Cyberchondria in the age of COVID-19.
Cyberchondria in the age of COVID-19.
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Covid-19时代的Cyberchondria。
DOI：
10.1371/journal.pone.0243704
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发表时间：
2020
期刊：
影响因子：
3.7
通讯作者：
Mikac U
中科院分区：
文献类型：
--
作者：
Jokic-Begic N;Lauri Korajlija A;Mikac U
通过社交媒体平台和其他渠道迅速传播的(Mis)信息的全球流行，可能是易受伤害个人中发展成焦虑症的一个风险因素。在大流行的情况下，网络软骨症可能是发展焦虑的一个脆弱因素，特别是在互联网充斥(Mis)信息的情况下。我们研究的目的是研究在克罗地亚发现第一例新冠肺炎病例和记录第一例死亡期间，网络软骨病与居住在克罗地亚的人中对新冠肺炎的担忧程度和安全行为的变化有何关系。在三周的时间内，在两个波中重复进行横断面数据收集(N1=888；N2=966)。第一波开始于克罗地亚第一例新冠肺炎确诊病例当天(2020年2月24日)，第二波开始于三周后，克罗地亚记录到第一例新冠肺炎死亡病例(2020年3月19日)。参与者完成了一份在线问卷，内容涉及新冠肺炎的各种担忧和安全行为，旨在预防疾病(寻求信息、避免信息和卫生)和衡量网络软骨症(简短网络软骨量表，SCS)。我们分析了在两波数据收集之间的流行病学情况的变化是否直接或间接地通过增加对新冠肺炎的担忧导致了新冠肺炎相关行为的增加。结果表明，在两波研究之间，对新冠肺炎的担忧显著增加(b=1.11，p<；.001)，同时也出现了显著的行为变化(b=1.18-2.34，p<；.001)。此外，结果还表明，网络软骨症在这些变化中起到了缓和作用。在第一波中，患有严重网络软骨症的人已经非常关注安全行为。高度的网络软骨症和对新冠肺炎的高度担忧与强烈的回避行为相关，R2=.63，P<；.001。证实了一个缓和的部分调解模型，在该模型中，流行病学状况对SCS得分较高的人的影响较弱(缓和调解指数在-.10至-.15之间，p<；0.05)。因此，网络软骨症是导致长期焦虑的一个因素，因此应进一步调查其在大流行期间对一般精神健康负担的影响。
The global epidemic of (mis)information, spreading rapidly via social media platforms and other outlets, can be a risk factor for the development of anxiety disorders among vulnerable individuals. Cyberchondria can be a vulnerability factor for developing anxiety in a pandemic situation, particularly when the Internet is flooded with (mis)information. The aim of our study was to examine how cyberchondria is related to changes in levels of COVID-19 concern and safety behaviours among persons living in Croatia during the period in which the first COVID-19 case was identified and when the country recorded its first fatality. Repeated cross-sectional data collection was conducted during two waves over a period of three weeks (N1 = 888; N2 = 966). The first began on the day of the first confirmed case of COVID-19 in Croatia (February 24th, 2020) and the second wave began three weeks later, on the day the first COVID-19 fatality was recorded in Croatia (March 19th, 2020). Participants completed an online questionnaire regarding various COVID-19 concerns and safety behaviours aimed at disease prevention (information seeking, avoidance and hygiene) and a measure of cyberchondria (Short Cyberchondria Scale, SCS). We analysed whether changes to the epidemiological situation during the period between the two waves of data collection led to an increase in COVID-19 related behaviour directly and indirectly via an increase in COVID-19 concerns. The results indicated that, between the two waves of research, there was a pronounced increase in concerns regarding COVID-19 (b = 1.11, p < .001) as well as significant behavioural changes (b = 1.18–2.34, p < .001). Also, results demonstrated that cyberchondria plays a moderating role in these changes. In the first wave, persons with severe cyberchondria were already intensely concerned with safety behaviours. High cyberchondria and high levels of concern about the COVID-19 are associated with intense avoidance behaviours, R2 = .63, p < .001. A moderated partial mediation model was confirmed, in which the effect of the epidemiological situation was weaker for those with higher results on the SCS (as indicated by index of moderated mediation between -.10 and -.15, p < .05). As such, cyberchondria is a contributing factor to long-term anxiety and its impact during pandemic on the general mental health burden should therefore be further investigated.
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