본 연구는 단축형 사이버콘드리아 심각도 척도(Cyberchondria Severity Scale-12; CSS-12)를 타당화하고, 건강불안 메타인지 신념과 사이버콘드리아의 관계에서 건강불안의 매개효과와 인터넷 과의존, 수면의 질, 연령의 조절된 매개효과가 있는지 살펴보았다. 연구 1에서는 단축형 사이버콘드리아 심각도 척도(CCS-12)를 타당화하였다. 이를 위해 20~40대 성인 300명을 대상으로 확인적 요인분석을 실시하고 신뢰도 및 타당도를 검증하였다. 연구 결과, 원척도와 동일한 강박, 고통, 과도함, 안심 4개의 하위차원으로 이루어진 단축형 사이버콘드리아 심각도 척도는 적절한 모형 적합도를 보였다. 또한 본 연구는 양호한 내적합치도를 보였다. 또한 본 척도는 건강불안, 강박, 인터넷 과의존과의 수렴 타당도가 확립되었으며, 우울, 불안 및 스트레스와의 공존타당도를 확인했다. 연구 2에서는, 건강불안 메타인지 신념과 사이버콘드리아의 관계에서 건강불안의 매개효과와 인터넷 과의존, 수면의 질, 연령의 조절된 매개효과를 검증하기 위해 SPSS PROCESS Macro를 사용하였다. 그 결과, 건강불안이 건강불안 메타인지 신념과 사이버콘드리아 관계를 매개하였다. 인터넷 과의존은 건강불안과 상호작용하여 사이버콘드리아에 영향을 미쳤다. 또한 건강불안 메타인지 신념, 건강불안, 사이버콘드리아의 매개 관계에서 인터넷 과의존의 조절된 매개효과가 유의미하게 나타났다. 그러나 수면의 질과 연령 모두 건강불안과 사이버콘드리아의 관계를 조절하지 못하며 조절된 매개효과가 유의미하지 않았다. 마지막으로 본 연구의 의의와 한계점에 대해 논의하였다.|This study aimed to validate the Short-Form Version of the Cyberchondria Severity Scale-12 (CSS-12) and examine the mediation effect of health anxiety and the moderation effect of internet overdependence, quality of sleep, and age on the relationship between health anxiety metacognitive belief and cyberchondria. In Study 1, the validation of the CSS-12 was conducted. A confirmatory factor analysis was performed on 300 adults aged between 20 and 40, and the reliability and validity were confirmed. The study revealed that the CSS-12, comprising four subscales (excessiveness, distress, compulsion, and reassurance), similar to the original scale, demonstrated an appropriate model fit and good internal consistency. Additionally, the scale demonstrated the convergent validity with health anxiety, compulsion, and Internet overdependence, and the concurrent validity with depression symptoms, anxiety symptoms, and stress. In Study 2, SPSS PROCESS Macro was utilized to confirm the mediation and moderated mediation effects. The results indicated that health anxiety mediated the relationship between health anxiety metacognitive belief and cyberchondria. Internet overdependence interacted with health anxiety, influencing cyberchondria. Furthermore, the moderated mediation effect of Internet overdependence was significant in the mediation relationship among health anxiety metacognitive belief, health anxiety, and cyberchondria. However, neither quality of sleep nor age moderated the relationship between health anxiety and cyberchondria, and the moderated mediation effect was not significant. The implications, limitations, and future research directions were discussed.
Alternative Abstract
This study aimed to validate the Short-Form Version of the Cyberchondria Severity Scale-12 (CSS-12) and examine the mediation effect of health anxiety and the moderation effect of internet overdependence, quality of sleep, and age on the relationship between health anxiety metacognitive belief and cyberchondria. In Study 1, the validation of the CSS-12 was conducted. A confirmatory factor analysis was performed on 300 adults aged between 20 and 40, and the reliability and validity were confirmed. The study revealed that the CSS-12, comprising four subscales (excessiveness, distress, compulsion, and reassurance), similar to the original scale, demonstrated an appropriate model fit and good internal consistency. Additionally, the scale demonstrated the convergent validity with health anxiety, compulsion, and Internet overdependence, and the concurrent validity with depression symptoms, anxiety symptoms, and stress. In Study 2, SPSS PROCESS Macro was utilized to confirm the mediation and moderated mediation effects. The results indicated that health anxiety mediated the relationship between health anxiety metacognitive belief and cyberchondria. Internet overdependence interacted with health anxiety, influencing cyberchondria. Furthermore, the moderated mediation effect of Internet overdependence was significant in the mediation relationship among health anxiety metacognitive belief, health anxiety, and cyberchondria. However, neither quality of sleep nor age moderated the relationship between health anxiety and cyberchondria, and the moderated mediation effect was not significant. The implications, limitations, and future research directions were discussed.
