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Journal : Scientia Psychiatrica

Early Detection of Bullying Victimization in Indonesian Adults: A Predictive Scoring System Zahra Amir; Husin Sastranagara; Imanuel Simbolon; Neva Dian Permana; Andi Fatihah Syahrir
Scientia Psychiatrica Vol. 5 No. 4 (2024): Scientia Psychiatrica
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/scipsy.v5i4.180

Abstract

Introduction: Bullying victimization among adults is a pervasive problem with significant mental health implications, including depression, anxiety, and even suicidal ideation. Early detection of individuals at risk is crucial for timely intervention and support. This study aimed to develop and validate a predictive scoring system for bullying victimization in Indonesian adults. Methods: A cross-sectional study was conducted with 1,500 Indonesian adults aged 18-55 years. Data were collected using validated questionnaires, including the Indonesian Workplace Bullying Scale, the Kessler Psychological Distress Scale (K10), and the Rosenberg Self-Esteem Scale. Sociodemographic information and history of adverse childhood experiences were also collected. Logistic regression analysis was used to identify predictors of bullying victimization and develop a predictive scoring system. The model's performance was evaluated using receiver operating characteristic (ROC) curve analysis. Results: The prevalence of bullying victimization in the sample was 18.7%. Significant predictors included female gender, younger age, lower socioeconomic status, history of childhood trauma, low self-esteem, and high psychological distress. The predictive scoring system demonstrated good discriminatory ability, with an area under the ROC curve (AUC) of 0.82 (95% CI: 0.79-0.85). Conclusion: This study provides a validated predictive scoring system for identifying Indonesian adults at risk of bullying victimization. This tool can assist mental health professionals, employers, and policymakers in implementing targeted prevention and intervention programs to mitigate the adverse mental health consequences associated with bullying.
A Vicious Cycle: Probable Psychological Distress and Maladaptive Cognition as Barriers to Remediation Among Indonesian Medical Students Failing National Licensure Gladys Putri; Mary-Jane Wood; Zahra Amir; Novalika Kurnia
Scientia Psychiatrica Vol. 6 No. 2 (2025): Scientia Psychiatrica
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/scipsy.v6i2.193

Abstract

Introduction: Failure on high-stakes medical licensing examinations, such as the Indonesian Medical Doctor Competency Examination (UKMPPD), is a significant stressor. This study aims to delineate the current psychological profile of "repeat takers" (students who have failed at least once) to understand the psychological state associated with being in a cycle of academic failure. Methods: A multi-center, matched case-control study was conducted with 300 participants from five Indonesian medical faculties. The 'Case' group (n=150), recruited from remedial preparation courses, comprised students who had failed the UKMPPD at least once. The 'Control' group (n=150) consisted of peers from the same cohort who passed on their first attempt, matched for university, age, and gender. Psychological variables were measured cross-sectionally using the 10-item Connor-Davidson Resilience Scale (CD-RISC 10), the Brief COPE inventory, and the Self-Reporting Questionnaire-20 (SRQ-20) to screen for probable psychological distress. Results: Cases demonstrated a dramatically higher rate of probable psychological distress, with 62.0% of cases screening positive (SRQ-20 score ≥ 8) compared to 18.0% of controls (p < 0.001). Cases also reported significantly lower current resilience (Mean ± SD: 28.5 ± 5.4 vs. 34.1 ± 4.8, p < 0.001) and significantly greater use of avoidant/maladaptive coping (p < 0.001), driven specifically by Self-Blame (p < 0.001) and Behavioral Disengagement (p < 0.001). Binary logistic regression revealed that factors strongly associated with repeat-taker status included probable psychological distress (OR 5.2, 95% CI 3.1-8.7), lower resilience (OR 0.85, 95% CI 0.79-0.91), and Self-Blame (OR 2.1, 95% CI 1.4-3.2). Conclusion: The psychological state following licensure failure is characterized by a triad of high psychological distress, eroded resilience, and a reliance on self-blaming cognitive distortions. This profile, most parsimoniously interpreted as a consequence of initial failure, constitutes a formidable state of crisis and a critical barrier to successful academic remediation.