Cited by 140Health Literacy and Information AccessibilityAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychosomatic Disorders and Their Treatments

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Online health research and health anxiety: A systematic review and conceptual integration.

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Brown, Richard J., Skelly, Niamh, Chew-Graham, Carolyn A.·2020·Clinical Psychology: Science and Practice

DOI 10.1111/cpsp.12299

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Abstract

Using the Internet to obtain health information (“online health research”, OHR) is commonplace. This paper provides a systematic narrative review of evidence concerning the relationship between OHR and health anxiety. We conclude that health anxiety is associated with more frequent self-reported OHR, heightened distress after OHR, and increased doctor visits post-OHR. Evidence suggests that OHR often has a reassurance seeking function and can relieve anxiety, but that it can also cause alarm and become a distressing, compulsive behaviour. We present a novel model that integrates these perspectives and existing research within a single explanatory framework that distinguishes between problematic OHR and compulsive OHR and describes the role of positive and negative metacognitions in their respective development.

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“The fact that cyberchondria is a current topic is also made clear by the fact that in 2019, for example, a systematic narrative review [26] and a meta-analysis of cyberchondria and HA [27] were published.”
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Authors: Brown, R. J., Skelly, N., & Chew-Graham, C. A.
Affiliations: Greater Manchester Mental Health NHS Foundation Trust (GB)
NHS Lanarkshire (GB)
Keele University (GB)
ORCID: Brown, Richard J.
Skelly, Niamh
Chew-Graham, Carolyn A.
Venue: Clinical Psychology: Science and Practice
Publisher: American Psychological Association (APA)
Published: 2020-06
Volume: 27
Issue: 2
ISSN: 0969-5893 (ISSN-L)
1468-2850
DOI: 10.1111/cpsp.12299
OpenAlex: W2950501406
Cited by: 140
References: 79
Citations by year: 2026: 14 · 2025: 19 · 2024: 22 · 2023: 25 · 2022: 32 · 2021: 16 · 2020: 11
FWCI: 2.71
Type: journal article
Language: en
Open access: green
research.manchester.ac.uk
Licence: other-oa
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
doi.wiley.com/10.1002/tdm_license_1.1 (tdm)
Locations: Clinical Psychology Science and Practice (publishedVersion)
Research Explorer (The University of Manchester) (acceptedVersion, other-oa)
Topics: Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Keywords: health anxiety, health information seeking, reassurance seeking, metacognition, physician visits, conceptual blending

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Online health research and health anxiety: A systematic review and conceptual integration.

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