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All Journal Jurnal Keperawatan Indonesia Idea Nursing Journal Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Jurnal Riset Kesehatan Jurnal NERS JKG (Jurnal Keperawatan Global) Journal Of Nursing Practice Jurnal Keperawatan Silampari Faletehan Health Journal Jambura Nursing Journal Jurnal Ilmu Keperawatan Jiwa Jurnal Kesehatan Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Jurnal Ners Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Journal of Telenursing (JOTING) Indonesian Journal of Global Health research Jurnal Kesehatan Jurnal Menara Medika Jurnal Keperawatan Galuh Caring : Indonesian Journal of Nursing Science Cendekia Medika : Jurnal Stikes Al-Ma`arif Baturaja JURNAL KESEHATAN SAMODRA ILMU Jurnal Locus Penelitian dan Pengabdian JRKN Innovation in Health for Society Jurnal Keperawatan Malahayati International Journal of Nursing and Health Science Jurnal Info Kesehatan
Yossie Susanti Eka Putri
Department Of Mental Health And Psychiatric Nursing, Faculty Of Nursing, Universitas Indonesia
Aerospace Engineering Humanities Automotive Engineering Biochemistry, Genetics & Molecular Biology Chemistry Decision Sciences, Operations Research & Management Dentistry Education Electrical & Electronics Engineering Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Mathematics Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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Effectiveness of CBT in reducing anxiety to adolescents: A systematic literature review Jayanti, Sarah Indah; Putri, Yossie Susanti Eka; Susanti, Herni
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 10 (2025): Volume 8 Number 10
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i10.1172

Abstract

Background: Anxiety disorders in adolescents are a growing global concern, with the World Health Organisation (WHO) reporting a prevalence of over 10% worldwide. In Indonesia, 15.6% of adolescents experience anxiety symptoms, which impact their social, academic, and emotional development. Cognitive Behavioural Therapy (CBT) has been proven effective in reducing anxiety, but evidence regarding its effectiveness in adolescents requires further synthesis. Purpose: To examine the effectiveness of CBT in reducing anxiety to adolescents. Methods: A systematic review was conducted of 10 studies (2013–2025) using databases such as ScienceDirect, Scopus, and Google Scholar. Inclusion criteria included randomised controlled trials (RCTs), quasi-experimental studies, and articles focusing on adolescents aged 10–19 years. The JBI was used as a critical appraisal tool to assess risk of bias, and data were synthesised thematically. Results: CBT significantly reduced anxiety symptoms in adolescents in various studies (p < 0.05). School-based CBT and internet-based CBT (iCBT) demonstrate equivalent effectiveness to traditional methods, with results persisting at follow-up (6–12 months). However, brief CBT interventions show limitations in terms of non-inferiority compared to standard protocols. Poorer outcomes are associated with inadequate adaptation of CBT techniques to developmental stages. Conclusion: CBT is an effective intervention for anxiety in adolescents, especially when integrated into school programmes or digital platforms. Adapting CBT to developmental stages and ensuring long-term monitoring are essential to maximise impact. Recommendations include expanding access to CBT in resource-limited settings and improving health policies to prioritise adolescent mental health.
The Effectiveness of Cognitive Behaviour Therapy on Relapse in Schizophrenia Patients with Hallucinatios Khasanah, Uswatun; Putri, Yossie Susanti Eka; Mustikasari, Mustikasari
JKG (JURNAL KEPERAWATAN GLOBAL) Artikel in Press (JKG) Jurnal Keperawatan Global
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkg.v11i1.1260

Abstract

Background: Schizophrenia is a chronic mental disorder characterized by psychotic symptoms such as hallucinations and delusions. Relapses in schizophrenia patients often occur even after undergoing pharmacological treatment. Cognitive Behaviour Therapy (CBT) has been reported to be effective in reducing relapses through cognitive restructuring and improving patients' coping with psychotic symptoms. This systematic review aims to assess the effectiveness of cognitive behavioral therapy (CBT) on reducing relapse rates in patients with schizophrenia, especially in hallucination. Methods: The systematic review was conducted using the JBI approach. The included articles were primary studies with an RCT or quasi-experimental design, published between 2015 and 2024, and available in full text. The selection process was conducted using the PRISMA method, and the final results consisted of 7 articles that met the inclusion criteria. Results: Most studies show that CBT is effective in reducing relapse, improving quality of life or social functioning, and reducing positive and negative psychotic symptoms. Culturally-based CBT and CBT by videoconference have been reported to expand access to intervention. The side effects of CBT are relatively low, but some studies report a decline in impact after therapy is discontinued. Conclusion: CBT is effective in preventing relapse in schizophrenia patients with hallucinations by reducing psychotic symptoms and improving patient coping. Further research is needed to evaluate the long-term effectiveness of CBT.
A Psychiatric Nursing Case Study on Assertive Training to Improve Self-Control in a Patient with Risk of Violent Behavior Rosyad, Yafi Sabila; Eka Putri, Yossie Susanti; Ratri, Tifany Hayuning; Suherman, Suherman; Unayah, Maelia
Jurnal Keperawatan Galuh Vol 8, No 1 (2026)
Publisher : Universitas Galuh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25157/jkg.v8i1.22773

Abstract

Risiko perilaku kekerasan merupakan masalah keperawatan jiwa yang membutuhkan intervensi psikososial efektif. Assertive Training sebagai terapi spesialis keperawatan jiwa berfokus pada peningkatan komunikasi asertif dan kontrol diri pasien, sehingga berpotensi menurunkan risiko perilaku kekerasan. Studi kasus ini bertujuan untuk mengeksplorasi efektivitas Assertive Training dalam meningkatkan kontrol diri dan menurunkan risiko perilaku kekerasan pada pasien gangguan jiwa. Penelitian ini menggunakan desain studi kasus pada seorang pasien laki-laki usia 23 tahun dengan diagnosis risiko perilaku kekerasan yang dirawat di ruang Geranium RSJD Soedjarwadi Klaten. Intervensi Assertive Training diberikan dalam lima sesi terstruktur setelah pasien menerima terapi keperawatan ners. Evaluasi dilakukan menggunakan lembar evaluasi Assertive Training yang dikembangkan Fakultas Keperawatan Universitas Indonesia terhadap perubahan sikap agresif, pasif, dan asertif sebelum dan sesudah intervensi. Hasil menunjukkan penurunan sikap agresif dan pasif hingga tidak tampak, serta peningkatan yang bermakna secara klinis (clinically meaningful improvement) pada sikap asertif setelah penerapan Assertive Training. Pasien juga menunjukkan perbaikan kemampuan regulasi emosi dan komunikasi interpersonal yang lebih adaptif. Assertive Training menunjukkan potensi efektif sebagai terapi spesialis keperawatan jiwa dalam meningkatkan kontrol diri dan menurunkan risiko perilaku kekerasan pada pasien gangguan jiwa. Namun, temuan ini berasal dari desain studi kasus sehingga memiliki keterbatasan dalam generalisasi dan memerlukan penelitian lanjutan dengan desain yang lebih kuat.
Co-Authors -, Mahraniy Abda Abda Achir Yani S. Hamid Agung Tri Yuwono Agung Waluyo Agus Waluyo Agus Waluyo, Agus Allenidekania Allenidekania Amellia, Najwa Andalasari, Niken Anggoh, Sophia Euodia Anggraini, Yunita Astutik, Windu Budi Anna Keliat Chandra, Yudi Ariesta Daulima, Novy H.C Deasti Nurmaguphita Dewi Atika Sari Dian Fitria Endar Cahyawati Etty Rekawati Fatrichia Nur Rahma Firmus, Herminah Winnie Handayani, Eka Sila Hardani, Paramudita Tri Hargiana, Giur Hari Widiyatmini Heri Setiawan Herni Susanti Hidayat, Asep Yusup I Ketut Suada Ice Yulia Wardani Ice Yulia Wardhani Ida Ayu Trisnadewi Ikhwanudin Ikhwanudin Ikhwanudin Ikhwanudin Imami Nur Rachmawati Jayanti, Sarah Indah Junaiti Sahar Khaerunnisa, Tania Kusuma, Ceacilia Nika Candra Laily Nur Hidayati Laily Nur Hidayati, Laily Nur Lidia Simatupang Limanauw, Marchellino Edmond Aprico Livana PH Livana Ph, Livana Mahraniy Mandasari, Linda Manumba, Ruliyani Manurung, Oriza Sativa Maria Turnip Maria Turnip, Maria Maria, Riri Maria, Riri Martina Martina Mawaddah Mawaddah, Mawaddah Misesa Misesa Mujahidin, Ahmad Basofi Mustikasari Mustikasari Ni Made Riasmini Noraini Noraini, Noraini Norman Wijaya Gati Novy Helena Chatarina Daulima Nuraenah Nuraenah Nuraenah, Nuraenah Nurhalimah Nurhalimah Nuridah Nuridah Nurul Jannah Nurul Jannah Paramudita Tri Hardani Pardede, Jek Amidos Pichitra Lekdamrongkul Purnomo Purnomo Rahayu, Prastiwi Puji Rahayu, Prastiwi Puji Rahmawati, Rahmawati Retty Octi Syafrini Retty Octi Syafrini Octi Syafrini Rezkia Rahmadina Ria Utami Panjaitan Safitri, Aisyah Safitri, Aisyah Septiana, Visya Siagian, Nur Aima Silitonga, Riris Ocktryna Simatupang, Lidia Siregar, Ngolu Suherman, Suherman Susana Susana Synthia Andriani Tifany Hayuning Ratri Tiveni Elisabhet Tungtrongvisolkit, Napawadee Tuti Nuraini Unayah, Maelia Wahyu Reknoningsih Wahyuni Thalib H Hasan, Sry Wiwin Wiarsih Yafi Sabila Rosyad Yati Afiyanti