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Daniel Akbar Wibowo
Fakultas Ilmu Kesehatan, Universitas Galuh
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary Other

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Journal : Science Midwifery

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The dangers of gadget addiction on the mental health of rural adolescents in Ciamis District Zen, Dini Nurbaeti; Wibowo, Daniel Akbar; Lesmana, Indra
Science Midwifery Vol 12 No 4 (2024): October: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i4.1694

Abstract

The increasing use of gadgets among Indonesian teenagers, with 98.3% using mobile phones, has raised concerns about its impact on mental health. Studies indicate that excessive gadget use can lead to anxiety, depression, sleep disorders, social isolation, poor academic performance, and problematic behavior. However, public awareness of these risks remains low, particularly in Ciamis Regency, where no definitive data on gadget addiction and mental health exists. This study aims to assess the prevalence of gadget addiction and its impact on adolescent mental health in Ciamis Regency through a cross-sectional observation of 100 teenagers aged 13-18 years. Socio-demographic factors such as age, gender, school type, parental occupation, and academic performance were analyzed, along with variables like gadget type, usage duration, internet activity, and parental or teacher supervision. To measure gadget addiction, the SASSV Scale was used, while mental health was assessed through the Generalized Anxiety Disorder Scale (GAD-7) and the Patient Health Questionnaire (PHQ-9) for depression. The study found a strong correlation between gadget dependence and mental health, with anxiety (correlation coefficient of 0.794) and depression (0.619) both significantly linked to gadget use. The findings highlight the negative effects of uncontrolled gadget use on adolescent mental well-being, particularly regarding anxiety. Key influencing factors include the frequency, type of application used, and duration of gadget use. The study emphasizes the need for effective strategies to manage gadget use among adolescents to mitigate these mental health risks.
Application of benson relaxation therapy and progressive muscle relaxation on sleep quality in hypertensive patients in Linggasari Village, Ciamis Regency Zen, Dini Nurbaeti; Anggraeni, Dewi; Nurhayati, Nurhayati; Anwar, Syamsul; Wibowo, Daniel Akbar
Science Midwifery Vol 12 No 2 (2024): June: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i2.1516

Abstract

Most elderly people with hypertension have poor sleep quality. Poor sleep quality in elderly people with hypertension can worsen their hypertension condition, causing an increased risk of heart disease, cognitive impairment, and a general reduction in quality of life. Benson relaxation therapy and progressive muscle relaxation can be an effective and safe alternative in managing sleep and activity in elderly people with hypertension. Both therapies do not involve the use of drugs and can be easily learned by seniors. This study aims to determine the effect of Benson relaxation therapy and progressive muscle relaxation on sleep quality in hypertensive elderly people. This research uses a quasi-experimental method with a one group pretest posttest design. Data collection used the Pittsburgh Sleep Quality Index (PSQI) questionnaire. The sample was determined using purposive sampling with a total of 35 respondents. The statistical results of the paired sample t-test showed a p value of 0.000 (p value < α 0.05) so it can be concluded that there is an influence of Benson relaxation therapy and progressive muscle relaxation on sleep quality in hypertensive elderly people. This study suggests integrating progressive muscle relaxation interventions combined with Benson therapy into community health programs by actively involving families.
Identification of gadget usage patterns and their impact on children's mental health using a local cultural approach in Ciamis Regency Zen, Dini Nurbaeti; Wibowo, Daniel Akbar; Wahyudi, Asep; Permana, Irfan; Nailla, Bunga Maratun; Firmansyah, Septian; Deswinta, Nina
Science Midwifery Vol 13 No 5 (2025): December: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i5.2194

Abstract

The development of digital technology has brought significant changes to children's behavior, including in Ciamis Regency. Gadgets such as smartphones and tablets are now part of children's daily lives, both for entertainment and learning. However, excessive use without parental supervision can have various negative impacts on children's mental health, such as sleep disturbances, emotional changes, and decreased social interaction. This study aims to identify gadget usage patterns and their impact on children's mental health, as well as explore the potential of local cultural values ​​as a promotive and preventive approach in maintaining children's psychosocial balance in the digital era. This study uses mixed methods with an explanatory sequential design, namely a quantitative analysis is carried out first to map the conditions of gadget use and mental health of school-aged children, then continued with a qualitative approach to explain the quantitative findings in more depth. In the quantitative stage, 60 children aged 7–12 years in Ciamis Regency were selected as respondents from the educational units that served as the research location. The instruments used were a questionnaire on gadget usage patterns and a mental health assessment instrument. Data analysis was carried out descriptively, cross-tabulation, and continued with ANOVA tests to determine the effect of gadget use on children's mental health. The results of the study showed that the majority of children were in the 9–11 year age range, a period of cognitive and psychosocial development that is highly sensitive to environmental stimulation. Gadget usage patterns showed that 50% of children were in the moderate usage category, while 36.7% were in the problematic usage category. The duration of gadget use was dominated by more than three hours per day with main activities such as watching YouTube, accessing TikTok, playing online games, and communicating via WhatsApp. Factors triggering high gadget use include busy parents, low supervision, and the use of gadgets as a tool to calm children. In terms of mental health, it was found that 43.3% of children were in the problematic category and 40% were in the borderline category, indicating a fairly concerning condition. Frequently reported symptoms included sleep disturbances, irritability, anxiety, decreased concentration, and withdrawal from social interactions. ANOVA analysis showed a p-value = 0.000, indicating a significant influence between gadget usage patterns and mental health. In other words, the more intense gadget use, the higher the risk of children experiencing mental health disorders. These findings align with previous research showing a strong link between excessive digital device use and increased symptoms of anxiety, depression, and social dysfunction in children and adolescents (Holmes et al., 2021; Odgers & Jensen, 2020).The qualitative phase was conducted through in-depth interviews with 21 informants consisting of parents and teachers. The analysis technique used was thematic analysis. The qualitative results revealed two major themes: (1) the emergence of psychological symptoms due to excessive gadget exposure and (2) changes in children's social behavior. Informants described that children became irritable when asked to stop playing with gadgets, were less interested in physical activities, and reduced interaction with peers. They preferred digital activities to traditional games or studying. Interviews also showed that local values ​​such as silih asih (compassion), silih asah (grooming), and silih asuh (caregiving) are still recognized, but have not been consistently integrated into parenting patterns and therefore have not been able to become a strong protective factor against the impact of gadget use. Overall, this study concludes that school-age children in Ciamis Regency are a group vulnerable to mental health problems related to gadget use. The mixed methods used provide a comprehensive picture that problematic gadget use patterns are directly proportional to the increased risk of mental health problems. Therefore, family-based interventions, schools, and local wisdom are important strategies in reducing the negative impacts of gadget use and supporting children's mental development.
Co-Authors Afriansyah, Bayu Agustin, Ervina Dwi Candra Mahardika Dedeng Nurkholik Deswinta, Nina Dewi ANGGRAENI Dewi Nurmalasari, Dewi Dewi, Wildan Sofia Dini Nirbaeti Zen Dini Nurbaeti Zen Durotul Aeni Zakiyah Firmansyah, Andan Firmansyah, Septian Fitriyani Fitriyani Gigin Ginanjar Heni Mulyani Hertini, Reni Hidayat, Asep Wahyudin Indra Lesmana Karina Agustin Laila Purnamasari Lasriani , Rifa muflihah muflihah Muhamad Ramdan Nujulul Furqon Muhamad Ramdan Nujulul Furqon Muhamad Ramdan Nujulul Furqon Nadya Dewi Nailla, Bunga Maratun Nuranisa, Nisa Nurfajriah, Aini Nurhayati Nurhayati Nurul Fathia Oktavia, Suci Rahma Permana, Irfan Ramadhan, Acep Lubna Safiah, Devi Qoriatun Sahrul Salam, Pebri Dais Sapira, Nur Wifa Sasyari, Usman Sutarman Sutarman Syamsul Anwar, Syamsul Syifa Nadhilah Tiara, Tiara Tita Rohita Wahyudi, Asep Yalis Agustina Yoni Hermawan Zen, Dini Nurbaeri