Being Pregnant in the Digital Age: Cyberchondria and Pregnancy Anxiety
Yıl 2025,
Cilt: 7 Sayı: 3, 799 - 808, 19.12.2025
Zehra Acar
,
Asibe Özkan
,
Fatma Gamze Malçok
Öz
Aim: This study aimed to determine the levels of cyberchondria and anxiety among pregnant women and the associated factors.
Material and Method: This descriptive study was conducted with 376 pregnant women. Data were collected using the “Personal and Pregnancy-Related Characteristics Data Form”, the “Pregnancy-Related Anxiety Scale (PrAS),” and the “Cyberchondria Severity Scale-Short Form (CSS-12)”.
Results: 77.1% of the participants reported searching the internet for answers to their pregnancy-related questions. The mean total scores for the CSS-12 and PrAS scales were 28.14 ± 9.28 and 67.3 ± 13.97, respectively. There was a correlation between the CSS-12, its “distress” and “compulsion” subscale, and the PrAS. Additionally, correlations were observed between the PrAS, its “childbirth concerns” and “baby concerns” subscale, and the CSS-12. Pregnancy-related anxiety scores were higher in multiparous pregnant women compared to primiparous women. A correlation was also found between pregnancy-related anxiety scores and the provision of satisfactory answers to participants' questions by midwives and nurses. Furthermore, age acted as a moderator, weakening the impact of cyberchondria on pregnancy anxiety.
Conclusion: The cyclical consequences of pregnancy anxiety and internet use should be examined, and interventions or recommendations should be developed to reduce the negative impact of cyberchondria on mental health.
Etik Beyan
The study was conducted in compliance with the Helsinki Declaration after obtaining ethical approval Başakşehir Çam ve Sakura City Hospital Ethical Commite (approval number 2024/120) on February 16, 2024. The researchers verbally informed all participants about the study’s purpose and procedures and obtained their informed consent before inclusion in the study.
Kaynakça
-
Bayrampour, H., Ali, E., McNeil, D.A., Benzies, K., MacQueen, G., Tough, S. (2016). Pregnancy-related anxiety: A concept analysis. International Journal of Nursing Studies, 55, 115–130. doi:10.1016/j.ijnurstu.2015.10.023
-
Berg, M., Widdershoven, G., Miedema, M. (2019). The midwife–client relationship and pregnancy-related anxiety: A qualitative study. Midwifery, 74, 24–31. doi:10.1016/S0266-6138(05)80197-4
-
Brunton, R. J., Dryer, R., Saliba, A., Kohlhoff, J. (2019). The initial development of the Pregnancy-related Anxiety Scale. Women and Birth, 32, e118–e130. doi:10.1016/j.wombi.2018.05.004
-
Citak Bilgin, N., Coskun, H., Coskuner Potur, D., Ibar Aydin, E., Uca, E. (2021). Psychosocial predictors of the fear of childbirth in Turkish pregnant women. Journal of Psychosomatic Obstetrics & Gynecology, 42, 123–131. doi:10.1080/0167482X.2020.1734791
-
Conrad, M. (2022). Health information-seeking internet behaviors among pregnant women: A narrative literature review. Journal of Reproductive and Infant Psychology, 42, 194–208. doi:10.1080/02646838.2022.2088711
-
Demir, Y., Dag, E., Ozpinar, S. (2024). The relationship of E-health literacy with cyberchondria: A cross-sectional study on pregnant women. Journal of Health Literacy, 9, 89–101. doi:10.22038/jhl.2024.76171.1501
-
Ellis, L., Roberts, L. (2020). Exploring the use and quality of internet discussion forums in pregnancy: A qualitative analysis. Birth, 47, 153–161. doi:10.1111/birt.12459
-
Fawcett, E. J., Fairbrother, N., Cox, M. L., White, I. R., Fawcett, J. M. (2019). The prevalence of anxiety disorders during pregnancy and the postpartum period: A multivariate Bayesian meta-analysis. The Journal of Clinical Psychiatry, 80, 181. doi:10.4088/JCP.18r12527
-
Gao, L. L., Larsson, M., Luo, S. Y. (2013). Internet use by Chinese women seeking pregnancy-related information. Midwifery, 29, 730–735. doi:10.1016/j.midw.2012.07.003
-
Giacometti, C. F., Galfano, G. S., Wajman, D. S., Cordioli, E., Beck, A. P. A., Podgaec, S. (2024). Internet use by pregnant women during prenatal care. Einstein (São Paulo), 8, eAO0447. doi:10.31744/einstein_journal/2024AO0447
-
Gioia, F., Boursier, V. (2020). What does predict cyberchondria? Evidence from a sample of women. Journal of Psychology and Psychotherapy Research, 7, 68-75. doi:10.12974/2313-1047.2020.07.6
-
Madhavanprabhakaran, G., D’Souza M. S., Nairy, K. S. (2015). Prevalence of pregnancy anxiety and associated factors. International Journal of Africa Nursing Sciences, 3, 1–7. doi: 10.1016/j.ijans.2015.06.002.
-
Gülec Satir, D., Bakir, S. (2024). The relationship between cyberchondria and health anxiety in pregnant women. Journal of Consumer Health on the Internet, 1-13. doi:10.1080/0167482X.2023.2265050
-
Huberty, J., Dinkel, D., Beets, M. W., Coleman, J. (2013). Describing the use of the internet for health, physical activity, and nutrition information in pregnant women. Maternal and Child Health Journal, 17, 1363–1372. doi:10.1007/s10995-012-1160-2
-
Jacobs, E. J., Van Steijn, M. E., Van Pampus, M. G. (2019). Internet usage of women attempting pregnancy and pregnant women in the Netherlands. Sexual & Reproductive Healthcare, 21, 9–14. doi:10.1016/j.srhc.2019.04.005
-
Kara, P., Var, E., Nazik, E. (2023). Determination of adaptation to pregnancy and anxiety levels in primiparous pregnant women and affecting factors. Journal of Nursology, 26, 280–286. doi:10.5152/JANHS.2023.23505
-
Solt Kırca, A., Kanza Gül, D. (2020). Gebelik ile İlişkili Anksiyete Ölçeği: Türkçe geçerlilik ve güvenirlik çalışması. Celal Bayar Üniversitesi Sağlık Bilimleri Dergisi, 7, 529–537. doi:10.34087/cbusbed.757864
-
Kulakci Altintas, H., Kilci Erciyas, S., Cetin, S. (2023). Factors affecting health literacy and pregnancy stress in pregnant women. International Journal of Caring Sciences, 16, 686.
-
McCarthy, M., Houghton, C., Matvienko-Sikar, K. (2021). Women’s experiences and perceptions of anxiety and stress during the perinatal period: a systematic review and qualitative evidence synthesis. BMC Pregnancy Childbirth, 21, 1–12. doi:10.1186/s12884-021-04271-w
-
McElroy, E., Kearney, M., Touhey, J., Evans, J., Cooke, Y., Shevlin, M. (2019). The CSS-12: Development and validation of a short-form version of the Cyberchondria Severity Scale. Cyberpsychology, Behavior, and
Social Networking, 22, 330–335. doi:10.1089/cyber.2018.0624
-
Muse, K., McManus, F., Leung, C., Meghreblian, B., Williams, J.M. (2012). Cyberchondriasis: Fact or fiction? A preliminary examination of the relationship between health anxiety and searching for health information on the internet. Journal of Anxiety Disorders, 26, 189–196. doi:10.1016/j.janxdis.2011.11.005
-
Norr, A. M., Albanese, B. J., Oglesby, M. E., Allan, N. P., Schmidt, N. B. (2015). Anxiety sensitivity and intolerance of uncertainty as potential risk factors for cyberchondria. Journal of Affective Disorders, 174, 64–69. doi:10.1016/j.jad.2014.11.023
-
Özkan, O., Sungur, C., Özer, Ö. (2022). Investigation of cyberchondria level and digital literacy on women in Turkey. Journal of Human Behavior in the Social Environment, 32, 768–780. doi:10.1080/10911359.2021.1962776
-
Prescott, J., Mackie, L. (2017). ‘You sort of go down a rabbit hole… You’re just going to keep on searching’: A qualitative study of searching online for pregnancy-related information during pregnancy. Journal of Medical Internet Research, 19, e194. doi:10.2196/jmir.6302
-
Prescott, J., Mackie, L., Rathbone, A. L. (2018). Predictors of health anxiety during pregnancy. mHealth, 4, 1–8. doi:10.21037/mhealth.2018.04.0
-
Sahan, F. U., Purtul, S. (2023). Health anxiety and eHealth literacy as predictors of cyberchondria in women. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 14, 454–461. doi:10.31067/acusaglik.1285876
-
Sayakhot, P., Carolan-Olah, M. (2016). Internet use by pregnant women seeking pregnancy-related information: A systematic review. BMC Pregnancy and Childbirth, 16, 65. doi:10.1186/s12884-016-0856-5
-
Silva, M. M. D. J., Nogueira, D. A., Clapis, M. J., Leite, E. P. R. C. (2017). Anxiety in pregnancy: Prevalence and associated factors. Revista da Escola de Enfermagem da USP, 51, e03253. doi:10.1590/S1980-220X2016048003253
-
Šoštarić, M., Mikac, U., Jokić-Begić, N. (2023). Understanding cyberchondria in pregnant women: Longitudinal assessment of risk factors, triggers, and outcomes. Journal of Psychosomatic Obstetrics & Gynecology, 44, 2265050. doi:10.1080/0167482X.2023.2265050
-
Soto-Balbuena, C., Rodríguez, M. F., Escudero Gomis, A. I., Ferrer Barriendos, F. J., Le, H. N., Pmb-Huca, G. (2018). Incidence, prevalence and risk factors related to anxiety symptoms during pregnancy. Psicothema, 30, 257-263. doi:10.7334/psicothema2017.379.
-
Söyler, S., Biçer, İ., Çavmak, D. (2021). Siberkondri Ciddiyeti Ölçeği Kısa Formu (CSS-12) Türkçe geçerlik ve güvenirlik çalışması. In S. Uyar & R. Kıraç (Eds.), Davranışsal Boyutları ile Sağlık (pp. 1–13). Nobel Bilimsel.
-
Stoll, K., Hall, W. (2013). Attitudes and preferences of young women with low and high fear of childbirth. Qualitative Health Research, 23, 1495–1505. doi:10.1177/1049732313507501
-
Yorgancıoğlu Tarcan, G., Karahan, A., Sebik, N. B. (2023). Validity and reliability of the short form cyberchondry (CSS-12) severity scale: a specific application for health informatics. Hacettepe Sağlık İdaresi Dergisi, 26, 207-218.
Dijital Çağda Gebe Olmak: Siberkondri ve Gebelik Anksiyetesi
Yıl 2025,
Cilt: 7 Sayı: 3, 799 - 808, 19.12.2025
Zehra Acar
,
Asibe Özkan
,
Fatma Gamze Malçok
Öz
Amaç: Bu çalışmada gebelerde siberkondri ve anksiyete düzeylerinin ve ilişkili faktörlerin belirlenmesi amaçlanmıştır.
Gereç ve Yöntem: Tanımlayıcı tipteki bu çalışma 376 gebe ile yürütülmüştür. Veriler “Kişisel ve Gebelikle İlgili Özellikler Veri Formu”, “Gebelikle İlgili Anksiyete Ölçeği (PrAS)” ve “Siberkondria Şiddet Ölçeği-Kısa Formu (CSS-12)” kullanılarak toplanmıştır.
Bulgular: Katılımcıların %77.1'i gebelikle ilgili sorularına yanıt bulmak için internette arama yaptığını bildirmiştir. CSS-12 ve PrAS ölçekleri için ortalama toplam puanlar sırasıyla 28.14 ± 9.28 ve 67.3 ± 13.97 idi. CSS-12'nin “sıkıntı” (r=0.185) ve “kompulsiyon” (r=0.183) alt ölçekleri ile PrAS arasında korelasyon bulunmuştur. Ayrıca, PrAS'ın “doğum endişeleri” (r=0.321) ve “bebek endişeleri” (r=0.151) alt ölçekleri ile CSS-12 arasında korelasyon bulunmuştur. Gebelikle ilgili kaygı puanları multipar gebelerde primipar gebelere kıyasla daha yüksektir. Gebelikle ilgili kaygı puanları ile ebe ve hemşirelerin katılımcıların sorularına tatmin edici yanıtlar vermesi arasında da bir korelasyon bulunmuştur. Ayrıca yaş, siberkondrinin gebelik anksiyetesi üzerindeki etkisini zayıflatan bir moderatör görevi görmüştür.
Sonuç: Gebelik anksiyetesi ve internet kullanımının döngüsel sonuçları incelenmeli ve siberkondrinin ruh sağlığı üzerindeki olumsuz etkisini azaltmak için müdahaleler veya öneriler geliştirilmelidir.
Kaynakça
-
Bayrampour, H., Ali, E., McNeil, D.A., Benzies, K., MacQueen, G., Tough, S. (2016). Pregnancy-related anxiety: A concept analysis. International Journal of Nursing Studies, 55, 115–130. doi:10.1016/j.ijnurstu.2015.10.023
-
Berg, M., Widdershoven, G., Miedema, M. (2019). The midwife–client relationship and pregnancy-related anxiety: A qualitative study. Midwifery, 74, 24–31. doi:10.1016/S0266-6138(05)80197-4
-
Brunton, R. J., Dryer, R., Saliba, A., Kohlhoff, J. (2019). The initial development of the Pregnancy-related Anxiety Scale. Women and Birth, 32, e118–e130. doi:10.1016/j.wombi.2018.05.004
-
Citak Bilgin, N., Coskun, H., Coskuner Potur, D., Ibar Aydin, E., Uca, E. (2021). Psychosocial predictors of the fear of childbirth in Turkish pregnant women. Journal of Psychosomatic Obstetrics & Gynecology, 42, 123–131. doi:10.1080/0167482X.2020.1734791
-
Conrad, M. (2022). Health information-seeking internet behaviors among pregnant women: A narrative literature review. Journal of Reproductive and Infant Psychology, 42, 194–208. doi:10.1080/02646838.2022.2088711
-
Demir, Y., Dag, E., Ozpinar, S. (2024). The relationship of E-health literacy with cyberchondria: A cross-sectional study on pregnant women. Journal of Health Literacy, 9, 89–101. doi:10.22038/jhl.2024.76171.1501
-
Ellis, L., Roberts, L. (2020). Exploring the use and quality of internet discussion forums in pregnancy: A qualitative analysis. Birth, 47, 153–161. doi:10.1111/birt.12459
-
Fawcett, E. J., Fairbrother, N., Cox, M. L., White, I. R., Fawcett, J. M. (2019). The prevalence of anxiety disorders during pregnancy and the postpartum period: A multivariate Bayesian meta-analysis. The Journal of Clinical Psychiatry, 80, 181. doi:10.4088/JCP.18r12527
-
Gao, L. L., Larsson, M., Luo, S. Y. (2013). Internet use by Chinese women seeking pregnancy-related information. Midwifery, 29, 730–735. doi:10.1016/j.midw.2012.07.003
-
Giacometti, C. F., Galfano, G. S., Wajman, D. S., Cordioli, E., Beck, A. P. A., Podgaec, S. (2024). Internet use by pregnant women during prenatal care. Einstein (São Paulo), 8, eAO0447. doi:10.31744/einstein_journal/2024AO0447
-
Gioia, F., Boursier, V. (2020). What does predict cyberchondria? Evidence from a sample of women. Journal of Psychology and Psychotherapy Research, 7, 68-75. doi:10.12974/2313-1047.2020.07.6
-
Madhavanprabhakaran, G., D’Souza M. S., Nairy, K. S. (2015). Prevalence of pregnancy anxiety and associated factors. International Journal of Africa Nursing Sciences, 3, 1–7. doi: 10.1016/j.ijans.2015.06.002.
-
Gülec Satir, D., Bakir, S. (2024). The relationship between cyberchondria and health anxiety in pregnant women. Journal of Consumer Health on the Internet, 1-13. doi:10.1080/0167482X.2023.2265050
-
Huberty, J., Dinkel, D., Beets, M. W., Coleman, J. (2013). Describing the use of the internet for health, physical activity, and nutrition information in pregnant women. Maternal and Child Health Journal, 17, 1363–1372. doi:10.1007/s10995-012-1160-2
-
Jacobs, E. J., Van Steijn, M. E., Van Pampus, M. G. (2019). Internet usage of women attempting pregnancy and pregnant women in the Netherlands. Sexual & Reproductive Healthcare, 21, 9–14. doi:10.1016/j.srhc.2019.04.005
-
Kara, P., Var, E., Nazik, E. (2023). Determination of adaptation to pregnancy and anxiety levels in primiparous pregnant women and affecting factors. Journal of Nursology, 26, 280–286. doi:10.5152/JANHS.2023.23505
-
Solt Kırca, A., Kanza Gül, D. (2020). Gebelik ile İlişkili Anksiyete Ölçeği: Türkçe geçerlilik ve güvenirlik çalışması. Celal Bayar Üniversitesi Sağlık Bilimleri Dergisi, 7, 529–537. doi:10.34087/cbusbed.757864
-
Kulakci Altintas, H., Kilci Erciyas, S., Cetin, S. (2023). Factors affecting health literacy and pregnancy stress in pregnant women. International Journal of Caring Sciences, 16, 686.
-
McCarthy, M., Houghton, C., Matvienko-Sikar, K. (2021). Women’s experiences and perceptions of anxiety and stress during the perinatal period: a systematic review and qualitative evidence synthesis. BMC Pregnancy Childbirth, 21, 1–12. doi:10.1186/s12884-021-04271-w
-
McElroy, E., Kearney, M., Touhey, J., Evans, J., Cooke, Y., Shevlin, M. (2019). The CSS-12: Development and validation of a short-form version of the Cyberchondria Severity Scale. Cyberpsychology, Behavior, and
Social Networking, 22, 330–335. doi:10.1089/cyber.2018.0624
-
Muse, K., McManus, F., Leung, C., Meghreblian, B., Williams, J.M. (2012). Cyberchondriasis: Fact or fiction? A preliminary examination of the relationship between health anxiety and searching for health information on the internet. Journal of Anxiety Disorders, 26, 189–196. doi:10.1016/j.janxdis.2011.11.005
-
Norr, A. M., Albanese, B. J., Oglesby, M. E., Allan, N. P., Schmidt, N. B. (2015). Anxiety sensitivity and intolerance of uncertainty as potential risk factors for cyberchondria. Journal of Affective Disorders, 174, 64–69. doi:10.1016/j.jad.2014.11.023
-
Özkan, O., Sungur, C., Özer, Ö. (2022). Investigation of cyberchondria level and digital literacy on women in Turkey. Journal of Human Behavior in the Social Environment, 32, 768–780. doi:10.1080/10911359.2021.1962776
-
Prescott, J., Mackie, L. (2017). ‘You sort of go down a rabbit hole… You’re just going to keep on searching’: A qualitative study of searching online for pregnancy-related information during pregnancy. Journal of Medical Internet Research, 19, e194. doi:10.2196/jmir.6302
-
Prescott, J., Mackie, L., Rathbone, A. L. (2018). Predictors of health anxiety during pregnancy. mHealth, 4, 1–8. doi:10.21037/mhealth.2018.04.0
-
Sahan, F. U., Purtul, S. (2023). Health anxiety and eHealth literacy as predictors of cyberchondria in women. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 14, 454–461. doi:10.31067/acusaglik.1285876
-
Sayakhot, P., Carolan-Olah, M. (2016). Internet use by pregnant women seeking pregnancy-related information: A systematic review. BMC Pregnancy and Childbirth, 16, 65. doi:10.1186/s12884-016-0856-5
-
Silva, M. M. D. J., Nogueira, D. A., Clapis, M. J., Leite, E. P. R. C. (2017). Anxiety in pregnancy: Prevalence and associated factors. Revista da Escola de Enfermagem da USP, 51, e03253. doi:10.1590/S1980-220X2016048003253
-
Šoštarić, M., Mikac, U., Jokić-Begić, N. (2023). Understanding cyberchondria in pregnant women: Longitudinal assessment of risk factors, triggers, and outcomes. Journal of Psychosomatic Obstetrics & Gynecology, 44, 2265050. doi:10.1080/0167482X.2023.2265050
-
Soto-Balbuena, C., Rodríguez, M. F., Escudero Gomis, A. I., Ferrer Barriendos, F. J., Le, H. N., Pmb-Huca, G. (2018). Incidence, prevalence and risk factors related to anxiety symptoms during pregnancy. Psicothema, 30, 257-263. doi:10.7334/psicothema2017.379.
-
Söyler, S., Biçer, İ., Çavmak, D. (2021). Siberkondri Ciddiyeti Ölçeği Kısa Formu (CSS-12) Türkçe geçerlik ve güvenirlik çalışması. In S. Uyar & R. Kıraç (Eds.), Davranışsal Boyutları ile Sağlık (pp. 1–13). Nobel Bilimsel.
-
Stoll, K., Hall, W. (2013). Attitudes and preferences of young women with low and high fear of childbirth. Qualitative Health Research, 23, 1495–1505. doi:10.1177/1049732313507501
-
Yorgancıoğlu Tarcan, G., Karahan, A., Sebik, N. B. (2023). Validity and reliability of the short form cyberchondry (CSS-12) severity scale: a specific application for health informatics. Hacettepe Sağlık İdaresi Dergisi, 26, 207-218.