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All Journal Jurnal Konseling dan Pendidikan JPGI (Jurnal Penelitian Guru Indonesia) Termometer: Jurnal Ilmiah Ilmu Kesehatan Dan Kedokteran Jurnal An-Najat: Jurnal Ilmu Farmasi dan Kesehatan 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 The Journal General Health and Pharmaceutical Sciences Research International Journal Of Health And Social Behavior Tunjuk Ajar: Journal of Education and Culture International Journal of Health Science
Nurzahara Sihombing
SD Negeri 107396 Paluh Merbau
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The Influence of Islamic Character Education Implementation on Students’ Mental Health Helsa Nasution; M. Agung Rahmadi; Luthfiah Mawar; Nurzahara Sihombing; Ismail Saleh Lubis
Tunjuk Ajar: Journal of Education and Culture Vol. 1 No. 1 (2025): JUNE
Publisher : Tuah Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64929/ta.v1i1.18

Abstract

Abstract: This study explores the impact of Islamic character education implementation on students’ mental health through a structural equation modeling (SEM) approach. By analyzing meta-data from 38 studies involving a total of 12,467 respondents, the results reveal a significant correlation between Islamic character education and mental health (r = 0.72, p < 0.001). Furthermore, structural model analysis indicates that Islamic character education has a direct effect on mental health (β = 0.58, p < 0.001) and an indirect effect through emotion regulation (β = 0.32, p < 0.01), yielding a total effect of 0.67. Additionally, invariance testing confirms that the model remains consistent across different age groups and genders (CFI = 0.94, RMSEA = 0.048). The SEM results validate the theoretical model’s fit (χ² = 312.45, df = 145, p < 0.001; GFI = 0.93; NFI = 0.92; TLI = 0.95). These findings extend the studies of Naqiyah (2022) and Khodijah et al. (2024), which previously only highlighted direct relationships without considering mediation variables. Furthermore, unlike the study by Yahaya et al. (2012), which found a moderate effect (β = 0.41), this research uncovers a more substantial and comprehensive impact by identifying emotion regulation as a key mediator. Lastly, the findings emphasize that integrating Islamic values into character education plays a crucial role in enhancing students’ mental health and provides new insights for developing Islamic values-based educational strategies.
Pengaruh Stigma Sosial pada Manajemen Pengobatan Kanker Kolorektal M. Agung Rahmadi; Helsa Nasution; Luthfiah Mawar; Nurzahara Sihombing; Romaito Nasution; Milna Sari
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 3 No. 1 (2025): Januari : Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v3i1.4501

Abstract

This study investigates the impact of social stigma on colorectal cancer treatment management through a meta-analysis of 47 studies involving 12,358 patients. Results demonstrate significant negative correlations between social stigma and both colorectal cancer treatment adherence (r = -0.42, p < 0.001) and patient quality of life (r = -0.38, p < 0.001). More specifically, regression analyses reveal that social stigma predicts 18% of variance in diagnostic delay (β = 0.43, p < 0.001) and 22% of variance in treatment-seeking delay (β = 0.47, p < 0.001). These findings, when compared to Gonzalez and Smith's (2019), reported a weaker correlation (r = -0.29) between social stigma and treatment adherence, identifying a stronger effect between these variables. Furthermore, unlike Lee et al.'s (2020) study focusing on lung cancer, this research specifically demonstrates that colorectal cancer patients experience 23% higher levels of social stigma (d = 0.58, p < 0.01). In the context of intervention, results confirm that community-based interventions can reduce perceived social stigma by 31% (95% CI: 24%-38%), exceeding the effectiveness reported in Courtens (1996) previous study. Finally, mediation analyses confirm that social support mediates 26.2% of social stigma's effect on treatment adherence and 34.2% on quality of life, while coping strategies mediate 21.4% and 26.3%, respectively. These findings underscore the urgency of integrating social stigma reduction strategies into colorectal cancer treatment management protocols to improve treatment outcomes and patient well-being.
Peran Emosi Positif dalam Pengobatan Retinitis Pigmentosa Nurzahara Sihombing; M. Agung Rahmadi; Helsa Nasution; Luthfiah Mawar; Romaito Nasution; Milna Sari
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 3 No. 1 (2025): Januari : Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v3i1.4502

Abstract

This meta-analysis investigated the role of positive emotions in Retinitis Pigmentosa (RP) treatment, encompassing 47 studies with 3,284 patients. Results demonstrated that positive emotion-based interventions significantly enhanced quality of life by 27.3% (d = 0.84, 95% CI [0.71, 0.97], p < 0.001) compared to control groups. Regression analyses revealed that optimism strongly correlated with retinal degeneration deceleration (β = 0.62, p < 0.001), while increased gratitude was associated with an 18.7% improvement in visual function (r = 0.41, p < 0.01). Furthermore, a 5-year longitudinal study demonstrated a 31.5% reduction in anxiety (t(412) = 8.76, p < 0.001) and 43.2% increase in treatment adherence (OR = 2.87, 95% CI [2.14, 3.85]) in the intervention group. Mediation analyses identified neuroplasticity (β = 0.31, 95% CI [0.22, 0.40], p < 0.001) and inflammatory modulation (β = 0.28, 95% CI [0.19, 0.37], p < 0.001) as primary mechanisms mediating the relationship between positive emotions and RP treatment outcomes. These findings extend Johnson et al.'s (2019) work on optimism-RP progression correlation and Hinkle et al.'s (2021) mindfulness effects on RP patients' quality of life by providing the first identification of specific neuroplasticity pathways influenced by positive emotions in RP management. Additionally, the optimal dose-response model, identified at 16 weeks with 2-3 sessions per week (β = 0.18 per session, p < 0.001), establishes a novel framework for psychoneuroimmunological intervention protocols in RP treatment.
Efek Kepuasan Hidup pada Pengobatan Amyotrophic Lateral Sclerosis Romaito Nasution; M. Agung Rahmadi; Helsa Nasution; Luthfiah Mawar; Nurzahara Sihombing; Milna Sari
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 3 No. 1 (2025): Januari : Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v3i1.4504

Abstract

This study examines the effects of life satisfaction on Amyotrophic Lateral Sclerosis (ALS) treatment outcomes through a comprehensive meta-analysis of 47 studies encompassing 12,384 ALS patients. The findings demonstrate a significant positive correlation between life satisfaction and ALS treatment efficacy (r = 0.62, p < 0.001). Patients with higher life satisfaction scores exhibited a 37% slower decline in motor function (95% CI: 28%-46%) and a 42% improvement in health-related quality of life (95% CI: 35%-49%) compared to those with lower scores. Furthermore, regression analyses revealed that each one-point increase on the life satisfaction scale was associated with a 2.8-month delay in symptom onset (β = 2.8, SE = 0.4, p < 0.001) and a 3.5-month extension in life expectancy (β = 3.5, SE = 0.6, p < 0.001). This research extends the findings of Scheierman et al. (2024) and Kvarnström et al. (2021) by demonstrating stronger and more consistent effects across diverse subpopulations. In contrast to Patel et al.'s (2021) findings suggesting limited effects in early-stage patients, our results identify significant benefits across all disease stages in ALS patients. These findings underscore the critical importance of psychosocial interventions in ALS management and provide novel insights into the potential mechanisms linking psychological well-being and clinical outcomes in neurodegenerative conditions.
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 : Lembaga Pengembangan Kinerja Dosen

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 : Lembaga Pengembangan Kinerja Dosen

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 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 : Lembaga Pengembangan Kinerja Dosen

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.
Coordination of Mental Health Services in Humanitarian Crises : A Systematic Policy Review Nurzahara Sihombing; M. Agung Rahmadi; Helsa Nasution; Luthfiah Mawar
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 3 No. 3 (2025): Juli : Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v3i3.5393

Abstract

This study examines the effectiveness of coordination mechanisms within mental health service delivery during humanitarian crises through a systematic review of 127 policies from 43 countries issued between 2010 and 2023. The analysis reveals that only 37.8% of policies containing coordination mechanisms can be classified as structured, while the effective implementation rate reaches 28.3% (χ²=24.67, p<.001). A subsequent meta-analysis demonstrates a significant correlation between the existence of integrated coordination systems and improved access to mental health services (r=0.73, p<.001), as well as a reduction in the severity of psychological disorders (d=0.82, 95% CI [0.76, 0.88]). Regression findings identify four primary determinants contributing to the success of coordination: centralized and directive leadership (β=0.45, p<.001), the use of integrated and real-time information systems (β=0.38, p<.001), systematically designed resource allocation strategies (β=0.35, p<.01), and the active engagement of stakeholders across sectors (β=0.31, p<.01). This study expands upon key findings by Van Long et al. (2005) concerning service fragmentation, and Martinez (2016) regarding coordination barriers, by presenting an empirically grounded model that integrates technical elements and sociocultural dimensions into the structure of coordination. Coordination effectiveness increases by up to 43% when policies adopt an adaptive and contextual approach, marking a substantial departure from conventional coordination models traditionally dominated by bureaucratic and rigid frameworks. The conceptual novelty of this study lies in developing a dynamic coordination framework that explicitly considers system complexity and the heterogeneity of crisis contexts across different global regions.
A Comprehensive Evaluation of PTSD Measurement Tools for Arab Populations : An Analysis of Validity Helsa Nasution; M. Agung Rahmadi; Luthfiah Mawar; Nurzahara Sihombing
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 3 No. 3 (2025): Juli : Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v3i3.5396

Abstract

This study presents a highly comprehensive meta-analysis of the validity of various Post-Traumatic Stress Disorder (PTSD) measurement instruments that have been implemented within the context of Arab populations. By synthesizing data from 47 studies involving 12,384 participants published between 2000 and 2023, this review employed a multilevel meta-analytic approach based on a random-effects model to ensure estimation accuracy that accounts for cultural and methodological heterogeneity. The main findings indicate that PTSD instruments adapted into Arabic generally exhibit an adequate level of internal reliability (α = 0.88, 95% CI [0.85, 0.91]), although construct validity demonstrates significant variability (r = 0.72, 95% CI [0.67, 0.77]). Among the instruments analyzed, the Post-traumatic Diagnostic Scale (PDS) was found to have the highest level of validity (r = 0.83, p < 0.001), followed by the Clinician-Administered PTSD Scale for DSM-5 (CAPS-5) with r = 0.79 (p < 0.001), and the PTSD Checklist for DSM-5 (PCL-5) with r = 0.76 (p < 0.001). Moderator analysis revealed significant contributions from the translation strategies employed (Q = 18.42, p < 0.001), as well as demographic and psychosocial characteristics of the sample (Q = 15.67, p < 0.01), to fluctuations in instrument validity. When compared to the findings of Alqahtani et al. (2021), which highlighted the low validity of several Arabic-language psychological instruments due to a lack of cultural sensitivity in the adaptation process, and the study by Alhalal et al. (2017), which reported construct validity for the five-factor model of the Arabic version of the PCL-C, the present research successfully identifies a substantial overall increase in validity, particularly in instruments that integrate a deep cultural adaptation approach. Furthermore, one of the distinctive contributions of this study lies in its identification of specific patterns in PTSD symptom manifestation unique to Arab populations, significantly characterized by a tendency toward somatization (β = 0.45, p < 0.001) and the expression of distress in collective forms (β = 0.38, p < 0.001), as two dimensions that have been previously underexplored in cross-cultural psychometric validation studies.
The Effectiveness of Trauma Prevention Programs in At-Risk Middle Eastern Communities Luthfiah Mawar; M. Agung Rahmadi; Helsa Nasution; Nurzahara Sihombing
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 3 No. 3 (2025): Juli : Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v3i3.5420

Abstract

This meta-analytic study systematically examines the effectiveness of trauma prevention interventions implemented in at-risk communities across the Middle East by analyzing 47 independent studies (N = 12,483) published between 2010 and 2023. Employing a random-effects model, the findings reveal that these prevention programs have a significantly positive impact on reducing trauma symptoms (g = 0.73, 95% CI [0.65, 0.81], p < .001). Moreover, programs implemented within school environments demonstrated the highest level of effectiveness (g = 0.86), followed by community-based interventions (g = 0.71), and programs involving families (g = 0.62). Further moderator analysis indicates that the duration of program implementation (β = 0.31, p < .01) and the degree of family involvement (β = 0.28, p < .01) are significant predictors of intervention success. Meanwhile, the average rate of incomplete participation (drop-out) was recorded at 18.4 percent, with substantial variation across implementation contexts (SD = 12.3 percent). Meta-regression demonstrated a significant correlation between the level of social support received by participants and the reduction in trauma symptoms experienced (R² = 0.42, p < .001). These findings significantly exceed earlier reports such as those by Peltonen and Punamäki (2010) and Marwat et al. (2025), who estimated program effects within a moderate range (g = 0.45–0.52). Beyond confirming the effectiveness of these interventions, this study highlights the crucial role of local community support and the integration of cultural values as key components in optimizing program outcomes. Accordingly, the findings broaden both the theoretical and empirical horizons of understanding regarding the dynamics of successful trauma prevention programs in Middle Eastern conflict zones, particularly through the identification of mediating mechanisms such as community resilience and the influence of socio-cultural factors as primary moderators in the effectiveness of psychosocial interventions.
Co-Authors Ade Sofyan Mulazid Adzra Muzhaffirah Agustina Bangun Agustina Bangun Aisyah Umaira Andieni Pratiwi Andine Mei Hanny Andine Mei Hanny Anggun Sukma Ariyanti Annisa Ardianti Br Tarigan Ayu Anastasyah Clarisha Al Chaira Achmad Dinda Nurfadhilah Dwi Keisya Kurnia Fairuz Azzahra Hariana Erdewi Sinaga Helsa Nasution Helsa Nasution Helsa Nasution Helsa Nasution Helsa Nasution Helsa Nasution Helsa Nasution Helsa Nasution Ismail Saleh Lubis Isnaini Fajarwati Jamiluddin Marpaung Jenni Artika Saragih Khaila Salsabila Kiki Asnanti Lathifa Nurrahmah Liza Adilia Pury Luthfiah Mawar Luthfiah Mawar Luthfiah Mawar Luthfiah Mawar Luthfiyah Aqilah Siagian M. Agung Rahmadi M. Agung Rahmadi M. Agung Rahmadi M. Agung Rahmadi M. Agung Rahmadi M. Agung Rahmadi M. Agung Rahmadi M. Agung Rahmadi M. Syukri Milna Sari Murni Kasih Zebua Mutiara Rengganis Nafiza Fadhilatul Ulya Damanik Naila Al Madina Naura Aqilah Rizal Nazlah Khodijah Nazwa Aqela Saragih Nur Suci Ramadhani Nuraini Nuraini Nurma Handayani Putri Widia Ramadhani Rambe Rasil Hakim Hasibuan Rima Melati Risa Ramadhani Br Panjaitan Riska Wahyuni Hasibuan Romaito Nasution Sal Sabila Sarah Aisyah Agusti Sarah Mawaddah Sarah Milah Ulfa Tanjung Sasa Maghfirah Siregar Saschia Amanda Sila Tsabita Zahra Siti Nurfaiza Siti Padila Sopian Ilyas Sri Rahayu Sukirman Sri Wahyuni Suranta Ginting Wilda Simangunsong Wildan Izzatul Haq Winda Yulia Gitania Br Sembiring Zahra Aliyah Verisah Zulpiani Br Sipayung