Investigation of the Relationship Between Health Anxiety and Cyberchondria in Obese Cases

Öz

Objective: Obesity is a condition that can lead to many serious health problems, and the relationship between health anxiety and cyberchondria can cause increased levels of health-related anxiety in obese individuals, consequently reducing their quality of life. This study was conducted to examine the relationship between health anxiety and cyberchondria levels in obese individuals. Materials and Methods: This descriptive and correlational study was conducted between 15 July and 21 November 2022. The sample of the study consisted of 389 obese individuals with BMI>30 who applied to the obesity centre of a university hospital. Descriptive Information Form, Health Anxiety Inventory and Cyberchondria Severity Scale were used in the study. Results: The total score of the participants in this study was 21.87± 9.70 on the Health Anxiety Scale and 81.37± 20.11 on the Cyberchondria Severity Scale. A significant positive correlation was found between health anxiety and cyberchondria levels. In addition, regression analysis showed that cyberchondria predicted 14% of health anxiety. Conclusion: Nurses working in the field of public health and mental health need to understand health anxiety and cyberchondria in order to identify attitudes and behaviors that may occur in obese individuals in physical, social and mental areas and to apply nursing interventions when necessary.

Anahtar Kelimeler

• Obesity
• health anxiety
• cyberchondria

Obez Olgularda Sağlık Anksiyetesi ve Siberkondri Arasındaki İlişkinin İncelenmesi

Öz

Amaç: Obezite, birçok ciddi sağlık sorununa yol açabilen bir durumdur ve sağlık anksiyetesi ile siberkondri arasındaki ilişki, obez bireylerde sağlıkla ilgili kaygı düzeylerinin artmasına ve dolayısıyla yaşam kalitesinin azalmasına neden olabilir. Bu çalışma, obez bireylerde sağlık anksiyetesi ve siberkondri düzeyleri arasındaki ilişkiyi incelemek amacıyla yapılmıştır. Materyal ve Metod: Tanımlayıcı ve ilişkisel nitelikteki bu çalışma 15 Temmuz-21 Kasım 2022 tarihleri arasında yürütülmüştür. Araştırmanın örneklemini bir üniversite hastanesinin obezite merkezine başvuran BKİ>30 olan 389 obez birey oluşturmuştur. Çalışmada Tanıtıcı Bilgi Formu, Sağlık Anksiyetesi Envanteri ve Siberkondria Şiddet Ölçeği kullanılmıştır. Bulgular: Bu çalışmaya katılan katılımcıların Sağlık Anksiyetesi Ölçeği'nde toplam puanı 21.87± 9.70 ve Siberkondri Şiddet Ölçeği'nde 81.37± 20.11 olarak bulunmuştur. Sağlık anksiyetesi ile siberkondri düzeyleri arasında anlamlı pozitif bir ilişki bulunmuştur. Ayrıca, regresyon analizi siberkondrinin sağlık anksiyetesinin %14'ünü öngördüğünü göstermiştir. Sonuç: Halk sağlığı ve ruh sağlığı alanında çalışan hemşireler, obez bireylerde fiziksel, sosyal ve zihinsel alanlarda ortaya çıkabilecek tutum ve davranışları belirlemek ve gerektiğinde hemşirelik müdahalelerini uygulamak için sağlık anksiyetesi ve siberkondriyi anlamalıdır.

Anahtar Kelimeler

• Obezite
• Sağlık anksiyetesi
• Siberkondri

Kaynakça

1. 1. Donini LM, Rosano A, Di Lazzaro L, Lubrano C, Carbonelli M, Pinto A, et al. Impact of Disability, Psychological Status, and Comorbidity on Health-Related Quality of Life Perceived by Subjects with Obesity. Obes Facts. 2020;13(2):191-200.
2. 2. Lobstein T, Jackson-Leach R, Powis J, Brinsden H, Gray M. World Obesity Atlas 2023 [Internet]. World Obesity Federation. 2023. Available from: www.johnclarksondesign.co.uk
3. 3. WHO. WHO European Regional Obesity Report 2022 [Internet]. 2022. Available from: https://www.who.int/europe/publications/ i/item/9789289057738
4. 4. Jaison K I, Asharaf H, Thimothy G, George S, Jose J, Paily R, et al. Psychological impact of obesity: A comprehensive analysis of health-related quality of life and weight-related symptoms. Obes Med. 2024;45:100530.
5. 5. Kolotkin RL, Andersen JR. A systematic review of reviews: exploring the relationship between obesity, weight loss and health‐related quality of life. Clin Obes. 2017;7(5):273-89.
6. 6. Abdelaal M, le Roux CW, Docherty NG. Morbidity and mortality associated with obesity. Ann Transl Med. 2017;5(7):161.
7. 7. Sharafi SE, Garmaroudi G, Ghafouri M, Bafghi SA, Ghafouri M, Tabesh MR, et al. Prevalence of anxiety and depression in patients with overweight and obesity. Obes Med. 2020;17:100169.
8. 8. Öcalan D, Ceylantekin Y, Kunduracılar Z, Doğan T. Üniversite Öğrencilerinde Beden Kütle İndeksi, Tükenmişlik Düzeyi ve İyilik Hâli Arasındaki İlişkinin İncelenmesi. Turkish J Diabetes Obes. 2020;4(3):270-8.

9. 9. Sahle BW, Breslin M, Sanderson K, Patton G, Dwyer T, Venn A, et al. Association between depression, anxiety and weight change in young adults. BMC Psychiatry. 2019;19(1):398.
10. 10. Balkoca F, Cubukcu M, Şimşek yurt N. The Relationship Between Obesity with Depression and Anxiety Levels: a Cross-Sectional, Case-Control Study. Turkish J Diabetes Obes. 2023;7(2):152-8.
11. 11. Chen VC, Liu YC, Chao SH, McIntyre RS, Cha DS, Lee Y, Weng JC. Brain structural networks and connectomes: the brain-obesity interface and its impact on mental health. Neuropsychiatr Dis Treat. 2018 Nov 26;14:3199-3208.
12. 12. Amiri S, Behnezhad S. Obesity and anxiety symptoms: a systematic review and meta-analysis. Neuropsychiatrie. 2019;33(2):72-89.
13. 13. Bellikci Koyu E, Karaağaç Y, Miçooğulları Ş. Sağlık Bilimleri Öğrencilerinde Obezite Ön Yargısı ve İlişkili Etmenler. Turkish J Diabetes Obes. 2020;4(3):260-9.
14. 14. Blüher M. Obesity: global epidemiology and pathogenesis. Nat Rev Endocrinol. 2019;15(5):288-98.
15. 15. Fergus TA, Limbers CA, Griggs JO, Kelley LP. Somatic symptom severity among primary care patients who are obese: examining the unique contributions of anxiety sensitivity, discomfort intolerance, and health anxiety. J Behav Med. 2018;41(1):43-51.
16. 16. Kulu M, Özsoy F. COVID-19 anxiety and health anxiety levels in non-healthcare community sampling. Kocaeli Med J. 2021;10(50):112-7.
17. 17. 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(1):189-96.
18. 18. Şen Celasin N, Sevinç HY. The Effect of Adolescents’ Sports Habit on Self-Perception, Self-Esteem and Quality of Life. Turkish J Diabetes Obes. 2022;6(2):159-68.
19. 19. Singh K, Brown RJ. Health-related Internet habits and health anxiety in university students. Anxiety, Stress Coping. 2014;27(5):542-54.
20. 20. Bajcar B, Babiak J. Neuroticism and cyberchondria: The mediating role of intolerance of uncertainty and defensive pessimism. Pers Individ Dif. 2020;162:110006.
21. 21. Delikanlı Çorakçı B, Bilici M, Öztürk Y, Bayraktaroğlu T. The Role of Social Networks in the Monitoring and Treatment of Adolescent Diabetes. Turkish J Diabetes Obes. 2017;1(2):49- 53.
22. 22. Aulia A, Marchira CR, Supriyanto I, Pratiti B. Cyberchondria in First Year Medical Students of Yogyakarta. J Consum Health Internet. 2020;24(1):1-9.
23. 23. Newby JM, McElroy E. The impact of internet-delivered cognitive behavioural therapy for health anxiety on cyberchondria. J Anxiety Disord. 2020;69(May 2019):102150.
24. 24. Starcevic V, Berle D, Arnáez S. Recent Insights Into Cyberchondria. Curr Psychiatry Rep. 2020;22(11):56.
25. 25. Doherty-Torstrick ER, Walton KE, Fallon BA. Cyberchondria: Parsing Health Anxiety From Online Behavior. Psychosomatics. 2016;57(4):390-400.
26. 26. Starcevic V. Cyberchondria: Challenges of Problematic Online Searches for Health-Related Information. Psychother Psychosom. 2017;86(3):129-33.
27. 27. Laato S, Islam AKMN, Islam MN, Whelan E. What drives unverified information sharing and cyberchondria during the COVID-19 pandemic? Eur J Inf Syst. 2020;29(3):288-305.
28. 28. Afrin R, Prybutok G. Insights into the antecedents of cyberchondria: a perspective from the USA. Health Promot Int. 2022;37(4).
29. 29. Mathes BM, Norr AM, Allan NP, Albanese BJ, Schmidt NB. Cyberchondria: Overlap with health anxiety and unique relations with impairment, quality of life, and service utilization. Psychiatry Res. 2018;261:204-11.
30. 30. Zheng H, Tandoc EC. Calling Dr. Internet: Analyzing News Coverage of Cyberchondria. Journal Pract. 2022;16(5):1001- 17.
31. 31. Barke A, Bleichhardt G, Rief W, Doering BK. The Cyberchondria Severity Scale (CSS): German Validation and Development of a Short Form. Int J Behav Med. 2016;23(5):595-605.
32. 32. Wynn T, Islam N, Thompson C, Myint KS. The effect of knowledge on healthcare professionals’ perceptions of obesity. Obes Med. 2018;11:20-4.
33. 33. Selvi Y, Gokce Turan S, Asena Sayin A, Boysan M, Kandeger A. The Cyberchondria Severity Scale (CSS): Validity and Reliability Study of the Turkish Version. Sleep Hypn - Int J. 2018;20(4):241-6.
34. 34. 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.
35. 35. Starcevic V, Berle D. Cyberchondria: An old phenomenon in a new guise. Mental health in the digital age: Grave dangers, great promise. In: Aboujaoude E, Starcevic V, editors. Cyberchondria: an old phenomenon in a new guise? New York: Oxford University Press; 2015;106-17.
36. 36. Cohen J. Statistical power analysis current directions. Psychol Sci. 1992;1(3):98-101.
37. 37. Çapık C. Statistical Power Analysis and its Use in Nursing Research: Basic Information. J Anatolia Nurs Heal Sci. 2014;17(4):268-74.
38. 38. Faith MS, Butryn M, Wadden TA, Fabricatore A, Nguyen AM, Heymsfield SB. Evidence for prospective associations among depression and obesity in population-based studies. Obes Rev. 2011;12(5):e438-53.
39. 39. Gül A, Özdemir T, Börekçi E. Health anxiety levels in patients admitted to ınternal medicine outpatient clinic for several times. J Clin Anal Med. 2016;7(4):437-9.
40. 40. Hedman E, Lindefors N, Andersson G, Andersson E, Lekander M, Rück C, Ljótsson B. Predictors of outcome in Internet- based cognitive behavior therapy for severe health anxiety. Behav Res Ther. 2013;51(10):711-7.
41. 41. Altındiş S, İnci MB, Aslan FG, Altındiş M. Investigation of Cyberchondria Levels and Related Factors in University Employees. Sak Med J. 2018;8(2):359-70.
42. 42. Salkovskis PM, Rimes KA, Warwick HMC, Clark DM. The health anxiety inventory: Development and validation of scales for the measurement of health anxiety and hypochondriasis. Psychol Med. 2002;32(5):843-53.
43. 43. Aydemir Ö, Kirpinar I, Sati T, Uykur B, Cengisiz C. Validity and reliability study of the health anxiety scale for Turkish. Noropsikiyatri Ars. 2013;50(4):325-31.
44. 44. McElroy E, Shevlin M. The development and initial validation of the cyberchondria severity scale (CSS). J Anxiety Disord. 2014;28(2):259-65.
45. 45. Uzun SU, Zencir M. Reliability and validity study of the Turkish version of cyberchondria severity scale. Curr Psychol. 2018;40(1):65-71.
46. 46. Büyüköztürk Ş. Handbook of Data Analysis for Social Sciences. 20th ed. Ankara: Pegem Akademi Yayınları; 2014.
47. 47. Tamer F, Güçlü A. The survey on the effects of perceptıon of health on health anxıety ın ındıvıduals. 2022;2022(March):135-53.
48. 48. Bozkurt E, Kurtses Gürsoy B, Atay E, Bilir A, Kaynarca Ö. Perceived stress level and health anxiety during COVID-19 pandemic period in patients with diabetes mellitus and hypertension: A prospective cross-sectional study. J Surg Med. 2021;5(8):785-90.
49. 49. Mrayyan MT, Al-Rawashdeh S, Abu Khait A, Rababa M. Differences in Cyberchondria, Internet Addiction, Anxiety Sensitivity, Health Anxiety, and Coronavirus Anxiety Among Students: A Web-Based Comparative Survey. Electron J Gen Med. 2022;19(3).
50. 50. Arsenakis S, Chatton A, Penzenstadler L, Billieux J, Berle D, Starcevic V, Viswasam K, Khazaal Y. Unveiling the relationships between cyberchondria and psychopathological symptoms. J Psychiatr Res. 2021;143(September):254-61.
51. 51. Turhan Cakir A. Cyberchondria levels in women with human papilloma virus. J Obstet Gynaecol Res. 2022;48(10):2610-4.
52. 52. Abdelsattar M, Derar E, Salem AAMS, Al-Mujai F. Cyberchondria severity, health anxiety, and health locus of control: the mediation role of covid-19 anxiety. ASEAN J Psychiatry. 2021;22(2):1-11.
53. 53. Nadeem F, Malik NI, Atta M, Ullah I, Martinotti G, Pettorruso M, Vellante F, Di Giannantonio M, De Berardis D. Relationship between Health-Anxiety and Cyberchondria: Role of Metacognitive Beliefs. J Clin Med. 2022;11(9).
54. 54. Błachnio A, Przepiórka A, Kot P, Cudo A, Steuden S. The role of emotional functioning in the relationship between health anxiety and cyberchondria. Curr Psychol. 2022;(2019).
55. 55. Bati AH, Mandiracioglu A, Govsa F, Çam O. Health anxiety and cyberchondria among Ege University health science students. Nurse Educ Today. 2018;71(March):169-73.
56. 56. Doğan S, Füsun A, Baynal-Doğan TG. İnternet Bağımlılığı Ve Sağlık Anksiyetesinin Siberkondri Davranışları Üzerine Etkisi. Erciyes Akad. 2021;35(1):281-98.
57. 57. Aiken M, Kirwan G. Prognoses for diagnoses: medical search online and “cyberchondria”. BMC Proc. 2012;6(S4):P30.