Vismara Matteo, Varinelli Alberto, Pellegrini Luca, Enara Arun, Fineberg Naomi A
University of Milan, Department of Mental Health, Department of Biomedical and Clinical Sciences Luigi Sacco, Milan, Italy.
"Aldo Ravelli" Center for Neurotechnology and Brain Therapeutic, University of Milan, Milan, Italy.
Curr Opin Behav Sci. 2022 Aug;46:101156. doi: 10.1016/j.cobeha.2022.101156. Epub 2022 May 13.
Cyberchondria (CYB) is characterized by excessive online searching for medical information and is associated with increasing levels of distress, anxiety, and interference with daily activities. As the use of digital devices and the Internet as a source of everyday information has increased, particularly during the current coronavirus disease (COVID-19) pandemic, so has CYB, becoming an object of interest to clinicians and researchers. The present review will provide an overview of the latest updates in CYB research. Emerging evidence draws attention to various vulnerability factors for developing CYB, including personal characteristics such as female gender, younger age, or a history of mental disorder, as well as engagement in particular forms of online behavior, such as increased use of social media, increased acceptance of online information, and information overload. Additionally, recent studies suggest that CYB may itself act as a mediating factor for increased COVID-19-related psychological burden. However, the data are still very sparse. Knowledge gaps include a universally accepted definition of CYB, severity thresholds to help differentiate nonpathological online health searches from CYB, as well as robustly evidence-based interventions.
网络疑病症(CYB)的特征是过度在网上搜索医疗信息,并且与痛苦、焦虑程度的增加以及对日常活动的干扰有关。随着数字设备和互联网作为日常信息来源的使用增加,尤其是在当前的冠状病毒病(COVID-19)大流行期间,网络疑病症也随之增加,成为临床医生和研究人员关注的对象。本综述将概述网络疑病症研究的最新进展。新出现的证据使人们关注到发展为网络疑病症的各种脆弱因素,包括个人特征,如女性、较年轻或有精神障碍病史,以及参与特定形式的在线行为,如社交媒体使用增加、对在线信息的接受度提高和信息过载。此外,最近的研究表明,网络疑病症本身可能是导致与COVID-19相关的心理负担增加的一个中介因素。然而,相关数据仍然非常稀少。知识空白包括网络疑病症的普遍接受的定义、有助于区分非病理性在线健康搜索与网络疑病症的严重程度阈值,以及基于有力证据的干预措施。