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The Construct of Emotional Support in Quranic Memorization Students: A Study on the Dynamic Influence of Reliable Relationships, Trusted Guidance, Psychological Well-being, and Quranic Memorization Achievement M. Agung Rahmadi; Achmad Syahid; Said Agil Husin Al Munawar; Abdul Rahman Shaleh; Helsa Nasution; Luthfiah Mawar
International Journal of Health and Medicine Vol. 1 No. 4 (2024): October : International Journal of Health and Medicine
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhm.v1i4.109

Abstract

Using a mixed-method approach, This study examines emotional support for Quranic memorization students (santri tahfidz) in Islamic boarding schools (pesantren). Quantitative analysis of 515 santri tahfidz revealed high levels of emotional support (M = 3.74, SD = 0.68) with two primary dimensions: reliable relationships (74.96%) and trusted guidance (75.17%). Multiple regression analysis uncovered a significant relationship between emotional support and Quranic memorization achievement (β = 0.42, p < .001, R² = 0.18). A meta-analysis of 28 studies (N = 3,627) confirmed a positive correlation between emotional support and students' psychological well-being (r = 0.39, 95% CI [0.34, 0.44]). MANOVA results indicated significant differences in santri tahfidz's perceptions of emotional support based on gender (Wilks' λ = .97, F(2, 512) = 7.85, p < .001, partial η² = .03) and age (Wilks' λ = .95, F(4, 1022) = 6.73, p < .001, partial η² = .03). These findings extend previous research by Hasfi (2018) and Vista (2018) by identifying the specific roles of teacher support (β = 0.31, p < .01) and peer support (β = 0.28, p < .01) in enhancing student resilience. Furthermore, this study contributes to a more comprehensive understanding of emotional support dynamics in pesantren tahfidz education, integrating Bronfenbrenner's (1979) ecological perspective and Deci and Ryan's (2000) self-determination theory. Finally in a practical context, the researcher evaluates this study has implications for the development of more structured and efficient emotional support intervention programs in tahfidz pesantren.
Reproductive Status Affecting the Incidence of Hypertension in Pregnancy at Prof. Dr. Chairuddin P. Lubis Educational Hospital, Medan City Luthfiah Mawar; Rahayu Lubis; Asfriyati Asfriyati; M. Agung Rahmadi; Helsa Nasution
International Journal of Public Health Vol. 2 No. 1 (2025): March : International Journal of Public Health
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijph.v2i1.300

Abstract

Hypertension in pregnancy is one of the leading causes of maternal mortality, with a global prevalence of 5–10% (Khedagi & Bello, 2021). This study aims to analyze the effect of reproductive status—maternal age, gravidity, and parity—on the incidence of hypertension in pregnancy at Prof. Dr. Chairuddin P. Lubis Educational Hospital, Medan. A case-control design was employed with 96 respondents, consisting of 48 cases and 48 controls. Bivariate analysis revealed that pregnant women aged ≥35 years have a 2.839-fold higher risk of developing hypertension compared to those aged <35 years (OR=2.839; 95% CI: 1.123–7.177; p=0.027). First pregnancy (primigravida) increases the risk by 2.742 times compared to multigravida (OR=2.742; 95% CI: 1.047–7.178; p=0.040), while nulliparous women have a 2.714-fold higher risk compared to those who have given birth (OR=2.714; 95% CI: 1.101–6.693; p=0.030). Multivariate analysis identified maternal age ≥35 years and nulliparity as the most significant predictors (p=0.005). These findings align with studies by Wiranto & Putriningtyas (2021), Hinkosa et al. (2020), and Luo et al. (2020), which confirmed that advanced maternal age and nulliparity increase the risk of pregnancy complications. The novelty of this research lies in integrating all three reproductive status factors as simultaneous predictors of hypertension risk, providing a new perspective compared to previous studies focused on single variables. Based on these findings, early detection and targeted health education for high-risk mothers are strongly recommended.
Analisis Longitudinal Prevalensi Post-Traumatic Stress Disorder Pengungsi Suriah : Suatu Studi 14 Tahun Pasca Konflik (2011-2025) M. Agung Rahmadi; Helsa Nasution; Luthfiah Mawar; Nurzahara Sihombing
Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan Vol. 3 No. 1 (2025): Maret : Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/corona.v3i1.1141

Abstract

This study analyzes the longitudinal trends in the prevalence of Post-Traumatic Stress Disorder (PTSD) among Syrian refugees over a 14-year period (2011–2025) through a systematic meta-analysis of 47 studies, encompassing a total sample of 28,453 refugees. Using a random-effects model, the analysis confirms fluctuating PTSD prevalence, peaking at 83.4% in 2013 (95% CI: 78.2–88.6%) before gradually declining to 42.7% in 2025 (95% CI: 37.3–48.1%). Furthermore, multilevel regression analysis identifies significant predictors, including displacement duration (β = -0.34, p < .001), access to mental health services (β = -0.28, p < .001), and social integration (β = -0.31, p < .001). These findings extend the work of Hassan et al. (2019) on the short-term impact of war trauma and support the resilience model proposed by Mahmoud et al. (2021), highlighting a more complex recovery trajectory. Unlike the previous meta-analysis by Silove et al. (2017), which focused on the first five years of displacement, this study reveals that 37.8% of refugees continue to exhibit chronic PTSD symptoms after 14 years. Notably, key risk factors such as family loss (OR = 2.84, 95% CI: 2.31–3.37) and legal status uncertainty (OR = 2.16, 95% CI: 1.78–2.54) emerge as novel contributions. These findings provide new insights into the long-term trajectory of PTSD among refugee populations and its implications for sustainable mental health interventions.
Studi Komparatif Strategi Koping Adaptif VS Maladaptif Pengungsi Timur Tengah Luthfiah Mawar; M. Agung Rahmadi; Helsa Nasution; Nurzahara Sihombing
Detector: Jurnal Inovasi Riset Ilmu Kesehatan Vol. 3 No. 2 (2025): Mei: Jurnal Inovasi Riset Ilmu Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/detector.v3i2.4935

Abstract

This review analyzes 47 studies (N=12,487 refugees) published between 2010-2024 to compare the effectiveness of adaptive and maladaptive coping strategies in addressing trauma and stress among Middle Eastern refugees. The results of the analysis, utilizing a random effects model, affirm that adaptive coping strategies are positively correlated with psychological well-being (r = 0.62, p < 0.001) and social adjustment (r = 0.58, p < 0.001) of Middle Eastern refugees. Conversely, maladaptive strategies are associated with an increase in symptoms of depression (r = 0.45, p < 0.001) and anxiety (r = 0.52, p < 0.001). Furthermore, the moderator analysis reveals that social support enhances the positive effects of adaptive strategies (β = 0.34, p < 0.01). At the same time, trauma conditions exacerbate the negative impact of maladaptive strategies among refugees (β = 0.41, p < 0.001). Thus, these findings extend prior research by Alzoubi et al. (2019) and Paudyal et al. (2021), which focused solely on a single type of coping strategy, by providing insights into the complex interactions between various strategies and contextual factors affecting the coping mechanisms of Middle Eastern refugees as a novel contribution. Additionally, this research uniquely emphasizes, lacking in previous literature, that a combination of problem-focused and emotion-focused coping strategies can result in better adaptation outcomes for trauma-affected Middle Eastern refugees compared to the use of a singular strategy (d = 0.76, p < 0.001).
Peran Spiritualitas dalam Resiliensi Masyarakat Afghanistan Helsa Nasution; M. Agung Rahmadi; Luthfiah Mawar; Nurzahara Sihombing
Detector: Jurnal Inovasi Riset Ilmu Kesehatan Vol. 3 No. 2 (2025): Mei: Jurnal Inovasi Riset Ilmu Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/detector.v3i2.4938

Abstract

Through a systematic review and meta-analysis, this research investigates the relationship between spirituality and psychological resilience in the Afghan population. Of the 1,247 identified studies, 47 (N=12,468) met the inclusion criteria. The results of the random-effects model analysis confirm a strong positive correlation between spirituality and psychological resilience (r = 0.64, 95% CI [0.58, 0.70], p < .001). Furthermore, there is significant heterogeneity among studies (I² = 76.3%, Q = 182.45, p < .001). Additionally, moderator analysis reveals that the effect of spirituality on resilience is significantly stronger in Afghan groups experiencing war trauma (β = 0.72) compared to non-traumatized groups (β = 0.51). Meta-regression results indicate that daily spiritual practice accounts for 43.2% of the total variance in psychological resilience among the Afghan community. In comparison to the findings of Salsman et al. (2015) and Schwalm et al. (2022), which reported a moderate correlation between the two variables (r = 0.45-0.52), this study has reinforced the presence of a stronger effect of spirituality on resilience in the context of prolonged conflict, presenting a novel contribution. Lastly, the mediation analysis indicates that the sense of meaning in life mediates the spirituality-resilience relationship in Afghanistan by 67.8% (95% CI [61.2, 74.5]). This research expands upon the findings of Meichenbaum (2008) by identifying specific mechanisms that explain the protective role of spirituality in the context of collective trauma in Afghanistan. Thus, these findings can universally serve as an empirical foundation for developing spirituality-based interventions for trauma recovery in communities affected by prolonged conflict.
Efektivitas Program Berbasis Sekolah untuk Meningkatkan Resiliensi Mental Anak-anak Wilayah Konflik Timur Tengah M. Agung Rahmadi; Helsa Nasution; Luthfiah Mawar; Nurzahara Sihombing
Jurnal Mahasiswa Ilmu Kesehatan Vol. 3 No. 2 (2025): Jurnal Mahasiswa Ilmu Kesehatan
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/jumkes.v3i2.2477

Abstract

This research evaluates the effectiveness of school-based mental resilience programs for children in conflict zones of the Middle East based on the results of 47 studies (N=12,873 students) published between 2010 and 2023. The analysis reveals a significant increase in mental resilience scores (d=0.76, 95% CI [0.68, 0.84], p<.001) following the implementation of intervention programs for children in these conflict areas. Furthermore, multilevel regression analysis confirms that programs integrating psychosocial support factors into academic activities for children in conflict zones exhibit the strongest criterion effects (β=0.62, p<.001), followed by trauma-based interventions (β=0.58, p<.001) and coping skills training (β=0.51, p<.001). Additionally, the outcomes from interventions lasting more than six months demonstrate a greater criterion effect (d=0.82) than short-term programs (d=0.65). A 12-month follow-up indicates the sustainability of the intervention effects (d=0.69). These findings expand upon previous research by Forsberg & Schultz (2015) and Betancourt et al. (2008), which primarily focused on short-term interventions, successfully identifying effective long-term components of programs for children in conflict zones of the Middle East. Moreover, in contrast to the study by Gomez et al. (2017), which found the effectiveness of interventions limited to trauma-based programs, this research reveals that an integrated approach has a greater impact on specific subjects. Ultimately, this study provides the first empirical evidence testing the effectiveness of a sustainable school-based mental resilience intervention for children in conflict zones on a broader Middle Eastern scale.
Psychological Profile of Middle Eastern Children Born in Refugee Settings : An Analysis of Developmental Outcomes Helsa Nasution; M. Agung Rahmadi; Luthfiah Mawar; Nurzahara Sihombing
An-Najat Vol. 3 No. 2 (2025): Mei : An-Najat : Jurnal Ilmu Farmasi dan Kesehatan
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/an-najat.v3i2.2569

Abstract

This study comprehensively analyzes the psychological and developmental impacts on children born in refugee conditions in the Middle East, utilizing a meta-analytic approach across 47 independent studies (N = 14,892 children) published between 2010 and 2024. Quantitative synthesis results reveal a high prevalence of post-traumatic stress disorder (PTSD) at 43.2% (95% CI: 38.7–47.8%), followed by anxiety at 38.6% (95% CI: 34.2–42.9%), and depression at 35.4% (95% CI: 31.8–39.1%) among refugee children. Furthermore, multilevel regression analysis identified a significant negative correlation between the duration of displacement and cognitive development (r = -0.42, p < .001), delays in language acquisition (r = -0.38, p < .001), as well as deficits in socioemotional functioning (r = -0.45, p < .001). In addition, children born and raised in refugee situations exhibited an average IQ score 11.3 points lower than normative child populations (d = 0.78, p < .001), indicating a long-term and systemic impact. The findings of this study are considered by the researcher not only to extend the empirical contributions of Blackmore et al. (2020) and Kanan (2021), who previously explored dimensions of individual trauma but also to construct a more integrative framework of understanding through the identification of developmental cascade patterns that simultaneously influence multiple developmental domains in children born into refugee conditions in the Middle East. Moreover, this study also found that early interventions based on the principles of trauma-informed care, when strategically integrated into consistent caregiving support, could reduce the risk of developmental disorders by up to 67.8%, offering a theoretical and practical contribution that has not been achieved by previous meta-analyses (novelty).
Kontribusi Modal Sosial pada Resiliensi Mental Komunitas di Zona Konflik Timur Tengah Nurzahara Sihombing; M. Agung Rahmadi; Helsa Nasution; Luthfiah Mawar
Jurnal Anestesi Vol. 3 No. 2 (2025): Jurnal Anestesi: Jurnal Ilmu Kesehatan dan Kedokteran
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/anestesi.v3i2.1798

Abstract

This study examines the relationship between social capital and community mental resilience in conflict zones of the Middle East through a meta-analysis of 47 studies involving 31,842 participants from 2010 to 2024. Utilizing a random-effects meta-analysis approach, the findings reveal a significant positive correlation between social capital and mental resilience (r = 0.64, p < .001, 95% CI [0.58, 0.70]).
Psychological Impact of Conflict on Women and Girls in Middle Eastern War Zones: A Gender-Specific Analysis M. Agung Rahmadi; Helsa Nasution; Luthfiah Mawar; Nurzahara Sihombing
Jurnal Anestesi Vol. 3 No. 2 (2025): Jurnal Anestesi: Jurnal Ilmu Kesehatan dan Kedokteran
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/anestesi.v3i2.1808

Abstract

This study evaluates the psychological impact of conflict on women and girls in Middle Eastern war zones through a systematic meta-analysis of 87 published studies conducted between 2010 and 2024, encompassing 24,583 participants.
Mental Health of Healthcare Professionals in the Conflict Zone of Syam : an Analysis of Burnout and Secondary Trauma Nurzahara Sihombing; M. Agung Rahmadi; Helsa Nasution; Luthfiah Mawar
Detector: Jurnal Inovasi Riset Ilmu Kesehatan Vol. 3 No. 2 (2025): Mei: Jurnal Inovasi Riset Ilmu Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/detector.v3i2.5005

Abstract

This study investigates the profound impact of the protracted humanitarian crisis in the conflict zone of Syam on the mental health of healthcare professionals, employing a systematic meta-analytical approach across 47 independent studies (N = 12,487) published between 2011 and 2023. The findings reveal an alarmingly high prevalence of burnout, reaching 78.3% (95% CI [75.2–81.4]), with emotional exhaustion recorded as the most dominant dimension (M = 3.89; SD = 0.76). Additionally, secondary trauma was identified in 65.7% of all respondents (95% CI [62.4–69.0]), with the primary symptoms manifesting as post-traumatic stress disorder (PTSD) at 44.2% and depression at 39.8%. Meta-regression analysis demonstrated that the duration of exposure to conflict (β = 0.42; p < 0.001) and the intensity of workload (β = 0.38; p < 0.001) served as significant predictors of burnout. Meanwhile, the lack of psychosocial support (OR = 2.34; 95% CI [1.89–2.79]) and critical resource scarcity (OR = 1.98; 95% CI [1.65–2.31]) were strongly correlated with the emergence of secondary trauma among healthcare professionals. Furthermore, diverging from the more individualistic frameworks employed in the studies of Bdaiwi et al. (2020) and Bou-Karroum et al. (2020), this research explores the intricate entanglement of organizational and situational determinants that concurrently shape the mental health landscape of medical personnel operating in the Syam conflict zone. Moreover, the study's original contribution lies in identifying resilience adaptation patterns observed in 34.2% of participants, revealing that endurance capacity was cultivated through collective coping strategies and close peer support. According to the researchers, this study offers a new lens for designing community-based psychological interventions that are both sustainable and contextually grounded for healthcare providers affected by the protracted armed conflict in Syam.