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健康焦虑影响网络疑病症——无法容忍不确定性和健康信念的作用
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Abstract:
本文探究了健康焦虑对网络疑病症的影响，以及无法容忍不确定性起到的中介作用和健康信念在其中的调节作用机制。本研究选择一般成年人作为研究对象，采用《中文版短版健康焦虑量表》《中文版简版无法容忍不确定性量表》《中国成年人健康信念量表》《中文版简式网络疑病量表》等问卷对239名被试进行了三轮施测。结果发现：高健康焦虑的个体容易出现网络疑病症；健康焦虑与网络疑病症显著正相关(b = 0.37, p < 0.001)；健康信念与健康焦虑、无法容忍不确定性均负相关。无法容忍不确定性在健康焦虑影响网络疑病症的关系中起到中介作用(效应量为0.20，95% CI = [0.08, 0.33])，健康焦虑与无法容忍不确定性的关系受到健康信念合理性的调节作用(b = 0.10, 95% CI = [0.01, 0.24])。健康焦虑会引起网络疑病症，其主要原因是个体的无法容忍不确定性。在高健康信念合理性的条件下，健康焦虑水平越高，越不能容忍不确定性，健康信念的合理性能够调节健康焦虑对无法容忍不确定性的影响。
This article has examined the effect of health anxiety on cyberchondria, and the mediating role of intolerance of uncertainty, as well as the moderating role of health beliefs. A total of 239 valid samples of Chinese adults were collected after three rounds of follow-up investigation by using the Chinese version of Short Health Anxiety Inventory, the Chinese short version of Intolerance of Uncertainty Scale, the Chinese adult health belief scale, and the Chinese short-form version of Cyberchondria Severity Scale. A Higher level of health anxiety positively predicts cyberchondria (b = 0.37, p < 0.001). Intolerance of uncertainty mediates the effect between health anxiety and cyberchondria (indirect effect = 0.20, 95% CI = [0.08, 0.33]), and the relationship between health anxiety and intolerance of uncertainty is moderated by the rationality of health belief (b = 0.10, 95% CI = [0.01, 0.24]). Health anxiety can cause cyberchondria, and one major mechanism is that individuals cannot tolerate uncertainty. Under the condition of high health belief rationality, the higher the level of health anxiety is, the more intolerable the uncertainty is. The rationality of health beliefs can moderate the influence of health anxiety on intolerance of uncertainty.
| [1] | 丁佳丽, 杨智辉(2015). 网络疑病症:概念界定、影响因素与干预方法. 中国全科医学, 18(16), 1984-1988. |
| [2] | 郝志红, 梁宝勇(2012). 心理健康素质测评系统？中国成年人健康信念量表的编制. 心理与行为研究, 10(5), 326-331. |
| [3] | 郝志红, 梁宝勇(2014). 心理健康素质测评系统？中国成年人健康信念量表全国常模的制定. 心理与行为研究, 12(6), 730-734+762. |
| [4] | 金童林, 乌云特娜, 杨雪, 杨宏, 贾彦茹(2020). 中文版简式网络疑病量表测评大学生群体的信度与效度. 中国临床心理学杂志, 28(2), 321-325. |
| [5] | 李小妹(2001). 护理学导论. 湖南科学技术出版社. |
| [6] | 刘泱慧, 位照国, 刘铁榜(2014). 无法忍受不确定性的起源、发展及研究. 中国心理卫生杂志, 28(10), 796-800. |
| [7] | 吴莉娟, 王佳宁, 齐晓栋(2016). 简版无法忍受不确定性量表在中学生中应用的效度和信度. 中国心理卫生杂志, 30(9), 700-705. |
| [8] | 周浩, 龙立荣(2004). 共同方法偏差的统计检验与控制方法. 心理科学进展, (6), 942-950. |
| [9] | Bomyea, J., Ramsawh, H., Ball, T. M. et al. (2015). Intolerance of Uncertainty as a Mediator of Reductions in Worry in a Cognitive Behavioral Treatment Program for Generalized Anxiety Disorder. Journal of Anxiety Disorders, 33, 90-94.
https://doi.org/10.1016/j.janxdis.2015.05.004 |
| [10] | Brown, H. D. et al. (1999). Perceptual and Memory Biases for Health-Related Information in Hypochondriacal Individuals. Journal of Psychosomatic Research, 47, 67-78. https://doi.org/10.1016/S0022-3999(99)00011-2 |
| [11] | Brown, R. J., Skelly, N., Chew-Graham, C. A. (2020). Online Health Research and Health Anxiety: A Systematic Review and Conceptual Integration. Clinical Psychology: Science and Practice, 27, e12299. https://doi.org/10.1111/cpsp.12299 |
| [12] | 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, 761-765.
https://doi.org/10.1089/cyber.2014.0169 |
| [13] | Fergus, T. A., & Spada, M. M. (2018). Moving toward a Metacognitive Conceptualization of Cyberchondria: Examining the Contribution of Metacognitive Beliefs, Beliefs about Rituals, and Stop Signals. Journal of Anxiety Disorders, 60, 11-19.
https://doi.org/10.1016/j.janxdis.2018.09.003 |
| [14] | Freeston, M. H., Rhéaume, J., Letarte, H. et al. (1994). Why Do People Worry? Personality and Individual Differences, 17, 791-802. https://doi.org/10.1016/0191-8869(94)90048-5 |
| [15] | Hayes, A. F. (2017). Introduction to Mediation, Moderation, and Conditional Process Analysis: A Regression-Based Approach. Guilford Publications. |
| [16] | Koerner, N., & Dugas, M. J. (2008). An Investigation of Appraisals in Individuals Vulnerable to Excessive Worry: The Role of Intolerance of Uncertainty. Cognitive Therapy and Research, 32, 619-638. https://doi.org/10.1007/s10608-007-9125-2 |
| [17] | McElroy, E. et al. (2019). The CSS-12: Development and Validation of a Short-Form Version of the Cyberchondria Severity Scale. Cyberpsychology, Behavior and Social Networking, 22, 330-335. https://doi.org/10.1089/cyber.2018.0624 |
| [18] | Murray, E., Lo, B., Pollack, L. et al. (2003). The Impact of Health Information on the Internet on Health Care and the Physician-Patient Relationship: National US Survey among 1.050 US Physicians. Journal of Medical Internet Research, 5, e17.
https://doi.org/10.2196/jmir.5.3.e17 |
| [19] | Muse, K., McManus, F., Leung, C. et al. (2012). Cyberchondriasis: Fact or Fiction? A Preliminary Examination of the Relationship between Health Anxiety and Searching for Health Information on the Internet. Journal of Anxiety Disorders, 26, 189-196. https://doi.org/10.1016/j.janxdis.2011.11.005 |
| [20] | Nicholas, C. R. (2012). The Intolerance of Uncertainty Construct in the Context of Anxiety Disorders: Theoretical and Practical Perspectives. Expert Review of Neurotherapeutics, 12, 937-947. https://doi.org/10.1586/ern.12.82 |
| [21] | Norr, A. M. et al. (2015). Anxiety Sensitivity and Intolerance of Uncertainty as Potential Risk Factors for Cyberchondria. Journal of Affective Disorders, 174, 64-69. https://doi.org/10.1016/j.jad.2014.11.023 |
| [22] | Salkovskis, P. M., Rimes, K. A., Warwick, H. M. C. et al. (2002). The Health Anxiety Inventory: Development and Validation of Scales for the Measurement of Health Anxiety and Hypochondriasis. Psychological Medicine, 32, 843-853.
https://doi.org/10.1017/S0033291702005822 |
| [23] | Selvi, Y., Turan, S. G., Sayin, A. A. et al. (2018). The Cyber-chondria Severity Scale (CSS): Validity and Reliability Study of the Turkish Version. Sleep and Hypnosis (Online), 20, 241-246. https://doi.org/10.5350/Sleep.Hypn.2018.20.0157 |
| [24] | Sirri, L., Tossani, E., Potena, L. et al. (2020). Manifestations of Health Anxiety in Patients with Heart Transplant. Heart & Lung, 49, 364-369. https://doi.org/10.1016/j.hrtlng.2019.12.006 |
| [25] | Starcevic, V., Baggio, S., Berle, D. et al. (2019). Cyberchondria and Its Relationships with Related Constructs: A Network Analysis. Psychiatric Quarterly, 90, 491-505. https://doi.org/10.1007/s11126-019-09640-5 |
| [26] | Te Poel, F., Baumgartner, S. E., Hartmann, T. et al. (2016). The Curious Case of Cyberchondria: A Longitudinal Study on the Reciprocal Relationship between Health Anxiety and Online Health Information Seeking. Journal of Anxiety Disorders, 43, 32-40. https://doi.org/10.1016/j.janxdis.2016.07.009 |
| [27] | Vismara, M., Caricasole, V., Starcevic et al. (2020). Is Cyber-chondria a New Transdiagnostic Digital Compulsive Syndrome? A Systematic Review of the Evidence. Comprehensive Psychiatry, 99, Article ID: 152167.
https://doi.org/10.1016/j.comppsych.2020.152167 |
| [28] | Warr, P. (1978). A Study of Psychological Well-Being. British Journal of Psychology, 69, 111-121.
https://doi.org/10.1111/j.2044-8295.1978.tb01638.x |
| [29] | Warwick, M. C., & Salkovskis, P. M. (1990). Hypochondriasis. Behaviour Research and Therapy, 28, 105-117.
https://doi.org/10.1016/0005-7967(90)90023-C |
| [30] | Zhang, Y., Liu, R., Li, G. et al. (2015). The Reliability and Validity of a Chinese-Version Short Health Anxiety Inventory: An Investigation of University Students. Neuropsychiatric Disease and Treatment, 11, 1739-1747.
https://doi.org/10.2147/NDT.S83501 |
