This study aimed to evaluate the cyberchondria levels of patients who applied to the urology outpatient clinic. The second goal of this study was to evaluate the relationship between cyberchondria severity and health anxiety in these patients. The present prospective observational study was conducted at the urology outpatient clinic of two tertiary centers in our city between September and December 2021. Eligible patients were the adult patients (>18 and ≤60 years) who used the Internet for health purposes and had no self-reported psychological or mental disease. The patients were divided into following groups according to their complaints: general urology, uro-oncology, andrology, functional urology, and endourology (stone disease). The level of cyberchondria and health anxiety was evaluated for these patients by using the Short Health Anxiety Inventory (SHAI) and a short-form version of the Cyberchondria Severity Scale (CSS-12). This study enrolled 578 patients (190 female, 388 male). The mean age of patients was 43.4 ± 13.3 years (18–60 years). The mean CSS-12 was 28.1 ± 12.1, and the mean value of SHAI was 18.9 ± 13.6. The patients had andrological symptoms, is uniquely related to higher CSS and health anxiety, and followed by uro-oncological diseases. However, the least relationship was observed in patients with functional urological diseases (analysis of variance [ANOVA], p < 0.001 for CSS-12; p < 0.001 for SHAI). In addition, a positive correlation was observed between the CSS and SHAI (Pearson's correlation = 0.782). The increased level of cyberchondria causes increased health anxiety and an increased disease burden in these patients. Therefore, physicians should consider this increased treatment burden during the treatment of patients.

中文翻译：

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数字化和泌尿系统疾病：就诊泌尿外科门诊的患者疑似疑病症的严重程度和健康焦虑程度

本研究旨在评估申请泌尿外科门诊的患者的疑似疑病水平。本研究的第二个目标是评估这些患者的网络疑病严重程度与健康焦虑之间的关系。本前瞻性观察研究于 2021 年 9 月至 2021 年 12 月在我市两家三级中心的泌尿外科门诊进行。符合条件的患者为以健康为目的使用互联网且没有自我的成年患者（>18 岁且≤60 岁） -报告的心理或精神疾病。根据主诉将患者分为以下几组：普通泌尿科、泌尿肿瘤科、男科、功能性泌尿科和腔内泌尿科（结石病）。通过使用简明健康焦虑量表 (SHAI) 和简化版的网络疑病严重程度量表 (CSS-12) 评估这些患者的网络疑病症和健康焦虑水平。这项研究招募了 578 名患者（190 名女性，388 名男性）。患者的平均年龄为 43.4 ± 13.3 岁（18-60 岁）。CSS-12 的平均值为 28.1 ± 12.1，SHAI 的平均值为 18.9 ± 13.6。患者有男科症状，与较高的 CSS 和健康焦虑唯一相关，其次是泌尿肿瘤疾病。然而，在功能性泌尿系统疾病患者中观察到的关系最少（方差分析 [ANOVA]，3 年（18-60 岁）。CSS-12 的平均值为 28.1 ± 12.1，SHAI 的平均值为 18.9 ± 13.6。患者有男科症状，与较高的 CSS 和健康焦虑唯一相关，其次是泌尿肿瘤疾病。然而，在功能性泌尿系统疾病患者中观察到的关系最少（方差分析 [ANOVA]，3 年（18-60 岁）。CSS-12 的平均值为 28.1 ± 12.1，SHAI 的平均值为 18.9 ± 13.6。患者有男科症状，与较高的 CSS 和健康焦虑唯一相关，其次是泌尿肿瘤疾病。然而，在功能性泌尿系统疾病患者中观察到的关系最少（方差分析 [ANOVA]，CSS-12 p  < 0.001； 对于 SHAI，p < 0.001）。此外，在 CSS 和 SHAI 之间观察到正相关（Pearson 相关系数 = 0.782）。增加的 cyberchondria 水平导致这些患者的健康焦虑增加和疾病负担增加。因此，医生在治疗患者时应考虑到这种增加的治疗负担。