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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) Jurnal Penelitian Kesehatan Suara Forikes Jurnal Kesehatan Vokasional Journal Of Nursing Practice Jurnal Keperawatan Silampari Faletehan Health Journal Jambura Nursing Journal Jurnal Ilmu Keperawatan Jiwa Jurnal Perawat Indonesia 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 Idea Pengabdian Masyarakat An Idea Health Journal JURNAL KESEHATAN SAMODRA ILMU Jurnal Locus Penelitian dan Pengabdian JRKN Innovation in Health for Society Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Jurnal Keperawatan Malahayati International Journal of Nursing and Health Science Holistik Jurnal Kesehatan Jurnal Info Kesehatan Proceeding Banten International Conference on Health Advancement & Research (BINAR)
Yossie Susanti Eka Putri
Departemen Keperawatan Jiwa, Fakultas Ilmu Keperawatan, Universitas Indonesia, Indonesia
Aerospace Engineering Humanities Automotive Engineering Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Education Electrical & Electronics Engineering Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mathematics Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary

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Effectiveness of CBT in reducing anxiety to adolescents: A systematic literature review Sarah Indah Jayanti; Yossie Susanti Eka Putri; Herni Susanti
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.
Unveiling the unseen: Parental experiences in nurturing children with intellectual disabilities: A systematic review Sophia Euodia Anggoh; Yossie Susanti Eka Putri; Achir Yani Syuhaimie Hamid; Ria Utami Panjaitan
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 9 (2025): Volume 8 Number 9
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i9.1208

Abstract

Background: Parents of children with intellectual disabilities face a lifelong caregiving responsibility with multidimensional burdens, including chronic stress, financial pressure, and limited culturally sensitive mental health support. Previous studies have focused more on psychological aspects, so the holistic understanding of resilience and cultural dynamics is still limited. Purpose: To examine the experiences of parents in caring for children with intellectual disabilities Method: Literature search using PRISMA guidelines on PubMed, ScienceDirect, and Google Scholar (2015–2025) with related keywords. Quantitative studies on caregivers of children with intellectual disabilities were selected, while non-parents and non-intelectual disability were excluded. Study selection and methodological quality assessment (Joanna Briggs Institute checklist) were conducted by more than one researcher. Narrative synthesis was applied due to the heterogeneity of the data. Results: Analysis of 10 studies (2,473 participants) revealed high emotional burdens (stress and anxiety) due to children's behavior, stigma, and lack of support. Resilience strategies such as mindful parenting and recreational activities enhance parent-child bonding and self-efficacy. Culture influences coping mechanisms, while father involvement is often hindered by traditional norms. Compared to previous reviews, these findings emphasize cross-cultural resilience and the urgency of community-based gender-inclusive interventions. Conclusion: Caregivers of children with intellectual disabilities demonstrate resilience despite facing complex challenges. Interventions need to integrate psychosocial training, community support, as well as culturally sensitive policies and father participation.
The effect of progressive muscle relaxation on the psychological burden of caregivers of patients with diabetes mellitus Uswatun Khasanah; Yossie Susanti Eka Putri; Mustikasari Mustikasari; Herni Susanti
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 12 (2026): Volume 8 Number 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i12.1993

Abstract

Background: Type 2 Diabetes Mellitus (DM) is a chronic disease that not only affects patients but also places a significant psychological burden on their families as caregivers. This burden can take the form of stress, anxiety, depression, physical exhaustion, and decreased quality of life. Purpose: To determine the Progressive Muscle Relaxation (PMR) technique in reducing the psychological burden on caregivers of patients with DM type 2. Method: A descriptive qualitative approach, specifically focusing on exploratory study. The study took place April 2025, in Batutulis, Bogor. Using total sampling 2 participants were selected, contributor informant inquired Mr. W as caregiver and Mrs. U patients with diabetes mellitus type 2. Data collection in this study was done through triangulation, which combines several data sources, methods, and theories to increase the validity of the results. For data collection, it was conducted using indepth interviews were conducted with open-ended questions with questionnaire. The data were analysed using thematic analysis technique to identify important information and understand the core meaning of each data. Results: There was a decrease in psychological burden after the PMR intervention, as evidenced by a decrease in family questionnaire scores. Data collection was conducted through interviews, observation, and documentation. Conclusion: Progressive Muscle Relaxation has been shown to reduce the psychological burden on caregivers of patients with chronic illnesses, including diabetes. This intervention can be used as a supporting strategy for community nursing services to improve caregiver mental well-being.
Effectiveness of dialectical behavior therapy (DBT) in reducing suicidal behaviors and improving emotion regulation among adolescents: A systematic review Pratiwi Tangkawarow; Yossie Susanti Eka Putri; Achir Yani S Hamid; Ria Utami Panjaitan
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 2 (2026): Volume 9 Number 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i2.2931

Abstract

Background: Suicidal behavior and non-suicidal self-injury (NSSI) among adolescents are increasing globally, and the WHO ranks suicide as the third leading cause of death among adolescents. In Indonesia, the 2022 I-NAMH Survey shows that 14.4% of adolescents have suicidal thoughts and 4.7% have attempted suicide. This situation highlights the importance of interventions that can improve emotional regulation and reduce self-harming behavior. Dialectical Behavior Therapy for Adolescents (DBT-A) has shown potential, but its effectiveness among adolescents remains inconsistent. Purpose: To evaluate the effectiveness of DBT-A in reducing suicidal behaviors and NSSI and improving emotional regulation in adolescents. Method: A literature search was conducted via PubMed and ScienceDirect for publications from 2011 to 2025. Inclusion criteria included quantitative studies with DBT interventions in adolescents aged 12–19 years, with outcomes of suicidal ideation, self-harm, or emotional regulation. Of the 585 articles identified, 10 studies met the criteria and were assessed for quality using the Joanna Briggs Institute (JBI) instrument. Results: DBT-A consistently reduces self-harm behavior, NSSI, and suicidal ideation. Most studies report significant improvements in emotional regulation, with the highest effectiveness seen in multi-component programs involving families. Studies with shorter durations or limited components show less stable results. Conclusion: DBT is effective in reducing self-harm and suicidal ideation and improving emotional regulation. Structured implementation of DBT involving families, including cultural adaptation and the use of digital platforms, has the potential to expand access to services. Further research is needed to test the long-term effectiveness and application of DBT in more diverse adolescent populations.
Efektivitas psikoedukasi terhadap penurunan stigma pada pasien dan keluarga dengan gangguan jiwa: A systematic literature review Jose Arcanjo da Costa Correia; Yossie Susanti Eka Putri; Novy Helena Chatarina Daulima
Hik Vol. 20 No. 2 (2026): Volume 20 Nomor 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i2.2245

Abstract

Background: Stigma surrounding mental illness remains a major barrier to recovery and negatively impacts the psychosocial well-being of patients and their families. Psychoeducation has been widely used as a strategy to reduce stigma, but its effectiveness varies depending on the population, method, and cultural context. Purpose: To synthesize current evidence on the effectiveness of psychoeducational interventions in reducing stigma in patients with mental illness and their families. Method: A systematic literature review was conducted based on PRISMA guidelines. A literature search of PubMed and Google Scholar covered the period 2010–2025. Articles meeting inclusion criteria were evaluated using the Joanna Briggs Institute (JBI) Critical Appraisal. Results: Psychoeducation effectively reduced internalized stigma in patients and affiliative stigma in families, while improving social functioning and mental health literacy. Interventions based on lived experience, such as In Our Own Voice–Family, demonstrated greater effectiveness than conventional psychoeducation. However, one randomized controlled trial reported that the positive impact of psychoeducation diminished after six months, highlighting the challenge of long-term sustainability. Conclusion: Psychoeducation is an effective intervention in reducing stigma in patients and families with mental disorders. However, long-term effectiveness remains a challenge, requiring ongoing program integration and longitudinal follow-up studies to measure the sustainability of its impact.   Keywords: Internalized Stigma; Mental Disorders; Psychoeducation.   Pendahuluan: Stigma terhadap gangguan jiwa masih menjadi hambatan utama dalam proses pemulihan dan berdampak negatif terhadap kesejahteraan psikososial pasien maupun keluarganya. Psikoedukasi telah banyak digunakan sebagai strategi untuk menurunkan stigma, namun efektivitasnya bervariasi tergantung pada populasi, metode, dan konteks budaya. Tujuan: Untuk mensintesis bukti terkini mengenai efektivitas intervensi psikoedukasi dalam menurunkan stigma pada pasien dengan gangguan jiwa dan keluarganya. Metode: Penelitian systematic literature review berdasarkan panduan PRISMA. Pencarian literatur dari basis data PubMed dan Google Scholar dilakukan untuk periode 2010–2025. Artikel yang memenuhi kriteria inklusi dievaluasi menggunakan Joanna Briggs Institute (JBI) Critical Appraisal. Hasil: Psikoedukasi efektif menurunkan stigma internalisasi pada pasien serta stigma afiliasi pada keluarga, sekaligus meningkatkan fungsi sosial dan literasi kesehatan jiwa. Intervensi berbasis pengalaman langsung, seperti In Our Own Voice–Family, menunjukkan efektivitas lebih tinggi dibandingkan psikoedukasi konvensional. Namun, salah satu hasil penelitian menggunakan uji acak terkontrol melaporkan bahwa dampak positif psikoedukasi berkurang setelah enam bulan dan menyoroti tantangan keberlanjutan jangka panjang. Simpulan: Psikoedukasi merupakan intervensi yang efektif dalam menurunkan stigma pada pasien dan keluarga dengan gangguan jiwa. Namun, efektivitas jangka panjang masih menjadi tantangan, sehingga diperlukan integrasi program berkelanjutan dan studi lanjutan dengan desain longitudinal untuk mengukur keberlanjutan dampaknya.   Kata Kunci: Gangguan Jiwa; Psikoedukasi; Stigma Internalisasi.
Implementation of Low Intensity Psychological Intervention (Butterfly Hug, Grounding) and Assertiveness Training Using “SIMOJI” Web Based Application on the Reduction of Psychomotor Agitation in Schizophrenia Patients with Risk of Violent Behaviour Oriza Sativa Manurung; Yossie Susanti Eka Putri; Lailatul Fadilah
Proceeding of Banten Internasional Conference on Health Advancement and Research Vol. 1 No. 2 (2026): Proceeding Banten International Conference on Health Advancement & Research (BI
Publisher : Poltekkes Kemenkes Banten

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Introduction: Schizophrenia is a chronic mental illness characterized by disturbances in thinking, perception, emotion, and behavior. Nursing implementation still relies on manual/paper-based methods in the current era of digitalization. Objective: To identify the application of low intensity psychological intervention (butterfly hug, grounding) and assertiveness training using a digital application SIMOJI on the reduction of psychomotor agitation in Schizophrenia patients with risk of violent behavior in the Gatot Kaca ward, Marzoeki Mahdi Hospital.Method: A quasi-experimental study using one group without a control group, involving 31 patients with risk of violent behavior selected according to inclusion criteria, with agitation measured using the OASS (Overt Agitation Severity Scale) instrument. Results: The butterfly hug, grounding, and assertiveness training interventions using a digital application significantly reduced psychomotor agitation in  risk of violent behavior patients (p < .001), with the median score decreasing from 23 (pretest) to 20 (post butterfly hug and grounding) and to 3 (post assertiveness training). Assertiveness training was proven to be more effective than butterfly hug and grounding, and a history of substance abuse was found to be significantly associated with the level of psychomotor agitation in patients (p < .001). Recommendation: Low Intensity Psychological Intervention (Butterfly Hug, Grounding) can be performed by ward nurses, while assertiveness training should be delivered by mental health specialist nurses to reduce psychomotor agitation using the SIMOJI application
Co-Authors -, Mahraniy Achir Yani S Hamid Achir Yani S. Hamid Achir Yani Syuhaimie Hamid Achir Yani Syuhaimie Hamid Agung Tri Yuwono Agung Waluyo Agus Waluyo Agus Waluyo, Agus Allenidekania Allenidekania Andalasari, Niken Anggraini, Yunita Astutik, Windu Budi Anna Keliat Ceacilia Nika Candra Kusuma Daulima, Novy H.C Deasti Nurmaguphita Dewi Atika Sari Dewi Srimauli Simorangkir Dian Fitria Endar Cahyawati Etty Rekawati Fatrichia Nur Rahma Freny Ravika Mbaloto Handayani, Eka Sila Hardani, Paramudita Tri Hargiana, Giur Hari Widiyatmini Heri Setiawan Herminah Winnie Firmus Herni Susanti Hidayat, Asep Yusup I Ketut Suada Ice Yulia Wardani Ice Yulia Wardhani Ida Ayu Trisnadewi Ikhwanudin Ikhwanudin Ikhwanudin Ikhwanudin Imami Nur Rachmawati Irma Sofiani Kusmara Jose Arcanjo da Costa Correia Junaiti Sahar Keksi Girindra Swasti Keksi Girindra Swasti Keksi Girindra Swasti Khaerunnisa, Tania Lailatul Fadilah Laily Nur Hidayati Laily Nur Hidayati, Laily Nur Lidia Simatupang Limanauw, Marchellino Edmond Aprico Linda Mandasari Livana PH Livana Ph, Livana Maelia Unayah Mahraniy Manumba, Ruliyani Maria Turnip Maria Turnip, Maria Martina Martina Mawaddah Mawaddah Misesa Misesa Mujahidin, Ahmad Basofi Mulyati, Mulyati Mustikasari Mustikasari Najwa Amellia Ngolu Siregar Ni Luh Emilia Ni Made Riasmini Noraini Noraini, Noraini Norman Wijaya Gati Novy Helena Chatarina Daulima Novy Helena Chatarina Daulima Nur Aima Siagian Nuraenah Nuraenah Nuraenah, Nuraenah Nurhalimah Nurhalimah Nurhalimah Nurhalimah Nuridah Nuridah Nurmagandi, Boby Nurul Jannah Nurul Jannah Oriza Sativa Manurung Oriza Sativa Manurung Paramudita Tri Hardani Pardede, Jek Amidos Pichitra Lekdamrongkul Pratiwi Tangkawarow Purnomo Purnomo Purnomo Purnomo Rahayu, Prastiwi Puji Rahayu, Prastiwi Puji Rahmawati Rahmawati Reni Reni Retty Octi Syafrini Retty Octi Syafrini Octi Syafrini Rezkia Rahmadina Ria Utami Panjaitan Riri Maria Safitri, Aisyah Safitri, Aisyah Sarah Indah Jayanti Septiana, Visya Siagian, Nur Aima Silaswati, Shinta Silitonga, Riris Ocktryna Simatupang, Lidia Siti Nurjanah Sophia Euodia Anggoh Suherman Suherman Susana Susana Susila, Wahyu Dini Candra Synthia Andriani Tifany Hayuning Ratri Tiveni Elisabhet Tungtrongvisolkit, Napawadee Tuti Nuraini Tuti Nuraini Uswatun Khasanah Uswatun Khasanah Wahyu Reknoningsih Wahyuni Thalib H Hasan, Sry Widyatuti Wiwin Wiarsih Yafi Sabila Rosyad Yati Afiyanti Yudi Ariesta Chandra