The role of pain catastrophizing in cyberchondria among emerging adults
Abstract
Chronic pain is a prevalent and debilitating health problem that often persists in the absence of an identifiable biomedical cause. Uncertainty regarding the origins of a pain problem may lead to pain catastrophizing and unfruitful healthcare seeking behaviors. Individuals with chronic pain often turn to the internet to identify possible causes or sources of their pain symptoms, thus affirming their pain experience. Despite evidence that pain catastrophizing amplifies distress about pain complaints, no studies have investigated whether it is associated with escalations in health anxiety that result from searching for online health information (i.e., cyberchondria). The aim of the present study was to investigate whether pain catastrophizing predicted variance in cyberchondria above and beyond health anxiety. Undergraduate students (N = 221, 70.6% female) completed questionnaires assessing pain catastrophizing, health anxiety, and cyberchondria. Results from hierarchical regression models indicated that pain catastrophizing predicted unique variance in four dimensions of cyberchondria: compulsion, distress, excessiveness, and reassurance. Findings are consistent with research highlighting the consequences of pain catastrophizing on myriad psychological outcomes. Individuals who catastrophize about pain experiences may be vulnerable to developing severe health anxiety from searching the internet for health information. Implications for research among individuals with chronic pain are discussed.
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Even individuals with low levels of health anxiety may experience increased anxiety when searching online.
“Nonetheless, even individuals with low levels of health anxiety may experience increased anxiety when searching online [55,87].”
From Is cyberchondria a new transdiagnostic digital compulsive syndrome? A systematic review of the evidence (2020) · cites this paper as [55]
Pain catastrophizing significantly predicts cyberchondria and its facets (operationalized by the CSS), even when controlling for negative affect and HA.
“It has been shown that pain catastrophizing (ie, the tendency to ruminate and worry about pain [89]) significantly predicts cyberchondria and its facets (operationalized by the CSS), even when controlling for negative affect and HA.”
From Conceptualizations of cyberchondria and relations to the anxiety spectrum: Systematic review and meta-analysis (2021) · cites this paper as [63]
Significant positive associations were found between cyberchondria (CSS total score) and negative affect (PANAS) (r=0.31, P<.01 [19]; r=0.34, P<.001 [22]; r=0.44, P<.01 [63]).
“Moreover, significant positive associations (r=0.31, P<.01 [19]; r=0.34, P<.001 [22]; r=0.44, P<.01 [63]) between cyberchondria (operationalized by the CSS total score) and negative affect (operationalized by the Positive and Negative Affect Schedule) were found, indicating that the higher the level of cyberchondria, more negative the affect experienced is.”
From Conceptualizations of cyberchondria and relations to the anxiety spectrum: Systematic review and meta-analysis (2021) · cites this paper as [63]
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- Authors
- Gibler, R. C., Jastrowski Mano, K. E., O’Bryan, E. M., Beadel, J. R., & McLeish, A. C.
- Affiliations
- University of Cincinnati (US)
- Department of Psychology, University of Cincinnati, Cincinnati, OH, USA
- University of Pittsburgh at Greensburg (US)
- University of Louisville (US)
- Venue
- Psychology, Health & Medicine
- Publisher
- Informa UK Limited
- Published
- 2019-04-11
- Volume
- 24
- Issue
- 10
- Pages
- 1267-1276
- ISSN
- 1354-8506 (ISSN-L)
- 1465-3966
- OpenAlex
- W2936392032
- Cited by
- 39
- References
- 49
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 2 · 2023: 4 · 2022: 10 · 2021: 7 · 2020: 7
- FWCI
- 8.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychology Health & Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- did not receive
- 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
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Keywords
- pain catastrophizing, cyberchondria, health anxiety, chronic pain, online health information seeking, emerging adults, university students, reassurance seeking, distress
- MeSH terms
- Adolescent, Adult, Anxiety Disorders, Female, Humans, Hypochondriasis, Male, Students, Internet, Young Adult, Catastrophization, Chronic Pain
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