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Understanding The Causal Pathways of Mental Health Symptoms in Indonesia Ismah, Zata; Syifa, Rahmatu; Anelia, Astia; Mafaz, Zhafira; Nasution, Citra Cahyati; Yuliana, Roma; Pratiwi, Dessy
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 13 No. SI2 (2025): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V13.ISI2.2025.153-162

Abstract

Background: Mental disorders affect an individual's ability to cope with life stress, pursue education, work, and contribute to society. Among individuals of productive age, the prevalence of mental disorders reaches 15%. Factors such as age, education level, and gender play a role in influencing vulnerability to mental disorders in this age group. Objective: . This study aims to screen mental disorders experienced by the Indonesian population and analyze the causal factors of various mental disorder symptoms. Methods: This research is a quantitative observational-analytic study with a cross-sectional design. The study was conducted across all regions of Indonesia in 2023. A total of 2,081 Indonesian residents aged 18 and above participated in this study. Primary data were collected online via Google Forms. The collected data were analyzed univariat, bivariat using chi-square, multivariate using logistic regression, followed by path analysis. Results: The results showed that 84.2% of the participants experienced mental health disorders out of 2,081 respondents. Three variables were identified as the most vulnerable to mental health symptoms among the Indonesian population: female gender, low education level, and productive age (17–35 years). These variables were found to impact different mental health symptoms, such as anxiety, substance abuse, psychotic disorders, and post-traumatic stress disorder (PTSD). Specifically, individuals aged 17–35 years were more susceptible to anxiety, psychotic disorders, and PTSD. Women were more vulnerable to anxiety, substance abuse, psychotic disorders, and PTSD. Meanwhile, individuals with low education levels were more prone to anxiety and psychotic disorders.Path analysis revealed that psychotic symptoms serve as the culmination of three mental health symptoms. Conclusion: Mental disorder symptoms must be detected and treated promptly, even in mild cases, as all mental disorder variables have the potential to develop into psychosis, which manifests as physical illnesses resulting from psychological disturbances.
DOUBLE BURDEN STRESS IN WOMEN AND THE ROLE OF PSYCHO-RELIGIOUS WORSHIP IN ALLEVIATING IT Putra, Fahmi Mandala; Ismah, Zata; Syahfitri, Rizky Indah; Nasution, Citra Cahyati; Putri, Az-zahra Atika; Amirah, Fitria; Helmi, Tri Amelia Rahmitha
Folia Medica Indonesiana Vol. 61, No. 1
Publisher : Folia Medica Indonesiana

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

It has been recognized that women are twice as likely to experience depression compared to men. In addition to biological vulnerability, there is also a combined effect of bearing the burden of household responsibilities while contributing financially through employment. One coping strategy that helps women endure these challenges is meditation, which in Islam includes the practice of dhikr (remembrance of God). This study aims to analyze the phenomenon of double burden stress in women and how psychoreligious practices can help reduce stress levels. The study employed a prospective cohort design, tracking the respondents' dhikr habits over a 21-day period. On the final day, general stress levels and stress related to their professional roles were measured. The study involved 69 women participants aged 17 and above, comprising housewives as well as women who held dual roles as both teachers and students. Stress levels were assessed using the DASS-42 instrument. Respondents recorded the number of times they missed the istighfar recitation at specific times of the day on a control card. Findings indicated that women who are mothers and simultaneously hold dual roles as teachers and students are more vulnerable to stress. Further correlation tests revealed that missing istighfar after the Fajr prayer, before the Asr prayer, and after the Isha prayer was associated with increased stress levels. The predictive model showed that collectively missing istighfar at these three times (after Fajr, throughout daily activities, and the total missed times) significantly increased the likelihood of stress among women. The study concludes that women who have dual roles as mothers and teachers or students are the most vulnerable group to stress. Moreover, the more frequently istighfar is neglected at the recommended times, the higher the stress levels experienced by women.