中国慢性病患者的网络疑病症：健康相关社交媒体使用和以患者为中心的在线交流的不同作用

IF 3.1 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Patient Education and Counseling Pub Date : 2025-09-09 DOI:10.1016/j.pec.2025.109337

Yuyuan Kylie Lai , Ze Lai , Xinshu Zhao

{"title":"中国慢性病患者的网络疑病症：健康相关社交媒体使用和以患者为中心的在线交流的不同作用","authors":"Yuyuan Kylie Lai , Ze Lai , Xinshu Zhao","doi":"10.1016/j.pec.2025.109337","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>Cyberchondria poses escalating challenges for chronic disease patients who increasingly rely on digital platforms for health information, yet the differential roles of online health engagement modalities remain understudied. Drawing on the stress-strain-outcome (SSO) model, this study examines how health-related social media use (SMU) and online patient-centered communication (OPCC) are associated with cyberchondria among Chinese chronic disease patients, investigating negative affect toward online health information as a mediator and eHealth literacy as a moderator.</div></div><div><h3>Methods</h3><div>A national survey was conducted from October 2024 to January 2025. This research encompassed a cohort of 827 chronic disease participants. R and RStudio were used for data analysis.</div></div><div><h3>Results</h3><div>More frequent health-related SMU was positively associated with cyberchondria, both directly and indirectly, through increased negative affect. In contrast, OPCC was exclusively linked to alleviated cyberchondria via reduced negative affect. Furthermore, patients with higher eHealth literacy experience less negative affect from health-related SMU.</div></div><div><h3>Conclusion</h3><div>These findings extend the SSO model by demonstrating divergent technology-specific psychological pathways and highlighting the potential protective role of OPCC.</div></div><div><h3>Practical implications</h3><div>Our results suggest that enhancing chronic disease patients’ digital health competencies and developing OPCC could effectively counteract cyberchondria in the digital era.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"141 ","pages":"Article 109337"},"PeriodicalIF":3.1000,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Counteracting cyberchondria in Chinese chronic disease patients: The divergent roles of health-related social media use and online patient-centered communication\",\"authors\":\"Yuyuan Kylie Lai , Ze Lai , Xinshu Zhao\",\"doi\":\"10.1016/j.pec.2025.109337\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><div>Cyberchondria poses escalating challenges for chronic disease patients who increasingly rely on digital platforms for health information, yet the differential roles of online health engagement modalities remain understudied. Drawing on the stress-strain-outcome (SSO) model, this study examines how health-related social media use (SMU) and online patient-centered communication (OPCC) are associated with cyberchondria among Chinese chronic disease patients, investigating negative affect toward online health information as a mediator and eHealth literacy as a moderator.</div></div><div><h3>Methods</h3><div>A national survey was conducted from October 2024 to January 2025. This research encompassed a cohort of 827 chronic disease participants. R and RStudio were used for data analysis.</div></div><div><h3>Results</h3><div>More frequent health-related SMU was positively associated with cyberchondria, both directly and indirectly, through increased negative affect. In contrast, OPCC was exclusively linked to alleviated cyberchondria via reduced negative affect. Furthermore, patients with higher eHealth literacy experience less negative affect from health-related SMU.</div></div><div><h3>Conclusion</h3><div>These findings extend the SSO model by demonstrating divergent technology-specific psychological pathways and highlighting the potential protective role of OPCC.</div></div><div><h3>Practical implications</h3><div>Our results suggest that enhancing chronic disease patients’ digital health competencies and developing OPCC could effectively counteract cyberchondria in the digital era.</div></div>\",\"PeriodicalId\":49714,\"journal\":{\"name\":\"Patient Education and Counseling\",\"volume\":\"141 \",\"pages\":\"Article 109337\"},\"PeriodicalIF\":3.1000,\"publicationDate\":\"2025-09-09\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Patient Education and Counseling\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0738399125007049\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Patient Education and Counseling","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0738399125007049","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}

引用次数: 0

摘要

慢性疾病患者越来越依赖数字平台获取健康信息，而网络健康参与模式的不同作用仍未得到充分研究。利用压力-应变-结果（SSO）模型，本研究探讨了与健康相关的社交媒体使用（SMU）和在线以患者为中心的沟通（OPCC）与中国慢性病患者的网络疑病症之间的关系，调查了对在线健康信息的负面影响作为中介和电子健康素养作为调节因子。方法于2024年10月至2025年1月进行全国调查。这项研究包括了827名慢性疾病参与者。使用R和RStudio进行数据分析。结果更频繁的与健康相关的SMU与网络疑病呈正相关，直接或间接地通过增加的负面影响。相比之下，OPCC仅通过减少负面影响来缓解网络疑病。此外，电子健康素养较高的患者较少受到与健康相关的SMU的负面影响。结论这些发现通过展示不同的技术特异性心理通路扩展了SSO模型，并突出了OPCC的潜在保护作用。研究结果表明，提高慢性病患者的数字健康能力和发展OPCC可以有效应对数字时代的网络疑病。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Counteracting cyberchondria in Chinese chronic disease patients: The divergent roles of health-related social media use and online patient-centered communication

Objective

Cyberchondria poses escalating challenges for chronic disease patients who increasingly rely on digital platforms for health information, yet the differential roles of online health engagement modalities remain understudied. Drawing on the stress-strain-outcome (SSO) model, this study examines how health-related social media use (SMU) and online patient-centered communication (OPCC) are associated with cyberchondria among Chinese chronic disease patients, investigating negative affect toward online health information as a mediator and eHealth literacy as a moderator.

Methods

A national survey was conducted from October 2024 to January 2025. This research encompassed a cohort of 827 chronic disease participants. R and RStudio were used for data analysis.

Results

More frequent health-related SMU was positively associated with cyberchondria, both directly and indirectly, through increased negative affect. In contrast, OPCC was exclusively linked to alleviated cyberchondria via reduced negative affect. Furthermore, patients with higher eHealth literacy experience less negative affect from health-related SMU.

Conclusion

These findings extend the SSO model by demonstrating divergent technology-specific psychological pathways and highlighting the potential protective role of OPCC.

Practical implications

Our results suggest that enhancing chronic disease patients’ digital health competencies and developing OPCC could effectively counteract cyberchondria in the digital era.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

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.