The Mediating Role of Illness Anxiety in the Relationship between Self-esteem and Cyberchondria in Students
Journal of Research in Psychopathology
مقاله 1 ، دوره 6، شماره 2 - شماره پیاپی 20 ، 2025، صفحه 1-8 اصل مقاله (769.54 K )
نوع مقاله: Original Article
شناسه دیجیتال (DOI): 10.22098/jrp.2024.13387.1191
نویسندگان
Ezzatollah Ahmadi* 1 ؛ Hamoun Babaei Aqje Kohl 2 ؛ Rahim Yousefi 1
1 Associate Professor in Psychology, Azarbaijan Shahid Madani University, Tabriz, Iran
2 Ph.D. Student in Psychology, Faculty of Education and Psychology, Azarbaijan Shahid Madani University, Tabriz, Iran
چکیده
Cyberchondria, illness anxiety, and self-esteem are three seemingly unrelated concepts that are quite intertwined. This research investigates the mediating role of illness anxiety in the relationship between self-esteem and cyberchondria in students. The current research design is descriptive and correlational. The population studied in the current research included the students of Azarbaijan Shahid Madani University, 262 people were selected by multi-stage cluster random sampling. McElroy and Shulin's cyberchondria questionnaire, Salkoskis and Warwick's health anxiety questionnaire, and Rosenberg's self-esteem questionnaire were used to collect the data. The data analysis was done using SPSS 24 and Lisrel 8 software. The results showed that self-esteem has a direct effect on cyberchondria (β= -0.08) and illness anxiety (β= -0.44). Also, illness anxiety is related to cyberchondria (β= 0.73). Further, the results showed that illness anxiety can indirectly mediate the relationship between self-esteem and cyberchondria (β= -0.32). The evaluation of the hypothetical model of the research using fit indices showed that the hypothetical model fits with the measurement model. The results showed that illness anxiety can mediate the relationship between self-esteem and cyberchondria. Cognitive behavioral techniques (CBT) including cognitive restructuring and exposure therapy can help people to challenge their irrational thoughts and manage their anxiety.
کلیدواژهها
Cyberchondria ؛ Illness anxiety ؛ Self-esteem
مراجع
Abramowitz, J. S., Olatunji, B. O., & Deacon, B. J. (2007). Health anxiety, hypochondriasis, and the anxiety disorders. Behavior Therapy , 38(1), 86-94. doi: 10.1016/j.beth.2006.05.001
Afrin, R., Prybutok, G., & Prybutok, V. R. (2022). The pathways from online health information seeking to cyberchondria: a perspective from moderated mediation. Psychiatry research communications , 2(3),100069. doi:10.1016/j.psycom.2022.1000 69 .
Afshari, M., Porschehbazi, M., & Mehdi Reza, S. (2019). Determining the psychometric characteristics of cyberchondria severity scale in Iranian adult population. Journal of Clinical Psychology , Year 12, Number 3 (consecutive 47), Fall 2019. doi: 10.22075/JCP.2020.15028.1443
Ahmadi, E. , Yousefi, R. and Babaei Aqje Kohal, H. (2024). The mediating role of obsessive-compulsive symptoms in the relationship between self-esteem and cyberchondria in students. Journal of Clinical Psychology , 15(3), 27-36. doi: 10.22075/jcp.2023.31202.2684
AliBabaei-Khamene, S., & Hashemi, M. (2024). Maternal Influences on Pediatric Dental Anxiety: Exploring the Link Between Mothers' Mental Health, Self-esteem, and Children's Fear and Anxiety during Dental Treatments. Journal of Research in Psychopathology . doi: 10.22098/jrp.2024.14266.1216
AlMuammar, S. A., Noorsaeed, A. S., Alafif, R. A., Kamal, Y. F., & Daghistani, G. M. (2021). The Use of Internet and Social Media for Health Information and Its Consequences Among the Population in Saudi Arabia. Cureus , 13(9), e18338. doi:10.7759/cureus.18338
American Psychiatric Association D, Association AP. (2022). Diagnostic and statistical manual of mental disorders: DSM-5-TR: American psychiatric association Washington, DC , 2022. In.
Arsenakis, S., Chatton, A., Penzenstadler, L., Billieux, J., Berle, D., Starcevic, V., Viswasam, K., & Khazaal, Y. (2021). Unveiling the relationships between cyberchondria and psychopathological symptoms. J Psychiatr Res , 143, 254-261. doi:10.1016/j.jpsychires.2021.09.014
Bailer, J., Kerstner, T., Witthöft, M., Diener, C., Mier, D., & Rist, F. (2016). Health anxiety and hypochondriasis in the light of DSM-5. Anxiety Stress Coping , 29(2), 219-239. doi:10.1080/10615806.2015.1036243
Bajcar, B., Babiak, J. (2021). Self-esteem and cyberchondria: The mediation effects of health anxiety and obsessive–compulsive symptoms in a community sample. Curr Psychol 40, 2820–2831. doi:10.1007/s12144-019-00216-x
Basharpoor, S., & Zardi, B. (2019). Psychometric Properties of Cyber-Bullying/Victimization Experiences Questionnaire (CBVEQ) in Students. Journal of school psychology, 8(1), 43-57. doi:10.22098/jsp.2019.795
Bati, A. H., Mandiracioglu, A., Govsa, F., & Çam, O. (2018). Health anxiety and cyberchondria among Ege University health science students. Nurse education today , 71, 169-173. doi:10.1016/j.nedt.2018.09.02 9
Bobevski, I., Kissane, D. W., Vehling, S., McKenzie, D. P., Glaesmer, H., & Mehnert, A. (2018). Latent class analysis differentiation of adjustment disorder and demoralization, more severe depressive and anxiety disorders, and somatic symptoms in patients with cancer. Psychooncology, 27(11), 2623-2630. doi:10.1002/pon.4761
Boyce, L., Harun, A., Prybutok, G., & Prybutok, V. R. (2022). Exploring the factors in information seeking behavior: a perspective from multinational COPD online forums. Health Promot Int , 37(2) .doi:10.1093/heapro/daab042
Burnett, S., & Wright, K. (2002). The relationship between connectedness with family and self-esteem in University students. Department of sociology , Furnam university, 42.
Chou, C.-P., & Bentler, P. M. (1995). Estimates and tests in structural equation modeling.
Fergus, T. A. (2014). The Cyberchondria Severity Scale (CSS): an examination of structure and relations with health anxiety in a community sample. J Anxiety Disord , 28(6), 504-510. doi:10.1016/j.janxdis.2014.05.006
Fergus, T. A., & Dolan, S. L. (2014). Problematic internet use and internet searches for medical information: the role of health anxiety. Cyberpsychology, behavior and social networking, 17(12), 761-765. doi:10.1089/cyber.2014.0169
Fergus, T. A., & Russell, L. H. (2016). Does cyberchondria overlap with health anxiety and obsessive-compulsive symptoms? An examination of latent structure and scale interrelations. J Anxiety Disord , 38, 88-94. doi:10.1016/j.janxdis.2016.01.009
Hedman, E., Lekander, M., Ljótsson, B., Lindefors, N., Rück, C., Andersson, G., & Andersson, E. (2015). Optimal cut-off points on the health anxiety inventory, illness attitude scales and whiteley index to identify severe health anxiety. PLoS One , 10(4), e0123412. doi:10.1371/journal.pone.0123412
Karimi, J., Homayouni, A., & Homayouni, F. (2019). The Prediction of Health Anxiety based on Experiential Avoidance and Anxiety Sensitivity among non-clinical Population [Research]. Journal title , 12(4), 66-79. doi:10.52547/rph.12.4.66
Kobori, O., & Salkovskis, P. M. (2013). Patterns of reassurance seeking and reassurance-related behaviours in OCD and anxiety disorders. Behav Cogn Psychother , 41(1), 1-23. doi:10.1017/s1352465812000665
Liu, S., Yang, H., Cheng, M., & Miao, T. (2022). Family Dysfunction and Cyberchondria among Chinese Adolescents: A Moderated Mediation Model. Int J Environ Res Public Health , 19(15). doi:10.3390/ijerph19159716
Mahdavifar, N., Mohammadian, M., Kalan Farmanfarma, K., Khosrorad, R., Dizavandi, A. R., Sani, F. V., & Salehiniya, H. (2023). Evaluation of the prevalence of illness anxiety disorder following the COVID-19 pandemic in Iran and its related factors: a cross-sectional study. Health Sci Rep , 6(1), e943. doi:10.1002/hsr2.943
Mäkikangas, A., Kinnunen, U., & Feldt, T. (2004). Self-esteem, dispositional optimism, and health: Evidence from cross-lagged data on employees. Journal of research in personality , 38(6), 556-575. doi:10.1016/j.jrp.2004.02.001
Manika, D., Dickert, S., & Golden, L. L. (2021). Check (it) yourself before you wreck yourself: The benefits of online health information exposure on risk perception and intentions to protect oneself. Technological Forecasting and Social Change , 173, 121098. doi:10.1016/j.techfore.2021.12109
Marino, C., Fergus, T. A., Vieno, A., Bottesi, G., Ghisi, M., & Spada, M. M. (2020). Testing the Italian version of the Cyberchondria Severity Scale and a metacognitive model of cyberchondria. Clin Psychol Psychother , 27(4), 581-596. doi:10.1002/cpp.2444
Marstedt, G. (2018). Das Internet: Auch Ihr Ratgeber für Gesundheitsfragen?: Bevölkerungsumfrage zur Suche von Gesundheitsinformationen im Internet und zur Reaktion der Ärzte. Bertelsmann Stiftung.
Mathes, B. M., Norr, A. M., Allan, N. P., Albanese, B. J., & Schmidt, N. B. (2018). Cyberchondria: Overlap with health anxiety and unique relations with impairment, quality of life, and service utilization. Psychiatry Res , 261, 204-211. doi:10.1016/j.psychres.2018.01.002
Menon, V., Kar, S. K., Tripathi, A., Nebhinani, N., & Varadharajan, N. (2020). Cyberchondria: conceptual relation with health anxiety, assessment, management and prevention. Asian J Psychiatr , 53, 102225. doi:10.1016/j.ajp.2020.102225
Mufassery, M. R., Asadnia, S., Arabi divrazmi, S., rahimi, F., Shahini, S., & Shahini, P. (2023). The comparison of illness anxiety disorder with panic disorder based on meta-diagnostic cognitive structures: Pain catastrophizing and anxiety sensitivity. Journal of Research in Psychopathology , 4(14), 29-36. doi: 10.22098/jrp.2023.13136.1183
Nargesi, F., Izadi, F., Kariminejad, K., & Sharif, A. R. (2017). The investigation of the reliability and validity of Persian version of Health anxiety questionnaire in students of Lorestan University of Medical Sciences. Educational Measurement , 7(27), 147-160. https://www.magiran.com/paper/1780704
Newby, J. M., & McElroy, E. (2020). The impact of internet-delivered cognitive behavioural therapy for health anxiety on cyberchondria. Journal of anxiety disorders , 69, 102150. doi:10.1016/j.janxdis.2019.102150
Nicolai, J., Moshagen, M., Schillings, K., & Erdfelder, E. (2022). The role of base-rate neglect in cyberchondria and health anxiety. J Anxiety Disord , 91, 102609. doi:10.1016/j.janxdis.2022.102609
Rahme, C., Akel, M., Obeid, S., & Hallit, S. (2021). Cyberchondria severity and quality of life among Lebanese adults: the mediating role of fear of COVID-19, depression, anxiety, stress and obsessive-compulsive behavior-a structural equation model approach. BMC Psychol , 9(1), 169. doi:10.1186/s40359-021-00674-8
Rizwan, M., & Ahmad, R. (2015). Self-esteem deficits among psychiatric patients. Sage Open , 5(2), 2158244015581649 .doi:10.1177/2158244015581649
Rosenberg, M. (1965). Princeton University Press . doi:10.1515/9781400876136
Sabaghinejad, Z., Poursavari, R., & Koraei, A. (2021). The Relationship between Online Search on Health Information, Uncertainty, and Cyberchondria among Students. Health Information Management , 18(5), 210-215. doi:10.22122/him.v18i1.4412
Sabouri, M., & Nikuzadeh, E. (2021). Explaining the mediating role of self-esteem in the relationship between self-efficacy and perception of covid-19 anxiety in high school students in Tehran . University of Tehran
Salkovskis, P. M. (1999). Understanding and treating obsessive-compulsive disorder. Behav Res Ther , 37 Suppl 1, S29-52.
Salkovskis, P. M., Rimes, K. A., Warwick, H. M., & Clark, D. M. (2002). The Health Anxiety Inventory: development and validation of scales for the measurement of health anxiety and hypochondriasis. Psychol Med , 32(5), 843-853. doi:10.1017/s0033291702005822
Sarafraz, M. r., Pourshahbazi, M., & Afshari, M. (2020). Psychometric Properties of Cyberchondria Severity Scale (CSS) in Iranian َAdult Population. Journal of Clinical Psychology , 12(3), 67-76. doi:10.22075/jcp.2020.15028.1443
Schenkel, S. K., Jungmann, S. M., Gropalis, M., & Witthöft, M. (2021). Conceptualizations of Cyberchondria and Relations to the Anxiety Spectrum: Systematic Review and Meta-analysis. J Med Internet Res , 23(11), e27835. doi:10.2196/27835
Sideli, L., La Cascia, C., Sartorio, C., Tripoli, G., Mulè, A., Taffaro, L., Ruggirello, I., Mangiapane, D., Piro, E., & Inguglia, M. (2017). Internet out of control: The role of self-esteem and personality traits in pathological Internet use. Clinical Neuropsychiatry , 14(1).
Starcevic, V. (2014). Boundaries and overlap between hypochondriasis and other disorders: Differential diagnosis and patterns of co-occurrence. Current Psychiatry Reviews , 10(1), 24-33.
Starcevic, V., Baggio, S., Berle, D., Khazaal, Y., & Viswasam, K. (2019). Cyberchondria and its Relationships with Related Constructs: a Network Analysis. Psychiatr Q , 90(3), 491-505. doi:10.1007/s11126-019-09640-5
Starcevic, V., Berle, D., problematic online health-related reArnáez, S., Vismara, M., & Fineberg, N. A. (2020). The assessment of cyberchondria: instruments for assessing search. Current Addiction Reports , 7, 149-165.
Te Poel, F., Baumgartner, S. E., Hartmann, T., & Tanis, M. (2016). The curious case of cyberchondria: A longitudinal study on the reciprocal relationship between health anxiety and online health information seeking. J Anxiety Disord , 43, 32-40. doi:10.1016/j.janxdis.2016.07.009
Tyrer, P., & Tyrer, H. (2019). Etiology and epidemiology of health anxiety. In The Clinician's Guide to Treating Health Anxiety (pp. 35-42). Elsevier .
Vismara, M., Caricasole, V., Starcevic, V., Cinosi, E., Dell'Osso, B., Martinotti, G., & Fineberg, N. A. (2020). Is cyberchondria a new transdiagnostic digital compulsive syndrome? A systematic review of the evidence. Compr Psychiatry , 99, 152167. doi:10.1016/j.comppsych.2020.152167
Wang, X., Shi, J., & Kong, H. (2021). Online Health Information Seeking: A Review and Meta-Analysis. Health Commun , 36(10), 1163-1175. doi:10.1080/10410236.2020.1748829
Widyanto, L., & Griffiths, M. (2011). An empirical study of problematic Internet use and self-esteem. International Journal of Cyber Behavior, Psychology and Learning (IJCBPL), 1(1), 13-24.
Zheng, H., Chen, X., Jiang, S., & Sun, L. (2023). How does health information seeking from different online sources trigger cyberchondria? The roles of online information overload and information trust. Information Processing & Management, 60(4), 103364. doi:10.1016/j.ipm.2023.103364
Zheng, H. K. K., H; Joanna Sin, S; Theng, Y. (2022). Exploring developmental trajectory of cyberchondria over time: A three-wave panel study. Telematics and Informatics , Volume 75, December 2022, 101892. doi:10.1016/j.tele.2022.101892
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