To the Editor: Drs Barsky and Ahern1 reported that compared with usual care, a cognitive
behavior therapy (CBT) intervention in primary care, enhanced by a letter
to the primary care physician that outlined the treatment strategy, improved
hypochondriacal beliefs, attitudes, and anxieties, but did not significantly
affect hypochondriacal somatic symptoms. I am concerned that the results do
not necessarily support the use of this labor-intensive treatment.
Trief PM. Interventions for Hypochondriasis in Primary Care. JAMA. 2004;292(1):42. doi:10.1001/jama.292.1.42-a