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All Journal Jurnal Ilmu Pendidikan JURNAL PENDIDIKAN IPS 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 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 Obat: Jurnal Riset Ilmu Farmasi dan Kesehatan Jurnal Praba: Jurnal Rumpun Kesehatan Umum
Nurzahara Sihombing
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Arts Dentistry Education Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Physics Public Health Social Sciences Veterinary Other

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Peran Spiritualitas dalam Resiliensi Masyarakat Afghanistan Helsa Nasution; M. Agung Rahmadi; Luthfiah Mawar; Nurzahara Sihombing
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.v3i2.4938

Abstract

Through a systematic review and meta-analysis, this research investigates the relationship between spirituality and psychological resilience in the Afghan population. Of the 1,247 identified studies, 47 (N=12,468) met the inclusion criteria. The results of the random-effects model analysis confirm a strong positive correlation between spirituality and psychological resilience (r = 0.64, 95% CI [0.58, 0.70], p < .001). Furthermore, there is significant heterogeneity among studies (I² = 76.3%, Q = 182.45, p < .001). Additionally, moderator analysis reveals that the effect of spirituality on resilience is significantly stronger in Afghan groups experiencing war trauma (β = 0.72) compared to non-traumatized groups (β = 0.51). Meta-regression results indicate that daily spiritual practice accounts for 43.2% of the total variance in psychological resilience among the Afghan community. In comparison to the findings of Salsman et al. (2015) and Schwalm et al. (2022), which reported a moderate correlation between the two variables (r = 0.45-0.52), this study has reinforced the presence of a stronger effect of spirituality on resilience in the context of prolonged conflict, presenting a novel contribution. Lastly, the mediation analysis indicates that the sense of meaning in life mediates the spirituality-resilience relationship in Afghanistan by 67.8% (95% CI [61.2, 74.5]). This research expands upon the findings of Meichenbaum (2008) by identifying specific mechanisms that explain the protective role of spirituality in the context of collective trauma in Afghanistan. Thus, these findings can universally serve as an empirical foundation for developing spirituality-based interventions for trauma recovery in communities affected by prolonged conflict.
Manifestasi Trauma Kolektif dalam Narasi Sosial Masyarakat Lebanon : Suatu Sintesis Kualitatif 1975-2024 M. Agung Rahmadi; Helsa Nasution; 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.v3i2.4936

Abstract

This study examines the manifestations of collective trauma in the social narratives of the Lebanese community through a meta-synthesis of 47 primary studies (1975-2024). The analysis reveals five main themes in the manifestations of trauma, including structural violence (73.4%), disintegration of collective identity (68.2%), transformation of intergenerational narratives (62.8%), communal resilience (57.9%), and reconstruction of collective memory (52.3%). Furthermore, a thematic analysis of 892 participants identifies that 76.5% of respondents exhibit symptoms of transgenerational Post-Traumatic Stress Disorder (PTSD), with 64.3% reporting chronic anxiety related to sectarian conflict. Additionally, these findings confirm a significant correlation (r = 0.78, p < 0.001) between the intensity of collective trauma exposure and social cohesiveness levels. Thus, these results expand upon the research of Sim et al. (2018) regarding transgenerational trauma and Kimhi et al. (2004) on communal resilience based on findings of specific mechanisms for the transmission of trauma within the social narratives of the Lebanese community. Unlike the findings of Marey-Sarwan (2020), which focus solely on individual dimensions, this research successfully develops the identification of systemic patterns in the manifestations of collective trauma, including the role of communal rituals (89.2%) in the recovery from collective trauma and the formation of post-conflict identity (82.7%). The researcher believes that these results provide a new theoretical framework for understanding the dynamics of collective trauma in the context of prolonged conflict in Lebanon.
Faktor-faktor Protektif Kesehatan Mental Remaja di Zona Konflik Iraq : Suatu Analisis Multilevel Nurzahara Sihombing; M. Agung Rahmadi; Helsa Nasution; Luthfiah Mawar
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.v3i2.4937

Abstract

This study employs a multilevel meta-analysis to identify and analyze the protective factors for mental health among adolescents in conflict zones in Iraq. The data from 47 studies that met the criteria involved 12,487 adolescents aged 12-18, published between 2003 and 2023. The analysis affirms the existence of three primary groups of protective factors: individual (β=0.42, p<0.001), family (β=0.38, p<0.001), and community (β=0.35, p<0.001). The individual factors include resilience (r=0.56, p<0.001), emotional regulation (r=0.48, p<0.001), and spirituality (r=0.45, p<0.001). Family factors encompass family cohesion (r=0.52, p<0.001) and parental support (r=0.49, p<0.001). Additionally, community factors consist of social support (r=0.47, p<0.001) and educational access (r=0.44, p<0.001). Furthermore, the results of structural model testing indicate significant interactions among the three factors (χ²=245.67, df=124, p<0.001, CFI=0.96, RMSEA=0.042), contrasting with the findings of Alqudah (2013), which emphasized the dominance of individual factors, and Cherewick et al. (2016), which focused on community factors. This research successfully reveals a dynamic interaction pattern among these three protective factors as a novel contribution, highlighting the significant moderating effect of family factors (β=0.29, p<0.001) on the relationship between individual and community factors. In addition, these results expand the understanding of the mechanisms that protect adolescents' mental health in conflict zones through an ecological systems perspective.
Efektivitas Program Berbasis Sekolah untuk Meningkatkan Resiliensi Mental Anak-anak Wilayah Konflik Timur Tengah M. Agung Rahmadi; Helsa Nasution; Luthfiah Mawar; Nurzahara Sihombing
Jurnal Mahasiswa Ilmu Kesehatan Vol. 3 No. 2 (2025): Jurnal Mahasiswa Ilmu Kesehatan
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/jumkes.v3i2.2477

Abstract

This research evaluates the effectiveness of school-based mental resilience programs for children in conflict zones of the Middle East based on the results of 47 studies (N=12,873 students) published between 2010 and 2023. The analysis reveals a significant increase in mental resilience scores (d=0.76, 95% CI [0.68, 0.84], p<.001) following the implementation of intervention programs for children in these conflict areas. Furthermore, multilevel regression analysis confirms that programs integrating psychosocial support factors into academic activities for children in conflict zones exhibit the strongest criterion effects (β=0.62, p<.001), followed by trauma-based interventions (β=0.58, p<.001) and coping skills training (β=0.51, p<.001). Additionally, the outcomes from interventions lasting more than six months demonstrate a greater criterion effect (d=0.82) than short-term programs (d=0.65). A 12-month follow-up indicates the sustainability of the intervention effects (d=0.69). These findings expand upon previous research by Forsberg & Schultz (2015) and Betancourt et al. (2008), which primarily focused on short-term interventions, successfully identifying effective long-term components of programs for children in conflict zones of the Middle East. Moreover, in contrast to the study by Gomez et al. (2017), which found the effectiveness of interventions limited to trauma-based programs, this research reveals that an integrated approach has a greater impact on specific subjects. Ultimately, this study provides the first empirical evidence testing the effectiveness of a sustainable school-based mental resilience intervention for children in conflict zones on a broader Middle Eastern scale.
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.    
Co-Authors Aisyah Umaira Andieni Pratiwi Andine Mei Hanny Annisa Ardianti Br Tarigan Ayu Anastasyah Clarisha Al Chaira Achmad Dwi Keisya Kurnia Helsa Nasution Khaila Salsabila Kiki Asnanti Lathifa Nurrahmah Luthfiah Mawar Luthfiyah Aqilah Siagian M. Agung Rahmadi Milna Sari Naila Al Madina Nur Suci Ramadhani Nurma Handayani Putri Widia Ramadhani Rambe Rasil Hakim Hasibuan Risa Ramadhani Br Panjaitan Romaito Nasution Sarah Aisyah Agusti Sasa Maghfirah Siregar Saschia Amanda Siti Nurfaiza Sri Rahayu Sukirman Wildan Izzatul Haq Zahra Aliyah Verisah Zulpiani Br Sipayung