Use this URL to cite or link to this record in EThOS: http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.675691
Title: Research portfolio submitted in part fulfilment of the requirements for the Degree of Doctorate in Clinical Psychology
Author: Howe, Emily Louise
ISNI:       0000 0004 5371 6635
Awarding Body: University of Bath
Current Institution: University of Bath
Date of Award: 2014
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Abstract:
Purpose: Research investigating psychological predictors of health anxiety and related outcomes is lacking. This study investigated whether mental defeat, existential concerns, beliefs about emotions and intolerance of uncertainty predict levels of health anxiety, quality of life, depression and anxiety in cancer patients in remission. Method: A quantitative prospective design was employed. Ninety participants aged 23-80, who had completed cancer treatment with curative intent were recruited from two hospitals, support groups and the Macmillan website. Self-report questionnaires were used to measure mental defeat, existential concerns, beliefs about emotions and intolerance of uncertainty, health anxiety, quality of life, depression and anxiety at two time points, 4 weeks apart. Results: Clinically significant levels of health anxiety were reported in 52.2% of the sample. Elevated health anxiety at Time 1 (T1) was significantly associated with intolerance of uncertainty. Quality of life at T1 was significantly associated with mental defeat and beliefs about emotions. Psychological distress at T1 was significantly associated with mental defeat and intolerance of uncertainty. Stepwise regressions demonstrated that mental defeat was a significant predictor of health anxiety (including avoidance and reassurance seeking), quality of life and distress 4 weeks later. Conclusions: This study provides evidence that clinically elevated health anxiety is high in cancer survivors, and highlights the importance of consideration of the risk factors underlying elevated health anxiety, psychological distress and poor quality of life that are appropriate targets for treatment. Clinical and research implications are discussed.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (D.Clin.Psy.) Qualification Level: Doctoral
EThOS ID: uk.bl.ethos.675691  DOI: Not available
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