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Cyberchondria: an independent phenomenon or the manifestation of hypochondriacal traits online?

Cyberchondria: an independent phenomenon or the manifestation of hypochondriacal traits online?

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Recieved: 01/08/2022 22:45:00

Accepted: 01/25/2022 22:45:00

Published: 04/15/2022 19:01:00

Keywords: cyberchondria; online information search; hypochondria; Internet addiction; cognitive factors; hypochondriacal behavior

p.: 76-93

DOI: 10.11621/npj.2022.0107

To cite this article:

Nadezhda A. Rostovzeva, Rasskazova Elena I. , Aleksandr Sh. Tkhostov, Vаdim A. Emelin . Cyberchondria: an independent phenomenon or the manifestation of hypochondriacal traits online?. // National Psychological Journal 2022. 1. p.76-93. doi: 10.11621/npj.2022.0107

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Issue 1, 2022

Nadezhda A. Rostovzeva Lomonosov Moscow State University

Rasskazova Elena I. Lomonosov Moscow State University

Aleksandr Sh. Tkhostov Lomonosov Moscow State University

Vаdim A. Emelin Lomonosov Moscow State University

Abstract

Background. The concept of cyberchondria is proposed to describe a psychological phenomenon that manifests in the increase in health anxiety after excessive search for medical information. The structure of cyberchondria is quite heterogeneous. Features of actions (compulsive actions in search of information about health and diseases online) the relation of these actions to other human activities (excessive search), emotional (distress after the search) and behavioral (the search for confirmation) consequences of those actions, as well as mentalsetting (mistrust in medical experts) can be revealed in this structure. The question of the independence of cyberchondria, which is closely connected to obsessive-compulsive symptoms, health anxiety, hypochondriacal behavior and user activity, is also controversial.

Objective. The article aims to detect the relationship between cyberchondria and signs of excessive Internet use , somatization, hypochondrization, and health anxiety.

Design. The present study (before the coronavirus pandemic) involved 127 healthy respondents aged 18 to 70 years old and 33 active users of online medical websites. The respondents filled out the Cyberchondria Severity Scale, the scales of hypochondriacal behavior, beliefs about the body and health, health anxiety, Internet addiction and a number of checklists assessing their user activity and behavior related to health and illness.

Results. In the structure of cyberchondria, it is possible to reliably distinguish closely related components of the search for confirmation, compulsive actions, excessive and repetitive search, and distress after the search. Excessive search for information is more often associated with viewing images of diseases, seeking the confirmation along with reading reviews (i.e., it more often complements an actual search for a medical care, or cross-checks the results). Compulsive actions and distress are most closely associated with searching for information on social networks. Mistrust in healthcare professionals is weakly associated with cyberchondria. It reveals itself in a rare inclination to seek for a formal medical opinion both online and offline. However, a greater propensity for seeking for the information about alternative medicine on the Internet is observed. Manifestations of cyberchondria (apart from the mistrust in medical professionals) are closely associated with an excessive user activity and the tendency for somatoform symptoms and hypochondriacal behavior. This supports the hypothesis that cyberchondria is a specific behavior that is based on other clinical-psychological phenomena.

References

Abramowitz, J.S., Deacon, B.J., Valentiner, D.P. (2007). The Short Health Anxiety Inventory: Psychometric Properties and Construct Validity in a Non-clinical Sample. Cognitive Therapy and Research, 31, 871–883. doi: 10.1007/s10608-006-9058-1

Bajcar, B., Babiak, J. (2021). Self-esteem and cyberchondria: The mediation effects of health anxiety and obsessive–compulsive symptoms in a community sample. Current Psychology, 40, 2820–2831. doi: 10.1007/s12144-019-00216-x

Barke, A., Bleichhardt, G., Rief, W., Doering, B.K. (2016). The Cyberchondria Severity Scale (CSS): German validation and development of a short form. International Journal of Behavioral Medicine, 23 (5), 595–605. doi: 10.1007/s12529-016-9549-8

Belokrylov, I.V., Semikov, S.V., Tkhostov, A.Sh., Rasskazova, E.I. (2021). Hypochondriac Beliefs and Behaviour of Patients with Somatoform Disorders: the Connection with Somatic Complaints and the Subjective Evaluation of Well-being. Psikhiatriya (Psychiatry), 19 (3), 58–67 doi.org/10.30629/2618-6667-2021-19-3-58-67 (In Russ.).

Chen, S.-H., Weng, L.J., Su, Y.-J., Yang, P.F. (2003). Development of Chinese Internet Addiction Scale and its psychometric study. Chinese Journal of Psychology, 45 (3), 279–294. doi: 10.1037/t44491-000

Fergus, T.A. (2015). Anxiety sensitivity and intolerance of uncertainty as potential risk factors for cyberchondria: A replication and extension examining dimensions of each construct. Journal of Affective Disorders, 184, 305–309. doi: 10.1016/j.jad.2015.06.017

Fergus, T.A. (2014). The Cyberchondria Severity Scale (CSS): an examination of structure and relations with health anxiety in a community sample. Journal of Anxiety Disorders. 2014, 28 (6), 504–10. doi: 10.1016/j.janxdis.2014.05.006

Fergus, T.A., Russell, L.H. (2016). Does cyberchondria overlap with health anxiety and obsessive-compulsive symptoms? An examination of latent structure and scale interrelations. Journal of Anxiety Disorders, 38, 88–94. doi: 10.1016/j.janxdis.2016.01.009

Griffiths M. (2005). A “components” model of addiction within biopsychosocial framework. Journal of Substance Use, 10 (4), 191–197.

Jokic-Begic, N., Korajlija, A.L., Mikac, U. (2020). Cyberchondria in the age of COVID-19. PLoS One, 15 (12), e0243704. doi: 10.1371/journal.pone.0243704

Jungmann, S.M., Witthöft, M. (2020). Health anxiety, cyberchondria, and coping in the current COVID-19 pandemic: Which factors are related to coronavirus anxiety? Journal of Anxiety Disorders, 73, 102239. doi: 10.1016/j.janxdis.2020.102239

Khazaal, Y., Chatton, A., Rochat, L., Hede, V., Viswasam, K., Penzenstadler, L., Berle, D., Starcevic, V. (2021). Compulsive Health-Related Internet Use and Cyberchondria. European Addiction Research, 27 (1), 58–66. doi: 10.1159/000510922

Malygin, V.L. (2011). Internet-addicted Behaviour. Criteria and Methods of Diagnosis. In Malygin, V.L., Feliksov, K.L., Iskandirova, A.S. (Eds.), The Textbook. Moscow: MGSMU. (In Russ.).

McElroy, E, Shevlin, M. (2014). The development and initial validation of the cyberchondria severity scale. Journal of Anxiety Disorders, 28 (2), 259–265. doi: 10.1016/j.janxdis.2013.12.007

Menon, V., Kar, S.K., Tripathi, A., Nebhinani, N., Varadharajan, N. (2020). Cyberchondria: conceptual relation with health anxiety, assessment, management and prevention. Asian Journal of Psychiatry, 53,102225. doi: 10.1016/j.ajp.2020.102225

Norr, A.M., Allan, N.P., Boffa, J.W., Raines, A.M., Schmidt, N.B. (2015). Validation of the Cyberchondria Severity Scale (CSS): replication and extension with bifactor modeling. Journal of Anxiety Disorders, 31, 58–64. doi: 10.1016/j.janxdis.2015.02.001

Norr, A.M., Albanese, B.J., Oglesby, M.E., Allan, N.P., Schmidt, N.B. (2015). Anxiety sensitivity and intolerance of uncertainty as potential risk factors for cyberchondria. Journal of Affective Disorders, 174, 64–9. doi: 10.1016/j.jad.2014.11.023. DOI: 10.1016/j.jad.2014.11.023

Rasskazova, E.I. (2013). The clinical-psychological approach to the diagnosis of hardly qualified symptoms within somatoform disorders. Obozrenie psikhiatrii i meditsinskoy psikhologii imeni V.M. Bekhtereva (V.M. Bekhterev Review of Psychiatry and Medical Psychology), 3, 25–32. (In Russ.).

Rasskazova, E.I., Emelin, V.A., Tkhostov, A.Sh. (2015). Diagnostics of Psychological Consequences of the Influence of Information Technologies on a Person. Educational and Methodical Textbook for Students of Psychological Specialties. Moscow: Akropol. (In Russ.).

Reed, G.M., First, M.B., Kogan, C.S. et al. (2019). Innovations and changes in the ICD-11 classification of mental, behavioural and neurodevelopmental disorders. World Psychiatry, 18 (1), 3–18. doi: 10.1002/wps.20611

Rief, W., Hiller, W., Margraf, J. (1998). Cognitive aspects in hypochondriasis and the somatization syndrome. Journal of Abnormal Psychology, 107, 587–595.

Rief, W., Ihle, D., Pilger, F. (2003). A new approach to assess illness behavior. Journal of Psychosomatic Research, 54, 405–414.

Rief, W., Hiller, W.A. (2003). New Approach to the Assessment of the Treatment Effects of Somatoform Disorders. Psychosomatics, 44, 492–498.

Rostovtseva, N., Rasskazova, E., Tkhostov, A., Chepeliuk, A., Tikhomandritskaya, O. (2019). Validation of the Russian version of the Cyberchondria Severity Scale. European Psychiatry, 56, 79. doi: 10.26226/morressier.5c642be19ae8fb00131cec23

Rostovtseva, N., Rasskazova, E., Tkhostov, A., Tikhomandritskaya, O. (2020). Cyberchondria as a component of hypochondriac behavior. European Psychiatry, 63.

Selvi, Y., Turan, S.G., Sayin, A.A., Boysan, M., Kandeger, A. (2018). The Cyberchondria Severity Scale (CSS): Validity and Reliability Study of the Turkish Version. Sleep and Hypnosis: A Journal of Clinical Neuroscience and Psychopathology, 20 (4), 241–246. doi: 10.5350/Sleep.Hypn.2018.20.0157

Schenkel, S.K., Jungmann, S.M., Gropalis, M., Witthöft M. (2021). Conceptualizations of Cyberchondria and Relations to the Anxiety Spectrum: Systematic Review and Meta-analysis. Journal of Medical Internet Research, 23 (11), e27835. doi: 10.2196/27835

Soldatova, G.U., Voiskounsky, A.E. (2021). Sociocognitive concept of the digital socialization: a new ecosystem and a social evolution of the psyche. Psikhologiya. Zhurnal Vysshey Shkoly Ekonomiki (Psychology. Journal of the Higher School of Economics), 18 (3), 431–450. (In Russ.).

Soldatova, G.U., Rasskazova, E.I., Nestik, T.A. (2017). The Digital Generation of Russia: Competence and Security. Moscow: Smysl. (In Russ.).

Starcevic, V. (2017). Cyberchondria: Challenges of Problematic Online Searches for Health-Related Information. Psychotherapy and Psychosomatics, 86 (3), 129–33. doi: 10.1159/000465525

Starcevic, V, Aboujaoude, E. (2015). Cyberchondria, cyberbullying, cybersuicide, cybersex: “new” psychopathologies for the 21st century? World Psychiatry, 14 (1), 97–100. doi: 10.1002/wps.20195

Starcevic, V, Berle, D (2015). Cyberchondria: an old phenomenon in a new guise? In Aboujaoude, E, Starcevic, V (Eds), Mental Health in the Digital Age: Grave Dangers, Great Promise. New York, Oxford University Press.

Starcevic, V, Berle, D (2013). Cyberchondria: towards a better understanding of excessive health-related Internet use. Expert Review of Neurotherapeutics, 13 (2), 205–213. doi: 10.1586/ern.12.162

Starcevic, V., Berle, D., Arnáez, S. (2020). Recent Insights Into Cyberchondria. Current Psychiatry Reports, 22 (11), 56. doi: 10.1007/s11920-020-01179-8

Taylor, S.E. (2018). Health psychology. 10th edition. N.Y.: McGrowHill Education.

Voiskounsky, A.E. (2009). Instead of a preface: Pros and cons of the Internet addiction. In A.E. Voiskounsky (Ed.). Internet Addiction: a Psychological Nature and Dynamics of Development. Moscow: Akropol. (In Russ.).

Zhelonkina, T.A., Enikolopov, S.N., Ermusheva, A.A. (2014). The adaptation of the Russian-language version of P. Salkovskis’s test (The Short health anxiety inventory). Teoreticheskaya i eksperimental’naya psikhologiya (Theoretical and Experimental Psychology), 7 (1), 30–37. (In Russ.).

Zolotareva, A.A. (2021). Diagnosis of cyberchondria: prospects and limitations. In Diagnostics in Medical (Clinical) Psychology: Traditions and Prospects (to the 110th Anniversary of S.Ya. Rubinstein). Scientific publications. Sbornik materialov Tret’ey Vserossiyskoy nauchno-prakticheskoy koferentsii s mezhdunarodnym uchatiem 25–26 noyabrya 2021 g. (Collection of proceedings of the Third All-Russian Scientific and Practical Conference with the international participation on November 25–26, 2021), 260–262. (In Russ.).

To cite this article:

Nadezhda A. Rostovzeva, Rasskazova Elena I. , Aleksandr Sh. Tkhostov, Vаdim A. Emelin . Cyberchondria: an independent phenomenon or the manifestation of hypochondriacal traits online?. // National Psychological Journal 2022. 1. p.76-93. doi: 10.11621/npj.2022.0107

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