Psychological distress in the context of the COVID-19 pandemic: the joint contribution of intolerance of uncertainty and cyberchondria,Psychology & Health

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Psychological distress in the context of the COVID-19 pandemic: the joint contribution of intolerance of uncertainty and cyberchondria
Psychology & Health ( IF 3.358 ) Pub Date : 2021-07-19 , DOI: 10.1080/08870446.2021.1952584
Gioia Bottesi ₁ , Claudia Marino _{2,

3} , Alessio Vieno ₂ , Marta Ghisi ₁ , Marcantonio M Spada ₃

Affiliation

Abstract

Objective

To explore the direct and indirect associations between intolerance of uncertainty, health anxiety (HA), and psychological distress through problematic internet use (PIU) and cyberchondria, both before and during the first months of the COVID-19 pandemic.

Design

Two Italian samples were enrolled via an online questionnaire. Sample 1 (N = 556; 69.3% females, M_age 29.6 years, SD = 13.2) was recruited in non-pandemic times, whereas Sample 2 (N = 575; 74% females, M_age 31.9 years, SD = 13.4) was recruited during the COVID-19 lockdown.

Main outcome measures

Self-report measures assessing HA and psychological distress.

Results

Two distinct path analyses showed that intolerance of uncertainty was directly associated with HA and psychological distress in both samples. Moreover, cyberchondria partially mediated the relationship between intolerance of uncertainty and HA and PIU partially mediated the relationship between intolerance of uncertainty and psychological distress in both samples. The link between cyberchondria and psychological distress was significant in Sample 2 but non-significant in Sample 1. The model accounted for a substantial variance of HA and psychological distress in both samples.

Conclusion

Our findings suggest that problematic online behaviors might exacerbate the negative consequences of intolerance of uncertainty in terms of higher levels of HA and psychological distress both in pandemic and non-pandemic contexts.

中文翻译：

COVID-19 大流行背景下的心理困扰：无法容忍不确定性和网络疑病症的共同贡献

摘要

客观的

在 COVID-19 大流行之前和头几个月，通过有问题的互联网使用 (PIU) 和网络疑病症探索不确定性不容忍、健康焦虑 (HA) 和心理困扰之间的直接和间接关联。

设计

通过在线问卷招募了两个意大利样本。样本 1（N = 556；69.3% 女性，M_年龄29.6 岁，SD = 13.2）是在非大流行时期招募的，而样本 2（N = 575；74% 女性，M_年龄31.9 岁，SD = 13.4）是在非大流行时期招募的在 COVID-19 封锁期间招募。

主要观察指标

评估 HA 和心理困扰的自我报告措施。

结果

两个不同的路径分析表明，对不确定性的不容忍与两个样本中的 HA 和心理困扰直接相关。此外，在两个样本中，网络疑病症部分介导了不确定性不容忍与 HA 和 PIU 之间的关系，而 PIU 部分介导了不确定性不容忍与心理困扰之间的关系。网络疑病症和心理困扰之间的联系在样本 2 中很重要，但在样本 1 中不显着。该模型解释了两个样本中 HA 和心理困扰的显着差异。