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INDONESIA
JOURNAL OF Mental Health Concerns
Published by Indonesian Public Health-Observer Information Forum
ISSN : 29645042     EISSN : 29645034     DOI : 10.56922
Core Subject : Health,
Health Professions Nursing Public Health
Jurnal penelitian dibidang kesehatan jiwa meliputi kegiatan promotif, preventif, kuratif dan rehabilitatif pada semua tingkat usia baik secara individu, maupun kelompok rentan. Penelitian kesehatan jiwa susuai tren kekinian.
Arjuna Subject : Keperawatan - Kesehatan Mental Fisiatri
Articles 15 Documents
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Search results for , issue "Vol. 4 No. 5 (2026): January Edition 2026" : 15 Documents clear
The relationship between anxiety levels and smoking behaviour among high school students Ariyantika, Feby; Triyoso, Triyoso; Furqoni, Prima Dian
JOURNAL OF Mental Health Concerns Vol. 4 No. 5 (2026): January Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mhc.v4i5.1409

Abstract

Background: Adolescence is a transition period that is vulnerable to changes in emotions and behavior, including anxiety and smoking behavior. Indonesia is the 5th country with the highest smoking rate in the world, in 2023 the Indonesian health survey states that more than 70 million smoke.  In Lampung in 2022 there will be 87.01% smokers. Purpose: To find out the relationship between anxiety levels and smoking behavior among teenagers. Method: This type of research uses a quantitative research method with a cross-sectional approach, total sampling technique. The analysis in this study is univariate and bivariate analysis with the chi-square test and Spearman's rho. The population and sample in this study were all male students in grades X-XI at Senior High School Persada Bandar Lampung, totaling 49 students. Results: The level of anxiety of the majority was in the moderate category, namely 17 respondents (35%) and for smoking behavior, the majority were in the high category, 17 respondents (35%). After the chi-square test was carried out, the p-value was obtained at 0.000 <0.05 and the Spearman's rho test obtained a correlation coefficient value of 0.954, meaning that there was a relationship between the level of anxiety and smoking behavior and the correlation between the two variables was very strong. Conclusion: There is a significant and very strong relationship between anxiety levels and smoking behavior. It is hoped that schools can develop educational programs in the form of anxiety and smoking behavior prevention programs through group counseling, health education about the dangers of smoking and anxiety management training.   Keywords:  Adolescents; Anxiety; Smoking Behavior.
Psychological preparedness of adolescents for disasters Nurwahid, Ardika; Novikasari, Linawati; Setiawati, Setiawati
JOURNAL OF Mental Health Concerns Vol. 4 No. 5 (2026): January Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mhc.v4i5.1837

Abstract

Background: Indonesia has diverse disaster potential based on its location and Lampung Regency, Lampung Province, recorded 31 disasters from January 1 to August 2023. The latest data for 2024 shows three tornadoes and 15 earthquakes. Adolescents are a vulnerable community when disasters occur. This situation must be anticipated by providing educational videos on tsunami mitigation. Purpose: To determine psychological preparedness of adolescents for disasters. Method: This research was quantitative, using a pre-experimental method with a one-group prctest-posttest approach. The population in this study was 81 adolescents aged 10-19 sampling. Data analysis used univariate and bivariate methods using dependent t-tests. Results: The average knowledge of adolescents about tsunamis before being given educational digital video learming media was 8.3. The average knowledge of adolescents mean of 13.23. The results of data analysis indicate an effect of digital video leaning media on tsunamis on adolescents knowledge, with a mean of 4.700 and a p-value of 0.000<0.05. Conclusion: There is an effect of digital video learning media on adolescents knowledge in can provide health education about the dangers of tsunamis, through educational videos or animated disaster response simulation videos.   Keywords: Adolescents Knowledge; Digital Media Video; Psychological Preparedness; Tsunami.
The effectiveness of a mindfulness intervention in reducing anxiety levels among vocational high school students Indarna, Asep Aep; Widyawati, Widyawati
JOURNAL OF Mental Health Concerns Vol. 4 No. 5 (2026): January Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mhc.v4i5.1889

Abstract

Background: Anxiety is one of the most frequently reported psychological problems among adolescents, particularly among Vocational High School students who are required to meet both academic and career readiness demands. Mindfulness has been widely recognized for its effectiveness in reducing anxiety across various populations; however, empirical studies focusing on Indonesian vocational education settings remain limited. Purpose: To evaluate the effect of mindfulness intervention on anxiety levels among students and to identify variations in effectiveness based on gender and baseline anxiety levels. Method: A quasi-experimental pre-test–post-test design with a control group was employed. Participants were selected through purposive sampling, and anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS). Statistical analysis was conducted using the Wilcoxon test and Two-Way ANOVA. Results: A significant decrease in anxiety levels was found in the intervention group (p < 0.001), whereas no significant change occurred in the control group. Effectiveness varied according to gender and initial anxiety level. Conclusion: Mindfulness intervention is effective in reducing anxiety among students and may yield greater benefits when tailored to individual characteristics.   Keywords: Adolescents; Anxiety; Mental Health; Mindfulness; Vocational Education.
Reality orientation therapy for a patient with schizophrenia and paranoid delusions: A case study report Bian Wintana, Dwi Amalia Putri; Apriliyani, Ita
JOURNAL OF Mental Health Concerns Vol. 4 No. 5 (2026): January Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mhc.v4i5.1903

Abstract

Background: Schizophrenia is a chronic mental disorder that significantly affects cognitive function and behavior, frequently characterized by prominent delusions in Paranoid Schizophrenia. Delusional nursing problems are marked by severe distortions of reality perception, which impair patients’ ability to think logically and interact appropriately with their environment. Purpose: To describe and evaluate the implementation of Reality Orientation Therapy (ROT) in addressing delusional nursing problems in a patient with Paranoid Schizophrenia. Method: This research employed an intensive descriptive case study conducted over four days to illustrate and assess the application of Reality Orientation Therapy in Mrs. Y at Liliy 4 Ward, Seorojo Hospital. The primary intervention focused on the consistent, non-confrontational application of ROT through orientation to person, place, and time, integrated with collaborative pharmacological management. Results: The findings demonstrated that Reality Orientation Therapy was substantially effective in correcting cognitive distortions and enhancing reality-based thinking abilities. This improvement was evidenced by significant clinical progress and increased scores in reality-oriented thought content, indicating that the delusional nursing problem experienced by Mrs. Y was successfully resolved. Conclusion: Reality Orientation Therapy can be considered an effective nursing intervention for reducing delusions and improving reality-based thinking in patients with Paranoid Schizophrenia when implemented consistently and collaboratively with pharmacological treatment.   Keywords: Delusions; Paranoid Schizophrenia; Reality Orientation Therapy (ROT).
Psychosocial strategies in telehealth for mental health management: A scoping review Maulana, Indra; Sakhi Fadila, Salsabila
JOURNAL OF Mental Health Concerns Vol. 4 No. 5 (2026): January Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mhc.v4i5.2082

Abstract

Background: Despite telemedicine being a significant instrument for mental health management, psychological and social factors such as stigma and lack of desire frequently hinder patient engagement.  Although psychological methods demonstrate potential in addressing these disorders, comprehensive evidence remains limited as of May 2025.   Purpose: To delineate psychosocial strategies in telehealth that enhance patient engagement with mental health disorders, evaluate their impact, and identify challenges and research gaps. Method: This work employs a scoping review and article selection methodology in accordance with the PRISMA-ScR criteria, utilizing a literature search. Boolean approaches were employed to search PubMed, Scopus, PsycINFO, IEEE Xplore, and Web of Science from 2015 to 2025. The inclusion criteria consist of studies on psychosocial therapies for adult individuals with mental health disorders. Ten actual papers from an anticipated forty served as the foundation for thematic analysis of the material. Results: User-friendly interfaces, empathy-driven chatbots,gamification, AI personalization, motivational reminders, and virtual communities contribute to enhanced therapy adherence (15–30%), increased session frequency (20–30%), elevated patient satisfaction (75–88%), and reduced service dropout (10–15%). The challenges encompass inadequate digital literacy, technological costs, data privacy concerns, cultural resistance, and insufficient infrastructure. Research gaps encompass the lack of studies on vulnerable populations, long-term effects, cultural differences, and significant disruptions. Conclusion: The psychosocial approach in telehealth effectively enhances patient engagement by addressing emotional, cognitive, and social needs, hence fostering community health empowerment. However, to optimize its efficacy, one must address implementation challenges and research gaps. Keywords: Psychosocial Approach; Patient Engagement; Telehealth.
The relationship between family support and the level of distress in type 2 diabetes mellitus patients Susanti, Yuli
JOURNAL OF Mental Health Concerns Vol. 4 No. 5 (2026): January Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mhc.v4i5.2115

Abstract

Background: Diabetes mellitus is a chronic disease with an increasing number of sufferers each year. Diabetes without comprehensive treatment not only affects physical health but also affects the mental health of sufferers, including diabetes distress. Diabetes distress can affect the quality of life of sufferers if not treated properly. Education on self-care management and social support, especially from family, can improve patients' clinical outcomes, psychosocial well-being, and decision-making abilities. The role of family support as a support system and collaborator in healthcare contributes to increased self-efficacy in self-care and can reduce distress levels for diabetes patients. Purpose: To determine the relationship between family support and distress levels in patients with type 2 diabetes mellitus. Method: This study was conducted in July 2025 using descriptive quantitative research. The respondents in this study consisted of 30 type 2 diabetes mellitus patients who visited the Lesteri Mulyo 3 Health Center in Dukuh Joholor Triyagan Mojolaban Sukoharjo, Central Java. The technique used in this study was accidental sampling, and the instruments used were a demographic data questionnaire, a diabetes distress scale questionnaire, and a Hensarling Diabetes Family Support Scale (HDFSS) questionnaire. Data analysis in this study used the Chi-Square test. Results: Most respondents received good family support. Based on the results of the family support relationship analysis test, a p-value of 0.01 was obtained. A significance value of less than 0.05 means that the research hypothesis states that there is a significant relationship between family support and the level of distress in diabetes patients. Conclusion: Family support significantly affects the level of distress in patients with type 2 diabetes mellitus. Keywords: Diabetes Distress; Family Support; Type 2 Diabetes Mellitus.
Nurses’ behavior toward patient safety in Hospitals: A systematic literature review Ronaldo, Melky Sedeq Norman; Haryanto, Haryanto; Suriadi, Suriadi; Saragih, Septina Boru; Gustaman, Budi
JOURNAL OF Mental Health Concerns Vol. 4 No. 5 (2026): January Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mhc.v4i5.2172

Abstract

Background: Patient safety is a global health priority that is closely related to the quality of nursing care. Nurse behavior is a major determining factor in preventing Patient Safety Incidents (PSIs) in hospitals. Purpose: To identify and analyze factors that influence nurse behavior in implementing patient safety in hospitals. Method: The research design was a Systematic Literature Review (SLR) following the PRISMA guidelines. Articles were searched for in the Wiley Online Library, PubMed, and ScienceDirect databases for publications from 2015 to 2025. From the screening results, 11 articles that met the inclusion criteria were selected. Results: The analysis revealed four main themes that influence nurses' safety behavior: (1) Organizational culture and teamwork; (2) Work environment conditions (night shifts and workload); (3) Psychological factors (stress and burnout); and (4) Effectiveness of interprofessional communication and situational awareness. A strong safety culture was found to increase nurses' courage to speak up (voice behavior), while work stress and physiological fatigue were major barriers to compliance with safety principles. Conclusion: Nurses' patient safety behavior is influenced by the interaction between systemic management support and individual psychological well-being. Improving patient safety requires a comprehensive approach that focuses not only on technical training but also on improving shift management and creating a non-punitive work environment. Keywords: Nurses; Nurse Behavior; Patient Safety.
Factors related to smoking behaviour among adolescent girls Holida, Siti Solihat; Lupianti, Meisya; Yuliana, Lia
JOURNAL OF Mental Health Concerns Vol. 4 No. 5 (2026): January Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mhc.v4i5.2176

Abstract

Background: Smoking behaviour among adolescent girls is a growing public health concern, influenced by peers, parental guidance, and social environment. These factors play a critical role in shaping norms and smoking habits. Purpose: To determine the factors related to smoking behavior among adolescent girls. Methods: A cross-sectional design was used with a total population of 76 female adolescents. Data were collected using a structured online questionnaire via Google Forms, measuring smoking behaviour and the influence of peers, parents, and social environment. Univariable analysis described respondent characteristics, while bivariate analysis using the Chi-square test examined the association between variables, with a significance level of p < 0.05. Results: The study found that 53.9% of respondents were active smokers. Bivariate analysis indicated that peer influence (p = 0.031) and social environment (p = 0.009) were significantly associated with smoking behaviour, whereas parental influence was not statistically significant (p = 0.131). Adolescents with influential peers and a permissive social environment were more likely to smoke. Conclusion: Smoking behaviour among female adolescents is significantly influenced by peers and social environment, while parental influence shows no significant association in this age group. Preventive interventions should focus on strengthening positive social influences and controlling environmental factors to reduce the risk of smoking among adolescent girls. Keywords: Adolescent Girls; Parental Influence; Peer Influence; Smoking Behaviour; Social Environment.
Laughter therapy for the risk of violent behaviour in people with severe mental disorders: A case study report Syalsabillah, Padila Putri; Dekawaty, Ayu
JOURNAL OF Mental Health Concerns Vol. 4 No. 5 (2026): January Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mhc.v4i5.2212

Abstract

Background: The risk of violent behaviour is an angry response that can arise and can injure oneself, others, and the environment. Laughter therapy has become one of the complementary approaches believed to reduce emotional tension and help control anger. Purpose: To analyse laughter therapy in reducing the risk of violent behaviour in people with severe mental disorders. Method: A qualitative approach method with the Case Study Research (CSR) strategy. Results: There was a decrease in scores on the observation sheet of signs and symptoms in patients at risk of violent behaviour, with the score before laughter therapy being 8 and decreasing to 2 after laughter therapy was administered. Conclusion: Laughter therapy is one of the non-pharmacological therapies to reduce anger, especially in patients at risk of violent behaviour. Keywords: Laughter Therapy; Mental Health; Nursing Care; Risk of Violent Behaviour.
Playing video games as a distraction can reduce anxiety in children before circumcision Sutrisno; Herawati, Vitri Dyah
JOURNAL OF Mental Health Concerns Vol. 4 No. 5 (2026): January Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mhc.v4i5.2226

Abstract

Background: Circumcision is a minor surgical procedure that aims to cut and clean the prepuce of the penis for various indications. This minor surgical procedure causes varying degrees of anxiety in most children. One intervention to reduce anxiety in children before circumcision is to distract them with video games. Purpose: To determine the effect of playing video games on anxiety in children undergoing circumcision. Method: A pre-experimental study with a one-group pre-test post-test design. The sample size was 32 children selected based on several criteria: no visual or hearing problems, cooperative patients, no excessive anxiety, and good communication skills. The Child Anxiety Scale was used to assess anxiety. Statistical analysis used the Wilcoxon rank sum test. Results: The level of anxiety in children before circumcision was mostly in the moderate anxiety range before the intervention, with 14 (43.8%) having an average score of 2.25. After the video game intervention, 14 (43.8%) children experienced mild anxiety with an average score of 1.01. The Wilcoxone rank sum test yielded a p-value of 0.001 (p < 0.05). Conclusion: Playing video games can reduce anxiety levels in children prior to circumcision. Keywords: Anxiety; Circumcision; Playing; Video Games.

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