Lailatul Fadilah
Jurusan Keperawatan, Poltekkes Kemenkes Banten

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Expressive writing therapy for academic stress among twelfth-grade students Nurhasanah Nurhasanah; Osep Yasier Almunsiri; Lailatul Fadilah; Cucuk Kunang Sari
JOURNAL OF Mental Health Concerns Vol. 5 No. 3 (2026): June Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mhc.v5i3.3394

Abstract

Background: Grade XII students are in the transitional phase of late adolescence, making them vulnerable to severe psychosocial pressure. A dense curriculum, final exam preparation, and intense competition for university entrance selection trigger academic stress. Expressive Writing Therapy (EWT) is an effective independent complementary nursing intervention for managing emotional pressure, utilizing expressive writing to release mental burdens and facilitate cognitive restructuring. Purpose: To identify the effect of expressive writing therapy on reducing academic stress levels in grade xii students. Method: A quantitative research method with a quasi-experimental approach using a one-group pretest-posttest design. Purposive sampling was used to select a sample of 36 Grade XII students. The research instrument was an adapted version of the Educational Stress Scale for Adolescents (ESSA) questionnaire. Bivariate data analysis was performed using the non-parametric Wilcoxon Signed-Rank Test. Results: Statistical analysis showed that the mean academic stress score before the intervention (pre-test) was 53.83, which significantly decreased to 35.56 after the intervention (post-test), yielding a p-value of 0.00. Conclusion: There is a meaningful and significant effect of Expressive Writing Therapy on reducing academic stress levels among Grade XII students.  Keywords: Academic Stress; Expressive Writing Therapy; Late Adolescence.
The effect of website-supported positive self-talk therapy on anxiety levels among eleventh-grade students Silvi 'Indana Rusyida; Lailatul Fadilah; Osep Yasier Almunsiri; Alif Nurul Rosyidah
JOURNAL OF Mental Health Concerns Vol. 5 No. 3 (2026): June Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mhc.v5i3.3395

Abstract

Background: Anxiety in adolescents is a mental health problem that can affect the learning process, psychological development, and social relationships. Academic pressure, emotional changes, and environmental demands are factors that contribute to the emergence of anxiety in adolescents. One non-pharmacological intervention that can be used to help reduce anxiety is Positive Self-Talk Therapy. The implementation of this intervention can be supported by website media, which facilitates access to independent, continuous practice. Purpose: To find out the effect of Positive Self-Talk Therapy with the support of the website media on the anxiety level of eleventh-grade students. Method: A pre-experimental design with a one-group pre-test-post-test approach by Positive Self-Talk Therapy with the support of the website media ‘Suara Positifku’. The research sample consisted of 33 respondents selected through purposive sampling, with proportional representation in each class. Anxiety levels were measured using a teenage anxiety questionnaire that had been adapted and modified by Ways AlQorny in 2023. Results: The average level of student anxiety decreased from 21.42 before taking the intervention to 13.97 after taking the intervention. The results of the Wilcoxon Signed Rank Test showed a significance value of p < 0.001, (p < 0.05). Conclusion: Positive Self-Talk Therapy with the support of the website media has a significant effect on the anxiety levels of eleventh-grade students. Keywords: Anxiety; Positive Self-Talk Therapy; Teenagers; Website.