Caught in the Web: The Relationship Between Intolerance of Uncertainty and Cyberchondria among Employees in A Private Institution in Lipa City
Andrea Gail B. Punzalan | Zynine Joy R. Famadico | Junnas P. Saldua | Noralyn Muria | Jeremich Serafica
Discipline: Psychology and Health
Abstract:
The global pandemic has no doubt induced uncertainty and health anxiety, prompting excessive health information seeking. There is now a heightening demand for researchers to study this behavior, as well as its causes and consequences. This study assessed the intolerance of uncertainty (IU) and cyberchondria among 100 employees in a private institution in Lipa City. The 100 employees of the target institution were mostly female college graduates in their early adulthood and in the lower middle income range. Using correlational descriptive research, the survey revealed high IU and moderate cyberchondria levels. Demographic factors did not significantly alter these levels. A notable relationship emerged: as IU increased, so did cyberchondria. Understanding these risks in the information age is crucial, necessitating more studies. This comprehension can foster adaptability in an ever-changing world. Collaboration between the institution's Human Resources Department and Clinic is recommended to address these issues effectively. This study's exploration of the link between intolerance of uncertainty (IU) and cyberchondria illuminates the psychological processes driving excessive health information seeking. It enhances psychology's understanding of coping mechanisms during uncertainty, informing interventions for managing health related anxieties and promoting mental well-being in contexts such as pandemics.
References:
- Abikoye, G. E. & Lawal, A. M. (2023). Prevalence and Psychosocial Predictors of Cyberchondria in Nigeria During the COVID-19 Pandemic. International Journal of Cyber Behavior, Psychology and Learning (IJCBPL), 13(1), 1-12. http://doi.org/10.4018/IJCBPL.324088
- Aiken, M. & Kirwan, G. (2014). The psychology of cyberchondria and “cyberchondria by proxy.” In Power A, Kirwan G, Editors, Cyberpsychology and New Media: A Thematic Reader. Psychology Press, East Sussex, UK, pp. 158-169.
- Alanka, Ö., Çi̇men, Ü., & Deği̇rmenci̇, F. (2022). Cyberchondria as Digital Psychopathology: Covid-19 Pandemic Example. Yüzüncü Yıl Üniversitesi Sosyal Bilimler Enstitüsü Dergisi. -. 10.53568/yyusbed.1098125.
- Alduraywish, S. A. (2020). Sources of Health Information and Their Impacts on Medical Knowledge Perception Among the Saudi Arabian Population: Cross-Sectional Study. National Library of Medicine. 10.2196/14414https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7118549/
- Alschuler, K. N., & Beier, M. L. (2015). Intolerance of Uncertainty. In International Journal of MS Care (Vol. 17, Issue 4, pp. 153–158). Consortium of Multiple Sclerosis Centers. https://doi.org/10.7224/1537-2073.2014- 044
- Anderson, E. C., Carleton, R. N., Diefenbach, M., & HAn, P. K. J. (2019). The Relationship Between Uncertainty and Affect. In Frontiers in Psychology (Vol. 10). Frontiers Media SA. https://doi.org/10.3389/fpsyg.2019.02504
- Bajcar, B., Babiak, J. Self-esteem and cyberchondria: The mediation effects of health anxiety and obsessive–compulsive symptoms in a community sample. Curr Psychol 40, 2820–2831 (2021). https://doi.org/10.1007/s12144-019-00216-x
- Banaag, M. S., Dayrit, M. M., & Mendoza R. U. (2017) Development in Asia Chapter Health Inequity in the Philippines. Disease, Human Health, and RegionalGrowth and Development in Asia. https://link.springer.com/chapter/10.1007/978-981-13-6268-2_8#Abs1
- Banzon,J.P.A.,Rocha,I.C.N.,Cariaso,D.C.,Nieveras,K.C.,Pasajol,K.K.H., Sigui, Ma. A. M. M., Valdez, S. A. V., & Vargas, H. M. K. B.(2020). Health Information-Seeking Behavior of Filipino University Students: Correlates their Intolerance of Uncertainty and Cyberchondria. International Journal of e-Healthcare Information Systems (Vol. 7, Issue 1, pp. 189–195). Infonomics Society. https://doi.org/10.20533/ijehis.2046.3332.2020.0027
- Bell, Emma & Bryman, Alan. (2007). The Ethics of Management Research: An ExploratoryContentAnalysis.BritishJournalofManagement.18.63-77.10.1111/j.1467-8551.2006.00487.x.
- Boswell, J. F., Thompson-Hollands, J., Farchione, T. J., & Barlow, D. H. (2013). Intolerance of Uncertainty: A Common Factor in the Treatment of Emotional Disorders. Journal of Clinical Psychology (Vol. 69, Issue 6, pp. 630–645). Wiley. https://doi.org/10.1002/jclp.21965
- Bottesi, G., Marchetti, I., Sica, C., & Ghisi, M. (2020). What is the internal structure of intolerance of uncertainty? A network analysis approach. JournalofAnxietyDisorders,75,102293. doi:10.1016/j.janxdis.2020.102293
- Boysan, M., Eşkisu, M., & Çam,Z. (2022).Relationshipsbetweenfear of COVID‐ 19, cyberchondria, intolerance of uncertainty, and obsessional probabilistic inferences: A structural equation model. Scandinavian Journal of Psychology (Vol. 63, Issue 5, pp. 439–448). Wiley. https://doi.org/10.1111/sjop.12822
- Carleton, R. N., Norton, M. A., & Asmundson, G. J. (2007). Fearing the unknown: a short version of the Intolerance of Uncertainty Scale. Journal anxietydisorders,21(1),105–117. https://doi.org/10.1016/j.janxdis.2006.03.014
- Catedrilla, Jypzie & Ebardo, Ryan & Limpin, Laiza & Doce, Lumer Jude & Dela Vega, Christine Jan. (2022). Health Anxiety, Information Anxiety, and Internet Self-Efficacy on Cyberchondria among Filipino Young Professionals during the COVID-19 Pandemic.
- Chang, Y. W., Hsu, P. Y., Wang, Y., & Chang, P. Y. (2019) Integration of online and offline health services: The role of doctor-patient online interaction. Patient Education and Counseling. Vol 102/01 https://www.sciencedirect.com/science/article/abs/pii/S073839911901405
- Ciria, L. F., Quintero, M. J., López, F. J., Luque, D., Cobos, P. L., & Morís, J. (2021). Intolerance of uncertainty and decisions about delayed, probabilistic rewards: A replication and extension of Luhmann, C. C., Ishida, K., & Hajcak, G. (2011). D. A. Worthy (Ed.), PLOS ONE (Vol. 16, Issue 9, p. e0256210). Public Library of Science (PLoS). https://doi.org/10.1371/journal.pone.0256210
- Cole, J., Watkins, C., Kleine, D. (2016) Health Advice from Internet Discussion Forums: How Bad Is Dangerous? Journal of Medical Internet Research.10.2196/jmir.5051 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC472052
- Creswell, J. W. (2014). Research Design: Qualitative, Quantitative and Mixed Methods Approaches (4th ed.). Thousand Oaks, CA: Sage.
- Crossman, A. (2020). Understanding Purposive Sampling. An Overview of the Methods and Its Applications. https://www.thoughtco.com/purposive-sampling-3026727
- Dameery, K. A., Quteshat, M., Harthy, I. A., & Khalaf, A. (2020). Cyberchondria, Uncertainty, and Psychological Distress among Omanis during COVID-19: An Online Cross-Sectional Survey. Research Square Platform LLC. https://doi.org/10.21203/rs.3.rs-84556/v
- Data Reportal. (2023, January). Digital 2023: The Philippines. Retrieved from https://datareportal.com/reports/digital-2023-philippines
- Doherty-Torstrick, E. R., Walton, K. E., & Fallon, B. A. (2016). Cyberchondria: Parsing Health Anxiety From Online Behavior. Psychosomatics (Vol. 57, Issue 4, pp. 390–400). Elsevier BV. https://doi.org/10.1016/j.psym.2016.02.002
- Doruk, A., Dugenci, M., Ersöz, F., & Öznur, T. (2015). Intolerance of Uncertainty and Coping Mechanisms in Nonclinical Young Subjects. Noro psikiyatri arsivi, 52(4),400–405.https://doi.org/10.5152/npa.2015.8779
- Farnood, A., Johnston, B., & Mair, F. S.,(2020) A mixed methods systematic review of the effects of online self-diagnosing in the ‘smart-phone society’ on the healthcare professional-patient relationship and medical authority. National Library of Medicine. 10.1186/s12911- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7539496/
- Fava, G. A., Cosci, F., & Sonino, N. (2016). Current Psychosomatic Practice. Psychotherapy and Psychosomatics (Vol. 86, Issue 1, pp. 13–30). S. Karger AG. https://doi.org/10.1159/000448856
- Fava,G.A.,Cosci,F.&Sonino,N.(2017).Current psychosomatic practice. PsychotherPsychosom2017;86:13–30.
- Fergus, T. A. (2013). Cyberchondria and Intolerance of Uncertainty: Examining When Individuals Experience Health Anxiety in Response to Internet Searches for Medical Information. Cyberpsychology, Behavior, and Social Networking (Vol. 16, Issue 10, pp. 735–739). Mary Ann Liebert Inc. https://doi.org/10.1089/cyber.2012.0671
- Filion, J. (2016) 4 Things You Should Know Before Googling Health Symptoms. Gebauer Company. https://www.gebauer.com/blog/googling-health-symptoms
- Fourtounas, A., & Thomas, S. J. (2016). Cognitive factors predicting checking, procrastination and other maladaptive behaviors: Prospective versus Inhibitory Intolerance of Uncertainty. Journal of Obsessive- Compulsive and Related Disorders, 9, 30–35. https://doi.org/10.1016/j.jocrd.2016.02.003
- Fowler, F. J. (2009). Survey Research Methods (4th ed.). Sage Publishers. https://doi.org/10.4135/9781452230184
- Freeston, M. H., Rheaume, J., Letarte, H., Dugas, M. J., & Ladouceur, R. (1994). Why Do People Worry? Personality and Individual Differences,17,791-802.http://dx.doi.org/10.1016/0191-8869(94)90048-5
- Grīnfelde, M. (2022) Face-to-Face with the Doctor Online: Phenomenological Analysis of Patient Experience of Tele consultation. Human Studies 45,pg.673–696https://link.springer.com/article/10.1007/s10746-022-09652-4
- Gvozden, T. V., Baucal, A., Krstic, K., & Filipović, S. (2021). Intolerance of Uncertainty and Tendency to Worry as Mediators Between Trust in Institutions and Social Support and Fear of Coronavirus and Consequences of the Pandemic. Frontiers in Psychology (Vol. 12). Frontiers Media SA. https://doi.org/10.3389/fpsyg.2021.737188
- Hasselfeld,B.W.,(n.d)BenefitsofTelemedicine.JohnHopkinsMedicine. https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/benefits-of-telemedicine
- Hebert, Dugas, (2019). Cognitive Behavioral Model Of Intolerance Of Uncertainty.https://www.psychologytools.com/resource/cognitive- behavioral-model-of-intolerance-of-uncertainty-s- 2019/#:~:text=Components%20of%20the%20cognitive%20behavioral,ambiguity%2C%20novelty%2C%20and%20unpredictability
- Howard, J. (2018). Cognitive Errors and Diagnostic Mistakes. doi:10.1007/978-3- 319-93224-8 Jacoby, R. J. (2020). Intolerance of uncertainty. In Clinical Handbook of fear and anxiety: Maintenance processes and treatment mechanisms. (pp. 45– 63). American Psychological Association. https://doi.org/10.1037/0000150-003
- Jensen, D., Cohen, J. N., Mennin, D. S., Fresco, D. M., & Heimberg, R. G.(2016). Clarifying the unique associations among intolerance of uncertainty, anxiety, and depression. Cognitive behavior therapy, 45(6), 431–444. https://doi.org/10.1080/16506073.2016.1197308
- Koehler, S. (2005). A look into cyberchondria: using the Internet to diagnose your health symptoms. Retrieved from http://www.voices.yahoo.com/a-look-into-cyberchondria-using-internet-diagnose-2747.html
- Lalitha D. (2023) Doctor Vs. Google: 4 Reasons Why Should You Trust The Doctor Rather Than Google.Formen https://www.formen.health/blogs/health-wellness/reasons-trust-doctor- not-google
- Leahy, L., Tirch, D.,&Napolitano,A.(2011).Emotion Regulation in Psychotherapy: A Practitioner’s Guide. The Guilford Press. https://www.guilford.com/books/EmotionRegulation-in- Psychotherapy/Leahy-Tirch-Napolitano/9781609184834
- Leahy, R. L., Tirch, D., & Napolitano, L. A. (2011). Emotion regulation in psychotherapy: A practitioner's guide. The Guilford Press.
- Lim, H. M., Dunn, A. G., Lim, J. R., Abdullah, A., & Ng, C. J. (2022). Association between online health information-seeking and medicationadherence: A systematic review and meta-analysis. In DIGITAL HEALTH(Vol.8,p.205520762210977).SAGEPublications.https://doi.org/10.1177/20552076221097784
- Malik, Maria & Mustafa, Mir & Yaseen, Maira & Ghauri, Sanniya Khan &Javaeed, Arslaan. (2019). Assessment of cyberchondria among patients presenting to the emergency department of a tertiary care hospital in Islamabad, Pakistan. South Asian Journal of Emergency Medicine. 1. 10.5455/sajem.020207.
- Mathes, B. M., Norr, A. M., Allan, N. P., Albanese, B. J., & Schmidt, N. B. (2018). Cyberchondria: Overlap with health anxiety unique relations with impairment, quality of life, and service utilization. PsychiatryResearch,261(3),204–211.https://doi.org/10.1016/j.psychres.2018.01.002
- McDaid, L., & Park, J. (2010). Cyberchondria: A review of the literature .JournalofMedicalInternetResearch,12(1),e19. https://doi.org/10.2196/jmir.1802
- McElroy, E., & Shevlin, M. (2014). The development and initial validation of the cyberchondria severity scale (CSS). Journal of Anxiety Disorders, 28(2), 259–265. doi:10.1016/j.janxdis.2013.12.007
- Nadeem, F., Malik, N., Atta, M., Ullah, I., Martinotti, G., Pettorruso, M., Vellante, F., Di Giannantonio, M., & De Berardis, D. (2022). Relationship between Health-Anxiety and Cyberchondria: Role of Metacognitive Beliefs. Journal of Clinical Medicine (Vol. 11, Issue 9, p. 2590). MDPI AG. https://doi.org/10.3390/jcm11092590
- Parker, R. M., Williams, M. V., Weiss, B. D., Baker, D. W., Davis, T. C., Doak, C. C., … Nurss, J. (1999). Health literacy: Report of the Council on Scientific Affairs. Journal of the American Medical Association, 281 (6), 552–557.
- Peng,X.Q.,Chen,Y., Zhang,Y.C.,Liu,F., He,H.Y.,Luo, T.,Dai,P.P.,Xie,W.&Luo,A.J.(2021).TheStatusandInfluencingFactorsofCyberchondria During the COVID-19 Epidemic. A Cross-Sectional Study in Nanyang City of China. Frontiers in Psychology,12, 712703. https://doi.org/10.3389/fpsyg.2021.712703
- Petrovic, D. (2022). Time on SERPs: How Long Do People Spend on Search EngineResultsPages?Retrievedfrom https://dejanmarketing.com/time-on-serps/
- Pinciotti, C. M., Riemann, B. C., & Abramowitz, J. S. (2021). Intolerance of uncertainty and obsessive-compulsive disorder dimensions. Journal ofAnxiety Disorders ,81,102417.https://doi.org/10.1016/j.janxdis.2021.102417
- Ren, L., Wei, Z., Li, Y. et al. The relations between different components of intolerance of uncertainty and symptoms of generalized anxiety disorder: a network analysis. BMC Psychiatry 21, 448 (2021). https://doi.org/10.1186/s12888-021-03455-0
- Rexhepi, H., Huvila, I., Åhlfeldt, R.-M., & Cajander, Å. (2021). Cancer patients’ information-seeking behavior related to online electronic healthcare records. Health Informatics Journal (Vol. 27, Issue 3, p. 146045822110247).SAGEPublications. https://doi.org/10.1177/14604582211024708
- Robichaud, M., & Dugas, M. J. (2015). The Generalized Anxiety Disorder Workbook: A Comprehensive CBT Guide For Coping with Uncertainty, Worry, and Fear. New HarbingerPublications.
- Salac, Romeo & Kim, Yun. (2016). A Study on Internet Connectivity in The Philippines. Asia Pacific Journal of Business Review. 1. 67-88. 10.20522/APJBR.2016.1.1.67.
- Saleh, N. (2023) The Risks of Using the Internet to Self-Diagnose. Very Well Health.https://www.verywellhealth.com/perils-of-using-the-internet-to-self-diagnose-4117449
- Shihata, S., McEvoy,P. M., Mullan, B. A., & Carleton, R. N. (2016). Intoleranceof uncertainty in emotional disorders: What uncertainties remain? In Journal of Anxiety Disorders (Vol. 41, pp. 115–124). Elsevier BV. https://doi.org/10.1016/j.janxdis.2016.05.001
- Simos, G., Zikopoulou, O., Nisyraiou, A. and Zafiropoulos, K. (2019) Psychometric Properties of the Greek Version of the Obsessive- Compulsive Inventory-Revised in a Non-Clinical Young Adult Sample. Psychology, 10, 2247-2265. doi 10.4236/psych.2019.1016142.
- Starcevic, V. (2017). Cyberchondria: Challenges of Problematic Online Searches for Health-Related Information. Psychotherapy and Psychosomatics, 86(3), 129–133. doi:10.1159/000465525
- Starcevic, V., Berle, D., & Arnáez, S. (2020).Recent Insights Into Cyberchondria. In Current Psychiatry Reports (Vol. 22,
- Issue 11). Springer Science and Business Media LLC. https://doi.org/10.1007/s11920-020-01179-8Sun, Y., Yu, J., Chiu, Y., & Hsu, Y. (2022) Can online health information sources improve patient satisfaction?Frontiers.10.3389/fpubh.2022.940800 https://www.frontiersin.org/articles/10.3389/fpubh.2022.940800/full
- Tates, K., Antheunis, M. L., Kanters, S., et al. (2017) The Effect of Screen-to- Screen Versus Face-to-Face Consultation on Doctor-Patient Communication: An Experimental Study with Simulated Patients. National Library of Medicine.10.2196/jmir.8033https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5752968/
- Thompson, B. S., & Lazer, D. (2015) Public Health and Online Misinformation: Challenges and Recommendations. Annual Review of Public Health.41:433-451https://www.annualreviews.org/doi/10.1146/annurev-publhealth-040119-094127
- Tonsaker,T.,Bartlett,G.,&Trpkov,C.(2014)HealthinformationontheInternet.National Library of Medicine.60(5):407-408 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4020634/
- Valley, P. (2001). A new disorder, cyberchondria, sweeps the Internet.http://www.nzherald.co.nz/technology/news/article.cfm?c_id=5&objectid=185422
- Veilleux, J. C., Salomaa, A. C., Shaver, J. A., Zielinski, M. J., & Pollert, G. A. (2015). Multidimensional assessment of beliefs about emotion: Development and validation of the Emotion and Regulation Beliefs Scale.Assessment,22(1),86–100. https://doi.org/10.1177/1073191114534883
- 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. In Comprehensive Psychiatry (Vol. 99, p. 152167). Elsevier BV. https://doi.org/10.1016/j.comppsych.2020.152167
- Wang, Q.; Tao, C.; Yuan, Y.; Zhang, S.; Liang, J. Current Situations and Challenges in the Development of Health Information Literacy. Int. J. Environ. Res. Public Health 2023, 20, 2706. https://doi.org/10.3390/ijerph20032706
- Whalley, M. (2020).IntoleranceOfUncertainty:HelpYourClients To Embrace TheUnknownUsingBehavioralExperiments.https://www.psychologytools.com/articles/intolerance-of-uncertainty- help-your-clients-to-embrace-the-unknown-using-behavioral- experiments/
- Zangoulechi, Z., Yousefi, Z., & Keshavarz, N. (2018). The Role of Anxiety Sensitivity, Intolerance of Uncertainty, and Obsessive-Compulsive Symptoms in the Prediction of Cyberchondria. In Advances in Bioscience and Clinical Medicine (Vol. 6, Issue 4, p. 1). Australian InternationalAcademic Centre.https://doi.org/10.7575/aiac.abcmed.v.6n.4p.1
- Zheng, H., Chen, X., Jiang, S. & Sun, Luming. (2023). How does health information seeking from different online sources trigger cyberchondria? The rolesof online information overload and information trust. Informatio Processing and Management.60.103364. 10.1016/j.ipm.2023.103364..
- Zheng, Z., Feng, Z., Zang, D., et al. (2023) Does self-medication reduce medical expenditure among the middle-aged and elderly population? A four- wave longitudinal study in China. Frontiers. https://www.frontiersin.org/articles/10.3389/fpubh.2022.1047710/full.
- Zlomke, K. R., & Jeter, K. M. (2013). Stress and worry: examining intolerance of uncertainty’s moderating effect. Anxiety, Stress, & Coping, 27(2), 202–215. doi:10.1080/10615806.2013.835400
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