Imperial College London
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DrRahilSanatinia

Faculty of Medicine, Department of Brain Sciences

Honorary Research Fellow
 
 
 
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Contact

 

r.sanatinia Website

 
 
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Location

 

Commonwealth BuildingHammersmith Campus

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Summary

 

Publications

Citation

BibTex format

@article{Sanatinia:2016:10.1192/bjp.bp.115.173526,
author = {Sanatinia, R and Wang, D and Tyrer, P and Tyrer, H and Crawford, M and Cooper, S and Loebenberg, G and Barrett, B},
doi = {10.1192/bjp.bp.115.173526},
journal = {British Journal of Psychiatry},
pages = {244--250},
title = {Impact of personality status on the outcomes and cost of cognitive–behavioural therapy for health anxiety},
url = {http://dx.doi.org/10.1192/bjp.bp.115.173526},
volume = {209},
year = {2016}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - 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.
AU  - Sanatinia,R
AU  - Wang,D
AU  - Tyrer,P
AU  - Tyrer,H
AU  - Crawford,M
AU  - Cooper,S
AU  - Loebenberg,G
AU  - Barrett,B
DO  - 10.1192/bjp.bp.115.173526
EP  - 250
PY  - 2016///
SN  - 1472-1465
SP  - 244
TI  - Impact of personality status on the outcomes and cost of cognitive–behavioural therapy for health anxiety
T2  - British Journal of Psychiatry
UR  - http://dx.doi.org/10.1192/bjp.bp.115.173526
UR  - http://hdl.handle.net/10044/1/39914
VL  - 209
ER  -
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