Health Anxiety in People living with Chronic illness: Prevalence, Risk & Key Differences

Key things to know What the evidence shows
How common is it? Clinical illness-related fears >20% across many chronic diseases, but definitions vary
Is it more common among people living with chronic illness? Clearly elevated illness-related fear/HA burden
Are people living with chronic illness at higher risk? #N/A
How much higher is the risk? Systematic review of 401 studies: clinical illness fears commonly >20%
How often can it be missed? #N/A
Does it show up differently among people living with chronic illness? Very Strong Yes
How might it look different? A person may have a real illness AND excessive anxiety about progression, recurrence or every bodily change; neither invalidates the other
What commonly occurs alongside it? #N/A
What can it be confused with? Appropriate disease monitoring; fear of recurrence; IAD; SSD
Common screening tool SHAI — Short Health Anxiety Inventory
Separate screening tool for people living with chronic illness Disease-specific fear-of-recurrence/progression scales may supplement SHAI
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