Distinct Longitudinal Contributions of Social Anxiety and Self-Consciousness to Interpersonal Dysfunction.
Authors: Maffly-Kipp J, Nagel K, Fournier JC
Journal: Journal of clinical psychology
mental health
psychology
open access
Abstract
Parents are often the primary decision-makers regarding their children’s health, particularly during early childhood. With the increasing accessibility of digital tools, many caregivers now turn to the internet—especially online forums and large language models (LLMs)—for preliminary guidance before consulting healthcare professionals. Recent surveys indicate that over 80% of parents search online for health-related information prior to clinical visits, with platforms like Reddit frequently used for experiential advice and emotional support. While this shift reflects a broader trend toward participatory health information-seeking, it also raises concerns about the quality and reliability of content accessed through non-expert channels. Caregivers’ information seeking for child health is typically multi-channel and often begins outside the clinical encounter. Prior work shows that parents commonly consult personal contacts (family/friends) alongside professional sources and digital media, particularly when facing uncertainty during acute or everyday concerns. Online seeking is shaped not only by access and convenience but also by affective needs (reassurance, normalization) and peer support, which are salient in parenting communities and social platforms. Consistent with this, the content of caregiver queries tends to cluster around recurrent, developmentally anchored domains (e.g., sleep, feeding, behavior/discipline, screen time, common illnesses, developmental concerns), which overlap with topics explicitly addressed in pediatric preventive-care anticipatory guidance (e.g., feeding guidance, sleeping/safe sleep, media use limits, and discipline/behavior management). Several conceptual frameworks help explain why caregivers choose particular health-information channels and how they evaluate what they find. The Comprehensive Model of Information Seeking (CMIS) posits that caregivers’ seeking behavior is shaped by personal antecedents (e.g., prior experience and beliefs) and by channel characteristics such as perceived credibility, accessibility, and tailorability. In pediatrics, “proxy” information seeking further emphasizes that adults search on behalf of a child, where perceived risk, urgency, and the need for actionable guidance interact with trust in the source and the caregiver’s perceived ability to appraise information quality. Together, these perspectives suggest a recurring mismatch: caregivers may favor fast, convenient, and experience-based guidance, whereas pediatric safety depends on accuracy, appropriate risk stratification, and clear thresholds for seeking professional care.