中国有癌症家族史的成年人网络健康信息寻求与心理困扰的关联：网络搜索对医患沟通的减弱作用

IF 2.9 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Patient Education and Counseling Pub Date : 2025-04-24 DOI:10.1016/j.pec.2025.108799

Yuyuan Kylie Lai , Jizhou Francis Ye , Changhao Yan , Xinshu Zhao

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引用次数: 0

摘要

目的癌症家族史患者所面临的心理困扰已成为一个值得关注的问题。本研究探讨了网络健康信息搜索（IHIS）与心理困扰的关系，重点研究了癌症信息超载和癌症担忧的中介作用，以及网络搜索的医患沟通的调节作用。方法在2023年进行了一项具有全国代表性的在线调查。本研究纳入了580名患有FCH且无个人癌症史的中国成年人。采用有调节的中介分析。结果his与心理困扰无直接关系。然而，它增加了癌症信息超载和癌症担忧，这反过来又加剧了心理困扰。此外，在与医疗保健提供者讨论在线搜索的人群中，IHIS与癌症信息过载之间的正相关关系变得不显著。结论本研究阐明了癌症信息超载和癌症担忧的中介机制，有助于理解FCH患者IHIS与心理困扰的关系。医患沟通可以起到预防作用，减轻这些不良反应。实际意义鼓励患者与临床医生就互联网健康信息进行对话，可能有望抑制癌症信息过载。医疗服务提供者应积极参与此类讨论，以支持患者的心理健康。

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Linking internet health information seeking to psychological distress among Chinese adults with a family cancer history: The attenuating role of patient–clinician communication of internet searches

Objective

The psychological distress faced by individuals with a family cancer history (FCH) has emerged as a significant concern. This study examined the relationship between Internet health information seeking (IHIS) and psychological distress, focusing on the mediating roles of cancer information overload and cancer worry and the moderating role of patient–clinician communication of Internet searches.

Methods

In 2023, a nationally representative online survey was conducted. This research encompassed a cohort of 580 Chinese adults with FCH and no personal cancer history. Moderated mediation analysis was employed.

Results

IHIS was not directly associated with psychological distress. However, it increased cancer information overload and cancer worry, which in turn exacerbated psychological distress. In addition, among people who discussed their online searches with healthcare providers, the positive association between IHIS and cancer information overload became nonsignificant.

Conclusion

The current study elucidates a mediation mechanism of cancer information overload and cancer worry in understanding the association between IHIS and psychological distress among individuals with FCH. Patient–clinician communication serves a prophylactic role by attenuating these adverse effects.

Practical implications

Encouraging patient–clinician dialogues about Internet health information may be promising in curbing cancer information overload. Healthcare providers should proactively engage in such discussions to support patients’ psychological health.

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来源期刊

Patient Education and Counseling 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

11.40%

发文量

384

审稿时长

46 days

期刊介绍： Patient Education and Counseling is an interdisciplinary, international journal for patient education and health promotion researchers, managers and clinicians. The journal seeks to explore and elucidate the educational, counseling and communication models in health care. Its aim is to provide a forum for fundamental as well as applied research, and to promote the study of organizational issues involved with the delivery of patient education, counseling, health promotion services and training models in improving communication between providers and patients.