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网络疑病症的成因探究:来自美国的视角

Insights into the antecedents of cyberchondria: a perspective from the USA.

作者信息

Afrin Rifat, Prybutok Gayle

机构信息

Department of Rehabilitation and Health Services, College of Health and Public Service, University of North Texas, Denton, TX, USA.

出版信息

Health Promot Int. 2022 Aug 1;37(4). doi: 10.1093/heapro/daac108.

DOI:10.1093/heapro/daac108
PMID:36047641
Abstract

This study establishes a theoretical framework for assessing antecedents of cyberchondria, which is a process of amplified anxiety about one's health because of excessive online health information seeking. We examined the framework through partial least squares structural equation modeling after collecting data through a cross-sectional online survey. This research contributes to the literature by (i) evaluating the roles of health anxiety (HA) and affective responses (AR) on cyberchondria; (ii) equipping health strategists with understanding about ways to tailor their educational and communication strategies to specific segments by importance-performance map analysis and necessary condition analysis. Finally, by (iii) providing strategic tactics to curb cyberchondria so that it becomes possible to attain a better patient outcome. Findings suggest that the existing association between intolerance of uncertainty and cyberchondria is serially mediated by HA and AR. For healthcare educators and practitioners, the findings of this research deliver a blueprint for effectively controlling cyberchondria.

摘要

本研究建立了一个用于评估网络疑病症成因的理论框架,网络疑病症是指由于过度在线搜索健康信息而导致对自身健康的焦虑加剧的过程。我们通过横断面在线调查收集数据后,采用偏最小二乘结构方程模型对该框架进行了检验。本研究在以下方面为文献做出了贡献:(i)评估健康焦虑(HA)和情感反应(AR)在网络疑病症中的作用;(ii)通过重要性-绩效映射分析和必要条件分析,使健康策略制定者了解如何针对特定群体调整其教育和沟通策略。最后,(iii)提供抑制网络疑病症的战略策略,从而有可能实现更好的患者治疗效果。研究结果表明,不确定性不耐受与网络疑病症之间的现有关联是由HA和AR依次介导的。对于医疗保健教育工作者和从业者而言,本研究结果为有效控制网络疑病症提供了一个蓝图。

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1
Insights into the antecedents of cyberchondria: a perspective from the USA.网络疑病症的成因探究:来自美国的视角
Health Promot Int. 2022 Aug 1;37(4). doi: 10.1093/heapro/daac108.
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Anxiety sensitivity and intolerance of uncertainty as potential risk factors for cyberchondria: A replication and extension examining dimensions of each construct.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
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Anxiety sensitivity and intolerance of uncertainty as potential risk factors for cyberchondria.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。
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Recent Insights Into Cyberchondria.对“网络疑病症”的最新洞察
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The relationships between health anxiety, online health information seeking, and cyberchondria: Systematic review and meta-analysis.健康焦虑、在线健康信息搜索与网络疑病症之间的关系:系统评价和荟萃分析。
J Affect Disord. 2019 Feb 15;245:270-278. doi: 10.1016/j.jad.2018.11.037. Epub 2018 Nov 5.

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Exploring how health-related advertising interference contributes to the development of cyberchondria: A stressor-strain-outcome approach.探究与健康相关的广告干扰如何促成网络疑病症的发展:一种压力源-压力-结果方法。
Digit Health. 2024 Feb 20;10:20552076241233138. doi: 10.1177/20552076241233138. eCollection 2024 Jan-Dec.
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Brave New Healthcare: A Narrative Review of Digital Healthcare in American Medicine.《勇敢的新医疗保健:美国医学中数字医疗保健的叙事性综述》
Cureus. 2023 Oct 4;15(10):e46489. doi: 10.7759/cureus.46489. eCollection 2023 Oct.