A Systematic Review of Interventions for Health Anxiety Presentations Across Diverse Chronic Illnesses.

PURPOSE: Health anxiety (HA) is associated with reduced quality of life among individuals with chronic illnesses. However, little is known about effective interventions for reducing HA in this context. This study aimed to comprehensively review the literature on interventions for the treatment of HA in chronic illness. METHODS: This study was conducted as part of a larger systematic review on HA among individuals diagnosed with a chronic illness, using literature published between January 1996 and October 2017. A total of 51 articles were selected as they reported on interventions with pre-post measures and described the impact of the intervention on HA. RESULTS: The data on psychotherapy (CBT, third-wave CBT, and mindfulness), patient education, and rehabilitation programs demonstrated effectiveness in cancer and cardiac patients. Exercise interventions demonstrated effectiveness in patients with Parkinson's disease, and medical interventions showed limited effectiveness in reducing HA in diabetes and epilepsy. Most interventions yielding significant outcomes were at least 6 to 8 weeks long. CONCLUSIONS: The literature supports that a variety of interventions may be effective in reducing HA in individuals with chronic illness. Future research should test single interventions across several illnesses, as well as several interventions within a single illness to better understand how HA can be managed across chronic illnesses.

Afraid and tired: A longitudinal study of the relationship between cancer-related fatigue and fear of cancer recurrence in long-term cancer survivors.

OBJECTIVE: Cancer-related fatigue (CRF) and fear of cancer recurrence (FCR) are two common concerns experienced by cancer survivors. However, the relationship between these two concerns is poorly understood, and whether CRF and FCR influence each other over time is unclear. METHODS: Data were from a national, prospective, longitudinal study, the American Cancer Society's Study of Cancer Survivors-I (SCS-I). Surveys were completed by 1395 survivors of 10 different cancer types at three time-points, including assessment 1.3 years (T1), 2.2 years (T2) and 8.8 years (T3) following their cancer diagnosis. CRF was assessed using the fatigue-inertia subscale of the Profile of Mood States, and FCR by the FCR subscale of the Cancer Problems in Living Scale. Multiple group random intercepts cross-lagged panel models investigated prospective associations between CRF and FCR. RESULTS: For younger participants (at or below median age of 55 years, n = 697), CRF at T1 and T2 marginally and significantly predicted FCR at T2 and T3, respectively, but no lagged effects of FCR on subsequent CRF were observed. Cross-lagged effects were not observed for survivors over 55 years of age. CONCLUSION: Both CRF and FCR are debilitating side effects of cancer and its treatments. Given that CRF may be predictive of FCR, it possible that early detection and intervention for CRF could contribute to lowering FCR severity.

It is a "small world": Relations between performance on five spatial tasks and five mathematical tasks in undergraduate students.

One of the most robust relations in cognition is that between spatial and mathematical reasoning. One important question is whether this relation is domain general or if specific relations exist between performance on different types of spatial tasks and performance on different types of mathematical tasks. In this study, we explore unique relations between performance on five spatial tasks and five mathematical tasks. An exploratory factor analysis conducted on Data Set 1 (N = 391) yielded a two-factor model, one spatial factor and one mathematical factor with significant cross-domain factor loadings. The general two-factor model structure was replicated in a confirmatory factor analysis conducted in a separate data set (N = 364) but the strength of the factor loadings differed by task. Multidimensional scaling and network-based analyses conducted on the combined data sets reveal one spatial cluster, with a central node and one more tightly interconnected mathematical cluster. Both clusters were interconnected via the math task assessing geometry and spatial sense. The unique links identified with the network-based analysis are representative of a "small-world network." These results have theoretical implications for our understanding of the spatial-mathematical relation and practical implications for our understanding of the limitations of transfer between spatial training paradigms and mathematical tasks. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Spatial anxiety and spatial ability: Mediators of gender differences in math anxiety.

Females tend to be more anxious than males while engaging in mathematics, which has been linked to lower math performance and higher math avoidance. A possible repercussion of this gender difference is the underrepresentation of females in STEM fields (science, technology, engineering, and math), as math competencies are an essential part of succeeding in such fields. A related, but distinct, area of research suggests that males tend to outperform females in tasks that require spatial processing (i.e., the ability to mentally visualize, rotate, and transform spatial and visual information). Interestingly, factors from the spatial processing domain (spatial ability and spatial anxiety) are important in explaining gender differences in math anxiety. Here, we examined three types of spatial anxiety and ability (imagery, navigation, and manipulation), as well as math ability, as mediators of gender differences in math anxiety. Undergraduate students (125 male; 286 female) completed assessments of their general level of anxiety, their math anxiety, and their spatial anxiety. They also completed a series of tasks measuring their mathematical skill, their spatial skills, and basic demographics. Results suggest that manipulation anxiety and ability, navigation anxiety, and math ability explained the gender difference in math anxiety, but manipulation anxiety was the strongest mediator of this relation. Conversely, all other measures did not explain the gender difference in math anxiety. These findings help us better understand the gender difference in mathematics, and this is important in reducing the gender gap in STEM fields. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Health anxiety and illness-related fears across diverse chronic illnesses: A systematic review on conceptualization, measurement, prevalence, course, and correlates.

BACKGROUND: Patients with chronic diseases commonly report fears of illness or symptoms recurring or worsening. These fears have been addressed from an illness-specific perspective (e.g., fear of cancer recurrence), a generic illness perspective (e.g., fear of progression), and a psychiatric perspective (DSM-5 illness anxiety disorder and somatic symptom disorder). The broader concept of health anxiety (HA) can also be applied to patients with a chronic disease. This review was conducted to investigate the conceptual, theoretical, measurement-overlap, and differences between these distinct perspectives. We also aimed to summarize prevalence, course, and correlates of these fears in different chronic illnesses. METHODS: We used PsycINFO, PubMED, CINAHL, Web of Science, SCOPUS, and PSYNDEX to conduct a systematic review of studies pertaining to these fears in chronic illness published from January 1996 to October 2017. A total of 401 articles were retained. RESULTS: There were commonalities across different conceptualizations and diseases: a high prevalence of clinical levels of fears (>20%), a stable course over time, and a deleterious impact on quality of life. Reviewed studies used definitions, models, and measures that were illness-specific, with only a minority employing a psychiatric perspective, limiting cross-disease generalizability. There appears to be some applicability of DSM-5 disorders to the experience of fear of illness/symptoms in patients with a chronic illness. While conceptualizing HA on a continuum ranging from mild and transient to severe may be appropriate, there is a lack of agreement about when the level of fear becomes 'excessive.' The definitions, models, and measures of HA across chronic illnesses involve affective, cognitive, behavioral, and perceptual features. CONCLUSIONS: The concept of HA may offer a unifying conceptual perspective on the fears of illness/symptoms worsening or returning commonly experienced by those with chronic disease.