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The British Journal of Psychiatry 159: 422-425 (1991)
© 1991 The Royal College of Psychiatrists
S Logsdail, K Lovell, H Warwick and I Marks
Maudsley Hospital, Denmark Hill, London.
Seven cases are described in which the central symptoms were fear of contracting AIDS, avoidance of related cues, rituals and reassurance- seeking. Associated features include previous illness phobias and obsessive-compulsive disorder. Treatment with exposure and response prevention (plus a cognitive session in one case), led to improvement sustained up to three months after discharge, although one patient stopped treatment prematurely. Controlled trials of behavioural treatment in hypochondriasis are required.
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