Article Per Year (5 Year)
p-Index From 2021 - 2026
0.751
P-Index
This Author published in this journals
All Journal Scientia Psychiatrica Indonesian Community Empowerment Journal Sriwijaya Journal of Neurology
Novalika Kurnia
Unknown Affiliation
Religion Humanities Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Public Health Social Sciences

Published : 4 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 2 Documents
Search
Journal : Scientia Psychiatrica

 1 
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.
Buffering Effects of Extended Family: A Moderated Mediation Analysis of Maternal Depression, Parenting Stress, and Early Childhood Development in West Java, Indonesia Habiburrahman Said; Novalika Kurnia; Aline Hafidzah; Vania Delma; Fachrudin Sani
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.v6i2.201

Abstract

Introduction: In low- and middle-income countries (LMICs), maternal mental health significantly impacts early childhood development (ECD). West Java, Indonesia, presents a unique cultural context where extended family involvement is ubiquitous. This study aims to elucidate the mechanism linking maternal depressive symptoms to early childhood developmental delays, focusing on the mediating role of parenting stress and the moderating role of social support from extended family. Methods: A cross-sectional analytical study was conducted in five regencies of West Java (N = 842 mother-child dyads). Children were aged 12–36 months. We utilized the Edinburgh Postnatal Depression Scale (EPDS) for depressive symptoms, the Parenting Stress Index-Short Form (PSI-SF) for stress, the Multidimensional Scale of Perceived Social Support (MSPSS) adapted for extended family, and the Ages and Stages Questionnaire (ASQ-3) for developmental monitoring. A moderated mediation model (Hayes Model 7) was tested using Structural Equation Modeling (SEM) with 5,000 bootstrap samples. Results: High maternal depressive symptoms were significantly associated with lower ECD scores (β = -0.42, p < 0.001). Parenting stress partially mediated this relationship (Indirect Effect = -0.18, 95% CI [-0.24, -0.13]). Crucially, extended family support moderated the path between depression and parenting stress (β = -0.15, p < 0.01). Specifically, the impact of depression on parenting stress was significantly dampened in households with high extended family engagement compared to those with low support. Conclusion: Parenting stress is a critical pathway through which maternal depression compromises child development. However, the collectivist family structure in West Java serves as a protective buffer. Interventions should target not only the mother but also mobilize the extended family network as a resource for 'kalyana mitra' (supportive friends/family).
Co-Authors Aline Hafidzah Fachrudin Sani Fatimah Mursyid Gladys Putri Habiburrahman Said Lestini Wulansari Mary-Jane Wood Muhammad Yoshandi Sana Ullah Sophia Lucille Rodriguez Theresia Putri Sinaga Vania Delma Zahra Amir