{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,16]],"date-time":"2025-05-16T04:01:55Z","timestamp":1747368115948,"version":"3.40.5"},"reference-count":33,"publisher":"Royal College of Psychiatrists","issue":"3","license":[{"start":{"date-parts":[[2025,5,15]],"date-time":"2025-05-15T00:00:00Z","timestamp":1747267200000},"content-version":"unspecified","delay-in-days":14,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych open"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:sec id=\"S2056472425000687_as1\">\n\t    <jats:title>Background<\/jats:title>\n\t    <jats:p>Hypochondriacal disorder involves persistent anxiety about suffering from an undetected serious medical condition, despite medical reassurance. Hypochondriacal disorder significantly affects social relationships, occupational functioning and personal well-being. In university settings, where mental health concerns are prevalent, insights into prevalence of hypochondriacal disorder and associations with depression and other health challenges are essential.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472425000687_as2\">\n\t    <jats:title>Aims<\/jats:title>\n\t    <jats:p>This study examines the prevalence and correlates of hypochondriacal disorder among Norwegian university students, focusing on its associations with depression, mental distress and somatic symptom burden.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472425000687_as3\">\n\t    <jats:title>Method<\/jats:title>\n\t    <jats:p>The 2022 Students\u2019 Health and Wellbeing Study, a national survey of Norwegian higher education students, included 59 536 participants aged 18\u201335. Participants were categorised based on a pre-defined diagnostic list of mental and somatic concerns, and participants were grouped as follows: hypochondriacal disorder only, depression only, comorbid hypochondriacal disorder and depression and controls. Validated instruments included the Somatic Symptom Scale-8, the Hopkins Symptoms Checklist, the Satisfaction With Life Scale, an abbreviated version of the University of California, Los Angeles, Three-Item Loneliness Scale and four items on suicidal ideation.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472425000687_as4\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>Hypochondriacal disorder was reported by 0.86% (<jats:italic>n<\/jats:italic> = 457) of participants, with 52% also reporting depression. Those with hypochondriacal disorder had significantly worse mental and somatic health outcomes, especially when comorbid with depression, including elevated distress, suicidality, insomnia and poor quality of life.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472425000687_as5\">\n\t    <jats:title>Conclusion<\/jats:title>\n\t    <jats:p>Although uncommon, hypochondriacal disorder is linked to severe mental and somatic health burdens, particularly when co-occurring with depression. These findings highlight the need for integrated mental health strategies in academic settings to address hypochondriacal disorder and its frequent comorbidities.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1192\/bjo.2025.68","type":"journal-article","created":{"date-parts":[[2025,5,15]],"date-time":"2025-05-15T04:42:08Z","timestamp":1747284128000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Mental and somatic health burdens of hypochondriacal disorder in higher education: national study among Norwegian students"],"prefix":"10.1192","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1647-373X","authenticated-orcid":false,"given":"Kari-Elise Fr\u00f8ystad","family":"Veddegj\u00e6rde","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0722-5440","authenticated-orcid":false,"given":"Jens 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