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Journal : Scientia Psychiatrica

The Impact of Trauma-Informed Care on Mental Health Outcomes for Incarcerated Youth: A Longitudinal Study in Bandung, Indonesia Dedi Affandi; Ericca Dominique Perez; Winata Putri; Anies Fatmawati; Alex Putra Pratama
Scientia Psychiatrica Vol. 6 No. 1 (2025): Scientia Psychiatrica
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/scipsy.v6i1.183

Abstract

Introduction: Incarcerated youth represent a vulnerable population with disproportionately high rates of trauma exposure and mental health disorders. This study investigated the longitudinal impact of a trauma-informed care (TIC) program on mental health outcomes for incarcerated youth in Bandung, Indonesia. Methods: A quasi-experimental design was employed, comparing a group of incarcerated youth who received TIC with a control group receiving standard care. Participants (n=200) were assessed at baseline, 6 months, and 12 months using validated instruments measuring PTSD symptoms, depression, anxiety, and behavioral problems. Data analysis included repeated measures ANOVA and correlational analyses. Results: Youth in the TIC group demonstrated significant reductions in PTSD symptoms, depression, and anxiety over time compared to the control group. Improvements in behavioral problems were also observed in the TIC group. These positive changes were sustained over the 12-month period. Conclusion: This study provides evidence for the effectiveness of TIC in improving mental health outcomes for incarcerated youth. Implementing TIC programs in juvenile detention facilities is crucial for addressing the mental health needs of this vulnerable population.
Psychobiological Mechanisms of Resilience in the Pesantren Ecology: A Comparative Structural Equation Modeling of Distress, Coping, and Salivary Cortisol between Boarding and Non-Boarding Santri in East Java Winata Putri; Irna Nettles; Theresia Putri Sinaga; Vidhya Sathyakirti; Sari Sulistyoningsih
Scientia Psychiatrica Vol. 6 No. 3 (2025): Scientia Psychiatrica
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/scipsy.v6i3.200

Abstract

Introduction: The Pesantren (Islamic boarding school) represents a unique educational ecosystem in Indonesia that imposes distinct psychosocial demands on students (Santri). While the academic outcomes of this system are well-documented, the psychobiological divergences between boarding (Mukim) and non-boarding (Kalong) students regarding stress adaptation remain under-researched. Methods: This cross-sectional comparative study involved 500 adolescents (ages 15-18) from four large Pesantrens in East Java, stratified into Boarding (n = 250) and non-boarding (n = 250) groups. Participants completed the Kessler Psychological Distress Scale (K-10), the Connor-Davidson Resilience Scale (CD-RISC-25), and the Brief-COPE. Additionally, morning salivary cortisol samples were collected to assess hypothalamic-pituitary-adrenal (HPA) axis activity. Data were analyzed using MANCOVA and Structural Equation Modeling (SEM). Results: Boarding students exhibited significantly higher baseline psychological distress (p < 0.001) and elevated cortisol levels compared to non-boarders. However, they also demonstrated significantly higher resilience scores and utilization of adaptive religious coping strategies. SEM analysis revealed that while boarding status is a predictor of physiological stress, its impact on psychological distress is fully mediated by adaptive coping mechanisms and community integration. Conclusion: Boarding students face heightened physiological stress loads but possess superior compensatory resilience mechanisms driven by religious coping. Interventions should focus on strengthening these adaptive pathways.