Hubungan Obesitas dan Psikosomatis pada Orang Dewasa di Indonesia
The Relationship between Obesity and Psychosomatic Disorders in Adults in Indonesia
DOI:
https://doi.org/10.35473/jhhs.v7i2.540Keywords:
Obesitas, Psikosomatis, IndonesiaAbstract
Obesity is one of the psychosomatic disorders influenced by complex psychosocial factors that affect its clinical management. The prevalence of obesity in Indonesia in 2023 was 23.4% among individuals aged over 18 years (adults). Among people with obesity, experiences of bullying often stemming from social rejection gradually reduce activity levels and negatively affect communication behavior. The novelty of this study lies in its focus: while previous research examined obesity-related stigma and its impact on individuals and society, this study specifically investigates the relationship between obesity and psychosomatic mental disorders. One of the consequences of this process is social isolation, which disrupts interpersonal relationships.The objective of this study is to explore the relationship between obesity and psychosomatic complaints among obese adults over the age of 18, including both males and females in Indonesia. This research employed a quantitative descriptive method using SPSS software, with Chi-square and Spearman correlation tests. Data were collected using purposive sampling from obese adults, measured using Body Mass Index (BMI), and assessed through the Psychosomatic Symptoms Questionnaire. The population in this study included all obese adults weighing between obesity type 1 and type 2, and a total sample of 200 individuals experiencing psychosomatic symptoms was selected.The analysis showed that the p-values were below 0.05, indicating a significant relationship. The most frequently reported symptom was confusion or brain fog (19.5%), while the strongest correlation was found between obesity and symptoms of stomach pain and nausea, with a Spearman correlation coefficient of 0.884. These findings demonstrate that obesity is not only associated with physical health issues but is also strongly related to the emergence of various psychosomatic symptoms, including neurological, cognitive, and gastrointestinal manifestations. The study concludes that obesity is significantly associated with psychosomatic conditions among adults in Indonesia.
ABSTRACT
Obesity is one of the psychosomatic disorders influenced by complex psychosocial factors that affect its clinical management. The prevalence of obesity in Indonesia in 2023 was 23.4% among individuals aged over 18 years (adults). Among people with obesity, experiences of bullying often stemming from social rejection gradually reduce activity levels and negatively affect communication behavior. The novelty of this study lies in its focus: while previous research examined obesity-related stigma and its impact on individuals and society, this study specifically investigates the relationship between obesity and psychosomatic mental disorders. One of the consequences of this process is social isolation, which disrupts interpersonal relationships.The objective of this study is to explore the relationship between obesity and psychosomatic complaints among obese adults over the age of 18, including both males and females in Indonesia. This research employed a quantitative descriptive method using SPSS software, with Chi-square and Spearman correlation tests. Data were collected using purposive sampling from obese adults, measured using Body Mass Index (BMI), and assessed through the Psychosomatic Symptoms Questionnaire. The population in this study included all obese adults weighing between obesity type 1 and type 2, and a total sample of 200 individuals experiencing psychosomatic symptoms was selected.The analysis showed that the p-values were below 0.05, indicating a significant relationship. The most frequently reported symptom was confusion or brain fog (19.5%), while the strongest correlation was found between obesity and symptoms of stomach pain and nausea, with a Spearman correlation coefficient of 0.884. These findings demonstrate that obesity is not only associated with physical health issues but is also strongly related to the emergence of various psychosomatic symptoms, including neurological, cognitive, and gastrointestinal manifestations. The study concludes that obesity is significantly associated with psychosomatic conditions among adults in Indonesia.
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References
Andoy-Galvan, J. A., Lugova, H., Patil, S. S., Wong, Y. H., Baloch, G. M., Suleiman, A., Nordin, R., & Chinna, K. (2020). Income and obesity in an urban poor community: a cross-sectional study. F1000Research, 9, 160. https://doi.org/10.12688/f1000research.22236.1
Amaya-Hernández, A., Ortega-Luyando, M., Mancilla-Diaz, J. M., Alvarez-Rayón, G., Cruz-Navarro, M., & Pérez-Ortiz, A. (2024). Differences in body dissatisfaction between individuals with and without stigma toward obesity: A study of preadolescents and adolescents. Eating and weight disorders : EWD, 29(1), 66. https://doi.org/10.1007/s40519-024-01693-1
Beh, K. H., Chuah, K. H., Rappek, N. A. M., & Mahadeva, S. (2021). The association of body mass index with functional dyspepsia is independent of psychological morbidity: A cross-sectional study. PloS one, 16(1), e0245511. https://doi.org/10.1371/journal.pone.0245511
Biswas, T., Garnett, S. P., Pervin, S., & Rawal, L. B. (2017). The prevalence of underweight, overweight and obesity in Bangladeshi adults: Data from a national survey. PloS one, 12(5), e0177395. https://doi.org/10.1371/journal.pone.0177395
Blüher M. (2019). Obesity: global epidemiology and pathogenesis. Nature reviews. Endocrinology, 15(5), 288–298. https://doi.org/10.1038/s41574-019-0176-8
D'Souza, R. S., & Hooten, W. M. (2023). Somatic Symptom Disorder. In StatPearls. StatPearls Publishing.
Field, A. (2018). Discovering Statistics Using IBM SPSS Statistics 5th Edition (5th ed.). SAGE Publications Inc.
Förster, L. J., Vogel, M., Stein, R., Hilbert, A., Breinker, J. L., Böttcher, M., Kiess, W., & Poulain, T. (2023). Mental health in children and adolescents with overweight or obesity. BMC public health, 23(1), 135. https://doi.org/10.1186/s12889-023-15032-z
Geraets, A. F. J., Cosma, A., Fismen, A. S., Ojala, K., Pierannunzio, D., Kelly, C., Heinz, A. (2023). Cross-national time trends in adolescent body weight perception and the explanatory role of overweight/obesity prevalence. Child and Adolescent Obesity, 6(1). https://doi.org/10.1080/2574254X.2023.2218148
Heidari, Z., Feizi, A., Rezaei, S., Roohafza, H., & Adibi, P. (2021). Psychosomatic symptoms questionnaire (PSQ-39): a psychometric study among general population of Iranian adults. BMC psychiatry, 21(1), 269. https://doi.org/10.1186/s12888-021-03278-z
Herpertz, S., & Saller, B. (2001). Psychosomatische Aspekte der Adipositas [Psychosomatic aspects of obesity]. Psychotherapie, Psychosomatik, medizinische Psychologie, 51(9-10), 336–349. https://doi.org/10.1055/s-2001-16901
Kalarchian, M. A., & De Zwaan, M. (2020). Editorial: Psychosomatic Aspects of Obesity. Frontiers in psychiatry, 11, 614903. https://doi.org/10.3389/fpsyt.2020.614903
Kemenkes. (2024). Hasil Utama SKI 2023. Diakses 12 Februari 2025 melalui https://www.badankebijakan.kemkes.go.id/daftar-frequently-asked-question-seputar-hasil-utama-ski-2023/hasil-utama-ski-2023/#:~:text=Bagaimana%20hasil%20utama%20dari%20obesitas,Papua%20tengah%2044%2C3%25
Meadows, A., & Higgs, S. (2019). The Multifaceted Nature of Weight-Related Self-Stigma: Validation of the Two-Factor Weight Bias Internalization Scale (WBIS-2F). Frontiers in psychology, 10, 808. https://doi.org/10.3389/fpsyg.2019.00808
Minhas, M., Murphy, C. M., Balodis, I. M., Samokhvalov, A. V., and MacKillop, J. (2021). Food addiction in a large community sample of Canadian adults: prevalence and relationship with obesity, body composition, quality of life and impulsivity. Addiction doi: 10.1111/add.15446 [Epub ahead of print].
Papadopoulos, S., & Brennan, L. (2015). Correlates of weight stigma in adults with overweight and obesity: A systematic literature review. Obesity (Silver Spring, Md.), 23(9), 1743–1760. https://doi.org/10.1002/oby.21187
Puhl, R. M., Himmelstein, M. S., & Pearl, R. L. (2020). Weight stigma as a psychosocial contributor to obesity. The American psychologist, 75(2), 274–289. https://doi.org/10.1037/amp0000538
Rubino, F., Puhl, R. M., Cummings, D. E., Eckel, R. H., Ryan, D. H., Mechanick, J. I., Nadglowski, J., Ramos Salas, X., Schauer, P. R., Twenefour, D., Apovian, C. M., Aronne, L. J., Batterham, R. L., Berthoud, H. R., Boza, C., Busetto, L., Dicker, D., De Groot, M., Eisenberg, D., Flint, S. W., … Dixon, J. B. (2020). Joint international consensus statement for ending stigma of obesity. Nature medicine, 26(4), 485–497. https://doi.org/10.1038/s41591-020-0803-x
Schulte, E. M., Wadden, T. A., and Allison, K. C. (2020). An evaluation of food addiction as a distinct psychiatric disorder. Int. J. Eat. Disord. 53, 1610–1622. doi: 10.1002/eat.23350
Vázquez-Velázquez, V., & García García, E. (2022). Feasibility and Effectiveness of a Comprehensive Care Program for People Living with Obesity: A Real-World Experience in a Public Hospital in Mexico. Obesity facts, 15(6), 774–786. https://doi.org/10.1159/000527024
Venäläinen, J., Låftman, S. B., & Landberg, J. (2024). Weight status and psychosomatic complaints in Swedish adolescent boys and girls: does family support play a buffering role?. BMC public health, 24(1), 3024. https://doi.org/10.1186/s12889-024-20517-6
Vogelezang, S., Bradfield, J. P., Ahluwalia, T. S., Curtin, J. A., Lakka, T. A., Grarup, N., Scholz, M., van der Most, P. J., Monnereau, C., Stergiakouli, E., Heiskala, A., Horikoshi, M., Fedko, I. O., Vilor-Tejedor, N., Cousminer, D. L., Standl, M., Wang, C. A., Viikari, J., Geller, F., Íñiguez, C., … Felix, J. F. (2020). Novel loci for childhood body mass index and shared heritability with adult cardiometabolic traits. PLoS genetics, 16(10), e1008718. https://doi.org/10.1371/journal.pgen.1008718
Wiss, D., & Brewerton, T. (2020). Separating the Signal from the Noise: How Psychiatric Diagnoses Can Help Discern Food Addiction from Dietary Restraint. Nutrients, 12(10), 2937. https://doi.org/10.3390/nu12102937
World Health Organization. (2024). One in eight people are now living with obesity. Diakses 12 Februari 2025 melalui https://www.who.int/news/item/01-03-2024-one-in-eight-people-are-now-living-with-obesity
Xiang, K., & Kong, F. (2024). Passive social networking sites use and disordered eating behaviors in adolescents: The roles of upward social comparison and body dissatisfaction and its sex differences. Appetite, 198, 107360. https://doi.org/10.1016/j.appet.2024.107360
Yamazaki, T., Kikuchi, H. (2021). Topics on Obesity as a Psychosomatic Disease—Cognitive Behavioral Therapy and Weight Stigma. Japanese Journal of Psychosomatic Medicine. Volume 61 Issue 3 Pages 242-248. https://doi.org/10.15064/jjpm.61.3_242
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