Cited by 65Health Literacy and Information AccessibilityPsychosomatic Disorders and Their TreatmentsInformation Retrieval and Search Behavior

Health anxiety and Internet use: A thematic analysis

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Singh, Karmpaul, Fox, John R. E., Brown, Richard J.·2016·Cyberpsychology: Journal of Psychosocial Research on Cyberspace

Abstract

The current study aimed to obtain health anxious students’ perspectives on their reasons for using the Internet to obtain health information, and the nature and effects of such usage. Data were gathered using semi-structured interviews with 20 postgraduate and undergraduate students identified as highly health anxious, and were examined using thematic analysis. Results suggested that themes were organized by different stages of the search process. Reasons for searching included curiosity, anxiety/worry about undiagnosed symptoms, and remedy-seeking. Both positive (e.g. reassurance) and negative (e.g. uncertainty) outcomes were reported. Findings from the current study suggest that the Internet constitutes an important resource for obtaining health information by health anxious individuals, with the potential to both reduce and exacerbate health anxiety.

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  • Singh and Brown found a positive association between HA and the frequency of using the internet to obtain wellness information.

    “In this context, Singh and Brown [1] found a positive association between HA and the frequency of using the internet to obtain wellness information.”

    From Conceptualizations of cyberchondria and relations to the anxiety spectrum: Systematic review and meta-analysis (2021) · cites this paper as [1]

    The Introduction (page unavailable) says Internet use for health purposes is higher among people with health anxiety. But it attributes that evidence to earlier studies, while this paper used qualitative interviews with a high-health-anxiety sample; it does not report its own positive association between health anxiety and search frequency. (LLM, conf=0.86)

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  • Only 2 qualitative studies have addressed the question of triggers for health-related internet use, both using semistructured interviews with participants with high levels of HA (N=8, SHAI>16 points; N=20, SHAI>18 points).

    “To our knowledge, only 2 qualitative studies have addressed this question, both using semistructured interviews with participants with high levels of HA (ie, participants’ SHAI scores exceeded a critical cutoff, indicating clinically significant HA (N=8, SHAI>16 points [90]; N=20, SHAI>18 points [1]).”

    From Conceptualizations of cyberchondria and relations to the anxiety spectrum: Systematic review and meta-analysis (2021) · cites this paper as [1]

    The Research Context describes semi-structured interviews, and Method Participants reports 20 interviewees selected for high health anxiety. The cutoff was SHAI ≥18, not >18 as the citing sentence states. The claim that there were only two such studies is the citing authors’ framing, and the N=8 study has a separate citation. (LLM, conf=0.86)

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  • Qualitative data suggest that a certain mistrust of medical professionals and, specifically, of doctors, may play an important role.

    “Furthermore, qualitative data suggest that a certain mistrust of medical professionals and, specifically, of doctors, may play an important role [1].”
  • Interview studies revealed that uncertainty, fright, anxiety, worry, and nervousness could be experienced as a consequence of health-related internet use.

    “Interview studies revealed that uncertainty, fright, anxiety, worry, and nervousness [1,90] could be experienced as a consequence of health-related internet use.”
  • Positive emotional consequences of health-related internet use were also found, such as relief and calm.

    “Besides the reported results confirming the postulated negative emotional consequences of health-related internet use, it should be noted that positive emotional consequences were also found, such as relief and calm [1,11,90].”

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Authors
Singh, K., Fox, J. R. E., & Brown, R. J.
Affiliations
University of Manchester (GB)
Venue
Cyberpsychology: Journal of Psychosocial Research on Cyberspace
Published
2016-07-01
Volume
10
Issue
2
ISSN
1802-7962 (ISSN-L)
OpenAlex
W2501868388
Cited by
65
References
44
Citations by year
2026: 9 · 2025: 9 · 2024: 4 · 2023: 6 · 2022: 14 · 2021: 6 · 2020: 5 · 2019: 6 · 2018: 3 · 2017: 1 · 2015: 1 · 2012: 1
FWCI
6.21
Type
journal article
Language
en
Open access
Licence
cc-by-nc-nd
Locations
  • Cyberpsychology Journal of Psychosocial Research on Cyberspace (publishedVersion, cc-by-nc-nd)
  • Research Explorer (The University of Manchester) (publishedVersion, other-oa)
  • White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
  • ORCA Online Research @Cardiff (Cardiff University) (submittedVersion)
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
  • Physical Sciences › Computer Science › Information Systems › Information Retrieval and Search Behavior
Keywords
health anxiety, internet use, health information seeking, university students, reassurance, uncertainty, online health information

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