Hubungan antara Kecemasan Kesehatan dan Intensitas Penggunaan Media Sosial dengan Cyberchondria pada Generasi Z

Authors

  • Muhamad Ulul Azmi Universitas 17 Agustus 1945 Surabaya, Indonesia

Keywords:

Cyberchondria; Health Anxiety; Social Media Use Intensity; Generation Z; Digital Health Literacy

Abstract

Cyberchondria refers to excessive and repetitive online health information seeking that paradoxically amplifies concern about one’s own health. Mainstream literature positions health anxiety as its strongest predictor, yet evidence from non-Western digital native populations remains limited. This study examined the relationship of health anxiety and social media use intensity with cyberchondria among Generation Z. A quantitative correlational design was applied to 358 participants aged 15–28 years in an Indonesian metropolitan area, recruited through purposive sampling. Data were collected using an adapted Cyberchondria Severity Scale, the Short Health Anxiety Inventory, and a social media use intensity scale based on Ellison’s aspects, with reliability coefficients of .923, .924, and .969 respectively. Data were analysed using Spearman’s rho correlation. Results showed that health anxiety was not significantly related to cyberchondria (rs = –.008; p = .880), whereas social media use intensity showed a significant positive relationship of moderate to strong magnitude (rs = .582; p < .001). Comparison of the two coefficients reveals the dominance of the external factor over the internal one. These findings indicate a shift in the entry point of the cyberchondria cycle among digital natives, from internal psychological vulnerability toward digital environmental exposure.

References

Abramowitz, J. S., Deacon, B. J., & Valentiner, D. P. (2007). The Short Health Anxiety Inventory: Psychometric properties and construct validity in a non-clinical sample. Cognitive Therapy and Research, 31(6), 871–883. https://doi.org/10.1007/s10608-006-9058-1

Aulia, A., Marchira, C. R., Supriyanto, I., & Pratiti, B. (2020). Cyberchondria in first year medical students of Yogyakarta. Journal of Consumer Health on the Internet, 24(1), 1–9. https://doi.org/10.1080/15398285.2019.1710096

Azwar, S. (2011). Reliabilitas dan validitas (Edisi ke-4). Pustaka Pelajar.

Błachnio, A., Przepiórka, A., Gorbaniuk, O., Bendayan, R., McNeill, M., Angeluci, A., Abreu, A. M., Ben-Ezra, M., Benvenuti, M., Blanca, M. J., Brkljacic, T., Chen, W., Durak, M., Şenyuva, E., Gundogan, S., Hsu, W.-Y., Iliško, D., Klicperova-Baker, M., Kwiatkowska, A., … Wołońciej, M. (2023). Cultural correlates of Internet addiction. Cyberpsychology, Behavior, and Social Networking, 26(1), 1–10. https://doi.org/10.1089/cyber.2022.0093

Bussey, L. G., & Sillence, E. (2019). The role of internet resources in health decision-making: A qualitative study. Digital Health, 5, 1–12. https://doi.org/10.1177/2055207619888073

Cohen, J. (1992). A power primer. Psychological Bulletin, 112(1), 155–159. https://doi.org/10.1037/0033-2909.112.1.155

Ellison, N. B., Steinfield, C., & Lampe, C. (2007). The benefits of Facebook “friends”: Social capital and college students’ use of online social network sites. Journal of Computer-Mediated Communication, 12(4), 1143–1168. https://doi.org/10.1111/j.1083-6101.2007.00367.x

Fardouly, J., & Vartanian, L. R. (2016). Social media and body image concerns: Current research and future directions. Current Opinion in Psychology, 9, 1–5. https://doi.org/10.1016/j.copsyc.2015.09.005

Fergus, T. A. (2014). The Cyberchondria Severity Scale (CSS): An examination of structure and relations with health anxiety in a community sample. Journal of Anxiety Disorders, 28(6), 504–510. https://doi.org/10.1016/j.janxdis.2014.05.006

Fergus, T. A., & Russell, L. H. (2016). Does cyberchondria overlap with health anxiety and obsessive–compulsive symptoms? An examination of latent structure and scale interrelations. Journal of Anxiety Disorders, 38, 88–94. https://doi.org/10.1016/j.janxdis.2016.01.009

Festinger, L. (1954). A theory of social comparison processes. Human Relations, 7(2), 117–140. https://doi.org/10.1177/001872675400700202

Jungmann, S. M., & Dessauer, E. (2025). Health-related internet use and cyberchondria in adolescents: Population-based cross-sectional survey. Journal of Medical Internet Research, 27, e65792. https://doi.org/10.2196/65792

Katz, E., Blumler, J. G., & Gurevitch, M. (1973). Uses and gratifications research. The Public Opinion Quarterly, 37(4), 509–523. https://doi.org/10.1086/268109

Khazaal, Y., Chatton, A., Rochat, L., Hede, V., Viswasam, K., Penzenstadler, L., Berle, D., & Starcevic, V. (2021). Compulsive health-related internet use and cyberchondria. European Addiction Research, 27(1), 58–66. https://doi.org/10.1159/000510922

Krejcie, R. V., & Morgan, D. W. (1970). Determining sample size for research activities. Educational and Psychological Measurement, 30(3), 607–610. https://doi.org/10.1177/001316447003000308

Mathes, B. M., Norr, A. M., Allan, N. P., Albanese, B. J., & Schmidt, N. B. (2018). Cyberchondria: Overlap with health anxiety and unique relations with impairment, quality of life, and service utilization. Psychiatry Research, 261, 204–211. https://doi.org/10.1016/j.psychres.2018.01.002

McElroy, E., & Shevlin, M. (2014). The development and initial validation of the Cyberchondria Severity Scale (CSS). Journal of Anxiety Disorders, 28(2), 259–265. https://doi.org/10.1016/j.janxdis.2013.12.007

McMullan, R. D., Berle, D., Arnáez, S., & Starcevic, V. (2019). The relationships between health anxiety, online health information seeking, and cyberchondria: Systematic review and meta-analysis. Journal of Affective Disorders, 245, 270–278. https://doi.org/10.1016/j.jad.2018.11.037

Menon, V., Kar, S. K., Tripathi, A., Nebhinani, N., & Varadharajan, N. (2020). Cyberchondria: Conceptual relation with health anxiety, assessment, management and prevention. Asian Journal of Psychiatry, 53, 102225. https://doi.org/10.1016/j.ajp.2020.102225

Miezah, D., [lengkapi nama penulis lain sesuai artikel asli]. (2026). Prevalence and associated factors of cyberchondria: A scoping review. The Scientific World Journal, 2026, Article ID [lengkapi]. https://doi.org/[lengkapi]

Pariser, E. (2011). The filter bubble: What the Internet is hiding from you. Penguin Press.

Salkovskis, P. M., Rimes, K. A., Warwick, H. M. C., & Clark, D. M. (2002). The Health Anxiety Inventory: Development and validation of scales for the measurement of health anxiety and hypochondriasis. Psychological Medicine, 32(5), 843–853. https://doi.org/10.1017/S0033291702005822

Schenkel, S. K., Jungmann, S. M., Gropalis, M., & Witthöft, M. (2021). Conceptualizations of cyberchondria and relations to the anxiety spectrum: Systematic review and meta-analysis. Journal of Medical Internet Research, 23(11), e27835. https://doi.org/10.2196/27835

Selvi, Y., Turan, S. G., Sayin, A. A., Boysan, M., & Kandeger, A. (2018). The Cyberchondria Severity Scale (CSS): Validity and reliability study of the Turkish version. Sleep and Hypnosis, 20(4), 241–246. https://doi.org/10.5350/Sleep.Hypn.2018.20.0165

Sholeh, A. (2022). Adaptasi Cyberchondria Severity Scale (CSS) versi bahasa Indonesia [Skripsi tidak dipublikasikan]. [Lengkapi nama institusi].

Starcevic, V., & Berle, D. (2013). Cyberchondria: Towards a better understanding of excessive health-related internet use. Expert Review of Neurotherapeutics, 13(2), 205–213. https://doi.org/10.1586/ern.12.162

Starcevic, V., Berle, D., & Arnáez, S. (2020). Recent insights into cyberchondria. Current Psychiatry Reports, 22(11), 56. https://doi.org/10.1007/s11920-020-01179-8

Valkenburg, P. M., Meier, A., & Beyens, I. (2022). Social media use and its impact on adolescent mental health: An umbrella review of the evidence. Current Opinion in Psychology, 44, 58–68. https://doi.org/10.1016/j.copsyc.2021.08.017

Warwick, H. M. C., & Salkovskis, P. M. (1990). Hypochondriasis. Behaviour Research and Therapy, 28(2), 105–117. https://doi.org/10.1016/0005-7967(90)90023-C

Yang, C., & Xu, R. H. (2025). Impact of cyberchondria on health and quality of life: Scoping review. Journal of Medical Internet Research, 27, e77977. https://doi.org/10.2196/77977

Downloads

Published

2026-07-26

How to Cite

Azmi, M. U. (2026). Hubungan antara Kecemasan Kesehatan dan Intensitas Penggunaan Media Sosial dengan Cyberchondria pada Generasi Z. Social Science Academic, 4(2), 61–78. Retrieved from https://ejournal.insuriponorogo.ac.id/index.php/ssa/article/view/10451

Issue

Section

Articles