Hypochondriasis Clinical Trial
Official title:
An Examination of the Effects of Health-related Internet Use in Individuals With Pathological Health Anxiety in a Randomized Controlled Trial
The purpose of the current study is to examine the effects of health-related internet use on affect, health anxiety and symptom severity in individuals with pathological levels of health anxiety. The present randomized controlled study compares an online medical searching condition with a waiting (i.e. non-searching) condition to manipulate the attentional focus. After an induction of health anxiety using the Autobiographical Emotional Memory Task the participants in the searching condition go online and search for subjectively relevant health information (external focus of attention). Individuals in the waiting (i.e. non-searching) condition are requested to do nothing and not to distract themselves (internal focus of attention).
The internet is a popular method for obtaining information. Increasingly, it is also used to
answer medical and health related questions, because compared to other methods (e.g. going
to the library or visiting a doctor) it has a number of advantages to offer like low costs,
availability, easy accessibility, anonymity, and great diversity of information types and
sources. 60 to 80 percent of internet users search online for medical information. In this
context the term "cyberchondria" was coined in the media to describe the potentially
detrimental effects of this behavior. The first studies in this field using self-report
retrospective data showed that individuals with elevated levels of health anxiety seem to
make increased use of the internet for this purpose and it seems to maintain health anxiety
in the long-term. However, up until today little is known about the consequences of this
behavior and the maintaining mechanism.
This randomized controlled experimental study investigates the effects of health-related
internet use on affect, symptom severity and health anxiety in individuals with pathological
health anxiety. Participants will first undergo a baseline assessment. After that health
anxiety is induced using the Autobiographical Emotional Memory Task and participants
complete another assessment. Then participants are randomly assigned to either an online
medical searching condition (experimental group, EG) or a non-searching condition (control
group, CG) to manipulate attentional focus. The EG is requested to search online for health
information (external focus of attention), the CG is requested to do nothing and not to
distract themselves (internal focus of attention). Then another assessment is completed and
the treatment groups are compared regarding the effects on affect, symptom severity and
health anxiety. Besides examining these effects a further aim of this study is to identify
the underlying mechanism. Two possibilities are supposed: a) An increase of the variables of
interest due to health-related information or b) a decrease due to externalization.
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