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Predictors of Cyberchondria During the COVID-19 Pandemic: Cross-sectional Study Using Supervised Machine Learning

BACKGROUND: Cyberchondria is characterized by repeated and compulsive online searches for health information, resulting in increased health anxiety and distress. It has been conceptualized as a multidimensional construct fueled by both anxiety and compulsivity-related factors and described as a “tra...

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Autores principales: Infanti, Alexandre, Starcevic, Vladan, Schimmenti, Adriano, Khazaal, Yasser, Karila, Laurent, Giardina, Alessandro, Flayelle, Maèva, Hedayatzadeh Razavi, Seyedeh Boshra, Baggio, Stéphanie, Vögele, Claus, Billieux, Joël
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JMIR Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10170364/
https://www.ncbi.nlm.nih.gov/pubmed/36947575
http://dx.doi.org/10.2196/42206
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author Infanti, Alexandre
Starcevic, Vladan
Schimmenti, Adriano
Khazaal, Yasser
Karila, Laurent
Giardina, Alessandro
Flayelle, Maèva
Hedayatzadeh Razavi, Seyedeh Boshra
Baggio, Stéphanie
Vögele, Claus
Billieux, Joël
author_facet Infanti, Alexandre
Starcevic, Vladan
Schimmenti, Adriano
Khazaal, Yasser
Karila, Laurent
Giardina, Alessandro
Flayelle, Maèva
Hedayatzadeh Razavi, Seyedeh Boshra
Baggio, Stéphanie
Vögele, Claus
Billieux, Joël
author_sort Infanti, Alexandre
collection PubMed
description BACKGROUND: Cyberchondria is characterized by repeated and compulsive online searches for health information, resulting in increased health anxiety and distress. It has been conceptualized as a multidimensional construct fueled by both anxiety and compulsivity-related factors and described as a “transdiagnostic compulsive behavioral syndrome,” which is associated with health anxiety, problematic internet use, and obsessive-compulsive symptoms. Cyberchondria is not included in the International Classification of Diseases 11th Revision or the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, and its defining features, etiological mechanisms, and assessment continue to be debated. OBJECTIVE: This study aims to investigate changes in the severity of cyberchondria during the COVID-19 pandemic and identify the predictors of cyberchondria at this time. METHODS: Data collection started on May 4, 2020, and ended on June 10, 2020, which corresponds to the first wave of the COVID-19 pandemic in Europe. At the time the study took place, French-speaking countries in Europe (France, Switzerland, Belgium, and Luxembourg) all implemented lockdown or semilockdown measures. The survey consisted of a questionnaire collecting demographic information (sex, age, education level, and country of residence) and information about socioeconomic circumstances during the first lockdown (eg, economic situation, housing, and employment status) and was followed by several instruments assessing various psychological and health-related constructs. Inclusion criteria for the study were being at least 18 years of age and having a good understanding of French. Self-report data were collected from 725 participants aged 18-77 (mean 33.29, SD 12.88) years, with females constituting the majority (416/725, 57.4%). RESULTS: The results showed that the COVID-19 pandemic affected various facets of cyberchondria: cyberchondria-related distress and compulsion increased (distress z=–3.651, P<.001; compulsion z=–5.697, P<.001), whereas the reassurance facet of cyberchondria decreased (z=–6.680, P<.001). In addition, COVID-19–related fears and health anxiety emerged as the strongest predictors of cyberchondria-related distress and interference with functioning during the pandemic. CONCLUSIONS: These findings provide evidence of the impact of the COVID-19 pandemic on cyberchondria and identify factors that should be considered in efforts to prevent and manage cyberchondria at times of public health crises. In addition, they are consistent with a theoretical model of cyberchondria during the COVID-19 pandemic proposed in 2020. These findings have implications for the conceptualization and future assessment of cyberchondria.
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spelling pubmed-101703642023-05-11 Predictors of Cyberchondria During the COVID-19 Pandemic: Cross-sectional Study Using Supervised Machine Learning Infanti, Alexandre Starcevic, Vladan Schimmenti, Adriano Khazaal, Yasser Karila, Laurent Giardina, Alessandro Flayelle, Maèva Hedayatzadeh Razavi, Seyedeh Boshra Baggio, Stéphanie Vögele, Claus Billieux, Joël JMIR Form Res Original Paper BACKGROUND: Cyberchondria is characterized by repeated and compulsive online searches for health information, resulting in increased health anxiety and distress. It has been conceptualized as a multidimensional construct fueled by both anxiety and compulsivity-related factors and described as a “transdiagnostic compulsive behavioral syndrome,” which is associated with health anxiety, problematic internet use, and obsessive-compulsive symptoms. Cyberchondria is not included in the International Classification of Diseases 11th Revision or the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, and its defining features, etiological mechanisms, and assessment continue to be debated. OBJECTIVE: This study aims to investigate changes in the severity of cyberchondria during the COVID-19 pandemic and identify the predictors of cyberchondria at this time. METHODS: Data collection started on May 4, 2020, and ended on June 10, 2020, which corresponds to the first wave of the COVID-19 pandemic in Europe. At the time the study took place, French-speaking countries in Europe (France, Switzerland, Belgium, and Luxembourg) all implemented lockdown or semilockdown measures. The survey consisted of a questionnaire collecting demographic information (sex, age, education level, and country of residence) and information about socioeconomic circumstances during the first lockdown (eg, economic situation, housing, and employment status) and was followed by several instruments assessing various psychological and health-related constructs. Inclusion criteria for the study were being at least 18 years of age and having a good understanding of French. Self-report data were collected from 725 participants aged 18-77 (mean 33.29, SD 12.88) years, with females constituting the majority (416/725, 57.4%). RESULTS: The results showed that the COVID-19 pandemic affected various facets of cyberchondria: cyberchondria-related distress and compulsion increased (distress z=–3.651, P<.001; compulsion z=–5.697, P<.001), whereas the reassurance facet of cyberchondria decreased (z=–6.680, P<.001). In addition, COVID-19–related fears and health anxiety emerged as the strongest predictors of cyberchondria-related distress and interference with functioning during the pandemic. CONCLUSIONS: These findings provide evidence of the impact of the COVID-19 pandemic on cyberchondria and identify factors that should be considered in efforts to prevent and manage cyberchondria at times of public health crises. In addition, they are consistent with a theoretical model of cyberchondria during the COVID-19 pandemic proposed in 2020. These findings have implications for the conceptualization and future assessment of cyberchondria. JMIR Publications 2023-04-25 /pmc/articles/PMC10170364/ /pubmed/36947575 http://dx.doi.org/10.2196/42206 Text en ©Alexandre Infanti, Vladan Starcevic, Adriano Schimmenti, Yasser Khazaal, Laurent Karila, Alessandro Giardina, Maèva Flayelle, Seyedeh Boshra Hedayatzadeh Razavi, Stéphanie Baggio, Claus Vögele, Joël Billieux. Originally published in JMIR Formative Research (https://formative.jmir.org), 25.04.2023. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Formative Research, is properly cited. The complete bibliographic information, a link to the original publication on https://formative.jmir.org, as well as this copyright and license information must be included.
spellingShingle Original Paper
Infanti, Alexandre
Starcevic, Vladan
Schimmenti, Adriano
Khazaal, Yasser
Karila, Laurent
Giardina, Alessandro
Flayelle, Maèva
Hedayatzadeh Razavi, Seyedeh Boshra
Baggio, Stéphanie
Vögele, Claus
Billieux, Joël
Predictors of Cyberchondria During the COVID-19 Pandemic: Cross-sectional Study Using Supervised Machine Learning
title Predictors of Cyberchondria During the COVID-19 Pandemic: Cross-sectional Study Using Supervised Machine Learning
title_full Predictors of Cyberchondria During the COVID-19 Pandemic: Cross-sectional Study Using Supervised Machine Learning
title_fullStr Predictors of Cyberchondria During the COVID-19 Pandemic: Cross-sectional Study Using Supervised Machine Learning
title_full_unstemmed Predictors of Cyberchondria During the COVID-19 Pandemic: Cross-sectional Study Using Supervised Machine Learning
title_short Predictors of Cyberchondria During the COVID-19 Pandemic: Cross-sectional Study Using Supervised Machine Learning
title_sort predictors of cyberchondria during the covid-19 pandemic: cross-sectional study using supervised machine learning
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10170364/
https://www.ncbi.nlm.nih.gov/pubmed/36947575
http://dx.doi.org/10.2196/42206
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