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Online Gaming Addiction and Emotional Disorders Among Adolescents: A Cross-Sectional Study in a Public Junior Secondary School Luluk Mufariha; Galuh Kumalasari; Frastiqa Fahrany; Kon Alier
Health Frontiers: Multidisciplinary Journal for Health Professionals Vol. 4 No. 1 (2026): Health Frontiers
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/mjhp.v4i1.242

Abstract

The rapid global expansion of online gaming has raised increasing concerns regarding gaming addiction and its psychological consequences among adolescents, particularly in low- and middle-income countries where evidence remains limited. This study aimed to examine the association between online gaming addiction and emotional disorders among adolescents attending a public junior secondary school in East Java, Indonesia. A cross-sectional study with stratified random sampling was conducted among 142 students (mean age 13.1 years; 61.3% male). Data were collected using the Internet Gaming Disorder Scale-20 (IGDS9-SF) and the Strengths and Difficulties Questionnaire (SDQ), then analysed using Spearman’s rank correlation and multivariate ordinal regression. Most respondents demonstrated moderate gaming addiction (55.6%), while 2.1% met criteria for high addiction. Emotional disorders were identified in 51.4% of participants, consisting primarily of behavioural disorders (42.5%), depression (34.3%), and anxiety (23.2%). Spearman’s analysis revealed a significant positive correlation between gaming addiction and emotional disorders (r = 0.41, p = 0.001). Multivariate analysis further showed that gaming addiction independently predicted emotional disorders after adjustment for age and sex (adjusted OR = 3.12; 95% CI: 1.68–5.79; p < 0.001). Behavioural disturbance emerged as the most prominent emotional manifestation. These findings highlight the importance of integrating school-based mental health screening and preventive interventions into adolescent health policies in Indonesia.
Comfort Theory in Practice: Lavender Aromatherapy for Sleep Pattern Disturbance in Hypertensive Older Adults at a Community Health Center Zafarah Risqi Aulia Rachma; Bagus Dwi Cahyono; Nurul Huda; Nadia Rohmatul Laili; Sri Wahyuni; Kon Alier
Inovasi Lokal Vol. 4 No. 1 (2026): Inovasi Lokal
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/noval.v4i1.282

Abstract

Introduction: Hypertension commonly impairs sleep quality among older adults because persistent sympathetic nervous system activation interferes with the physiological relaxation required for sleep initiation and maintenance. Although antihypertensive therapy controls blood pressure, sleep disturbances often persist, highlighting the need for effective non-pharmacological nursing interventions in primary care. This case report aimed to describe the implementation of lavender aromatherapy, guided by Kolcaba's Comfort Theory, in managing sleep pattern disturbances among hypertensive older adults. Methods: A descriptive case report was conducted involving two hypertensive older adults receiving nursing care at the Gadingrejo Health Center, Pasuruan City, Indonesia. Nursing assessment and care were based on the Indonesian Nursing Diagnosis, Intervention, and Outcome Standards (SDKI, SIKI, and SLKI). Lavender aromatherapy was administered using a diffuser containing 50 mL of water and 4–5 drops of lavender essential oil for approximately 60 minutes before bedtime over seven consecutive days, accompanied by sleep hygiene education. Data were collected through interviews, direct observation, physical examination, and nursing documentation. Results: Both participants experienced fewer nocturnal awakenings and reported improved subjective sleep quality after the intervention. One participant also demonstrated resolution of neck pain and dizziness, accompanied by normalization of blood pressure. In the second participant, nocturia remained a persistent factor limiting optimal sleep despite overall improvement. Conclusion: Lavender aromatherapy, integrated within Kolcaba's Comfort Theory, showed potential as a feasible, theory-based nursing intervention for improving sleep comfort in hypertensive older adults in primary care settings. Further studies with larger samples are warranted to confirm its effectiveness.