Cyberchondria and quality of life: a cross-sectional study in Brazilian individuals

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Jaqueline Alves Zwierzikowski
Beatriz Pyrich Cavalheiro
Luis Felipe Ingles Takada
Gabriela de Souza Rusch
Mateus Latronico Baena
Renato Nisihara
Thelma Larocca Skare

Abstract

Introduction: Cyberchondria is a newly described entity in which patients recurrently search health information on the internet developing distress and suffering with the obtained information. Objective: To study cyberchondria in a sample of the Brazilian population: its association with epidemiological variables and interference with quality of life. Methods: This is a cross-sectional observational study, with 948 participants. Three questionnaires were applied through the internet: one epidemiological; the Cyberchondria Severity Scale (CSS) questionnaire and the SF-12 (12-Item Short-Form Health Survey) quality of life (QoL) questionnaire. Results: CSS was weakly and negatively correlated with the age of participants in the subscale “compulsion” (r=-0.08, p=0.01) and “distress” (r=-0.12, p<0.0001). Men had higher scores on “compulsion” (p=0.02). A weak and negative correlation was found between the subscales of “compulsion,” “distress,” “excessiveness” and “reassurance seeking” of CSS and SF-12-physical domains and the subscales of “compulsion” and “distress” with SF-12 mental domain. An independent relationship was found between the male sex (p=0.009), living in rural areas (p=0.002), having less than 10 years of formal education (p<0.0001), and earning less than 5 minimal wages/month (p=0.0002) with the subscale “mistrust of medical professional”. Conclusion: Males and younger individuals have higher levels of compulsion in the CSS than females and the elderly. Mistrust of medical professionals was less common in females, in those living in urban areas, and in those with better education and higher income. Cyberchondria interferes with mental and physical QoL.

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How to Cite
Zwierzikowski, J. A., Cavalheiro, B. P., Takada, L. F. I., Rusch, G. de S., Baena, M. L., Nisihara, R., & Skare, T. L. (2024). Cyberchondria and quality of life: a cross-sectional study in Brazilian individuals. ABCS Health Sciences, 49, e024227. https://doi.org/10.7322/abcshs.2023059.2320
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Original Articles

References

Ivanova E. Internet addiction and cyberchondria: Their relationship with well-being. J Educ Cult Soc. 2013;15(1):57-69. https://doi.org/10.15503/jecs20131.57.70

Poel F, Baumgartner SE, Hartmann T, Tanis M. The curious case of cyberchondria: A longitudinal study on the reciprocal relationship between health anxiety and online health information seeking. J Anxiety Disorder. 2016;43:32-40. https://doi.org/10.1016/j.janxdis.2016.07.009

Starcevic V, Berle D. Cyberchondria: towards a better understanding of excessive health-related Internet use. Expert Rev Neurother. 2013;13(2):205-13. https://doi.org/10.1586/ern.12.162

Aikens M, Kirwan G, Berry M, O’Boyle C. The age of cyberchondria. Royal Coll Surg Ireland Student Med J. 2012;5(1):71-4.

White RW, Horvitz E. Cyberchondria: studies of the escalation of medical concerns in Web search. ACM Trans Inf Syst. 2009;27(23):1-37. https://doi.org/10.1145/1629096.1629101

Zarcadoolas C, Blanco M, Boyer JF, Pleasant A. Unweaving the Web: An exploratory study of low-literate adults’ navigation skills on the World Wide Web. J Health Commun. 2002;7(4):309-24. https://doi.org/10.1080/10810730290088157

Atkinson NL, Saperstein SL, Pleis J. Using the Internet for Health-Related Activities: Findings from a National Probability Sample. J Med Internet Res. 2009;11(1):e4. https://doi.org/10.2196/jmir.1035

Henderson EM, Keogh E, Eccleston C. Why go online when you have pain? A qualitative analysis of teenagers’ use of the Internet for pain management advice. Child Care Health Dev. 2014;40(4):572-9. https://doi.org/10.1111/cch.12072

Gray NJ, Klein JD, Noyce PR, Sesselberg TS, Cantrill JA. Health information-seeking behavior in adolescence: The place of the internet. Soc Sci Med. 2005;60(7):1467-78. https://doi.org/10.1016/j.socscimed.2004.08.010

McElroy E, Shevlin M. The development and initial validation of the cyberchondria severity scale (CSS). J Anxiety Disorder. 2014;28(2):259-65. https://doi.org/10.1016/j.janxdis.2013.12.007

Fergus TA. The Cyberchondria Severity Scale (CSS): An examination of structure and relations with health anxiety in a community sample. J Anxiety Disorder. 2014;28(6):504-10. https://doi.org/10.1016/j.janxdis.2014.05.006

Andrade TL, Camelier AA, Rosa FW, Santos MP, Jezler S, Silva JLP. Applicability of the 12-Item Short-Form Health Survey in patients with progressive systemic sclerosis. J Bras Pneumol. 2007;33(4):414-22. https://doi.org/10.1590/s1806-37132007000400010

Ware Jr J, Kosinski M, Keller SD. A 12-Item Short-Form Health Survey: Construction of Scales and Preliminary Tests of Reliability and Validity. Med Care. 1996;34(3):220-33. https://doi.org/10.1097/00005650-199603000-00003

Silva FG, Andrade R, Silva I, Cardoso A. Cross-cultural adaptation of the Cyberchondria Severity Scale for Brazilian Portuguese. Trends Psychiatry Psychother. 2016;38(2):90-5. https://doi.org/10.1590/2237-6089-2015-0063

Fergus TA, Russell LH. Does cyberchondria overlap with health anxiety and obsessive-compulsive symptoms? An examination of latent structure and scale interrelations. J Anxiety Disorder. 2016;38:88-94. https://doi.org/10.1016/j.janxdis.2016.01.009

Norr AM, Oglesby ME, Raines AM, Macatee RJ, Allan NP, Schmidt NB. Relationships between cyberchondria and obsessive-compulsive symptom dimensions. Psychiatry Res. 2015;230(2):441-6. https://doi.org/10.1016/j.psychres.2015.09.034

Muse K, McManus F, Leung C, Meghreblian B, Williams JMG. Cyberchondriasis: Fact or fiction? A preliminary examination of the relationship between health anxiety and searching for health information on the Internet. J Anxiety Disorder. 2012;26(1):189-96. https://doi.org/10.1016/j.janxdis.2011.11.005

Doherty-Torstrick ER, Walton KE, Fallon BA. Cyberchondria: Parsing health anxiety from online behavior. Psychosomatics. 2016;57(4):390-400. https://doi.org/10.1016/j.psym.2016.02.002

Makarla S, Gopichandran V, Tondare D. Prevalence, and correlates of cyberchondria among professionals working in the information technology sector in Chennai, India: A cross-sectional study. J Postgrad Med. 2019;65(2):87-92. https://doi.org/10.4103/jpgm.JPGM_293_18

Mathes BM, Norr AM, Allan NP, Albanese BJ, Schmidt NB. Cyberchondria: Overlap with health anxiety and unique relations with impairment, quality of life, and service utilization. Psychiatry Res. 2018;261:204-11. https://doi.org/10.1016/j.psychres.2018.01.002

Starcevic V. Keeping Dr. Google under control: How to prevent and manage cyberchondria. World Psychiatry. 2023;22(2):233-4. https://doi.org/10.1002/wps.21076

Thomas SP. Addressing gaps in knowledge about cyberchondria. Issues Ment Health Nurs. 2023;44(7):583-4. https://doi.org/10.1080/01612840.2023.2229718