Public Health and Preventive Medicine Archive
Vol. 13 No. 1 (2025)

Factors associated with the self-efficacy of private practice general practitioners in the diagnosis and management of mental disorders in Bali, Indonesia

Wirajaya, I Komang (Unknown)
Sri Nopiyani, Ni Made (Unknown)
Jaya Lesmana, Cok Bagus (Unknown)



Article Info

Publish Date
31 Jul 2025

Abstract

Background and purpose: General practitioners’ self-efficacy plays a crucial role in the successful diagnosis and management of mental disorders in primary care settings. In Bali, there is limited data on the factors influencing the self-efficacy of private practice general practitioners in handling mental health disorders. This study aimed to identify the factors associated with the self-efficacy of private practice general practitioners in the diagnosis and management of mental disorders in Bali. Methods: This was an analytical cross-sectional study involving 109 private practice general practitioners in Bali, conducted from September 2024 to March 2025. The sample included general practitioners who possessed a valid practice license, practicing either independently or at primary clinics in four cities/districts, selected using convenience sampling. Self-efficacy in this study was measured with the adapted General Self-Efficacy Scale (GSE). Data were collected through a structured self-administered questionnaire, which covered demographic characteristics, direct experience, vicarious experience, social persuasion, and emotional-physiological states. Data analysis was performed using Chi-square tests and multiple logistic regression. Results: The results showed that 67.0% of respondents had low self-efficacy in diagnosing and managing mental disorders. Factors significantly associated with self-efficacy among private practice general practitioners included direct experience (aOR=4.39; 95%CI: 1.59–12.10; p=0.004), social persuasion (aOR=3.58; 95%CI: 1.36–9.46; p=0.010), and emotional-physiological state (aOR=2.90; 95%CI: 1.14–7.42; p=0.025). Meanwhile, age, gender, years of practice, and vicarious experience were not significantly associated with self-efficacy. Conclusion: Direct experience, social persuasion, and emotional-physiological states were found to be factors associated with the self-efficacy of private practice general practitioners in diagnosing and managing mental disorders. It is recommended that the government develop

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Journal Info

Abbrev

phpma

Publisher

Subject

Public Health

Description

ublic Health and Preventive Medicine Archive (PHPMA) is an open access, peer reviewed journal published by Department of Public Health and Preventive Medicine, Faculty of Medicine, Udayana University. Issues covered in the journal are as the following: Environmental and occupational health Field and ...