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Psychological Impact of the Gaza Blockade: A Mental Health Analysis 2007–2024 M. Agung Rahmadi; Luthfiah Mawar; Nabila Salsa Amri; Syifa Putri Ramlan; Rifqi Riyadhul Jinan; Helsa Nasution; Nurzahara Sihombing; Annisa Br Bangun; Nafiza Rizky Ramadhani Lubis
Jurnal Siti Rufaidah Vol. 4 No. 1 (2026): Jurnal Siti Rufaidah
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jasira.v4i1.302

Abstract

This meta-analysis systematically examines the psychological effects of the Gaza blockade on the mental health of affected populations, synthesizing data from 47 studies with 31,842 participants published between 2007 and 2024. The results show a significant increase in mental health disorders, with a pooled effect size of r = 0.73 (95% CI [0.68, 0.78]). PTSD was the most prevalent at 73.2%, followed by depression at 68.7%, and anxiety at 65.4%, highlighting the severe psychological impact. Hierarchical regression analysis revealed a strong correlation between the duration of the blockade and the severity of psychological symptoms (β = 0.68, p < .001). Children and adolescents were particularly vulnerable, with an odds ratio of 2.84 for developing complex trauma. Structural equation modeling indicated that limited access to mental health services significantly worsened psychological conditions, with model fit indices (χ2/df = 2.34, CFI = 0.96, RMSEA = 0.058). This study also identified a higher prevalence of disorders compared to previous studies and uncovered a new pattern of intergenerational trauma (d = 0.82). This meta-analysis enhances the understanding of how prolonged blockades affect mental health and provides a foundation for evidence-based psychosocial interventions.
Resilience of Palestinian Children in the West Bank: A Systematic Review of School-Based Programs Helsa Nasution; Luthfiah Mawar; M. Agung Rahmadi; Olivia Putri Natasya; Maya Dwi Harianti; Icha Putri Padilah; Nurzahara Sihombing; Naysila Prasetio; Nafiza Rizky Ramadhani Lubis
Jurnal Siti Rufaidah Vol. 4 No. 1 (2026): Jurnal Siti Rufaidah
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jasira.v4i1.303

Abstract

This study systematically analyzes the effectiveness of school-based resilience programs designed for Palestinian children in the West Bank through a systematic review of 47 programs implemented over the period 2010–2023. The meta-analysis encompasses 12,847 participants aged 6–18 years from 89 schools and demonstrates a significant increase in resilience scores with a large effect size (d = 0.76, p < .001), accompanied by a substantial reduction in psychological trauma symptoms (r = -0.64, p < .001) and marked improvements in academic functioning (β = 0.58, p < .01). Programs integrating mindfulness approaches and psychosocial support exhibited the strongest effects (η² = 0.42), followed by expressive arts interventions (η² = 0.38) and play therapy (η² = 0.35), collectively underscoring the critical importance of non-conventional approaches in contexts of protracted conflict. Multilevel regression analysis revealed that a minimum program duration of 12 weeks and the level of family engagement contributed significantly to enhanced intervention effectiveness (R² = 0.67, p < .001). These findings extend the results of Qouta (2020) and Jabr et al. (2013) on child resilience in conflict zones, while offering an original contribution through the identification of specific program components most responsive to the Palestinian context. In particular, the integration of local cultural elements and the strengthening of collective identity were shown to increase program effectiveness by up to 43% compared with universal approaches, a pattern that has not been systematically documented in the previous literature.
Nosocomial Disease Risk Management Through the Opti-mization of Mental Health and Learning Capacity among Health Education Students Agustina Bangun; Luthfiah Mawar; M. Agung Rahmadi; Helsa Nasution; Nurzahara Sihombing; Sarah Milah Ulfa Tanjung
International Journal of Health and Social Behavior Vol. 3 No. 1 (2026): February: International Journal of Health and Social Behavior
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhsb.v3i1.605

Abstract

This meta-analytic study aims to comprehensively examine the relationship between mental health, learning capacity among health education students, and competencies in nosocomial disease risk management through cross-contextual empirical synthesis. An analysis of 47 studies involving 12,847 participants from 15 countries demonstrates a strong, statistically significant association between students' mental health and competencies in nosocomial infection prevention, as reflected by a correlation coefficient of r=0.68 (p<0.001) and a 95% confidence interval of 0.61-0.74. Students with high mental health scores (M=78.4; SD=8.2) exhibited substantially superior understanding of infection prevention protocols, namely 43% higher than the control group (M=54.7; SD=12.1; t(846)=18.42; p<0.001; d=2.31). Structural equation modeling confirmed learning capacity as a significant partial mediator (β=0.52; p<0.001), with an indirect effect reaching 35.4% and a 95% CI range of 28.6-42.1%. Mindfulness-based psychoeducational interventions were shown to enhance nosocomial risk identification abilities by 38.7% (F(2,564)=42.18; p<0.001; η²=0.41) while reducing clinical anxiety by 31.2% (t(382)=9.84; p<0.001). These findings extend the frameworks proposed by Song (2024) and Schutte et al. (2025), which primarily emphasize cognitive aspects, by demonstrating that the integration of psychological dimensions yields a multidimensional predictive model explaining 64.3% of the variance in risk management competence (R²=0.643; F(5,841)=304.76; p<0.001), surpassing conventional models that account for only 38-45% of the variance.
The Impact of Sectarian Conflict on Mental Health in Kirkuk: An Ethno-Religious Analysis Nurzahara Sihombing; M. Agung Rahmadi; Rabiatul Adawiyah Nasution; Nabila Sita; Amanda Aulia Putri; Helsa Nasution; Luthfiah Mawar; Shely Shely; Nafiza Rizky Ramadhani Lubis
Quantum Wellness : Jurnal Ilmu Kesehatan Vol. 3 No. 1 (2026): Maret: Quantum Wellness : Jurnal Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/quwell.v3i1.2914

Abstract

This study comprehensively analyzes the impact of sectarian conflict on mental health in Kirkuk through an ethnoreligious meta-analysis of 42 studies with a total of N=15,427 participants published between 2003 and 2023. The quantitative synthesis indicates a PTSD prevalence of 47.3% (95% CI: 44.2–50.4) among victims of sectarian conflict, with an uneven distribution across groups, where the Turkmen minority records the highest prevalence at 56.8%, exceeding Arab Sunni at 43.2% and Kurdish at 41.5%. Logistic regression analysis demonstrates that direct exposure to sectarian violence increases the risk of major depression by 3.4 times (OR=3.42, p<.001), anxiety by 2.8 times (OR=2.83, p<.001), and psychosomatic disorders by 2.5 times (OR=2.54, p<.001). Further meta-regression identifies duration of conflict exposure (β=.426, p<.001) and intensity of sectarian violence (β=.389, p<.001) as significant predictors of symptom severity. In contrast to the findings of Cummings et al. (2013) and Eltally (2019), which emphasize the general impact of conflict, this study reveals specific intergenerational trauma patterns within distinct ethnoreligious communities, with the highest transmission observed among families of sectarian massacre victims (d=0.82), while simultaneously highlighting variations in communal resilience across groups as a differential determinant of post-conflict psychosocial dynamics.
Perbandingan Dampak Psikologis Konflik Bersenjata Populasi Urban vs Rural di Yaman : Suatu Systematic Review Luthfiah Mawar; M. Agung Rahmadi; Helsa Nasution; Nurzahara Sihombing
Journal of Educational Innovation and Public Health Vol. 3 No. 2 (2025): Journal of Educational Innovation and Public Health
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/innovation.v3i2.3622

Abstract

This study analyzes the psychological impact of the armed conflict in Yemen by comparing urban and rural populations through a systematic review and meta-analysis of 47 published studies (N=28,463) from 2015 to 2024. The analysis reveals a significantly higher prevalence of PTSD in the urban population (42.8%, 95% CI [39.2-46.4]) compared to the rural population (31.5%, 95% CI [28.1-34.9], p<.001). In addition, multilevel regression analysis indicates a strong correlation between the level of exposure to conflict and the severity of depressive symptoms (r=.68, p<.001) and anxiety (r=.72, p<.001) in both populations. Additionally, when examining specific urban risk factors, calculations indicate that population density (OR=1.86, 95% CI [1.54-2.18]) and loss of infrastructure (OR=1.73, 95% CI [1.45-2.01]) are significant. Moreover, geographic isolation (OR=1.92, 95% CI [1.67-2.17]) and limited access to mental health services (OR=2.14, 95% CI [1.89-2.39]) also demonstrate prominent risk factors, thereby emphasizing the predominance of specific urban risk factors in rural areas. These findings contrast with the research conducted by Le & Nguyen (2023) and Carpiniello (2023), which focused solely on general impacts; thus, the novelty of this research lies in its success in identifying distinct patterns of psychological trauma based on geographic characteristics. In addition, this study successfully reveals the differing mediating mechanisms of social support between urban (β=-.42, p<.001) and rural (β=-.28, p<.01) populations in mitigating the impacts of the Yemeni war trauma.