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Microsoft Researchers Study "Cyberchondria"

Slatterz introduces us to the first major study on "cyberchondria" by Microsoft researchers (abstract, paper [PDF]). The news that it can be a bad idea to search the Internet to see if you have a terrible disease should come as no surprise. According to the NYTimes article, the syndrome has been known as "cyberchondria" since at least the year 2000 (we discussed it a few years back). It refers to increased anxiety brought on when people with little or no medical training go searching for answers to common medical complaints on the Web. The article compares cyberchondria with a phenomenon well known among second-year medical students, called "medical schoolitis." The researchers note that Web searchers' propensity to jump to awful conclusions is "basic human behavior that has been noted by research scientists for decades."

14 of 144 comments (clear)

  1. Even worse... by Anonymous Coward · · Score: 5, Funny

    Cyberchondria Wikia - A variant of Cyberchondria in which symptoms, causes and diseases change at random when suggested by other users

  2. Same rules apply... by Z80xxc! · · Score: 5, Insightful

    The problem might not be the use of the internet for information, so much as how people are going about getting and using that information. Just like one wouldn't trust some random person off the street or even some unknown doctor-like person in a white coat walking down the hall at the hospital, one can't blindly trust information on the internet. Getting a second opinion, (and a third, and a fourth) might help people to get a better idea of what's truly happening. They should still talk to a doctor, rather than relying solely on their internet diagnosis, but they might be able to at least get a general idea of what might be wrong. Using medical information on the web as one's only source is irresponsible; it should be common sense to get a balanced opinion and also to see a real medical professional.

  3. Oh No... by routerl · · Score: 5, Funny

    This means I've just found another condition I might have by browsing the internet! Damn you cyberchondria!

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  4. I would disagree by TubeSteak · · Score: 5, Interesting

    The researchers note that Web searchers' propensity to jump to awful conclusions is "basic human behavior that has been noted by research scientists for decades."

    In my anecdotal and limited experience, I've noticed that it is certain personality types which have a "propensity to jump to awful conclusions".

    They basically resort to hysterics over things they cannot control, even before they know how [thing] is going to end.

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  5. Conclusion... by rodrigoandrade · · Score: 4, Funny

    I haven't RTFA, per usual, but I'm sure the study concludes that it's a great idea to search the Internet to see if you have a terrible disease using Windows Live Search.

    1. Re:Conclusion... by westlake · · Score: 3, Interesting
      I'm sure the study concludes that it's a great idea to search the Internet to see if you have a terrible disease using Windows Live Search.

      What the study actually found, of course, is that you are far better off using a search engine that links only to known-good sources for public health information.

      The AMA. The American Cancer Society. The Center for Disease Control.

      The geek shouldn't shrug off studies like these because they expose a serious problem with a general search engine like Google - and a search service that has perhaps become too much a marketing machine.

  6. Thats why we built MEDgle by ashdamle · · Score: 5, Interesting

    We (myself and a couple of doctors) started MEDgle (http://www.medgle.com/ ) specifically to help people understand the possible causes for their symptoms. Hopefully this will help combat cyberchondria by giving people reasonable causes, not the most dire. And as you stated, people should always talk with their health care provider. Any feedback is much appreciated. Cheers

    1. Re:Thats why we built MEDgle by girlintraining · · Score: 3, Interesting

      I seem to recall sometime in about 2000 there was a report that a computer program had been designed that asked a series of questions and provided a most likely diagnosis. It was apparently better at doing this than the doctors were by a small margin. The project was axed though after a huge outcry that it would put doctors out of business, couldn't be trusted because it couldn't be medically licensed, liability issues, etc. Has anything changed since then?

      It seems like a good idea -- people punching in their symptoms and getting an answer about whether to take a trip to the ER (perhaps printout in hand) or not, and with people spending hours in waiting rooms only to find out they have the common cold or just bad menstral cramps, doesn't it make sense to give people the option of entering all their data into a computer first? If we tied such a database into the admissions system, they could show up with all their insurance, contact information, and symptoms list already available for the triage nurse. I'm not advocating taking a person and their clinical experience out of the loop, but certainly there's ways to use medical data to do better targeting. I've felt the same way about pharmaceuticals and wondered why there isn't a database to track adverse reactions to drugs on a per-patient basis... If someone's tried three different anti-depressants and had a poor response to them, maybe that particular reaction projects that Drug X would be 60% more likely to be effective than Drug Y. As it is, it's often drug rhoulette(sp?) until you find one that works.

       

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  7. It's not new, just easier by girlintraining · · Score: 4, Insightful

    The web hasn't made this behavior any less prevalent, it's just made it easier for people to fall into the trap. There are two camps in the medical community right now; Those who think that medical knowledge should be contained to those who are properly licensed, and those who think knowledge is power (but hope people use it responsibly). If this sounds familiar, it should -- our community (the technical and engineering disciplines) have had the same debate. We've all had our share of "technocondriacs" -- people who insist there's something wrong with their computer, even when we've scanned it with everything, reloaded the operating system, and defragged the drive five times... They somehow think it should run faster, or that there's a button somewhere to do X when there's never been X in that application. And no sniggering about literacy or operating system of choice here -- it happens to users of all backgrounds.

    One example is pharmaceutical advertisements. Five years ago, using the words "Erectile Dysfunction" would have left people giggling on the floor. These days, it gets an eye roll and a remembrance of those commercials. It's undisputed some people have a problem rising to the challenge and may not have known there was a treatment for it, but the unintended consequence is a lot of people are taking medications that aren't medically necessary because of self-esteem problems, obesity, or a plethora of other causes that can be treated without a pill. Which of course leads to the "Solve everything with a pill" attitude that our society seems to enjoy, but that's a topic for another day.

    I have to side with the idea that knowledge should be out there. My friend just got a horrible ear infection that resulted in extreme pain and puss coming out of her ear because the doctor misdiagnosed it as "swimmers ear"; She needed strong antibiotics and he prescribed drops, and so for three days she's been laid out on a couch screaming and crying every few minutes. She only went back to ER after researching out what else it could be besides swimmers ear, and an ear infection turned up -- there was no difference in the symptoms list, except the pain level. And her mother is a registered nurse who works in a hospital -- she didn't find anything wrong with the diagnosis either. My friend's access to the internet may very well have just saved her some hearing loss this week!

    So which side is right? Both. And neither.

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  8. Zebra syndrome by st0rmshad0w · · Score: 4, Insightful

    Yeah this sounds like classic zebra syndrome.

    Zebra Syndrome is immediately jumping to the rare possibility when given a piece of evidence. When you hear hoofbeats you should think "horses", not zebras.

    Someone gets an ache or pain and hops on Google and suddenly they have Schistosomiasis or something else equally as absurd.

  9. Re:hm by rhyder128k · · Score: 3, Insightful

    This was the first thing that leapt to my mind as well.

    Basic scenario: Patient is able to spend six or seven hours carefully searching message boards and the web for something exactly matches their symptoms. In all fairness, patients aren't always brilliant at specifying their symptoms clearly and exhaustively. Next day, patient goes to see doctor and points out something that the doctor has missed. Doctor thinks, "Who the hell does this guy think he is? I'm God!". Patient gets a telling off for causing a nasty case of cognitive dissonance in the mind of the doctor.

    I think that things are perhaps worse in the UK as we have a state healthcare system. As a result, Doctors don't always treat patients with the same respect that they would a paying customer. I've had some private dental care, and the attitude was like night and day. In contrast, a doctor once told me off for having read the the little leaflet that came inside a packet of pills.

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  10. Re:"Browser, browser..." by gooman · · Score: 3, Funny

    Well, then don't do that.

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  11. It Has A Medical Counterpart, Too by Wandering+Wombat · · Score: 3, Insightful

    Because doctors know that people can often search for stuff like this on the internet, many medical professionals will IMMEDIATE ignore any and all such comments or queries. I've come to three doctors now with information I found in medical journals and on the internet which match my symptoms (migraines, blackouts, audio and visual hallucinations, seizures, fugue states... basically, every facet of certain kinds of epilepsy). All three doctors have told me, in various ways, that since I found this information myself, it's clearly NOT what I have.

    I continue to have blackouts and seizures, and continue to go untreated, because unless I have a seizure in my doctor's office, he'll just assume I'm trying to get medication out of him.

    I call it "Smug Superioritis".

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  12. Re:Personal experience by BorgDrone · · Score: 3, Insightful

    The first doctor also thought that I had it and scheduled me for surgery. However, the surgeon said to wait for a while.

    That's the thing that bugs me the most about the whole medical pseudo-science. They just try something and hope it works, they never actually try to get to the bottom of it and find the real problem. High blood pressure ? Here, have some medication that artificially lowers it. They don't bother to find out WHY it's high and correct that.

    It's a good thing these guys didn't go into the programming business because I bet they would be awful at debugging.