Hypochondriacal patients are heterogeneous and subtypes may exist. Separate dimensions of disease phobia and disease conviction have consistently been identified: in some patients fears are prominent and in others conviction dominates the picture. (2021) Patients with disease phobia have anxious features and more insight into the psychological nature of their disturbance. Those with disease conviction have depressive features, are preoccupied with somatic symptoms, and are more convinced of being ill. They lack insight and have antagonistic relationships with physicians.

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