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All Journal Budapest International Research and Critics Institute-Journal (BIRCI-Journal): Humanities and Social Sciences International Journal of Public Health Excellence (IJPHE) International Journal of Medicine and Health Termometer: Jurnal Ilmiah Ilmu Kesehatan Dan Kedokteran Detector: Jurnal Inovasi Riset Ilmu Kesehatan Jurnal Mahasiswa Ilmu Kesehatan Jurnal An-Najat: Jurnal Ilmu Farmasi dan Kesehatan Jurnal Anestesi: Jurnal Ilmu Kesehatan dan Kedokteran Jurnal Ventilator: Jurnal Riset Ilmu Kesehatan dan Keperawatan Jurnal Medika Nusantara Jurnal Riset Ilmu Kesehatan Umum dan Farmasi Antigen: Jurnal Kesehatan Masyarakat dan Ilmu Gizi Medical Laboratory Journal Vitamedica: Jurnal Rumpun Kesehatan Umum Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan The Journal General Health and Pharmaceutical Sciences Research Vitalitas Medis : Jurnal Kesehatan Dan Kedokteran Observasi: Jurnal Publikasi Ilmu Psikologi Obat: Jurnal Riset Ilmu Farmasi dan Kesehatan International Journal Of Public Health International Journal of Health and Medicine Jurnal Praba: Jurnal Rumpun Kesehatan Umum
Helsa Nasution
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Religion Arts Humanities Dentistry Economics, Econometrics & Finance Health Professions Medicine & Pharmacology Nursing Physics Public Health Social Sciences Veterinary Other

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Journal : Medical Laboratory Journal

 1 
The Impact of Social Marginalization on Mental Health in Middle Eastern Conflict Zones Nurzahara Sihombing; M. Agung Rahmadi; Helsa Nasution; Luthfiah Mawar
Medical Laboratory Journal Vol. 3 No. 2 (2025): June : Medical Laboratory Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/caloryjournal.v3i2.623

Abstract

This systematic review aims to comprehensively evaluate the consequences of social marginalization on the mental health conditions of populations in Middle Eastern conflict zones, utilizing data from 2015 to 2024. Through a critical examination of 47 studies that met the inclusion criteria, a markedly high prevalence of mental disorders within this population was identified, namely post-traumatic stress disorder (PTSD) at 42.8% (95% CI = 38.4–47.2), major depression at 37.6% (95% CI = 33.2–42.0), and generalized anxiety disorder at 35.3% (95% CI = 31.1–39.5). Furthermore, the results of the meta-analysis revealed a very strong and statistically significant correlation between social marginalization and the severity of mental health disorders (r = 0.73, p < 0.001), indicating that the more intensely an individual experiences various forms of social marginalization, the more severe the psychological disorders they endure. Moreover, the three most dominant determinants of social marginalization were identified as limited access to healthcare services (OR = 3.82, 95% CI = 3.14–4.50), the persistence of systemic discrimination (OR = 3.45, 95% CI = 2.87–4.03), and widespread social isolation (OR = 3.21, 95% CI = 2.66–3.76). These findings not only expand upon the prior research outcomes of Al-Krenawi and Graham (2009) and Amsalem et al. (2025), which were confined to the aspect of PTSD but also provide new empirical evidence concerning a broader spectrum of mental disorders as well as specific patterns of social marginalization within the conflict landscape of the Middle East. Finally, this study contributes significantly to the academic literature by elaborating on the complex interactive mechanisms between practices of social marginalization and mental health deterioration while offering a framework for community-based interventions that are responsive and adaptive to the socio-political conditions characteristic of Middle Eastern conflict zones.
Intersectionality of Gender, Social Class, and War Trauma in the Middle East : A Multilayer Analysis Helsa Nasution; M. Agung Rahmadi; Luthfiah Mawar; Nurzahara Sihombing
Medical Laboratory Journal Vol. 3 No. 2 (2025): June : Medical Laboratory Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/caloryjournal.v3i2.656

Abstract

This multilayer meta-analysis investigates the intersectionality between gender, social class, and war-related trauma in the Middle East through a systematic review of 87 studies (N = 31,459) published between 2000 and 2023. Analytical findings reveal a strong and significant correlation between gender and trauma severity (r = 0.67, p < 0.001), with women experiencing a 2.8 times higher prevalence of PTSD compared to men. Furthermore, results from hierarchical regression demonstrate that social class functions as a substantial moderator (β = 0.45, p < 0.001), with individuals from lower social class backgrounds exhibiting a 3.2 times greater risk of trauma. Further structural path analysis reveals the presence of dual mediation (CFI = 0.96, RMSEA = 0.04), with access to mental health services and social support serving as primary mediators (indirect effect = 0.38, 95% CI [0.29, 0.47]). These results expand the contributions of Al-Krenawi and Graham (2012) and Mangrio et al. (2019) by illustrating the complex interaction of the three dimensions (Gender, Social Class, and War Trauma), which had previously been examined only separately. In addition, this study identifies a new pattern termed the "spiral trauma effect," a mechanism wherein the intersectionality of gender, social class, and trauma mutually reinforce each other in a recurring cycle (effect size d = 0.89), thereby deepening the understanding of trauma dynamics in conflict zones across the Middle East. Finally, the predictive model developed in this research demonstrated an accuracy rate of 84.3% in identifying high-risk individuals. Thus, these results are considered to provide an innovative framework for the development of empirically-based trauma interventions in Middle Eastern war zones.
A Systematic Evaluation of Mental Health Policies for Middle Eastern Refugees Luthfiah Mawar; M. Agung Rahmadi; Helsa Nasution; Nurzahara Sihombing
Medical Laboratory Journal Vol. 3 No. 2 (2025): June : Medical Laboratory Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/caloryjournal.v3i2.684

Abstract

This meta-review study presents a comprehensive evaluation of the effectiveness of mental health policies targeting refugees from the Middle East based on a systematic analysis of 87 policies issued across 12 refugee-hosting countries during the period from 2015 to 2023. Employing the PRISMA approach and thematic analysis, this research found that only 34.5% of all reviewed policies met the World Health Organization's minimum standards regarding mental health services for refugees. In comparison, the effective implementation rate of those policies meeting the standards reached only 28.7% (CI 95%, p<0.001). Findings from the logistic regression analysis revealed a significant correlation between the scale of mental health budget allocations and recovery rates from PTSD among refugee populations, where every 10% increase in budget allocation corresponded to a 15.3% reduction in PTSD prevalence (r=0.78, p<0.001). Furthermore, the meta-analysis results from this study demonstrated that community-based policies were 2.4 times more effective (OR=2.4, CI 95%: 1.8–3.1) than those employing institutional approaches. Hence, diverging from the conclusions posited by Turrini et al. (2019) and Sijbrandij (2017), which emphasized clinical interventions, this study has instead affirmed that integrating cultural-spiritual approaches with conventional therapy can enhance treatment success by 47.2%. Additionally, these findings expand the conceptual framework previously proposed by Watters (2001) on holistic approaches by identifying five key elements that form the foundation of effective mental health policies: universal access, cultural sensitivity, community empowerment, service integration, and program sustainability.
The Psychological Construct of Islamic Moderation Based on Tafsir Ulul Albab : A Comparative Study of Indonesia and Syria in Responding to Social Polarization Nurzahara Sihombing; M. Agung Rahmadi; Helsa Nasution; Luthfiah Mawar; Romaito Nasution; Milna Sari
Medical Laboratory Journal Vol. 3 No. 3 (2025): September : Medical Laboratory Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/caloryjournal.v3i3.792

Abstract

This study aims to affirm the construct validity of Islamic moderation based on the tafsir of Ulul Albab through an empirical comparison between Indonesia and Syria in responding to the social polarization that divides contemporary societies. Through a comprehensive meta-analysis of 847 journal articles indexed in Scopus, Web of Science, and PsycINFO published between 2015 and 2024, the researchers examined data from 15,428 Indonesian respondents and 12,736 Syrian respondents, integrating cross-cultural quantitative findings within a rigorous statistical framework. The results of the confirmatory factor analysis demonstrated model fit (χ²/df = 2.184; CFI = 0.947; TLI = 0.932; RMSEA = 0.041), while convergent validity indicated an AVE of 0.563 in Indonesia and 0.589 in Syria, with composite reliability values of 0.891 and 0.876 respectively, underscoring the internal consistency of the instrument. Cross-national invariance testing revealed statistically significant differences (Δχ² = 47.23; p < 0.001), with the mean score of Islamic moderation in Indonesia (M = 4.12; SD = 0.67) surpassing that of Syria (M = 3.84; SD = 0.78), indicating that distinctive sociohistorical contexts influence the implementation of moderative values. Furthermore, Islamic moderation functioned as a partial mediator of the relationship between religious literacy and social tolerance (β = 0.342; p < 0.001 for Indonesia; β = 0.287; p < 0.001 for Syria), thereby enriching Pargament's (2011) findings on religious coping and Durrheim et al.'s (2016) work on intergroup prejudice. The findings reveal that Islamic moderation encompasses cognitive, affective, and behavioral dimensions that are theoretically distinct from generic notions of tolerance, affirming the importance of the Ulul Albab approach in addressing socio-religious tensions. Lastly, the novelty of this research lies in the development of a tailored instrument that synthesizes values derived from the tafsir of Ulul Albab, going beyond conventional tolerance scales and offering a more nuanced assessment of the moderative capacity of Muslims in both countries.
Analysis of the Role of Social Media in the Collective Trauma of Middle Eastern Societies : A Digital Analysis Helsa Nasution; M. Agung Rahmadi; Luthfiah Mawar; Nurzahara Sihombing
Medical Laboratory Journal Vol. 3 No. 3 (2025): September : Medical Laboratory Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/caloryjournal.v1i3.793

Abstract

This study comprehensively examines the impact of social media on the formation and intensification of collective trauma in the Middle East through a digital meta-analytical approach synthesizing 47 empirical studies, encompassing a total of 31,842 participants, published between 2015 and 2024. The results reveal a strong and statistically significant correlation between the intensity of social media use and levels of collective trauma, with a correlation coefficient of r = 0.67 and a p-value of < 0.001, indicating a consistent and substantive relationship. Furthermore, regression analysis indicates that exposure to violent content through social media accounts for 43.2 percent of the variance in communal post-traumatic stress symptoms, affirming the role of digital media as a significant catalyst in amplifying collective psychological responses to conflict in the Middle East. Daily social media use exceeding five hours was found to significantly increase the risk of experiencing collective trauma by 2.8 times, with an odds ratio of 2.84 and a 95 percent confidence interval ranging from 2.31 to 3.49. Platforms such as Facebook and Twitter demonstrated a more substantial influence in widely disseminating traumatic experiences, with a beta coefficient of 0.58, compared to Instagram, which had a relatively lower influence with a beta value of 0.34, indicating that the structural and technological logic of each platform mediates the psychological transmission effect. Thematic analysis across studies revealed three primary mechanisms through which trauma is transmitted via social media: first, the amplification of traumatic narratives, accounting for 41.3 percent of identified patterns; second, the normalization of violence at 32.7 percent; and third, the reinforcement of collective identity based on shared traumatic experiences at 26.0 percent, thereby creating a digital ecosystem prone to the social accumulation of negative emotional states. These findings substantially expand the scope of prior research, such as that conducted by Atallah in 2017 and Nasciutti and Rahbari-Jawoko in 2021, which focused more narrowly on individual trauma, by highlighting a broader collective dimension and emphasizing the specific roles of various digital platforms in reinforcing these psychosocial dynamics. This study also identifies a novel pattern of both theoretical and practical significance, namely that algorithmic content recommendation contributes significantly to the formation of closed psychological echo chambers of trauma, intensifying exposure to traumatic content and deepening the affective impact of Middle Eastern conflict within digital spaces, with a significance level of p < 0.001. Accordingly, these findings underscore the urgent need for strategically designed and contextually grounded digital interventions to mitigate the burden of collective trauma in communities affected by protracted armed conflict in the Middle East.
Transcultural Validity of Trauma Measurement Instruments in the Middle East : A Psychometric Analysis M. Agung Rahmadi; Helsa Nasution; Luthfiah Mawar; Nurzahara Sihombing
Medical Laboratory Journal Vol. 3 No. 3 (2025): September : Medical Laboratory Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/caloryjournal.v3i3.794

Abstract

This meta-analytic study systematically examines the transcultural validity and psychometric characteristics of various instruments employed to measure psychological trauma in the Middle East. The analysis encompasses a total of 47 studies involving 12,487 participants, originating from twelve Middle Eastern countries and published between 2000 and 2023. Data synthesis reveals a marked variation in internal reliability coefficients, with Cronbach's alpha ranging from 0.73 to 0.92, and construct validity values spanning from 0.65 to 0.87. Meta-regression results indicate that the presence of rigorous linguistic adaptation processes significantly contributes to enhanced instrument validity, as reflected in a β coefficient of 0.43 with a significance level of p less than 0.001. Cross-cultural confirmatory factor analysis reveals an adequately fitting four-factor model, indicated by a CFI value of 0.92 and an RMSEA of 0.058. Furthermore, Differential Item Functioning analysis identifies item functioning imbalance in 23 percent of the total items, primarily related to differences in the conceptualization of somatic symptoms, as shown by a chi-square value of 127.84 and p less than 0.001. These findings expand upon the empirical scope of prior studies such as those conducted by Nasution et al (2025) and Nasution et al (2025), by introducing a new dimension concerning the influence of specific cultural factors on the construction and measurement of trauma symptoms in the Middle East. Additionally, unlike previous analyses by Rasmussen et al (2023), this study demonstrates that culturally adapted instruments exhibit more stable measurement invariance, as indicated by a CFI change of less than 0.01, compared to instruments that are merely translated literally. These results provide the first robust empirical foundation for the urgency of developing trauma measurement tools that are sensitive to cultural dimensions, particularly within the social and linguistic context of Middle Eastern populations.
Co-Authors Abdul Rahman Shaleh Achmad Syahid Aisyah Umaira Andieni Pratiwi Andine Mei Hanny Annisa Ardianti Br Tarigan Asfriyati ,MKes Ayu Anastasyah Clarisha Al Chaira Achmad Dwi Keisya Kurnia Fatric Ginting, Suranta Bill Ika Sandra Dewi Isnaini Fajarwati Khaila Salsabila Kiki Asnanti Lathifa Nurrahmah Lisa Maharani Rizki Luthfiah Mawa Luthfiah Mawar Luthfiyah Aqilah Siagian M. Agung Rahmadi Milna Sari Naila Al Madina Nanda Liana Lubis Nazwa Aqela Saragih Nur Suci Ramadhani Nurma Handayani Nurzahara Sihombing Putri Widia Ramadhani Rambe Rahayu Lubis Rahmadi, M. Agung Rasil Hakim Hasibuan Risa Ramadhani Br Panjaitan Riska Wahyuni Hasibuan Romaito Nasution Said Agil Husin Al Munawar Sarah Aisyah Agusti Sarah Atikah Sasa Maghfirah Siregar Saschia Amanda Silalahi, Joyce Yulianti Siti Nurfaiza Sri Rahayu Sukirman Tarigan, Eldha Novarina Wildan Izzatul Haq Zahra Aliyah Verisah Zulpiani Br Sipayung