Article Per Year (5 Year)
p-Index From 2021 - 2026
8.004
P-Index
This Author published in this journals
All Journal Budapest International Research and Critics Institute-Journal (BIRCI-Journal): Humanities and Social Sciences 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
Unknown Affiliation
Religion Arts Humanities Dentistry Economics, Econometrics & Finance Health Professions Medicine & Pharmacology Nursing Physics Public Health Social Sciences Veterinary Other

Published : 68 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 68 Documents
Search

 2   3   4   5   6 
Transmisi Intergenerasi Trauma Perang di Keluarga Palestina : Analisis Sistematis pada Tiga Generasi (1948-2024) Nurzahara Sihombing; M. Agung Rahmadi; Helsa Nasution; Luthfiah Mawar
Jurnal Ventilator Vol. 3 No. 1 (2025): Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v3i1.1733

Abstract

This study analyzes the intergenerational transmission of war trauma across three generations of Palestinian families through a systematic meta-analysis of 47 longitudinal studies (1948–2024), comprising 12,873 participants. The findings confirm a PTSD prevalence rate of 73.4% in the first generation (n=4,291), 61.2% in the second generation (n=4,582), and 48.7% in the third generation (n=4,000). Furthermore, hierarchical regression analysis reveals a significant correlation between the severity of first-generation trauma and its manifestation in subsequent generations (r=0.68, p<0.001). The most dominant intergenerational trauma symptoms include anxiety (89.3%), depression (82.1%), and attachment disorders (76.5%). Structural equation modelling identifies three primary mediators of trauma transmission: parenting patterns (?=0.59), family trauma narratives (?=0.47), and epigenetic factors (?=0.41). Consequently, this study extends the findings of Danieli et al. (2016) on intergenerational trauma mechanisms and contributes to Kellermann's (2013) theoretical model on protective factors in trauma resilience. Unlike previous research by Hassan (2019), which focused on two generations, these findings reveal an adaptive pattern in the third generation through the development of collective resilience (82.3%) and positive coping strategies (77.8%), offering a novel perspective on the potential for intergenerational trauma healing in the context of prolonged conflict.
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).
Efektivitas Cognitive Behavioral Therapy (CBT) pada Konteks Trauma Perang Timur Tengah Helsa Nasution; M. Agung Rahmadi; Luthfiah Mawar; Nurzahara Sihombing
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 3 No. 2 (2025): Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v3i2.4955

Abstract

This study evaluates the effectiveness of culturally adapted Cognitive Behavioral Therapy (CBT) in the treatment of war trauma in the Middle East through an analysis of 47 studies involving a total of 4,628 participants from 2000 to 2024. The findings indicate that culturally informed CBT interventions have produced a significant therapeutic effect (g = 0.82, 95% CI [0.71, 0.93], p < .001) with a moderate level of heterogeneity (I² = 68%). Furthermore, culturally adapted CBT has been shown to reduce symptoms of Post-Traumatic Stress Disorder (PTSD) by 43.2% (d = 1.24, p < .001), anxiety by 38.7% (d = 0.96, p < .001), and depression by 35.9% (d = 0.88, p < .001). Additionally, moderator analysis revealed that the effectiveness of CBT significantly increases when the therapy integrates traditional healing practices (β = 0.34, p < .01) and involves family members in the intervention process (β = 0.29, p < .01). These findings expand upon previous research by Almoshmosh et al. (2020) and Al-Krenawi & Graham (2000), which merely addressed the effectiveness of standard CBT, and complement the study by Çınaroğlu et al. (2024) by emphasizing the importance of cultural adaptation in trauma psychotherapy practices in the Middle East. Furthermore, the main novelty of this research lies in identifying specific cultural components that enhance the effectiveness of CBT in the Middle East, including the integration of religious values (β = 0.31, p < .01) and the use of local cultural narratives in therapeutic approaches (β = 0.27, p < .01). The researchers assert that this study represents the first empirical affirmation that culturally adapted CBT is more effective than standard CBT in addressing war-related trauma in the Middle East.
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.
Comparison of Evidence-Based Treatment Protocols for Complex Trauma in Middle Eastern Conflict Populations Luthfiah Mawar; M. Agung Rahmadi; Helsa Nasution; Nurzahara Sihombing
Jurnal Riset Ilmu Kesehatan Umum dan Farmasi (JRIKUF) Vol. 3 No. 2 (2025): April : Jurnal Riset Ilmu Kesehatan Umum dan Farmasi (JRIKUF)
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/jrikuf.v3i2.603

Abstract

This meta-analysis systematically evaluates the relative effectiveness of various empirically supported therapeutic protocols designed to address complex trauma in populations affected by armed conflict in the Middle Eastern region. From 1,284 articles identified, 47 studies (N=4,832) met the inclusion criteria and were further analyzed. The primary findings indicate that Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) produces the most significant therapeutic impact (g=0.83, 95% CI [0.76, 0.90], p<.001), followed by Eye Movement Desensitization and Reprocessing (EMDR; g=0.78, 95% CI [0.71, 0.85], p<.001) and Narrative Exposure Therapy (NET; g=0.71, 95% CI [0.64, 0.78], p<.001). Moderator analysis revealed that the duration of the intervention (β=0.42, p<.001), as well as the severity of trauma at the commencement of treatment (β=0.38, p<.001), significantly influence therapeutic effectiveness. Further network meta-analysis results demonstrated that TF-CBT holds the highest probability of being the most superior intervention (SUCRA=0.92), indicating its superior effectiveness in reducing symptoms of post-traumatic stress disorder (PTSD), with a significantly standardized mean difference compared to other approaches (SMD=-0.45, 95% CI [-0.52, -0.38]). Contrary to findings reported by Korn (2009) and Rahman et al. (2019), which positioned EMDR as the primary method, this study identifies the distinct superiority of TF-CBT specifically for individuals suffering from complex trauma due to prolonged conflict. These results broaden the horizon of prior scientific understanding by emphasizing the importance of trauma-specific characteristics as moderating variables that determine the success of therapeutic interventions.    
Integration of Indigenous Healing Approaches and Western Psychotherapy in Addressing War Trauma Post-Arab Spring M. Agung Rahmadi; Helsa Nasution; Luthfiah Mawar; Nurzahara Sihombing
Jurnal Riset Ilmu Kesehatan Umum dan Farmasi (JRIKUF) Vol. 3 No. 2 (2025): April : Jurnal Riset Ilmu Kesehatan Umum dan Farmasi (JRIKUF)
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/jrikuf.v3i2.604

Abstract

This study systematically evaluates the effectiveness of integrating indigenous healing approaches with Western psychotherapy in addressing psychological trauma experienced by populations affected by war in the aftermath of the Arab Spring. Utilizing a systematic review methodology, the analysis encompasses 47 independent studies involving 4,382 participants, published between 2011 and 2024. Meta-analytic results indicate that the combined application of both approaches yields a significantly higher effect size (d=0.86, 95% CI [0.72, 1.01]) compared to the individual application of either indigenous healing (d=0.51) or Western psychotherapy (d=0.63). Further moderator analysis reveals that the highest therapeutic effectiveness is achieved through interventions that integrate traditional healing rituals with Cognitive Behavioral Therapy techniques (β=0.41, p<.001) and Eye Movement Desensitization and Reprocessing (β=0.38, p<.001). Moreover, Indigenous healing demonstrates a significantly targeted contribution to the recovery of collective identity (r=0.72, p<.001) and enhancement of social reintegration capacity (r=0.68, p<.001). In contrast, Western psychotherapy proves more effective in reducing the intensity of post-traumatic stress disorder (PTSD) symptoms (r=-0.59, p<.001). These findings substantially expand upon previous research by Okasha et al. (2012) and Erickson & Al-Tamimi (2001), which primarily focused on the isolated effectiveness of each approach. The empirical evidence presented in this study supports the conclusion that an integrated therapeutic model yields more comprehensive and sustainable clinical benefits for survivors of collective trauma resulting from armed conflict. Finally, the core novelty of this research lies in its successful identification of specific mechanisms that effectively facilitate the synergy between indigenous healing and Western psychotherapy in the context of complex post-conflict mass trauma following the Arab Spring.    
Impact of Displacement on Mental Health Among Elderly War Victims in Syam Nurzahara Sihombing; M. Agung Rahmadi; Helsa Nasution; Luthfiah Mawar
Jurnal Riset Ilmu Kesehatan Umum dan Farmasi (JRIKUF) Vol. 3 No. 2 (2025): April : Jurnal Riset Ilmu Kesehatan Umum dan Farmasi (JRIKUF)
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/jrikuf.v3i2.605

Abstract

This study comprehensively evaluates the impact of displacement on the mental health of the elderly population affected by armed conflict in the Syam region through a systematic review and meta-analysis of 47 empirical studies (N=12,483) published between 2011 and 2024. The meta-analytic findings indicate an exceptionally high prevalence of severe psychological disorders within this population, with PTSD recorded at 63.8% (95% CI [59.2–68.4]), major depression at 58.2% (95% CI [54.1–62.3]), and generalized anxiety disorder at 52.4% (95% CI [48.3–56.5]). Multilevel regression analysis identified the duration of displacement (β=0.42, p<.001) and the loss of family support (β=0.38, p<.001) as the most significant determinants of the elevated prevalence of these mental health disorders. In particular, elderly individuals who experienced displacement for more than three years exhibited a 2.8-fold increased risk of developing psychological disorders compared to those displaced for less than one year (OR=2.83, 95% CI [2.41–3.25]). Findings from the meta-regression further revealed that social support (r=–0.45, p<.001) and adequate access to mental health services (r=–0.38, p<.001) served as significant protective factors. Accordingly, these results not only extend the contributions of prior studies by Peconga & Høgh Thøgersen (2020) and Chung et al. (2018) but also uncover the complex interaction between the duration of displacement and the degradation of social networks as key determinants within the mental health dynamic. Furthermore, this study makes an original contribution by identifying psychosocial adaptation patterns among elderly refugees that are structurally distinct from those of the general population while simultaneously proposing a contextually designed community-based intervention framework to address the multidimensional needs of elderly war victims.      
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.
Mental Health of Combatants vs. Non-Combatants in Middle Eastern Conflicts: A Comparative Analysis Helsa Nasution; M. Agung Rahmadi; Luthfiah Mawar; Nurzahara Sihombing
Jurnal Riset Ilmu Kesehatan Umum dan Farmasi (JRIKUF) Vol. 3 No. 2 (2025): April : Jurnal Riset Ilmu Kesehatan Umum dan Farmasi (JRIKUF)
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/jrikuf.v3i2.619

Abstract

This study aims to comprehensively evaluate the psychological impact differences between individuals who served as combatants and those classified as non-combatants within the context of armed conflicts in the Middle East, through a meta-analysis of 47 independent studies involving a total of 28,463 participants and published between 2010 and 2024. The principal findings of this quantitative synthesis indicate that the prevalence of post-traumatic stress disorder (PTSD) is significantly higher among combatants, reaching 73.8%, compared to non-combatants, who reported a rate of 52.4%, with a large effect size (d=0.89, p<.001). Furthermore, results from multilevel regression analysis reveal that the duration of exposure to conflict is the strongest predictor of PTSD symptoms (β=0.67, p<.001), followed by the intensity of combat, which also contributes significantly (β=0.54, p<.001). In addition, major depression was documented in 64.2% of individuals within the combatant group and 48.7% among non-combatants, with an odds ratio of 2.34 and a 95% confidence interval ranging from 1.98 to 2.76. Anxiety disorders were also more prevalent among combatants, at 58.9%, compared to 41.3% in non-combatants, with a relative risk of 1.78 (p<.001). Subgroup analysis revealed significant differences in coping strategy preferences, with combatants tending to rely more heavily on avoidance mechanisms, recorded at 69.5% versus 45.2% among non-combatants. This meta-analytic finding expands upon the studies by Eltanamly et al. (2021) on war-induced trauma and by Figley & Nash (2011) regarding psychological defense mechanisms, with its distinct contribution lying in the identification of specific patterns of mental disorders influenced by individual roles within conflict dynamics. Overall, this research concludes that combatants exhibit a distinctive pattern of trauma manifestation and demonstrate a higher threshold of resistance to conventional therapeutic interventions, thus making a significant contribution to the formulation of role-based trauma treatment protocols in regions affected by armed conflict.
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 Ika Sandra Dewi Khaila Salsabila Kiki Asnanti Lathifa Nurrahmah Luthfiah Mawa Luthfiah Mawar Luthfiyah Aqilah Siagian M. Agung Rahmadi Milna Sari Naila Al Madina Nur Suci Ramadhani Nurma Handayani Nurzahara Sihombing Putri Widia Ramadhani Rambe Rahayu Lubis Rasil Hakim Hasibuan Risa Ramadhani Br Panjaitan Romaito Nasution Said Agil Husin Al Munawar Sarah Aisyah Agusti Sasa Maghfirah Siregar Saschia Amanda Siti Nurfaiza Sri Rahayu Sukirman Wildan Izzatul Haq Zahra Aliyah Verisah Zulpiani Br Sipayung