Rumination, risk, and response: a qualitative analysis of sexual health anxiety among online sexual health chat service users

References

[1]  Bandelow B, Michaelis S. Epidemiology of anxiety disorders in the 21st century. Dialogues Clin Neurosci 2015; 17 327–35.
| Epidemiology of anxiety disorders in the 21st century.Crossref | GoogleScholarGoogle Scholar | 26487813PubMed |

[2]  Fogarty CT, Sharma S, Chetty VK, Culpepper L. Mental health conditions are associated with increased health care utilization among urban family medicine patients. J Am Board Fam Med 2008; 21 398–407.
| Mental health conditions are associated with increased health care utilization among urban family medicine patients.Crossref | GoogleScholarGoogle Scholar | 18772294PubMed |

[3]  Newman MG, Llera SJ, Erickson TM, Przeworski A, Castonguay LG. Worry and generalized anxiety disorder: a review and theoretical synthesis of evidence on nature, etiology, mechanisms, and treatment. Annu Rev Clin Psychol 2013; 9 275–97.
| Worry and generalized anxiety disorder: a review and theoretical synthesis of evidence on nature, etiology, mechanisms, and treatment.Crossref | GoogleScholarGoogle Scholar | 23537486PubMed |

[4]  Tyrer P. Recent advances in the understanding and treatment of health anxiety. Curr Psychiatry Rep 2018; 20 49
| Recent advances in the understanding and treatment of health anxiety.Crossref | GoogleScholarGoogle Scholar | 29931576PubMed |

[5]  Tyrer P, Cooper S, Crawford M, Dupont S, Green J, Murphy D, et al. Prevalence of health anxiety problems in medical clinics. J Psychosom Res 2011; 71 392–4.
| Prevalence of health anxiety problems in medical clinics.Crossref | GoogleScholarGoogle Scholar | 22118381PubMed |

[6]  Fink P, Ørnbøl E, Christensen KS. The outcome of health anxiety in primary care. A two-year follow-up study on health care costs and self-rated health. PLoS ONE 2010; 5 e9873
| The outcome of health anxiety in primary care. A two-year follow-up study on health care costs and self-rated health.Crossref | GoogleScholarGoogle Scholar | 20352043PubMed |

[7]  Abramowitz JS, Moore EL. An experimental analysis of hypochondriasis. Behav Res Ther 2007; 45 413–24.
| An experimental analysis of hypochondriasis.Crossref | GoogleScholarGoogle Scholar | 16769034PubMed |

[8]  Eastin MS, Guinsler NM. Worried and wired: effects of health anxiety on information-seeking and health care utilization behaviors. CyberPsychology Behav 2006; 9 494–8.
| Worried and wired: effects of health anxiety on information-seeking and health care utilization behaviors.Crossref | GoogleScholarGoogle Scholar |

[9]  Brown RJ, Skelly N, Chew-Graham CA. Online health research and health anxiety: a systematic review and conceptual integration. Clin Psychol Sci Pract 2020; 27 e12299
| Online health research and health anxiety: a systematic review and conceptual integration.Crossref | GoogleScholarGoogle Scholar |

[10]  Muse K, McManus F, Leung C, Meghreblian B, Williams JMG. Cyberchondriasis: fact or fiction? A preliminary examination of the relationship between health anxiety and searching for health information on the internet. J Anxiety Disord 2012; 26 189–96.
| Cyberchondriasis: fact or fiction? A preliminary examination of the relationship between health anxiety and searching for health information on the internet.Crossref | GoogleScholarGoogle Scholar | 22137465PubMed |

[11]  McMullan RD, Berle D, Arnáez S, Starcevic V. The relationships between health anxiety, online health information seeking, and cyberchondria: systematic review and meta-analysis. J Affect Disord 2019; 245 270–8.
| The relationships between health anxiety, online health information seeking, and cyberchondria: systematic review and meta-analysis.Crossref | GoogleScholarGoogle Scholar | 30419526PubMed |

[12]  te Poel F, Baumgartner SE, Hartmann T, Tanis M. The curious case of cyberchondria: A longitudinal study on the reciprocal relationship between health anxiety and online health information seeking. J Anxiety Disord 2016; 43 32–40.
| The curious case of cyberchondria: A longitudinal study on the reciprocal relationship between health anxiety and online health information seeking.Crossref | GoogleScholarGoogle Scholar | 27497667PubMed |

[13]  Bajcar B, Babiak J. Self-esteem and cyberchondria: the mediation effects of health anxiety and obsessive–compulsive symptoms in a community sample. Curr Psychol 2019; 40 2820–2831.
| Self-esteem and cyberchondria: the mediation effects of health anxiety and obsessive–compulsive symptoms in a community sample.Crossref | GoogleScholarGoogle Scholar |

[14]  Achterbergh R, Van Rooijen M, de Vries H. High prevalence of psychosocial problems in a syndemic based intervention to facilitate psychosocial care for high risk MSM in Amsterdam: the SYN.BAS.IN randomized controlled trial – preliminary results. In IUSTI 2018 World Congress. Dublin, Ireland; 2018.

[15]  Broomfield NM, Scoular A, Welsh P, Walters M, Evans JJ. Poststroke anxiety is prevalent at the population level, especially among socially deprived and younger age community stroke survivors. Int J Stroke 2015; 10 897–902.
| Poststroke anxiety is prevalent at the population level, especially among socially deprived and younger age community stroke survivors.Crossref | GoogleScholarGoogle Scholar | 24206439PubMed |

[16]  Iversen MM, Nefs G, Tell GS, Espehaug B, Midthjell K, Graue M, et al. Anxiety and depressive symptoms as predictors of all-cause mortality among people with insulin-Naïve type 2 diabetes: 17-year follow-up of the second Nord-Trøndelag Health Survey (HUNT2), Norway. PLoS ONE 2016; 11 e0160861
| Anxiety and depressive symptoms as predictors of all-cause mortality among people with insulin-Naïve type 2 diabetes: 17-year follow-up of the second Nord-Trøndelag Health Survey (HUNT2), Norway.Crossref | GoogleScholarGoogle Scholar | 27537359PubMed |

[17]  Olssøn I, Mykletun A, Dahl AA. The hospital anxiety and depression rating scale: a cross-sectional study of psychometrics and case finding abilities in general practice. BMC Psychiatry 2005; 5 46
| The hospital anxiety and depression rating scale: a cross-sectional study of psychometrics and case finding abilities in general practice.Crossref | GoogleScholarGoogle Scholar | 16351733PubMed |

[18]  Salway T, Ferlatte O, Shoveller J, Purdie A, Grennan T, Tan DHS, et al. The need and desire for mental health and substance use-related services among clients of publicly funded sexually transmitted infection clinics in Vancouver, Canada. J Public Heal Manag Pract 2019; 25 E1–0.
| The need and desire for mental health and substance use-related services among clients of publicly funded sexually transmitted infection clinics in Vancouver, Canada.Crossref | GoogleScholarGoogle Scholar |

[19]  Sahay S, Phadke M, Brahme R, Paralikar V, Joshi V, Sane S. Correlates of anxiety and depression among HIV test-seekers at a voluntary counseling and testing facility in Pune, India. Qual Life Res 2007; 16 41–52.
| Correlates of anxiety and depression among HIV test-seekers at a voluntary counseling and testing facility in Pune, India.Crossref | GoogleScholarGoogle Scholar | 17091367PubMed |

[20]  Seivewright H, Salkovskis P, Green J, Mullan N, Behr G, Carlin E, et al. Prevalence and service implications of health anxiety in genitourinary medicine clinics. Int J STD AIDS 2004; 15 519–22.
| Prevalence and service implications of health anxiety in genitourinary medicine clinics.Crossref | GoogleScholarGoogle Scholar | 15307961PubMed |

[21]  Spitzer RL, Kroenke K, Williams JBW, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med 2006; 166 1092–7.
| A brief measure for assessing generalized anxiety disorder: the GAD-7.Crossref | GoogleScholarGoogle Scholar | 16717171PubMed |

[22]  Arkell J, Osborn DPJ, Ivens D, King MB. Factors associated with anxiety in patients attending a sexually transmitted infection clinic: qualitative survey. Int J STD AIDS 2006; 17 299–303.
| Factors associated with anxiety in patients attending a sexually transmitted infection clinic: qualitative survey.Crossref | GoogleScholarGoogle Scholar | 16643678PubMed |

[23]  Ransom JE, Siler B, Peters RM, Maurer MJ. Worry: women’s experience of HIV testing. Qual Health Res 2005; 15 382–93.
| Worry: women’s experience of HIV testing.Crossref | GoogleScholarGoogle Scholar | 15761106PubMed |

[24]  Worthington C, Myers T. Factors underlying anxiety in HIV testing: the patient-provider power dynamic. Qual Health Res 2003; 13 636–55.
| Factors underlying anxiety in HIV testing: the patient-provider power dynamic.Crossref | GoogleScholarGoogle Scholar | 12756685PubMed |

[25]  Shoveller JA, Knight R, Johnson J, Oliffe JL, Goldenberg S. ‘Not the swab!’ Young men’s experiences with STI testing. Sociol Health Illn 2010; 32 57–73.
| ‘Not the swab!’ Young men’s experiences with STI testing.Crossref | GoogleScholarGoogle Scholar | 20415807PubMed |

[26]  Worthington C, Jackson R, Mill J, Prentice T, Myers T, Sommerfeldt S. HIV testing experiences of Aboriginal youth in Canada: service implications. AIDS Care 2010; 22 1269–76.
| HIV testing experiences of Aboriginal youth in Canada: service implications.Crossref | GoogleScholarGoogle Scholar | 20635240PubMed |

[27]  Fallon D. ‘They’re Gonna Think it Now’: narratives of shame in the sexual health experiences of young people. Sociology 2013; 47 318–32.
| ‘They’re Gonna Think it Now’: narratives of shame in the sexual health experiences of young people.Crossref | GoogleScholarGoogle Scholar |

[28]  Tan RKJ, Kaur N, Kumar PA, Tay E, Leong A, Chen MIC, et al. Clinics as spaces of costly disclosure: HIV/STI testing and anticipated stigma among gay, bisexual and queer men. Cult Health Sex 2020; 22 307–20.
| Clinics as spaces of costly disclosure: HIV/STI testing and anticipated stigma among gay, bisexual and queer men.Crossref | GoogleScholarGoogle Scholar | 30975036PubMed |

[29]  Knight R, Small W, Shoveller JA. HIV stigma and the experiences of young men with voluntary and routine HIV testing. Sociol Health Illn 2016; 38 153–67.
| HIV stigma and the experiences of young men with voluntary and routine HIV testing.Crossref | GoogleScholarGoogle Scholar | 26382632PubMed |

[30]  Magee JC, Bigelow L, DeHaan S, Mustanski BS. Sexual health information seeking online: a mixed-methods study among lesbian, gay, bisexual, and transgender young people. Health Educ Behav 2012; 39 276–89.
| Sexual health information seeking online: a mixed-methods study among lesbian, gay, bisexual, and transgender young people.Crossref | GoogleScholarGoogle Scholar | 21490310PubMed |

[31]  Joseph HA, Fasula AM, Morgan RL, Stuckey A, Alvarez ME, Margolis A, et al. ‘The anticipation alone could kill you’: past and potential clients’ perspectives on HIV testing in non-health care settings. AIDS Educ Prev 2011; 23 577–94.
| ‘The anticipation alone could kill you’: past and potential clients’ perspectives on HIV testing in non-health care settings.Crossref | GoogleScholarGoogle Scholar | 22201240PubMed |

[32]  Young SD, Bendavid E. The relationship between HIV testing, stigma, and health service usage. AIDS Care 2010; 22 373–80.
| The relationship between HIV testing, stigma, and health service usage.Crossref | GoogleScholarGoogle Scholar | 20390518PubMed |

[33]  Shoveller J, Johnson J, Rosenberg M, Greaves L, Patrick DM, Oliffe JL, et al. Youth’s experiences with STI testing in four communities in British Columbia, Canada. Sex Transm Infect 2009; 85 397–401.
| Youth’s experiences with STI testing in four communities in British Columbia, Canada.Crossref | GoogleScholarGoogle Scholar | 19508967PubMed |

[34]  Willoughby JF, Jackson K. ‘Can you get pregnant when u r in the pool?’: young people’s information seeking from a sexual health text line. Sex Educ 2013; 13 96–106.
| ‘Can you get pregnant when u r in the pool?’: young people’s information seeking from a sexual health text line.Crossref | GoogleScholarGoogle Scholar |

[35]  Gilbert M, Thomson K, Salway T, Haag D, Grennan T, Fairley CK, et al. Differences in experiences of barriers to STI testing between clients of the internet-based diagnostic testing service GetCheckedOnline.com and an STI clinic in Vancouver, Canada. Sex Transm Infect 2019; 95 151–6.
| Differences in experiences of barriers to STI testing between clients of the internet-based diagnostic testing service GetCheckedOnline.com and an STI clinic in Vancouver, Canada.Crossref | GetCheckedOnline.com and an STI clinic in Vancouver, Canada.&journal=Sex Transm Infect&volume=95&pages=151-6&publication_year=2019&author=M%20Gilbert&hl=en&doi=10.1136/sextrans-2017-053325" target="_blank" rel="nofollow noopener noreferrer" class="reftools">GoogleScholarGoogle Scholar | 29437984PubMed | and an STI clinic in Vancouver, Canada.&title=Sex Transm Infect&date=2019&volume=95&spage=151&epage=6&sid=csiro&aulast=Gilbert&aufirst=M" target="_blank" rel="nofollow noopener noreferrer" >

[36]  Karamouzian M, Knight R, Davis WM, Gilbert M, Shoveller J. Stigma associated with sexually transmissible infection testing in an online testing environment: examining the perspectives of youth in Vancouver, Canada. Sex Health 2018; 15 46–53.
| Stigma associated with sexually transmissible infection testing in an online testing environment: examining the perspectives of youth in Vancouver, Canada.Crossref | GoogleScholarGoogle Scholar | 28859728PubMed |

[37]  Minichiello V, Rahman S, Dune T, Scott J, Dowsett G. E-health: potential benefits and challenges in providing and accessing sexual health services. BMC Public Health 2013; 13 790
| E-health: potential benefits and challenges in providing and accessing sexual health services.Crossref | GoogleScholarGoogle Scholar | 23987137PubMed |

[38]  Shoveller J, Knight R, Davis W, Gilbert M, Ogilvie G. Online sexual health services: examining youth’s perspectives. Can J Public Health 2012; 103 14–8.
| Online sexual health services: examining youth’s perspectives.Crossref | GoogleScholarGoogle Scholar | 22338322PubMed |

[39]  Mitchell KJ, Ybarra ML, Korchmaros JD, Kosciw JG. Accessing sexual health information online: use, motivations and consequences for youth with different sexual orientations. Health Educ Res 2014; 29 147–57.
| Accessing sexual health information online: use, motivations and consequences for youth with different sexual orientations.Crossref | GoogleScholarGoogle Scholar | 23861481PubMed |

[40]  Brennan DJ, Lachowsky NJ, Georgievski G, Rosser BRS, MacLachlan D, Murray J. Brennan DJ, Lachowsky NJ, Georgievski G, Rosser BRS, MacLachlan D, Murray J. Online outreach services among men who use the internet to seek sex with other men (MISM) in Ontario, Canada: an online survey. J Med Internet Res 2015; 17 e277
| Online outreach services among men who use the internet to seek sex with other men (MISM) in Ontario, Canada: an online survey.Crossref | GoogleScholarGoogle Scholar | 26681440PubMed |

[41]  Baraitser P, Syred J, Spencer-Hughes V, Howroyd C, Free C, Holdsworth G. How online sexual health services could work; generating theory to support development. BMC Health Serv Res 2015; 15 540
| How online sexual health services could work; generating theory to support development.Crossref | GoogleScholarGoogle Scholar | 26637295PubMed |

[42]  Nadarzynski T, Puentes V, Pawlak I, Mendes T, Montgomery I, Bayley J, et al. Barriers and facilitators to engagement with artificial intelligence (AI)-based chatbots for sexual and reproductive health advice: a qualitative analysis. Sex Health 2021; 18 385–393.
| Barriers and facilitators to engagement with artificial intelligence (AI)-based chatbots for sexual and reproductive health advice: a qualitative analysis.Crossref | GoogleScholarGoogle Scholar | 34782055PubMed |

[43]  Willoughby JF, Muldrow A. SMS for sexual health: a comparison of service types and recommendations for sexual health text message service providers. Health Educ J 2017; 76 231–43.
| SMS for sexual health: a comparison of service types and recommendations for sexual health text message service providers.Crossref | GoogleScholarGoogle Scholar |

[44]  Nunn A, Crutzen R, Haag D, Chabot C, Carson A, Ogilvie G, et al. Examining E-loyalty in a sexual health website: cross-sectional study. JMIR Public Health Surveill 2017; 3 e75
| Examining E-loyalty in a sexual health website: cross-sectional study.Crossref | GoogleScholarGoogle Scholar | 29097352PubMed |

[45]  Emmel N. Purposive sampling. In Sampling and choosing cases in qualitative research: a realist approach. SAGE Publications Ltd; 2013. pp. 33–44.
| Crossref |

[46]  Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol 2006; 3 77–101.
| Using thematic analysis in psychology.Crossref | GoogleScholarGoogle Scholar |

[47]  Braun V, Clarke V. Reflecting on reflexive thematic analysis. Qual Res Sport Exerc Health 2019; 11 589–97.
| Reflecting on reflexive thematic analysis.Crossref | GoogleScholarGoogle Scholar |

[48]  Bomyea J, Ramsawh H, Ball TM, Taylor CT, Paulus MP, Lang AJ, et al. Intolerance of uncertainty as a mediator of reductions in worry in a cognitive behavioral treatment program for generalized anxiety disorder. J Anxiety Disord 2015; 33 90–4.
| Intolerance of uncertainty as a mediator of reductions in worry in a cognitive behavioral treatment program for generalized anxiety disorder.Crossref | GoogleScholarGoogle Scholar | 26037493PubMed |

[49]  Gentes EL, Ruscio AM. A meta-analysis of the relation of intolerance of uncertainty to symptoms of generalized anxiety disorder, major depressive disorder, and obsessive-compulsive disorder. Clin Psychol Rev 2011; 31 923–33.
| A meta-analysis of the relation of intolerance of uncertainty to symptoms of generalized anxiety disorder, major depressive disorder, and obsessive-compulsive disorder.Crossref | GoogleScholarGoogle Scholar | 21664339PubMed |

[50]  Birrell J, Meares K, Wilkinson A, Freeston M. Toward a definition of intolerance of uncertainty: a review of factor analytical studies of the intolerance of uncertainty scale. Clin Psychol Rev 2011; 31 1198–208.
| Toward a definition of intolerance of uncertainty: a review of factor analytical studies of the intolerance of uncertainty scale.Crossref | GoogleScholarGoogle Scholar | 21871853PubMed |

[51]  Yook K, Kim KH, Suh SY, Lee KS. Intolerance of uncertainty, worry, and rumination in major depressive disorder and generalized anxiety disorder. J Anxiety Disord 2010; 24 623–8.
| Intolerance of uncertainty, worry, and rumination in major depressive disorder and generalized anxiety disorder.Crossref | GoogleScholarGoogle Scholar | 20439149PubMed |

[52]  Tyrer P, Eilenberg T, Fink P, Hedman E, Tyrer H. Health anxiety: the silent, disabling epidemic. BMJ 2016; 353 i2250
| Health anxiety: the silent, disabling epidemic.Crossref | GoogleScholarGoogle Scholar | 27112356PubMed |

[53]  Hedman-Lagerlöf E, Tyrer P, Hague J, Tyrer H. Health anxiety. BMJ 2019; 364 l774
| Health anxiety.Crossref | GoogleScholarGoogle Scholar | 30862624PubMed |

[54]  Ferreira JM, Collins M, Palmqvist H, Pasquino N, Bahamondes L, Brotto LA. Analysis of 16 years of calls and emails to the options for sexual health “sex sense” information and referral service. Can J Hum Sex 2019; 28 38–45.
| Analysis of 16 years of calls and emails to the options for sexual health “sex sense” information and referral service.Crossref | GoogleScholarGoogle Scholar |

[55]  Vickberg SMJ, Kohn JE, Franco LM, Criniti S. What teens want to know: sexual health questions submitted to a teen web site. Am J Health Educ 2003; 34 258–66.
| What teens want to know: sexual health questions submitted to a teen web site.Crossref | GoogleScholarGoogle Scholar |

[56]  Kausch O. Irrational fear of AIDS associated with suicidal behavior. J Psychiatr Pract 2004; 10 266–71.
| Irrational fear of AIDS associated with suicidal behavior.Crossref | GoogleScholarGoogle Scholar | 15552551PubMed |

[57]  Knapp S, Vandecreek L. Fear of AIDS: its meaning and implications for clinical practice. J Contemp Psychother 1989; 19 239–47.
| Fear of AIDS: its meaning and implications for clinical practice.Crossref | GoogleScholarGoogle Scholar |

[58]  Tan DHS, Leon-Carlyle M, Mills R, Moses E, Carvalhal A. Self-administered screening for syndemic mental health problems should be routinely implemented among MSM PrEP users. J Gay Lesbian Ment Health 2016; 20 13–20.
| Self-administered screening for syndemic mental health problems should be routinely implemented among MSM PrEP users.Crossref | GoogleScholarGoogle Scholar |

[59]  Roderick P, Sundaram SS, Dimitrov BD, Dewhirst S, Tucker LJ, Leydon G, et al. Assessing feasibility and acceptability of a brief intervention for risky alcohol consumption in sexual health clinic attendees: a randomised controlled trial. J Fam Plan Reprod Health Care 2016; 42 143–51.
| Assessing feasibility and acceptability of a brief intervention for risky alcohol consumption in sexual health clinic attendees: a randomised controlled trial.Crossref | GoogleScholarGoogle Scholar |

[60]  Gryczynski J, Nordeck CD, Mitchell SG, Page KR, Johnsen LL, O’Grady KE, et al. Pilot studies examining feasibility of substance use disorder screening and treatment linkage at urban sexually transmitted disease clinics. J Addict Med 2017; 11 350–6.
| Pilot studies examining feasibility of substance use disorder screening and treatment linkage at urban sexually transmitted disease clinics.Crossref | GoogleScholarGoogle Scholar | 28590392PubMed |

[61]  Black S, Salway T, Dove N, Shoveller JA, Gilbert M. From silot to buckets: a qualitative study of how sexual health clinics address their clients’ mental health needs. Can J Public Health 2020; 111 220–28.
| From silot to buckets: a qualitative study of how sexual health clinics address their clients’ mental health needs.Crossref | GoogleScholarGoogle Scholar | 32006256PubMed |

[62]  Yu J, Appel P, Rogers M, Blank S, Davis C, Warren B, et al. Integrating intervention for substance use disorder in a healthcare setting: practice and outcomes in New York City STD clinics. Am J Drug Alcohol Abuse 2016; 42 32–8.
| Integrating intervention for substance use disorder in a healthcare setting: practice and outcomes in New York City STD clinics.Crossref | GoogleScholarGoogle Scholar | 26555138PubMed |