Araştırma Makalesi
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E-Sağlık Okuryazarlığı ile Siberkondri Arasındaki İlişkide Sağlık Anksiyetesinin Rolü

Yıl 2025, Cilt: 2 Sayı: 1, 1 - 21, 29.06.2025

Öz

Günümüzde dijital sağlık bilgi kaynaklarının yaygınlaşması, bireylerin sağlıkla ilgili kaygılarını ve bilgi arama davranışlarını önemli ölçüde etkilemektedir. Bu durum, e-sağlık okuryazarlığı, siberkondri ve sağlık anksiyetesi arasındaki ilişkilerin daha derinlemesine incelenmesini gerekli kılmaktadır. Bu araştırmada, bireylerin e-sağlık okuryazarlığı ile siberkondri ciddiyeti arasındaki ilişkide sağlık anksiyetesinin rolü incelenmiştir. Bu amaç doğrultusunda, İstanbul’da yaşayan 18-65 yaş aralığındaki 385 katılımcıya elektronik anket yöntemiyle ulaşılarak veriler toplanmıştır. Araştırmada veri toplama aracı olarak E-Sağlık Okuryazarlığı Ölçeği (eHEALS), Siberkondri Ciddiyet Ölçeği (CSS) ve Sağlık Anksiyetesi Envanteri (HAI) kullanılmıştır. Elde edilen verilerin yapısal geçerliliğini belirlemek amacıyla normallik analizi, doğrulayıcı faktör analizi (DFA) ve güvenirlik analizi uygulanmıştır. Hipotezlerin test edilmesi için korelasyon analizi gerçekleştirilmiş; yol analizi ve aracılık etkisinin incelenmesi için Yapısal Eşitlik Modellemesi’nden (YEM) yararlanılmıştır. Araştırma bulguları, sağlık anksiyetesinin e-sağlık okuryazarlığı ile siberkondri arasındaki ilişkide aracı bir değişken olarak rol oynadığını ortaya koymaktadır. Buna göre, yüksek e-sağlık okuryazarlığına sahip olan bireylerin sağlık anksiyetesi düzeyleri azalmakta ve bu durum bireylerin siberkondri eğilimlerini düşürmektedir. Model kapsamında bu üç değişkenin birlikte ele alınması, aralarındaki etkileşim dinamiklerinin anlaşılmasını sağlamış ve literatüre önemli bir metodolojik katkı sunmuştur. Ayrıca, araştırma sağlık profesyonelleri ve politika yapıcılar için e-sağlık okuryazarlığının artırılmasının, bireylerin dijital sağlık bilgi arayışı süreçlerinde daha sağlıklı davranışlar sergilemelerine katkı sağlayabileceğine dair önemli bir rehber niteliği taşımaktadır.

Kaynakça

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The Role of Health Anxiety in the Relationship Between E-Health Literacy and Cyberchondria

Yıl 2025, Cilt: 2 Sayı: 1, 1 - 21, 29.06.2025

Öz

In recent times, the expansion of digital health information sources has significantly influenced individuals’ health-related concerns and their activities in seeking medical information. This situation underscores the need for a more detailed investigation into the relationships between e-health literacy, cyberchondria, and health anxiety. This study investigated the role of health anxiety in the relationship between individuals’ e-health literacy and the severity of cyberchondria. To achieve this objective, data were collected through an electronic survey administered to 385 participants aged 18 to 65 residing in Istanbul. The study utilized the e-Health Literacy Scale (eHEALS), the Cyberchondria Severity Scale (CSS), and the Health Anxiety Inventory (HAI) as data collection instruments. To assess the structural validity of the dataset, normality analysis, confirmatory factor analysis (CFA), and reliability analysis were conducted. Hypothesis testing was performed using correlation analysis, while path analysis and mediation testing were conducted through Structural Equation Modeling (SEM). The research findings indicate that health anxiety plays a mediating role in the relationship between e-health literacy and cyberchondria. Accordingly, individuals with high e-health literacy experience reduced health anxiety, which in turn leads to a decrease in their cyberchondria levels. The integration of these three variables within the model has facilitated an enhanced understanding of their interaction dynamics, providing a significant methodological contribution to the literature. Furthermore, the research offers a valuable guide for healthcare professionals and policymakers, suggesting that enhancing e-health literacy can encourage individuals to adopt healthier behaviors during the digital health information search process.

Etik Beyan

This study was carried out with the approval of the Istanbul Beykent University Social and Human Sciences Ethics Committee with the letter numbered E-45778635-050.99-173358 and the decision numbered 03.01.2025.

Destekleyen Kurum

This work was not supported by any funding.

Teşekkür

The author have no acknowledgments.

Kaynakça

  • Abdelsattar, M., Derar, E., Salem, A. A., & Al-Mujaim, F. (2021). Cyberchondria severity, health anxiety, and health locus of control: The mediation role of COVID-19 anxiety. Asean Journal of Psychiatry, 22.
  • Aiken, M., Kirwan, G., Berry, M., & O'Boyle, C. (2012). The age of cyberchondria. Coll. Surg. Ireland 5, 71–74.
  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders, 5th edn, Washington, DC.
  • Anderson, R., Saulsman, L., & Nathan, P. (2011). Helping health anxiety. Perth, Western Australia: Centre for Clinical Interventions, 1-14.
  • Andreassen, H. K., Bujnowska-Fedak, M. M., Chronaki, C. E., Dumitru, R. C., Pudule, I., Santana, S., ... & Wynn, R. (2007). European citizens' use of E-health services: A study of seven countries. BMC Public Health, 7, 1-7.
  • Aydemir, Ö., Kirpinar, I., Sati, T., Uykur, B., & Cengisiz, C. (2013). Sağlık anksiyetesi ölçeği'nin türkçe için güvenilirlik ve geçerlilik çalışması. Archives of Neuropsychiatry/Nöropsikiyatri Arşivi, 50(4).
  • Bajcar, B., & Babiak, J. (2021). Self-esteem and cyberchondria: The mediation effects of health anxiety and obsessive–compulsive symptoms in a community sample. Current Psychology, 40(6), 2820-2831.
  • Baker, D. W., Wolf, M. S., Feinglass, J., Thompson, J. A., Gazmararian, J. A., & Huang, J. (2007). Health literacy and mortality among elderly persons. Archives of Internal Medicine, 167(14), 1503-1509.
  • Baron, R. M. ve Kenny, D. A. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173.
  • Bati, A. H., Mandiracioglu, A., Govsa, F., & Çam, O. (2018). Health anxiety and cyberchondria among Ege University health science students. Nurse Education Today, 71, 169-173.
  • Benigeri, M., & Pluye, P. (2003). Shortcomings of health information on the Internet. Health Promotion International, 18(4), 381-386.
  • Browne, M. W., & Cudeck, R. (1992). Alternative ways of assessing model fit. Sociological Methods & Research, 21(2), 230-258.
  • Brørs, G., Norman, C. D., & Norekvål, T. M. (2020). Accelerated importance of eHealth literacy in the COVID-19 outbreak and beyond. European Journal of Cardiovascular Nursing, 19(6), 458-461.
  • Bryman, A., & Cramer, D. (2002). Quantitative data analysis with SPSS release 10 for Windows: A guide for social scientists. Routledge.
  • Byrne, B. M. (2001). Structural equation modeling with AMOS, EQS, and LISREL: Comparative approaches to testing for the factorial validity of a measuring instrument. International Journal of Testing, 1(1), 55-86.
  • Byrne, B.M. & Campbell, T.L. (1999). Cross-cultural comparisons and the presumption of equivalentmeasurement and theoretical structure: A look beneath the surface. Journal of Cross-Cultural Psycholog, 30, 555-574.
  • Cerin, E., & MacKinnon, D. P. (2009). A commentary on current practice in mediating variable analyses in behavioural nutrition and physical activity. Public Health Nutrition, 12(8), 1182-1188.
  • Cesur, G., Sayraç, N., & Korkmaz, E. (2018). Çocukluk çağı örselenme yaşantıları ve sürekli kaygı arasındaki ilişkide bilinçli farkındalığın rolü. Türk Psikoloji Dergisi, 33(81), 97-109.
  • Dadaczynski, K., Okan, O., Messer, M., Leung, A. Y., Rosário, R., Darlington, E., & Rathmann, K. (2021). Digital health literacy and web-based information-seeking behaviors of university students in Germany during the COVID-19 pandemic: cross-sectional survey study. Journal of Medical Internet Research, 23(1), e24097.
  • Doherty-Torstrick, E. R., Walton, K. E., & Fallon, B. A. (2016). Cyberchondria: Parsing health anxiety from online behavior. Psychosomatics, 57(4), 390-400.
  • Eastin, M. S., & Guinsler, N. M. (2006). Worried and wired: Effects of health anxiety on information-seeking and health care utilization behaviors. CyberPsychology & Behavior, 9(4), 494-498.
  • El-Zayat, A., Namnkani, S. A., Alshareef, N. A., Mustfa, M. M., Eminaga, N. S., & Algarni, G. A. (2023). Cyberchondria and its association with smartphone addiction and electronic health literacy among a Saudi population. Saudi Journal of Medicine & Medical Sciences, 11(2), 162-168.
  • Fang, S., & Mushtaque, I. (2024). The moderating role of health literacy and health promoting behavior in the relationship among health anxiety, emotional regulation, and cyberchondria. Psychology Research and Behavior Management, 51-62.
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  • Kline, R. B. (2023). Principles and practice of structural equation modeling. Guilford Publications.
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  • Lin, Y., & Xu, R. (2024). Assessing cyberchondria and eHealth literacy differences in urban and rural China. European Journal of Public Health, 34(Supplement_3), ckae144-1698.
  • Maftei, A., & Holman, A. C. (2020). Cyberchondria during the coronavirus pandemic: the effects of neuroticism and optimism. Frontiers in Psychology, 11, 567345.
  • Mathes, B. M., Norr, A. M., Allan, N. P., Albanese, B. J., & Schmidt, N. B. (2018). Cyberchondria: Overlap with health anxiety and unique relations with impairment, quality of life, and service utilization. Psychiatry Research, 261, 204-211.
  • Mayukh, N. (2024). The influence of ehealth literacy and self-efficacy on online health information-seeking behaviour among university students: Cyberchondria as a mediator. Journal of Communication, Language and Culture, 4(1), 40-60.
  • McDaid, D., and Park, A. L. (2011). Online Health: Untangling the Web. BUPA Health Pulse. Available online at: www.bupa.com/healthpulse (accessed November 25, 2024).
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  • McMullan, R. D., Berle, D., Arnáez, S., & Starcevic, V. (2019). The relationships between health anxiety, online health information seeking, and cyberchondria: Systematic review and meta-analysis. Journal of Affective Disorders, 245, 270-278.
  • Menon, V., Kar, S. K., Tripathi, A., Nebhinani, N., & Varadharajan, N. (2020). Cyberchondria: Conceptual relation with health anxiety, assessment, management and prevention. Asian Journal of Psychiatry, 53, 102225.
  • Meydan, C.H. ve Şeşen, H. (2011). Yapısal eşitlik modellemesi AMOS uygulamaları. Ankara: Detay Yayıncılık.
  • Mohammed, M. S., Hendawi, N. E. H., El-Ashry, A. M., & Ali, S. S. (2024). The relationship between cyberchondria and health literacy among first year nursing students: The mediating effect of health anxiety.
  • Muse, K., McManus, F., Leung, C., Meghreblian, B., & Williams, J. M. G. (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(1), 189-196.
  • Nadeem, F., Malik, N. I., Atta, M., Ullah, I., Martinotti, G., Pettorruso, M., ... & De Berardis, D. (2022). Relationship between health-anxiety and cyberchondria: Role of metacognitive beliefs. Journal of Clinical Medicine, 11(9), 2590.
  • Norman, C. D., & Skinner, H. A. (2006). eHealth literacy: essential skills for consumer health in a networked world. Journal of Medical Internet Research, 8(2), e506.
  • 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.
  • Paige, S. R. (2020). Health promotion and chronic disease prevention with eHealth technology in the general population. Nutrition, Fitness, and Mindfulness: An Evidence-Based Guide for Clinicians, 225-236.
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  • Potur, İ. S., Secen, E. I., & Desdicioglu, R. (2024). The relationship between e-health literacy and cyberchondria severity with participation in cervical cancer screening. Ankara Medical Journal, 24(2), 98-111.
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  • Schermelleh-Engel, K. & Moosbrugger, H. (2003). Evaluating the fit of structural equation models: Tests of significance and descriptive goodness-of-fit measures. Methods of Psychological Research Online, 8(2), 23-74.
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  • Vozikis, A., Drivas, K., & Milioris, K. (2014). Health literacy among university students in Greece: determinants and association with self-perceived health, health behaviours and health risks. Archives of Public Health, 72, 1-6.
  • Weiss, B. D., & Palmer, R. (2004). Relationship between health care costs and very low literacy skills in a medically needy and indigent Medicaid population. The Journal of the American Board of Family Practice, 17(1), 44-47.
  • Xie, L., Zhang, S., Xin, M., Zhu, M., Lu, W., & Mo, P. K. H. (2022). Electronic health literacy and health-related outcomes among older adults: A systematic review. Preventive Medicine, 157, 106997.
  • Yazıcıoğlu, Y., & Erdoğan, S. (2014). SPSS uygulamalı bilimsel araştırma yöntemleri. Detay Yayıncılık.
  • Zhao, X., Lynch Jr, J. G., & Chen, Q. (2010). Reconsidering Baron and Kenny: Myths and truths about mediation analysis. Journal of Consumer Research, 37(2), 197-206.
  • Zhu, X., Zheng, T., Ding, L., & Zhang, X. (2023). Exploring associations between eHealth literacy, cyberchondria, online health information seeking and sleep quality among university students: A cross-section study. Heliyon, 9(6), e17521.
Toplam 83 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Okuryazarlığı, Dijital Sağlık, Sağlık Yönetimi
Bölüm Araştırma Makaleleri
Yazarlar

Begüm Yalçın 0000-0002-3149-4854

Yayımlanma Tarihi 29 Haziran 2025
Gönderilme Tarihi 6 Ocak 2025
Kabul Tarihi 4 Nisan 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 2 Sayı: 1

Kaynak Göster

APA Yalçın, B. (2025). The Role of Health Anxiety in the Relationship Between E-Health Literacy and Cyberchondria. TOGÜ Erbaa Sağlık ve Yönetim Dergisi, 2(1), 1-21.