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焦虑敏感性和对不确定性的不耐受作为网络疑病症的潜在风险因素:对每个构念维度的重复研究与扩展

Anxiety sensitivity and intolerance of uncertainty as potential risk factors for cyberchondria: A replication and extension examining dimensions of each construct.

作者信息

Fergus Thomas A

机构信息

Department of Psychology and Neuroscience, Baylor University Waco, TX 76798, United States.

出版信息

J Affect Disord. 2015 Sep 15;184:305-9. doi: 10.1016/j.jad.2015.06.017. Epub 2015 Jun 19.

Abstract

BACKGROUND

Preliminary findings suggest that anxiety sensitivity (AS) and intolerance of uncertainty (IU) may confer vulnerability for cyberchondria, defined as repeated internet searches for medical information that exacerbates health anxiety. Prior studies are limited because it remains unclear whether specific AS or IU dimensions differentially relate to certain cyberchondria dimensions.

METHODS

The present study examined associations among AS, IU, and cyberchondria dimensions using a sample of community adults (N = 578) located in the United States.

RESULTS

As predicted, physical AS and inhibitory IU were the only AS or IU dimensions to share unique associations with the distress cyberchondria dimension after controlling for the overlap among the AS dimensions, IU dimensions, and health anxiety. Cognitive AS and social AS unexpectedly evidenced unique associations with cyberchondria dimensions.

LIMITATIONS

The results are limited by the cross-sectional study design and use of a community, rather than clinical, sample.

CONCLUSIONS

This study provides evidence that specific AS and IU dimensions may confer vulnerability to certain cyberchondria dimensions. Further clarifying associations among AS, IU, and cyberchondria may lead to improvements in our conceptualization and, ultimately, treatment of cyberchondria.

摘要

背景

初步研究结果表明,焦虑敏感性(AS)和不确定性不耐受(IU)可能会使人易患网络疑病症,网络疑病症被定义为反复在互联网上搜索医疗信息,从而加剧健康焦虑。先前的研究存在局限性,因为尚不清楚特定的AS或IU维度是否与某些网络疑病症维度存在差异关联。

方法

本研究使用位于美国的社区成年人样本(N = 578),考察了AS、IU和网络疑病症维度之间的关联。

结果

正如预期的那样,在控制了AS维度、IU维度和健康焦虑之间的重叠后,身体AS和抑制性IU是仅有的与困扰性网络疑病症维度存在独特关联的AS或IU维度。认知AS和社交AS意外地显示出与网络疑病症维度存在独特关联。

局限性

研究结果受横断面研究设计以及使用社区而非临床样本的限制。

结论

本研究提供了证据,表明特定的AS和IU维度可能使人易患某些网络疑病症维度。进一步阐明AS、IU和网络疑病症之间的关联可能会改善我们的概念化,最终改善对网络疑病症的治疗。

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