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Putu Ayu Swandewi Astuti
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Public Health and Preventive Medicine Archive
Published by Universitas Udayana
ISSN : 23031816     EISSN : 25032356     DOI : https://doi.org/10.53638/
Core Subject : Health,
Public Health
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 Clinical Epidemiology Global health Health policy analysis Health promotion Health systems and health care management Maternal and child health Program monitoring and evaluation Public health nutrition Reproductive health, sexually transmitted infections and HIV related issues Travel health and health tourism Population and family planning Disaster management
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 312 Documents
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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; Sri Nopiyani, Ni Made; Jaya Lesmana, Cok Bagus
Public Health and Preventive Medicine Archive Vol. 13 No. 1 (2025)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2025.v13.i1.p01

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
Unlocking mhGAP and family medicine potential: Strategic solutions for Indonesian mental health integration Extending Aryani, Putu; Januraga, Pande Putu; Djelantik, Manik Jantine; Prasad, Shailendra
Public Health and Preventive Medicine Archive Vol. 13 No. 1 (2025)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2025.v13.i1.p00

Abstract

Mental health has become a critical global concern in 2025, influencing individuals, communities, and healthcare systems worldwide. Recognizing its significance is essential for fostering well-being and resilience across all aspects of life. The World Health Organization emphasizes that mental health is a basic human right and essential for both personal growth and societal progress. It empowers individuals to handle life’s difficulties, tap into their potential, learn effectively, perform well in their tasks, and make meaningful contributions to their communities1. Global threats to mental health today include economic and social inequalities; public health emergencies (including COVID-19); humanitarian emergencies (including conflict and forced displacement); and the climate crisis2. Mental health is closely linked to physical health. However, the relationship between mental health and physical disease tends to be neglected by communities as well as health care providers, specifically in Low Middle-Income Countries (LMICs)3. The vast majority of patients with mental disorder in LMICs have limited access to proper treatment 4. In contrast, European region countries (EUR) report the highest rate of mental health treatment compared to other regions5. Undetected mental disorders increased the risky behaviors related to chronic diseases, in turn, people with chronic diseases are also prone to experiencing mental health issues 6-10.

Page 32 of 32 | Total Record : 312

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