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健康焦虑倾向个体选择获取健康信息与选择后困扰的关系受不确定容忍度的调节。

Intolerance of Uncertainty Moderates the Relation Between the Choice to Access Health Information and Post-Choice Distress Among Individuals Prone to Health Anxiety.

机构信息

Department of Psychology and Neuroscience, Baylor University, Waco, Texas.

出版信息

J Cogn Psychother. 2020 Jan 1;34(1):70-79. doi: 10.1891/0889-8391.34.1.70.

Abstract

Access to health information has steeply grown, mainly through the availability of online health information. Associated with a number of potential benefits, accessing health information can be non-adaptive and particularly for individuals prone to health anxiety. For those individuals, accessing health information often serves as reassurance seeking to assuage health concerns. However, accessing health information can prompt distress for individuals prone to health anxiety. The present study sought to further understand when accessing health information prompts distress by examining the moderating role of intolerance of uncertainty (IU). Individuals prone to health anxiety ( = 98), as indicated by an elevated score on a self-report measure rather than through formal assessment of meeting criteria for disorders marked by elevated health anxiety (e.g., illness anxiety disorder), participated in a lab-based session where they viewed a provocation of health concerns and were given the choice to either access or avoid further health information. As predicted, participants with high, but not low, IU reported significantly greater distress when they chose to access versus avoid health information. Study results further highlight IU as potentially important for understanding when accessing health information relates to greater negative emotionality. Future directions are discussed.

摘要

获取健康信息的途径大幅增加,主要是通过在线健康信息的可用性。尽管获取健康信息与许多潜在的好处相关联,但对于那些容易产生健康焦虑的人来说,这种方式可能并不适应。对于这些人来说,获取健康信息往往是为了寻求安慰,以减轻他们对健康的担忧。然而,对于容易产生健康焦虑的人来说,获取健康信息可能会引起困扰。本研究通过考察不确定性容忍度(IU)的调节作用,进一步探讨了何时获取健康信息会引起困扰。研究中,选择了 98 名容易产生健康焦虑的个体(通过自我报告测量的高分来表示,而不是通过正式评估是否符合以健康焦虑升高为特征的障碍标准来确定,如疾病焦虑障碍),这些个体参与了一个基于实验室的会议,在会上他们观看了一个引发健康担忧的情景,并被给予选择是否进一步获取或避免健康信息的机会。正如预测的那样,IU 较高(而非较低)的参与者在选择获取与避免健康信息时,报告的困扰明显更大。研究结果进一步强调了 IU 在理解何时获取健康信息与更大的负面情绪有关方面的重要性。未来的研究方向也进行了讨论。

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