The Relationship Between Stress and Anxiety with the Occurrence of Functional Dyspepsia among Medical Students of Sumatera Utara University
(1) Undergraduate Program Faculty of Medicine, Sumatera Utara University, Medan
(2) Departement of Internal Medicine, Faculty of Medicine, Sumatera Utara University, Medan
Corresponding Author
Abstract
Background: Functional dyspepsia is characterized by upper gastrointestinal symptoms like epigastric bloating, pain, and early satiation without structural disease evidence, including negative findings on endoscopy. Psychological triggers, such as stress and anxiety, may influence its occurrence. Previous research in Indonesia, including studies at Tarumanegara University, Mulawarman University, and the Islamic University of North Sumatra, has found associations between psychological factors and functional dyspepsia symptoms. Most respondents experienced dyspepsia linked to stress and anxiety. A study on patients at Dr. M. Jamil Hospital also confirmed this relationship. Building on the data mentioned, this study aims to explore and confirm the relationship between stress, anxiety, and the occurrence of functional dyspepsia in medical students at Sumatera Utara University.
Methods: This research utilized a cross-sectional analytical approach with a sample of 261 medical students from Sumatera Utara University, selected via quota sampling, and applied the Rome IV and DASS-21 criteria questionnaires. Data were collected from September 2022 until October 2022.
Results: This study showed a 47.9% prevalence of functional dyspepsia among respondents, with 44.1% experiencing moderate stress and 72.4% having very severe anxiety. The Chi-square test revealed significant relationships between stress (p=0.026) and anxiety (p=0.038) with functional dyspepsia incidence. Spearman correlation tests further confirmed significant relationships between stress levels (p=0.049) and anxiety levels (p=0.030) and functional dyspepsia.
Conclusion: There is a relationship between stress and anxiety with the incidence of functional dyspepsia in medical students of Sumatera Utara University.
Keywords
References
Aziz I, Palsson OS, Törnblom H, Sperber AD, Whitehead WE, Simrén M. Articles Epidemiology , clinical characteristics , and associations for symptom-based Rome IV functional dyspepsia in adults in the USA , Canada , and the UK : a cross-sectional population-based study. 2018;1253(18):1–11.
Ford AC, Mahadeva S, Carbone MF, Lacy BE, Talley NJ. Functional dyspepsia. Lancet [Internet]. 2020;396(10263):1689–702.
Walker MM, Potter MD, Talley NJ. Tangible pathologies in functional dyspepsia. Best Pract Res Clin Gastroenterol [Internet]. 2019;40–41:101650.
Angelia J, Sutanto H. Hubungan kecemasan dengan derajat keparahan dispepsia pada mahasiswa Fakultas Kedokteran Universitas Tarumanagara angkatan 2014. Tarumanagara Med J. 2019;1(1):77–83.
Ashari AN, Yuniarti, Murti IS. Hubungan Tingkat Stres dengan Kejadian Dispepsia Fungsional pada Mahasiswa Fakultas Kedokteran Universitas Mulawarman. J Kesehat Tambusai. 2021;2:6.
Syahputra R, Purnama Siregar N. Hubungan Antara Tingkat Stres Dengan Kejadian Sindrom Dispepsia Fungsional Pada Mahasiswa Fk Uisu Tahun 2020 Relationship Between the Level of Stress With the Event of Functional Dyspepsia Syndrome in FK UISU Student 2020. J Kedokt Ibnu Nafis. 2021;10(2):101–9.
Widya Murni A. Kadar Kortisol Plasma pada Dispepsia Fungsional dengan Gangguan Psikosomatik Level of Plasma Cortisol in Functional Dyspepsia with Psychosomatic Disorder. J Penyakit Dalam Indones . 2020;7(1):15–21.
Azis MZ, Bellinawati N. Faktor Risiko Stres dan Perbedaannya pada Mahasiswa Berbagai Angkatan di Fakultas Kedokteran Universitas Muhammadiyah Palembang. 2015;2(2):197–202.
Marsidi SR. Identification of Stress, Anxiety, and Depression Levels of Students in Preparation for the Exit Exam Competency Test. J Vocat Heal Stud. 2021;5(2):87.
Annisa DF. Konsep Kecemasan ( Anxiety ) pada Lanjut Usia ( Lansia ). 2016;5(2).
Setiyani RY. Perbedaan Tingkat Kecemasan Pada Mahasiswa Baru Di Fakultas Ilmu Kesehatan Dan Non Fakultas Ilmu Kesehatan, Universitas ‘Aisyiyah Yogyakarta. J Psikol Integr. 2018;6(1):16.
Rahmadyah D. Hubungan Kecemasan dengan Kejadian Sindrom Dispepsia pada Mahasiswa Program Studi Pendidikan DOkter Fakultas Kedokteran Universitas Tanjungpura. J Mhs PSPD FK Univ Tanjungpura [Internet]. 2019;5.
Indra RM. Hubungan Indeks Massa Tubuh dengan Dispepsia Fungsional Pada Mahassiwa Fakultas Kedokteran Universitas Sumatera Utara Angkatan 2015-2018. Skripsi. 2018;
Suzuki H. The application of the Rome IV criteria to functional esophagogastroduodenal disorders in Asia. J Neurogastroenterol Motil. 2017;23(3):325–33.
Van Den Houte K, Carbone F, Tack J. Postprandial distress syndrome: stratification and management. Expert Rev Gastroenterol Hepatol [Internet]. 2019;13(1):37–46.
Hasibuan DH, Darungan TS. Hubungan Tingkat Stres Dengan Kejadian Sindroma Dispepsia Fungsional Pada Mahasiswa Fakultas Kedokteran Uisu Tahun 2021 the Relationship of Stress Level With the Event of Functional Dyspepsia Syndrome in Students of the Faculty of Medicine Uisu in 2021. Ibnu Sina J Kedokt dan Kesehat Fak Kedokt Univ Islam Sumatera Utara. 2022;21(2):260–3.
Husnul Ikhsan M, Widya Murni A, Rustam ER. Hubungan Depresi, Ansietas, dan Stres dengan Kejadian Sindrom Dispepsia pada Mahasiswa Tahun Pertama di Fakultas Kedokteran Universitas Andalas Sebelum dan Sesudah Ujian Blok. J Kesehat Andalas. 2020;9(1S):74–81.
Huang ZP, Wang K, Duan YH, Yang G. Correlation between lifestyle and social factors in functional dyspepsia among college freshmen. J Int Med Res. 2020;48(8).
Tominaga K, Kusunoki H. Functional dyspepsia: Evidences in pathophysiology and treatment. Functional Dyspepsia: Evidences in Pathophysiology and Treatment. 2018. 1–187.
Putri IS, Widyatuti. Stress And Functional Dyspepsia Symptoms In Adolescents. FIKKes Univ Muhammadiyah Semarang. 2019;7(2):203–14.
Sitompul IM. Hubungan Pola Makan dan Karakteristik Individu Terhadap Sindrom Dispepsia pada Mahasiswa Angkatan 2019 dan 2020 Fakultas Kedokteran Universitas Sumatera Utara. Skripsi. 2021;
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DOI: 10.24871/253202439-44
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