Psychological distress in the context of the COVID-19 pandemic: the joint contribution of intolerance of uncertainty and cyberchondria
Psychological distress in the context of the COVID-19 pandemic: the joint contribution of intolerance of uncertainty and cyberchondria
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DOI：
10.1080/08870446.2021.1952584
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发表时间：
2021-07-06
影响因子：
3.3
通讯作者：
Spada, Marcantonio M.
中科院分区：
文献类型：
--
作者：
Bottesi, Gioia;Marino, Claudia;Spada, Marcantonio M.
目的探讨COVID-19大流行前和大流行期间，不确定性不耐受、健康焦虑（HA）和通过有问题的互联网使用（PIU）和网络成瘾引起的心理困扰之间的直接和间接关系。设计两个意大利样本通过在线问卷登记。样本1（N = 556; 69.3%女性，M-年龄29.6岁，SD = 13.2）在非大流行时期招募，而样本2（N = 575; 74%女性，M-年龄31.9岁，SD = 13.4）在COVID-19封锁期间招募。主要观察指标：评估HA和心理困扰的自我报告指标。结果两种路径分析均显示不确定性不耐受与HA和心理困扰直接相关。此外，cybertoxia部分介导的不容忍的不确定性和HA和PIU部分介导的不容忍的不确定性和心理困扰之间的关系，在两个样本。网络成瘾和心理困扰之间的联系在样本2中是显着的，但在样本1中不显着。该模型解释了两个样本中HA和心理困扰的实质性差异。结论我们的研究结果表明，有问题的在线行为可能会加剧不容忍的不确定性的负面后果，在更高水平的HA和心理困扰，无论是在大流行和非大流行的背景下。
Objective To explore the direct and indirect associations between intolerance of uncertainty, health anxiety (HA), and psychological distress through problematic internet use (PIU) and cyberchondria, both before and during the first months of the COVID-19 pandemic. Design Two Italian samples were enrolled via an online questionnaire. Sample 1 (N = 556; 69.3% females, M-age 29.6 years, SD = 13.2) was recruited in non-pandemic times, whereas Sample 2 (N = 575; 74% females, M-age 31.9 years, SD = 13.4) was recruited during the COVID-19 lockdown. Main outcome measures Self-report measures assessing HA and psychological distress. Results Two distinct path analyses showed that intolerance of uncertainty was directly associated with HA and psychological distress in both samples. Moreover, cyberchondria partially mediated the relationship between intolerance of uncertainty and HA and PIU partially mediated the relationship between intolerance of uncertainty and psychological distress in both samples. The link between cyberchondria and psychological distress was significant in Sample 2 but non-significant in Sample 1. The model accounted for a substantial variance of HA and psychological distress in both samples. Conclusion Our findings suggest that problematic online behaviors might exacerbate the negative consequences of intolerance of uncertainty in terms of higher levels of HA and psychological distress both in pandemic and non-pandemic contexts.