The DOI matches its Crossref record; 72 of the 72 references it cites were found in a registry or an index.
The curious case of cyberchondria: A longitudinal study on the reciprocal relationship between health anxiety and online health information seeking
Open accessAbstract
The current study is the first to longitudinally investigate the reciprocal relationship between online health information seeking and health anxiety, i.e., cyberchondria. Expectations were that health anxious individuals who go online to find health information, experience an increase in health anxiety, which in turn will reinforce online seeking. A 4-wave longitudinal survey study among 5322 respondents aged 16-93 was conducted. Our results showed that individuals who are more health anxious than others, search online for health information more. Moreover, the results provided initial evidence for the expected reciprocal relationship between health anxiety and online health information seeking in respondents with non-clinical levels of health anxiety at the start of the study. However, this reciprocal relationship could not be found in a subsample of clinically health anxious individuals. Although for these individuals online health information seeking did not seem to exacerbate health anxiety levels, it might still serve as a maintaining factor of clinical health anxiety.
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“Following TePoel et al [81], we hypothesize that an illness-related bias may be of certain relevance regarding the moderating role of emotional outcomes.”
From Conceptualizations of cyberchondria and relations to the anxiety spectrum: Systematic review and meta-analysis (2021) · cites this paper as [81]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“Although the number of internet searches for medical information likely increases every day, very little research to date has examined cyberchondria and how it relates to health.”
From What are the Implications of Excessive Internet Searches for Medical Information by Orthopaedic Patients? (2019) · cites this paper as [34]
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“The studies available [7, 9, 31, 32, 34] include only medically healthy participants from the community, rather than patients with symptoms.”
From What are the Implications of Excessive Internet Searches for Medical Information by Orthopaedic Patients? (2019) · cites this paper as [34]
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“and only one study [60] showed poor quality (score b 10).”
From Is cyberchondria a new transdiagnostic digital compulsive syndrome? A systematic review of the evidence (2020) · cites this paper as [60]
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“In the pathological HA group, changes in an individual’s HA score were not predicted by a change in health-related internet use 2 months earlier.”
From Conceptualizations of cyberchondria and relations to the anxiety spectrum: Systematic review and meta-analysis (2021) · cites this paper as [81]
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“Thus, no evidence for a reciprocal relationship between HA and health-related internet use was found in individuals with pathological HA.”
From Conceptualizations of cyberchondria and relations to the anxiety spectrum: Systematic review and meta-analysis (2021) · cites this paper as [81]
The cited source says what the claim attributes to it.
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“In contrast, evidence for a reciprocal association was found in the nonclinical group with lower HA, such that increases in an individual’s HA were predicted by increases in health-related internet use and vice versa.”
From Conceptualizations of cyberchondria and relations to the anxiety spectrum: Systematic review and meta-analysis (2021) · cites this paper as [81]
The cited source says what the claim attributes to it.
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“Conversely, changes in an individual’s health-related internet use score were not predicted by changes in HA 2 months earlier.”
From Conceptualizations of cyberchondria and relations to the anxiety spectrum: Systematic review and meta-analysis (2021) · cites this paper as [81]
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“Cyberchondria and intolerance of uncertainty have been shown to be associated with health anxiety [3, 7-10, 19, 21, 22, 34]”
From What are the Implications of Excessive Internet Searches for Medical Information by Orthopaedic Patients? (2019) · cites this paper as [34]
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“health anxiety can be fueled by both cyberchondria [34] and intolerance of uncertainty [10, 12].”
From What are the Implications of Excessive Internet Searches for Medical Information by Orthopaedic Patients? (2019) · cites this paper as [34]
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“Longitudinal studies have shown that people with health anxiety (and other forms of anxiety) die prematurely and also tend to get significantly depressed if untreated; those who have had psychological treatment do not become depressed.16,25,26”
From Why health anxiety needs to be recognised in hospital practice (2020) · cites this paper as [26]
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In the citing paper
“Cyberchondria and intolerance of uncertainty have been shown to be associated with health anxiety [3, 7-10, 19, 21, 22, 34]”
From What are the Implications of Excessive Internet Searches for Medical Information by Orthopaedic Patients? (2019) · cites this paper as [34]
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Citations
Cites
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,845
The Measurement of Observer Agreement for Categorical Data
Landis, J. R., & Koch, G. G. (1977) · Biometrics · doi:10.2307/2529310 · Cited by 81,148
(2010) · Intellectum (Universidad de La Sabana) · doi:10.1111/j.1467- · Cited by 16,131
Confirmatory factor analysis for applied research
Brown, T. A. (2007) · Choice Reviews Online · doi:10.5860/choice.44-2769 · Cited by 15,621
Multilevel analysis techniques and applications
Hox, J. J., Moerbeek, M., & van de Schoot, R. (2002) · Cited by 6,006
A critique of the cross-lagged panel model
Hamaker, E. L., Kuiper, R. M., & Grasman, R. P. P. P. (2015) · Psychological Methods · doi:10.1037/a0038889 · Cited by 4,005
Handbook of Structural Equation Modeling
Howard, A. L. (2013) · Structural Equation Modeling A Multidisciplinary Journal · doi:10.1080/10705511.2013.769397 · Cited by 3,465
Diamantopoulos, A., & Siguaw, J. A. (2006) · British Journal of Management · doi:10.1111/j.1467-8551.2006.00500.x · Cited by 3,410 · cited 1×
“As items of formative constructs are not interchangeable and should usually reveal low inter-correlations, measures of internal consistency are not relevant (Brown, 2015; Diamantopoulos & Siguaw, 2006).”
Fleiss, J. L., & Cohen, J. (1973) · Educational and Psychological Measurement · doi:10.1177/001316447303300309 · Cited by 3,354
The disaggregation of within-person and between-person effects in longitudinal models of change
Curran, P. J., & Bauer, D. J. (2011) · Annual Review of Psychology · doi:10.1146/annurev.psych.093008.100356 · Cited by 2,056
Consumer health information seeking on the internet: the state of the art
Cline, R. J. W. (2001) · Health Education Research · doi:10.1093/her/16.6.671 · Cited by 1,708
Diagnostic and Statistical Manual of Mental Disorders
Davey, G. (2013) · Encyclopedia of Women in Today's World · doi:10.4135/9781412995962.n207 · Cited by 1,485
SALKOVSKIS, P. M., RIMES, K. A., WARWICK, H. M. C., & CLARK, D. M. (2002) · Psychological Medicine · doi:10.1017/s0033291702005822 · Cited by 1,351
Multilevel Analysis: Techniques and Applications
Robinson, T. J. (2003) · Journal of the American Statistical Association · doi:10.1198/jasa.2003.s281 · Cited by 1,039
Handbook of developmental research methods
Laursen, B. P., Little, T. D., & Card, N. A. (2012) · Cited by 1,033
Optimal time lags in panel studies.
Dormann, C., & Griffin, M. A. (2015) · Psychological Methods · doi:10.1037/met0000041 · Cited by 856
Cotten, S. R., & Gupta, S. S. (2004) · Social Science & Medicine · doi:10.1016/j.socscimed.2004.02.020 · Cited by 835
How Internet Users Find, Evaluate, and Use Online Health Information: A Cross-Cultural Review
Morahan-Martin, J. M. (2004) · CyberPsychology & Behavior · doi:10.1089/cpb.2004.7.497 · Cited by 778
Overview: hypochondriasis, bodily complaints, and somatic styles
BARSKY, A. J., & Klerman, G. L. (1983) · American Journal of Psychiatry · doi:10.1176/ajp.140.3.273 · Cited by 605
Warwick, H. M. C., & Salkovskis, P. M. (1990) · Behaviour Research and Therapy · doi:10.1016/0005-7967(90)90023-c · Cited by 587 · cited 1×
“…worries about being ill, and they ignore information that counters their existing belief of being ill: this is referred to as the illness-related attentional bias (Hadjistavropoulos, Craig, & Hadjistavropoulos, 1998; Owens, Asmundson, Hadjistavropoulos, & Owens, 2004; Warwick & Salkovskis, 1990).”
Cyberchondria: studies of the escalation of medical concerns in web search
White, R. W., & Horvitz, E. (2009) · ACM Transactions on Information Systems · doi:10.1145/1629096.1629101 · Cited by 546
Autoregressive and cross-lagged panel analysis for longitudinal data
Selig, J. P., & Little, T. D. (2012) · Cited by 542
Cyberchondria: towards a better understanding of excessive health-related internet use
Starcevic, V., & Berle, D. (2013) · Expert Review of Neurotherapeutics · doi:10.1586/ern.12.162 · Cited by 541
Salkovskis, P. M., & Warwick, H. M. C. (1986) · Behaviour Research and Therapy · doi:10.1016/0005-7967(86)90041-0 · Cited by 475 · cited 1×
“…the way health information is processed (cognitive factor, e.g., confirmatory attentional bias or sensitivity towards bodily sensations); and safety seeking behaviors (behavioral factor, e.g., checking bodily state; Abramowitz, Schwartz, & Whiteside, 2002; Salkovskis & Warwick, 1986; Warwick, 1989 .”
Statistics notes: Transformations, means, and confidence intervals: Fig 1
Bland, J. M., & Altman, D. G. (1996) · BMJ · doi:10.1136/bmj.312.7038.1079 · Cited by 426
The development and initial validation of the cyberchondria severity scale (CSS)
McElroy, E., & Shevlin, M. (2014) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2013.12.007 · Cited by 383
Resource Utilization of Patients With Hypochondriacal Health Anxiety and Somatization
Barsky, A. J., Ettner, S. L., Horsky, J., & Bates, D. W. (2001) · Medical Care · doi:10.1097/00005650-200107000-00007 · Cited by 309
Health Anxiety: Current Perspectives and Future Directions
Asmundson, G. J. G., Abramowitz, J. S., Richter, A. A., & Whedon, M. (2010) · Current Psychiatry Reports · doi:10.1007/s11920-010-0123-9 · Cited by 309
Muse, K., McManus, F., Leung, C., Meghreblian, B., & Williams, J. M. G. (2012) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2011.11.005 · Cited by 303
Ybarra, M. L., & Suman, M. W. (2006) · Health Education Research · doi:10.1093/her/cyl062 · Cited by 273
The Short Health Anxiety Inventory: A systematic review and meta-analysis
Alberts, N. M., Hadjistavropoulos, H. D., Jones, S. L., & Sharpe, D. (2013) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2012.10.009 · Cited by 267
The Role of Health Anxiety in Online Health Information Search
Baumgartner, S. E., & Hartmann, T. (2011) · Cyberpsychology, Behavior, and Social Networking · doi:10.1089/cyber.2010.0425 · Cited by 264
Self-citationHealth Anxiety, Hypochondriasis, and the Anxiety Disorders
Abramowitz, J. S., Olatunji, B. O., & Deacon, B. J. (2007) · Behavior Therapy · doi:10.1016/j.beth.2006.05.001 · Cited by 261
Parental monitoring and adolescent problem behaviors
Keijsers, L. (2015) · International Journal of Behavioral Development · doi:10.1177/0165025415592515 · Cited by 249
The integrated trait–state model
Hamaker, E. L., Nesselroade, J. R., & Molenaar, P. C. M. (2006) · Journal of Research in Personality · doi:10.1016/j.jrp.2006.04.003 · Cited by 241
Koch‐Weser, S., Bradshaw, Y. S., Gualtieri, L. N., & Gallagher, S. S. (2010) · Journal of Health Communication · doi:10.1080/10810730.2010.522700 · Cited by 240
Sound and complete relevance assessment for XML retrieval
Piwowarski, B., Trotman, A., & Lalmas, M. (2008) · ACM Transactions on Information Systems · doi:10.1145/1416950.1416951 · Cited by 238
““True” Longitudinal and Probability-Based Internet Panels: Evidence From the Netherlands
Scherpenzeel, A. C. (2018) · Routledge eBooks · doi:10.4324/9780203844922-4 · Cited by 234
Goodness of fit in confirmatory factor analysis: The effects of sample size and model parsimony
Marsh, H. W., & Balla, J. R. (1994) · Quality & Quantity · doi:10.1007/bf01102761 · Cited by 224
Health on the Internet: implications for health promotion
Korp, P. (2005) · Health Education Research · doi:10.1093/her/cyh043 · Cited by 222
Patient Internet Use for Health Information at Three Urban Primary Care Clinics
Dickerson, S. S., Reinhart, A. M., Feeley, T. H., Bidani, R., Rich, E. R., Garg, V. K., & Hershey, C. O. (2004) · Journal of the American Medical Informatics Association · doi:10.1197/jamia.m1460 · Cited by 218
A taxometric analysis of health anxiety
Ferguson, E. (2009) · Psychological Medicine · doi:10.1017/s0033291708003322 · Cited by 183
Collins, L. M., & Graham, J. A. (2002) · Drug and Alcohol Dependence · doi:10.1016/s0376-8716(02)00217-x · Cited by 169
Health anxiety disorders: A cognitive construal
Rachman, S. (2012) · Behaviour Research and Therapy · doi:10.1016/j.brat.2012.05.001 · Cited by 161
Fergus, T. A. (2014) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2014.05.006 · Cited by 159
(2013) · Psychology Press eBooks · doi:10.4324/9780203726389-31 · Cited by 158
Cyberchondria, cyberbullying, cybersuicide, cybersex: “new” psychopathologies for the 21st century?
Starčević, V., & Aboujaoude, E. N. (2015) · World Psychiatry · doi:10.1002/wps.20195 · Cited by 156
An experimental analysis of hypochondriasis
Abramowitz, J. S., & Moore, E. L. (2006) · Behaviour Research and Therapy · doi:10.1016/j.brat.2006.04.005 · Cited by 151
Cognitive and behavioral responses to illness information: the role of health anxiety.
Hadjistavropoulos, H., Craig, K., & Hadjistavropoulos, T. (1998) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(98)00014-x · Cited by 150
A contemporary conceptual model of hypochondriasis
Abramowitz, J. S., Schwartz, S. A., & Whiteside, S. P. (2002) · Mayo Clinic Proceedings · doi:10.4065/77.12.1323 · Cited by 139
Higgins, O., Sixsmith, J., Barry, M. M., & Domegan, C. T. (2011) · Arrow@dit (Dublin Institute of Technology) · doi:10.2900/5788 · Cited by 129
Health-related Internet habits and health anxiety in university students
Singh, K., & Brown, R. J. (2014) · Anxiety, Stress, & Coping · doi:10.1080/10615806.2014.888061 · Cited by 113
Does the Internet Displace Health Professionals?
Lee, C. (2008) · Journal of Health Communication · doi:10.1080/10810730802198839 · Cited by 108
Attentional Bias Toward Illness Threat in Individuals with Elevated Health Anxiety
Owens, K. M. B., Asmundson, G. J. G., Hadjistavropoulos, T., & Owens, T. J. (2004) · Cognitive Therapy and Research · doi:10.1023/b:cotr.0000016930.85884.29 · Cited by 107
A cognitive-behavioural approach to hypochondriasis and health anxiety
Warwick, H. M. C. (1989) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(89)90086-x · Cited by 100
Experiences with web search on medical concerns and self diagnosis.
(2009) · PubMed Central · Cited by 99
Lee, S. Y., & Hawkins, R. P. (2010) · Journal of Health Communication · doi:10.1080/10810730903528033 · Cited by 90
Singh, K., & Brown, R. J. (2016) · Journal of Health Psychology · doi:10.1177/1359105315569620 · Cited by 78
Chung, J. E. (2013) · Journal of Health Communication · doi:10.1080/10810730.2012.743628 · Cited by 71
Cyberchondria: too much information for the health anxious patient?
Loos, A. (2013) · Journal of Consumer Health On the Internet · doi:10.1080/15398285.2013.833452 · Cited by 68
Searching for health information online: characteristics of online health seekers
Gallagher, S. E., & Doherty, D. T. (2009) · Journal of Evidence-Based Medicine · doi:10.1111/j.1756-5391.2009.01021.x · Cited by 63
Statistical Methods for Risk-Outcome Research: Being Sensitive to Longitudinal Structure
Cole, D. A., & Maxwell, S. E. (2009) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-060508-130357 · Cited by 51
Advances in understanding illness anxiety.
Harding, K. J., Skritskaya, N., Doherty, E., & Fallon, B. A. (2008) · Current Psychiatry Reports · doi:10.1007/s11920-008-0050-1 · Cited by 50
Berle, D. (2015) · Oxford University Press eBooks · doi:10.1093/med/9780199380183.003.0006 · Cited by 40
Jasper, F., & Witthöft, M. (2011) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2011.08.004 · Cited by 39
Cyberpsychology and new media: a thematic reader
(2014) · Choice Reviews Online · doi:10.5860/choice.51-4730 · Cited by 32
The psychology of cyberchondria and ‘Cyberchondria by Proxy’
Kirwan, P. M. A. A. G. (2013) · doi:10.4324/9780203796610-28 · Cited by 19
A psychometric evaluation of the Dutch Short Health Anxiety Inventory in the general population.
Poel, F. T., Hartmann, T., Baumgartner, S. E., & Tanis, M. (2016) · Psychological Assessment · doi:10.1037/pas0000332 · Cited by 17
Self-citationCyberchondria: An old phenomenon in a new guise?
Starcevic, V, & Berle, D. (2015) · UNSWorks (University of New South Wales, Sydney, Australia) · Cited by 11
Parental monitoring and adolescent problem behaviors: How much do we really know?
Keijsers, L., determinants, A. D. C. A., & Branje, L. (2016) · Utrecht University Repository (Utrecht University) · Cited by 6
Poel, F. T., Baumgartner, S. E., Hartmann, T., & Tanis, M. (2016) · Cited by 1
Self-citationBarbero (2014) · doi:10.1016/j · Cited by 1
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“Several studies have found that subjects with elevated health anxiety experience greater anxiety during and after online health searches and report more frequent and longer searches, compared to those with lower or normal levels of health anxiety [10,29,43,45,53,59].”
BackgroundMathes, B. M., Norr, A. M., Allan, N. P., Albanese, B. J., & Schmidt, N. B. (2018) · Psychiatry Research · doi:10.1016/j.psychres.2018.01.002 · Cited by 209
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Metadata
- Authors
- te Poel, F., Baumgartner, S. E., Hartmann, T., & Tanis, M.
- Affiliations
- University of Amsterdam (NL)
- Vrije Universiteit Amsterdam (NL)
- Venue
- Journal of Anxiety Disorders
- Publisher
- Elsevier BV
- Published
- 2016-10
- Volume
- 43
- Pages
- 32-40
- ISSN
- 0887-6185 (ISSN-L)
- OpenAlex
- W2492112509
- Cited by
- 172
- References
- 72
- Citations by year
- 2026: 16 · 2025: 10 · 2024: 20 · 2023: 22 · 2022: 26 · 2021: 21 · 2020: 23 · 2019: 19 · 2018: 8 · 2017: 6 · 2016: 1
- FWCI
- 21.08
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Anxiety Disorders (publishedVersion)
- PubMed (publishedVersion)
- UvA-DARE (University of Amsterdam) (submittedVersion, other-oa)
- VU Research Portal (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Funders
- Ellen Hamaker and Loes Keijsers for their valuable advice on the application of the random intercept cross-lagged panel model
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- cyberchondria, health anxiety, online health information seeking, bidirectional relationship, internet use
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Anxiety, Anxiety Disorders, Female, Humans, Longitudinal Studies, Male, Middle Aged, Internet, Young Adult, Information Seeking Behavior
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