental illness leads to elevated health anxiety in offspring by promoting the acquisition of specific health beliefs (e.g. overestimation of the likelihood of illness). Aims: Our study tested this central tenet of the CB model. Method: Participants were 444 emerging adults (18–25-years-old) who completed online measures and were categorized into those with healthy parents (n = 328) or seriously ill parents (n = 116). Results: Small (d = .21), but significant, elevations in health anxiety, and small to medium (d = .40) elevations in beliefs about the likelihood of illness were found among those with ill vs. healthy parents. Mediation analyses indicated the relationship between parental illness and health anxiety was mediated by beliefs regarding the likelihood of future illness. Conclusions: Our study incrementally advances knowledge by testing and supporting a central proposition of the CB model. The findings add further specificity to the CB model by highlighting the importance of a specific health belief as a central contributor to health anxiety among offspring with a history of serious parental illness.

Type
Research Article
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2014 

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References

Abramowitz, J. S. and Braddock, A. E. (2008). Psychological Treatment of Health Anxiety and Hypochondriasis: a biopsychosocial approach. Cambridge, MA: Hogrefe and Huber.Google Scholar
Abramowitz, J. S., Olatunji, B. O. and Deacon, B. J. (2007). Health anxiety, hypochondriasis, and the anxiety disorders. Behavior Therapy, 38, 8694. doi: 16/j.beth.2006.05.001 CrossRefGoogle ScholarPubMed
Alberts, N. M., Hadjistavropoulos, H. D., Jones, S. L. and Sharpe, D. (2013). The Short Health Anxiety Inventory: a systematic review and meta-analysis. Journal of Anxiety Disorders, 27, 6878. doi: 10.1016/j.janxdis.2012.10.009 CrossRefGoogle Scholar
American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.Google Scholar
Asmundson, G. J. G., Taylor, S., Carleton, N. R., Weeks, J. W. and Hadjstavropoulos, H. D. (2012). Should health anxiety be carved at the joint? A look at the health anxiety construct using factor mixture modeling in a non-clinical sample. Journal of Anxiety Disorders, 26, 246251. doi: 10.1016/j.janxdis.2011.11.009 CrossRefGoogle Scholar
Baron, R. M. and Kenny, D. A. (1986). The moderator–mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 11731182. doi:10.1037/0022–3514.51.6.1173 CrossRefGoogle ScholarPubMed
Barsky, A. J., Ettner, S. L., Horsky, J. and Bates, D. W. (2001). Resource utilization of patients with hypochondriacal health anxiety and somatization. Medical Care, 39, 705715.CrossRefGoogle ScholarPubMed
Chang, E. T., Smedby, K. E., Hjalgrim, H., Glimelius, B. and Adami, H.-O. (2006). Reliability of self-reported family history of cancer in a large case–control study of lymphoma. Journal of the National Cancer Institute, 98, 6168. doi: 10.1093/jnci/djj005 CrossRefGoogle Scholar
Coles, M. E., Cook, L. M. and Blake, T. R. (2007). Assessing obsessive compulsive symptoms and cognitions on the internet: evidence for the comparability of paper and internet administration. Behaviour Research and Therapy, 45, 22322240. doi: 10.1016/j.brat.2006.12.009 CrossRefGoogle ScholarPubMed
Compas, B. E., Worsham, N. L., Epping-Jordan, J. E., Grant, K. E., Mireault, G., Howell, D. C., et al. (1994). When mom or dad has cancer: markers of psychological distress in cancer patients, spouses, and children. Health Psychology, 13, 507515.CrossRefGoogle ScholarPubMed
Field, A. P. (2009). Discovering Statistics Using SPSS (3rd ed.). London: Sage.Google Scholar
Gosling, S. D., Vazire, S., Srivastava, S. and John, O. P. (2004). Should we trust web-based studies? A comparative analysis of six preconceptions about internet questionnaires. The American Psychologist, 59, 93104. doi: 10.1037/0003-066X.59.2.93 CrossRefGoogle ScholarPubMed
Hadjistavropoulos, H., Janzen, J., Kehler, M., Leclerc, J., Sharpe, D. and Bourgault-Fagnou, M. (2012). Core cognitions related to health anxiety in self-reported medical and non-medical samples. Journal of Behavioral Medicine, 35, 167178. doi: 10.1007/s10865-011-9339-3 CrossRefGoogle ScholarPubMed
Hayes, A. F. (2009). Beyond Baron and Kenny: statistical mediation analysis in the new millennium. Communication Monographs, 76, 408420. doi: 10.1080/03637750903310360 CrossRefGoogle Scholar
Hindorff, L. A., Gillanders, E. M. and Manolio, T. A. (2011). Genetic architecture of cancer and other complex diseases: lessons learned and future directions. Carcinogenesis, 32, 945954. doi: 10.1093/carcin/bgr056 CrossRefGoogle ScholarPubMed
Kissil, K., Niño, A., Jacobs, S., Davey, M. and Tubbs, C. Y. (2010). “It has been a good growing experience for me”: growth experiences among African American youth coping with parental cancer. Families, Systems, and Health, 28, 274289. doi: 10.1037/a0020001 CrossRefGoogle ScholarPubMed
Li, J. W., Morway, L., Velasquez, A., Weingart, S. N. and Stuver, S. O. (2013). Perceptions of medical errors in cancer care: an analysis of how the news media describe sentinel events. Journal of Patient Safety. doi: 10.1097/PTS.0000000000000039 Google Scholar
Longley, S. L., Broman-Fulks, J. J., Calamari, J. E., Noyes, R., Wade, M. and Orlando, C. M. (2010). A taxometric study of hypochondriasis symptoms. Behavior Therapy, 41, 505514. doi: 16/j.beth.2010.02.002 CrossRefGoogle ScholarPubMed
Marcus, D. K., Gurley, J. R., Marchi, M. M. and Bauer, C. (2007). Cognitive and perceptual variables in hypochondriasis and health anxiety: a systematic review. Clinical Psychology Review, 27, 127139. doi: 10.1016/j.cpr.2006.09.003 CrossRefGoogle ScholarPubMed
Niemelä, M., Paananen, R., Hakko, H., Merikukka, M., Gissler, M. and Räsänen, S. (2012). The prevalence of children affected by parental cancer and their use of specialized psychiatric services: the 1987 Finnish Birth Cohort study. International Journal of Cancer, 131, 21172125. doi: 10.1002/ijc.27466 CrossRefGoogle ScholarPubMed
Noyes, R. Jr., Carney, C. P., Hillis, S. L., Jones, L. E. and Langbehn, D. R. (2005). Prevalence and correlates of illness worry in the general population. Psychosomatics, 46, 529539. doi: 10.1176/appi.psy.46.6.529 CrossRefGoogle ScholarPubMed
Noyes, R., Jr, Stuart, S., Langbehn, D. R., Happel, R. L., Longley, S. L. and Yagla, S. J. (2002). Childhood antecedents of hypochondriasis. Psychosomatics, 43, 282289. doi: 10.1176/appi.psy.43.4.282 CrossRefGoogle ScholarPubMed
Preacher, K. J. and Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, and Computers, 36, 717731. doi: 10.3758/BF03206553 CrossRefGoogle ScholarPubMed
Rachman, S. (2012). Health anxiety disorders: a cognitive construal. Behaviour Research and Therapy, 50, 502512. doi: 10.1016/j.brat.2012.05.001 CrossRefGoogle ScholarPubMed
Romer, G., Barkmann, C., Schulte-Markwort, M., Thomalla, G. and Riedesser, P. (2002). Children of somatically ill parents: a methodological review. Clinical Child Psychology and Psychiatry, 7, 1738. doi: 10.1177/1359104502007001003 CrossRefGoogle Scholar
Salkovskis, P. M., Rimes, K. A., Warwick, H. M. C. and Clark, D. M. (2002). The Health Anxiety Inventory: development and validation of scales for the measurement of health anxiety and hypochondriasis. Psychological Medicine, 32, 843853. doi: 10.1017/S0033291702005822 CrossRefGoogle ScholarPubMed
Salkovskis, P. M. and Warwick, H. M. C. (2001). Making sense of hypochondriasis: a cognitive model of health anxiety. In Asmundson, G. J. G., Taylor, S. and Cox, B. (Eds.), Health Anxiety: clinical and research perspectives on hypochondriasis and related conditions (pp. 4664). Toronto: John Wiley and Sons.Google Scholar
Schönbrodt, F. D. and Perugini, M. (2013). At what sample size do correlations stabilize? Journal of Research in Personality, 47, 609612. doi: 10.1016/j.jrp.2013.05.009 CrossRefGoogle Scholar
Warwick, H. M. C. and Salkovskis, P. M. (1990). Hypochondriasis. Behaviour Research and Therapy, 28, 105117. doi: 10.1016/0005–7967(90)90023-C CrossRefGoogle ScholarPubMed
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