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Enhancing Adolescent Mental Health: A Quasi-Experimental Study on the Impact of Combined Cognitive behavioral Therapy and Group Therapy Estin Yuliastuti; Nurul Istiqomah; Yuli Widyastuti
Journal Of Nursing Practice Vol. 9 No. 4 (2026): July
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i4.1021

Abstract

Background: Adolescent mental health problems remain a major public health concern. Although Cognitive Behavioral Therapy (CBT) and group therapy have individually demonstrated effectiveness, evidence regarding their combined use among adolescents remains limited. Purpose: This study aimed to evaluate the effectiveness of combined CBT and group therapy in improving adolescent mental health. Methods: This quasi-experimental pre-test–post-test control group study with a 1:1 allocation ratio was conducted among 40 adolescents in Surakarta, Indonesia, from February to March 2024. Participants were recruited using a cluster-based sampling approach followed by total sampling of eligible students. The intervention group received CBT followed by group therapy over three consecutive sessions, whereas the control group received a delayed intervention after study completion. Mental health was assessed using the Strengths and Difficulties Questionnaire (SDQ). Data were analyzed using the Wilcoxon Signed-Rank Test and Mann–Whitney U Test, with effect sizes (r) calculated to determine the magnitude of the intervention effect Results: The intervention group demonstrated a significant improvement in SDQ scores following the intervention (Z = −3.18, p = 0.001; r = 0.71), whereas no significant change was observed in the control group (Z = −0.38, p = 0.705; r = 0.08). Post-intervention comparison showed significantly better mental health outcomes in the intervention group than in the control group (Z = −3.58, p < 0.001; r = 0.57), indicating a large intervention effect. Conclusion: The combination of CBT and group therapy significantly improved adolescents' mental health and demonstrated clinically meaningful benefits. This integrated intervention may be considered an effective early mental health strategy for adolescents and has potential for implementation in nursing practice, school mental health programs, and community mental health services when delivered by appropriately trained professionals.
AI-Driven Adaptive Learning to Enhance Digital Literacy Integrated with Mental Health Support of Teen Learners Nurul Kholisatul; Siti Shofiyatun; Estin Yuliastuti; Muhammad Hanif Prabowo; Rafi Rizki Santosa; Whirit Wening Windar Sianeta
Jurnal Nasional Pendidikan Teknik Informatika: JANAPATI Vol. 15 No. 2 (2026)
Publisher : Prodi Pendidikan Teknik Informatika Universitas Pendidikan Ganesha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23887/janapati.v15i2.105560

Abstract

The rapid advancement of digital technology has significantly transformed education worldwide, including in Indonesia. Artificial intelligence (AI) is increasingly used to create personalized, adaptive, and interactive learning experiences. Despite high exposure to technology, many high school and vocational students still struggle with digital literacy and mental well-being. This study proposes DigiMind, an AI-driven adaptive learning system that integrates digital literacy with mental health support to promote balanced and inclusive learning. Using a mixed-method approach, the study involved 146 students and 10 teachers from two partner schools in Surakarta. Quantitative data were collected through surveys based on the UNESCO Digital Literacy Framework and ICT Watch Indonesia, while qualitative data were obtained from focus group discussions (FGD) with teachers and students. The findings indicate that although 98.6% of students have used AI-based learning tools, many lack awareness of data privacy, digital ethics, and focus management. About half experienced digital fatigue, while most emphasized the need for well-being features such as break reminders, relaxation content, and adaptive materials. Teachers, in contrast, prioritized monitoring, analytics, and early stress detection—revealing a dual orientation between student engagement and teacher support.The resulting DigiMind blueprint combines adaptive learning modules, AI-based mental health analytics, and dual dashboards for students and teachers. Expert validation confirmed its pedagogical, technical, and psychological feasibility. Overall, integrating digital literacy and digital well-being within AI-driven adaptive learning enhances both cognitive performance and emotional resilience, offering a holistic model for sustainable digital education in Indonesia
THE RELATIONSHIP BETWEEN SOCIAL MEDIA USAGE INTENSITY AND EMOTIONAL REGULATION IN ADOLESCENTS Imron Habib Abdulloh; Estin Yuliastuti; Suyatno Suyatno
Jurnal Keperawatan Vol 10 No 2 (2025): November
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v10i2.2006

Abstract

Adolescence is often referred to as a transitional period from childhood to adulthood. In the digital era, social media usage has become a widespread phenomenon among adolescents, significantly influencing their emotional developmen. This study aims to determine whether there is a relationship between social media usage and emotional regulation in adolescents. This study used a quantitative correlational design with a cross-sectional approach. A total of 147 students were selected using total sampling. Data were collected using the Social Media Intensity Scale (SIPMS) and the Emotion Regulation Questionnaire (ERQ). Data were analyzed using Chi-Square statistical test. A significant relationship was found between social media usage intensity and adolescents’ emotional regulation (χ² = 28.694, df = 2, p < 0.001), indicating that heavier users tended to exhibit lower emotional regulation. There is a correlation between social media usage intensity and emotional regulation in adolescents. This suggests that excessive social media usage may negatively impact adolescents' emotional stability, emphasizing the need for proper management and regulation of social media use.