Journal article

Compulsive Health-Related Internet Use and Cyberchondria.

  • Khazaal Y Addiction Medicine, Department of Psychiatry, Lausanne University Hospital, Lausanne, Switzerland, yasser.khazaal@chuv.ch.
  • Chatton A Department of Psychiatry and Mental Health, Geneva University Hospitals, Geneva, Switzerland.
  • Rochat L Faculty of Psychology, University of Geneva, Geneva, Switzerland.
  • Hede V Department of Psychiatry and Mental Health, Geneva University Hospitals, Geneva, Switzerland.
  • Viswasam K Department of Psychiatry, Nepean Hospital, Penrith, New South Wales, Australia.
  • Penzenstadler L Department of Psychiatry and Mental Health, Geneva University Hospitals, Geneva, Switzerland.
  • Berle D Discipline of Clinical Psychology, University of Technology Sydney, Sydney, New South Wales, Australia.
  • Starcevic V Discipline of Psychiatry, Sydney Medical School, Nepean Clinical School, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
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  • 2020-10-29
Published in:
  • European addiction research. - 2020
English BACKGROUND
Cyberchondria denotes excessive and repeated online health-related searches associated with an increase in health anxiety. Such searches persist in those with cyberchondria, despite the negative consequences, resembling a pattern of compulsive Internet use.


OBJECTIVES
The aim of the present study was to assess compulsive health-related Internet use in relation to cyberchondria while controlling for related variables.


METHOD
Adult participants (N = 749) were recruited from an online platform. They completed questionnaires assessing the severity of cyberchondria (via the Cyberchondria Severity Scale [CSS]), compulsive Internet use adapted for online health-related seeking (via the adapted Compulsive Internet Use Scale [CIUS]), and levels of intolerance of uncertainty and anxiety, as well as depressive, somatic, and obsessive-compulsive symptoms. A logistic regression analysis was carried out to identify predictors of scores above a cutoff value on the CIUS, indicating compulsive health-related Internet use.


RESULTS
The regression output showed that only the CSS total score and sex made a unique, statistically significant contribution to the model, leading to the correct classification of 78.6% of the cases. Of the CSS subscales, compulsion and distress were the most strongly associated with compulsive health-related Internet use.


CONCLUSIONS
The finding that the adapted CIUS scores are associated with cyberchondria indicates that cyberchondria has a compulsive component, at least in terms of health-related Internet use. It also suggests that compulsive health-related Internet use persists despite the distress associated with this activity. Males may engage in cyberchondria more compulsively than females. These findings have implications for research and clinical practice.
Language
  • English
Open access status
hybrid
Identifiers
Persistent URL
https://sonar.ch/global/documents/138141
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