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All Journal Jurnal Konseling dan Pendidikan Jurnal An-Najat: Jurnal Ilmu Farmasi dan Kesehatan Jurnal Ventilator: Jurnal Riset Ilmu Kesehatan dan Keperawatan
Helsa Nasution
Universitas Alwasliyah Medan
Dentistry Education Health Professions Nursing Public Health Veterinary

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Behavioral dynamics of halal cryptocurrency investing: cognitive and emotional mechanisms within islamic finance principles M. Syukri; Ade Sofyan Mulazid; M. Agung Rahmadi; Luthfiah Mawar; Helsa Nasution; Nurzahara Sihombing
Jurnal Konseling dan Pendidikan Vol. 13 No. 4 (2025): JKP
Publisher : Indonesian Institute for Counseling, Education and Therapy (IICET)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29210/1201700

Abstract

This study comprehensively investigates the influence of cognitive biases, emotions, and Islamic legal understanding on halal cryptocurrency investment decisions among Muslim investors. Employing a Meta-Structural Equation Modeling (MASEM) approach, the analysis is based on data from 12,780 respondents in Muslim-majority countries to identify patterns of relationships among key variables. The primary findings of this research affirm that overconfidence has a significant positive impact on investment intention (β = 0.41, p < 0.01), consistent with Shiller (2017), who highlighted that excessive confidence can drive risk-taking behavior in financial markets. Conversely, loss aversion demonstrates a significant negative effect (β = -0.53, p < 0.01), aligning with Kahneman and Tversky's (2013) findings regarding preferences for avoiding losses under uncertainty. Regarding emotional factors, anxiety about price volatility is a major deterrent to investment (β = -0.54, p < 0.01). However, a Sharia-compliant label mitigates negative perceptions among Muslim investors toward cryptocurrency investments, enhancing their sense of security and trust (β = 0.36, p < 0.05). Lastly, understanding Islamic law significantly influences confidence in halal investments (β = 0.39, p < 0.05), corroborating the findings of El-Gamal (2006) and Din (2021) while underscoring the importance of Sharia-based financial literacy. The novelty of this study lies in its multidimensional integration of psychological behavior (cognitive biases and emotions) and Islamic law, thereby expanding the horizons of prior research. Consequently, this research contributes to the foundation of a new construct and provides practical guidance for developing Sharia-compliant financial products in the digital era.
Construction of Integrated Technology for Physical and Mental Health in Conflict-Affected Middle Eastern Regions : A Confirmatory Factor Analysis of the Dimensions of Digital Innovation, Infrastructure Readiness, User Competency, and Sustainability Luthfiah Mawar; M. Agung Rahmadi; Sal Sabila; Adzra Muzhaffirah; Mutiara Rengganis; Helsa Nasution; Nurzahara Sihombing; Aisyah Umaira
Jurnal Ventilator Vol. 3 No. 4 (2025): Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v3i4.2114

Abstract

This study offers a comprehensive analysis of the integrated technology construct connecting physical and mental health services in conflict-affected Middle Eastern regions by employing confirmatory factor analysis within a Structural Equation Modelling approach. The research is based on 1,124 documents on digital health technology implementation published between 2017 and 2024 across fourteen countries. The measurement model demonstrates strong goodness-of-fit, evidenced by chi-square/df = 1.847, CFI = 0.971, TLI = 0.965, RMSEA = 0.041, and SRMR = 0.034, thereby confirming the structural soundness of the proposed framework. The analysis identifies four core dimensions—Digital Innovation (lambda = 0.893, CR = 13.672), Infrastructure Readiness (lambda = 0.847, CR = 12.184), User Competency (lambda = 0.819, CR = 11.453), and Sustainability (lambda = 0.865, CR = 12.738)—all significant at p < 0.001. Reliability indices are robust, with Cronbach's Alpha between 0.876 and 0.934, Composite Reliability ranging from 0.891 to 0.947, and Average Variance Extracted between 0.661 and 0.798, indicating strong internal consistency. The findings expand earlier digital health frameworks proposed by Mechael (2009) and Labrique et al. (2013) by emphasizing sustainability as a key component in conflict settings marked by limited resources. In contrast to Aranda-Jan et al. (2014), which addresses general technology adoption, this study underscores specific challenges in integrating both mental and physical health services in humanitarian contexts, thereby responding to the gap highlighted by Naslund et al. (2017) regarding fragmented digital mental health initiatives in crisis environments.
The Role of Community-Based Rehabilitation in the Mental Recovery of Populations in Middle Eastern Conflict Zones: An Outcome Analysis Luthfiah Mawar; M. Agung Rahmadi; Rasil Hakim Hasibuan; Zahra Aliyah Verisah; Dwi Keisya Kurnia; Helsa Nasution; Nurzahara Sihombing; Andieni Pratiwi
Jurnal Ventilator Vol. 3 No. 4 (2025): Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v3i4.2117

Abstract

This meta-analysis evaluates the effectiveness of Community-Based Rehabilitation (CBR) programs in promoting mental health recovery in communities affected by long-term conflict in the Middle East. Analyzing 47 studies with 12,487 participants published between 2000 and 2024, the research shows significant improvements in mental health, with a large aggregated effect size (g=0.83, 95% CI [0.76, 0.90]). Social support mechanisms were found to mediate 43% of the treatment effect. This study also highlights the importance of culturally adapted CBR, which demonstrated a 27% increase in effect size compared to non-adaptive interventions (g=0.92 vs. g=0.72, p<0.001). Additionally, peer support significantly improved the sustainability of outcomes (OR=2.14, 95% CI [1.87, 2.41]). These findings provide a deeper understanding of the specific factors that contribute to the success of CBR in conflict-affected regions and offer new insights into intervention strategies for mental health recovery.
Evaluation of Social Reintegration Programs for Trauma Survivors in Communities Under Foreign Occupation in the Middle East M. Agung Rahmadi; Luthfiah Mawar; Ayu Anastasyah; Aisyah Umaira; Nurma Handayani; Helsa Nasution; Nurzahara Sihombing; Naila Al Madina
Jurnal Ventilator Vol. 3 No. 4 (2025): Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v3i4.2118

Abstract

This meta-review comprehensively examines the effectiveness of social reintegration programs designed for trauma survivors living in territories under foreign occupation in the Middle East, through a systematic analysis of 47 empirical studies with a total of 12,487 participants published between 2010 and 2024. The synthesis indicates that program success rates reached 73.8 percent with a 95 percent confidence interval (70.2–77.4), supported by a strong effect size in reducing PTSD symptoms with a Cohen's d value of 0.82. When effectiveness was compared across intervention approaches, community-based programs demonstrated a more substantial impact, with a correlation of r=0.67 (p<0.001), compared with individual interventions, which yielded a correlation of r=0.43 (p<0.01).
Analysis of Early Intervention Systems for War-Related Trauma in the Middle East: (A Programmatic Synthesis) Nurzahara Sihombing; M. Agung Rahmadi; Naila Al Madina; Zulpiani Br Sipayung; Khaila Salsabila; Helsa Nasution; Luthfiah Mawar; Andine Mei Hanny
Jurnal Ventilator Vol. 3 No. 4 (2025): Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v3i4.2128

Abstract

This study critically examines the effectiveness of early intervention programs in addressing war-related trauma in the Middle East by meta-synthesizing forty-seven interventions implemented between 2010 and 2024. The analysis demonstrates that cognitive behavioral therapy (CBT) based interventions achieved a success rate of 78.3 percent with p value less than 0.001 in reducing post-traumatic stress disorder symptoms, with an effect size of d equal to 0.86 indicating substantial therapeutic strength. Group based interventions showed higher effectiveness (83.2 percent) than individual approaches (71.5 percent), and programs involving family support yielded better recovery outcomes (84.7 percent) than those without family involvement (69.3 percent). Regression analysis identified three primary predictors of successful intervention outcomes, namely intervention duration (beta 0.42, p value less than 0.001), therapist cultural competence (beta 0.38, p value less than 0.001), and the integration of social support systems (beta 0.35, p value less than 0.001). These findings expand on prior studies by Ennis et al. (2020) and Mawar et al. (2025), which were limited to evaluating CBT effectiveness, and also reinforce the significance of cultural dimensions and social support systems as critical determinants. In contrast to the meta analysis by Nocon et al. (2017), which reported an effectiveness rate of 65 percent for individual interventions, the present study reveals the superiority of group based approaches in communal Middle Eastern societies. The novelty of this study lies in its comprehensive identification of culturally sensitive determinants of early intervention success and the formulation of an integrative model positioning family support as an essential component in protocols for war-related trauma care.
Reconstruction Strategies for Mental Health Services in Post-Conflict Middle Eastern Regions: (A Policy Synthesis) Helsa Nasution; M. Agung Rahmadi; Nazwa Aqela Saragih; Isnaini Fajarwati; Riska Wahyuni Hasibuan; Luthfiah Mawar; Nurzahara Sihombing; Annisa Ardianti Br Tarigan
Jurnal Ventilator Vol. 3 No. 4 (2025): Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v3i4.2129

Abstract

This study presents a comprehensive analysis of reconstruction strategies for mental health services in post-conflict regions of the Middle East, based on a meta-synthesis of 87 policies and intervention programs issued between 2010 and 2023. The findings indicate that 73.4 percent of initiatives did not meet their intended targets due to infrastructural limitations, resulting in a service dropout rate of 62.8 percent. The implementation of the Stepped Care Model shows a 47.2 percent improvement in service access (p = 0.001), while the integration of mental health services into primary health care systems increases overall coverage by 56.3 percent (p = 0.001). Task shifting to community health workers enhances efficiency by 38.9 percent (p = 0.01) with a cost-effectiveness ratio of 1 to 2.7, and community-based programs demonstrate a sustainability rate of 71.2 percent compared to 43.5 percent in conventional approaches. These findings build upon the work of Hamamra et al. (2025) and Werner et al. (2023) on post-conflict mental health interventions and show that hybrid models combining formal and informal structures yield better performance, with an effect size (Cohen's d) of 0.82. The main contribution of this study lies in identifying adaptive implementation patterns that align with resource limitations, socio-cultural dynamics, and systemic reconstruction needs in post-conflict settings.
Intergenerational Trauma in the Aleppo Community: An Analysis of 13 Years of Conflict Nurzahara Sihombing; M. Agung Rahmadi; Fairuz Azzahra; Sila Tsabita Zahra; Nafiza Fadhilatul Ulya Damanik; Helsa Nasution; Luthfiah Mawar; Winda Yulia Gitania Br Sembiring
Jurnal Ventilator Vol. 4 No. 1 (2026): Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v4i1.2206

Abstract

This meta-analysis provides an in-depth evaluation of the dynamics of intergenerational trauma within the Aleppo community over 13 years of armed conflict (2011–2024) through a systematic synthesis of 47 empirical studies involving 12,873 cross-generational participants. The results reveal an exceptionally high psychopathological burden, with PTSD prevalence reaching 68.4% (95% CI = 65.2–71.6) in the first generation and 42.3% (95% CI = 39.1–45.5) in the second generation, indicating a persistent transmission of trauma. Multilevel regression demonstrates a strong and significant association between parental trauma severity and the manifestation of traumatic symptoms in children (r = 0.62, p < .001), underscoring the role of cross-generational determinants in contexts of protracted conflict. Major depressive disorder is identified in 55.7% of parents and 37.2% of children, while anxiety prevalence reaches 61.3% in the first generation and 44.8% in the second generation. Structural equation modeling reveals three principal pathways of trauma transmission, namely maladaptive parenting patterns dysfunctional family communication, and anxiety modeling processes. These findings extend beyond the analyses of Amping et al. (2024) and Rousseau (1998), which focus on single-generation transmission, by identifying more complex cross-generational mechanisms while simultaneously revealing the presence of significant communal resilience (ICC = 0.72), thereby opening strategic space for the development of community-based interventions to disrupt the cycle of intergenerational trauma.
Implementation of Telemedicine for Mental Health Services in Conflict-Affected Areas of the Middle East M. Agung Rahmadi; Luthfiah Mawar; Jenni Artika Saragih; Sri Wahyuni; Anggun Sukma Ariyanti; Helsa Nasution; Nurzahara Sihombing; Nazlah Khodijah; Annisa Ardianti Br Tarigan
An-Najat Vol. 4 No. 1 (2026): Februari: 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.v4i1.3613

Abstract

This study evaluates the effectiveness of telemedicine in the provision of mental health services in Middle Eastern conflict regions through a systematic meta-review of 47 studies published between 2014 and 2024, involving a total of 12,487 participants. Quantitative synthesis demonstrates a statistically significant increase in mental health service accessibility, with a mean improvement of 73.4% and a 95% confidence interval of 68.2–78.6% compared with conventional service models. Patient satisfaction reached 82.6% with p<0.001, accompanied by a substantial reduction in depressive symptoms with an effect size of Cohen's d=0.79 and a reduction in anxiety symptoms with Cohen's d=0.84. Multilevel regression analysis revealed a strong correlation between the frequency of telemedicine sessions and improvements in clinical outcomes (r = 0.67, p < 0.001). When compared with the findings of Ruzek et al. (2016) and Yeager et al. (2022), which reported effectiveness in the range of 45–55%, this study demonstrates higher effectiveness in the treatment of war-related trauma at 78.9% (p<0.001). In contrast to Graham et al. (2021), which focused on urban populations, the present findings affirm the effectiveness of telemedicine in rural areas with infrastructural limitations, as reflected in a success rate of 71.2%. Another innovative finding indicates that integrating AI-powered chatbots increased patient engagement by 42.8% while simultaneously reducing dropout rates by 31.5% compared with conventional telemedicine approaches.
Co-Authors Ade Sofyan Mulazid Adzra Muzhaffirah Aisyah Umaira Andieni Pratiwi Andine Mei Hanny Anggun Sukma Ariyanti Annisa Ardianti Br Tarigan Ayu Anastasyah Dwi Keisya Kurnia Fairuz Azzahra Isnaini Fajarwati Jenni Artika Saragih Khaila Salsabila Luthfiah Mawar Luthfiah Mawar M. Agung Rahmadi M. Agung Rahmadi M. Agung Rahmadi M. Syukri Mutiara Rengganis Nafiza Fadhilatul Ulya Damanik Naila Al Madina Nazlah Khodijah Nazwa Aqela Saragih Nurma Handayani Nurzahara Sihombing Rasil Hakim Hasibuan Riska Wahyuni Hasibuan Sal Sabila Sila Tsabita Zahra Sri Wahyuni Winda Yulia Gitania Br Sembiring Zahra Aliyah Verisah Zulpiani Br Sipayung