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<![CDATA[The effect of deep breathing exercises on anxiety levels among students approaching school examinations ]]>
<![CDATA[Sutrisno Sutrisno]]>;
<![CDATA[Desinta Aldefintania Sasti]]>;
<![CDATA[Anik Suwarni]]>
<![CDATA[ JOURNAL OF Mental Health Concerns Vol. 5 No. 2 (2026): May Edition 2026 ]]>
Publisher : <![CDATA[Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah ]]>
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DOI: 10.56922/mhc.v5i2.3222
<![CDATA[Background: Anxiety is an emotional response commonly experienced by students before school examinations and may affect physical, cognitive, and emotional aspects. High levels of anxiety can decrease concentration and academic performance. One non-pharmacological method that can be used to reduce anxiety is deep breathing exercise Purpose: To determine the effect of deep breathing exercise on the anxiety level of tenth-grade students to school examinations. Method: A pre-experimental design with a one-group pretest-posttest design and a total sampling technique. Anxiety levels were measured using the STAI-S questionnaire before and after the deep breathing exercise intervention. Data were analyzed using paired sample t-tests, both univariately to assess the distribution of anxiety levels and bivariate to analyze the effect of the intervention. Results: There was a decrease in anxiety levels after being given deep breathing exercises with a difference in average values of 39.83. Statistical analysis obtained a P-Value of 0.001 (p < 0.05) indicating that deep breathing exercises had a significant effect on reducing students' anxiety levels before school exams. Conclusion: Deep breathing exercise is effective as an independent intervention to reduce students’ anxiety levels prior to school examinations. Keywords: Anxiety Level; Deep Breathing Exercise; Students, School Examination.]]>
<![CDATA[Analysis of factors associated with pornography viewing habits among adolescents ]]>
<![CDATA[Rika Yuanita Pratama]]>;
<![CDATA[Ida Dwi Rahayu]]>;
<![CDATA[Ria Damayanti]]>;
<![CDATA[Arum Seftiani Lestari]]>;
<![CDATA[Atri Rudtitasari]]>;
<![CDATA[Yunida Yunida]]>
<![CDATA[ JOURNAL OF Mental Health Concerns Vol. 5 No. 2 (2026): May Edition 2026 ]]>
Publisher : <![CDATA[Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah ]]>
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DOI: 10.56922/mhc.v5i2.3238
<![CDATA[Background: Advances in digital technology have provided broader access to various types of information, including content that is inappropriate for certain age groups, such as pornography. A cross-national survey in Europe involving 10,930 adolescents found that in Indonesia, approximately 94% of adolescents are exposed to pornography; at the Mensiku Community Health Center, 17 cases of pornography consumption were recorded. Continuous exposure to pornography can have negative effects on adolescents. Purpose: To identify the factors associated with the habit of watching pornographic films among adolescents. Method: A quantitative research method with a cross-sectional design. The study population consists of all students at Junior High School 1 Binjai Hulu, with a sample of 69 respondents selected using proportional random sampling, analyzed via the Chi-Square Test. Results: A significant association between knowledge (p-value = 0.004), access to information (p-value = 0.001), the influence of peers (p-value = 0.012), and parental supervision (p-value = 0.001) and the habit of watching pornography among adolescents. Conclusion: Factors associated with the habit of watching pornographic films among adolescents include knowledge, access to information, the role of peers, and parental supervision. Keywords: Pornography; Teenagers; Viewing Habits.]]>
<![CDATA[Association of stress and emotional eating on the nutritional status of college students in Indonesia: A narrative review ]]>
<![CDATA[Arny Alfinda]]>
<![CDATA[ JOURNAL OF Mental Health Concerns Vol. 5 No. 2 (2026): May Edition 2026 ]]>
Publisher : <![CDATA[Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah ]]>
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DOI: 10.56922/mhc.v5i2.3271
<![CDATA[Background: Emotional eating is the tendency to overeat in response to negative emotions. Students with high academic demands experience changes in eating patterns, low physical activity, and emotional eating behaviors that can affect nutritional status. Purpose: To analyze the relationship between stress and emotional eating on the nutritional status of students in Indonesia. Method: This study analyzed 10 articles based on original research in cross-sectional studies published between 2020 and 2025, obtained from several electronic databases such as Google Scholar and GARUDA. The selected studies included variables related to stress, emotional eating habits, and the relationship between these factors was tested and statistically proven. Results: Emotional eating patterns and stress do not directly affect nutritional status but can act as risk factors when interacting with insufficient physical activity and excessive energy intake, particularly carbohydrates and fats. Stress is correlated with disrupted eating behavior and influenced by emotion-dependent eating patterns, but its impact on nutritional status may be masked by other factors such as physical activity and genetics. Conclusion: Strong evidence from several studies indicates a relationship between stress, emotional eating, and nutritional status among college students in Indonesia. Keywords: College Students; Emotional Eating; Nutritional Status; Stress.]]>
<![CDATA[Slow deep breathing and guided imagery therapy as a nonpharmacological treatment for patients with anxiety ]]>
<![CDATA[Fina Listiani]]>;
<![CDATA[Yanuar Fahrizal]]>
<![CDATA[ JOURNAL OF Mental Health Concerns Vol. 5 No. 2 (2026): May Edition 2026 ]]>
Publisher : <![CDATA[Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah ]]>
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DOI: 10.56922/mhc.v5i2.3278
<![CDATA[Background: Anxiety is one of the most prevalent mental health problems worldwide and can significantly impair an individual’s daily functioning if not properly managed. Non-pharmacological interventions are increasingly preferred due to their safety, ease of application, and minimal side effects. Purpose: To analyze the effectiveness of a combination of slow deep breathing and guided imagery in reducing anxiety levels in patients. Method: A case study approach in psychiatric nursing care involving a patient with clinically significant anxiety. Data were collected through interviews, observations, and the Hospital Anxiety and Depression Scale (HADS) as a standardized assessment tool. The intervention consisted of a combination of slow deep breathing and guided imagery conducted for 7 consecutive days, with each session lasting 10–15 minutes. Results: The results showed a reduction in the patient’s anxiety score from 11 (abnormal category) before the intervention to 6 (normal category) after the intervention. The patient also demonstrated decreased restlessness, improved relaxation ability, and better control of negative thoughts following the combined intervention. Conclusion: The combination of slow deep breathing and guided imagery was effective in reducing anxiety by addressing both physiological and psychological responses. This intervention can be considered an effective non-pharmacological nursing strategy to improve emotional well-being and coping mechanisms in patients with anxiety. Keywords: Anxiety; Guided Imagery; Nursing Care; Relaxation Therapy; Slow Deep Breathing.]]>
<![CDATA[The effect of workload on burnout syndrome among nurses ]]>
<![CDATA[Mitha Rahmilah]]>;
<![CDATA[Meliana Handayani]]>;
<![CDATA[Wa Ode Maghfira Nurul Insani]]>
<![CDATA[ JOURNAL OF Mental Health Concerns Vol. 5 No. 2 (2026): May Edition 2026 ]]>
Publisher : <![CDATA[Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah ]]>
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DOI: 10.56922/mhc.v5i2.3284
<![CDATA[Background: Burnout syndrome is a condition of physical, emotional, and mental exhaustion caused by prolonged work stress, which is commonly experienced by nurses. High demands in health service delivery place nurses at risk of burnout, especially when accompanied by heavy workloads. Purpose: To determine the effect of workload on burnout syndrome among nurses. Method: A quantitative design with a cross‑sectional approach was used. The study population consisted of 234 nurses, with a sample of 146 respondents selected using simple random sampling. Data were collected using the Maslach Burnout Inventory–Human Services Survey (MBI‑HSS) to measure burnout syndrome and the NASA‑TLX to assess workload. Data analysis was conducted using Pearson Chi‑Square test. Results: The results showed that the majority of respondents had a high workload (100 respondents, 68.5%) and the majority experienced burnout syndrome in the moderate category (94 respondents, 64.4%). The statistical test yielded a p‑value of 0.943 (p > 0.05), indicating no significant relationship between workload and burnout syndrome among nurses. Conclusion: Burnout syndrome among nurses is not influenced solely by workload, but also by other factors such as social support, work environment, motivation, and individual capacity in managing work stress. Keywords: Burnout Syndrome; Health; Hospital; Nurses; Workload.]]>
<![CDATA[The combination of reprimand techniques and psycho-religious therapy (dzikir) on the ability to control auditory hallucinations in patients with schizophrenia ]]>
<![CDATA[Sindi Novitasari]]>;
<![CDATA[Aulia Rahman]]>;
<![CDATA[Sujiah Sujiah]]>
<![CDATA[ JOURNAL OF Mental Health Concerns Vol. 5 No. 2 (2026): May Edition 2026 ]]>
Publisher : <![CDATA[Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah ]]>
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DOI: 10.56922/mhc.v5i2.3291
<![CDATA[Background: Schizophrenia is one of the mental disorders characterized by positive psychotic symptoms, such as hallucinations, delusions, disorganized speech, and disorganized or catatonic behaviour. It was recorded that 40.5% of patients experience these symptoms, which, if left untreated, can trigger violent behaviour. Purpose: To determine the effect of the combination of reprimanding techniques and psych religious therapy (dhikr) on the ability to control auditory hallucinations in schizophrenia patients. Method: A quantitative method with a Quasi-Experimental design thru a Two Group Pretest-Posttest with Control Group approach. The sample consisted of 30 respondents selected thru purposive sampling. The research instrument used the Auditory Hallucination Rating Scale (AHRS) observation sheet to assess the level of hallucinations before and after the intervention. Results: The average hallucination score of the intervention group significantly decreased from 38.53 (very severe) to 29.27 (severe). Statistical tests showed a p-value of 0.000 (< 0.05), which means there is a significant effect of the combination of reprimanding techniques and dhikr on the ability to control hallucinations. Conclusion: The combination of reprimanding techniques and dhikr is effective in improving the ability to control auditory hallucinations. The recommendation in this study is for health institutions to implement this therapy as a standard for comprehensive mental health nursing care. Keywords: Auditory Hallucinations; Dhikr; Schizophrenia; Scolding Technique.]]>
<![CDATA[The relationship between self-esteem and depression among middle adolescents ]]>
<![CDATA[Cindy Amalia Sari]]>;
<![CDATA[Despita Pramesti]]>;
<![CDATA[Fatma Siti Fatimah]]>;
<![CDATA[Mulyanti Mulyanti]]>
<![CDATA[ JOURNAL OF Mental Health Concerns Vol. 5 No. 2 (2026): May Edition 2026 ]]>
Publisher : <![CDATA[Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah ]]>
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DOI: 10.56922/mhc.v5i2.3319
<![CDATA[Background: Mental health problems can occur in adolescents due to deviant behavior and curiosity that can negatively affect actions and emotions, even causing depression. Depression causes serious repercussions such as symptoms of hopelessness, high stress, lack of confidence, and even suicidal ideation or attempts. Suicidal ideation and attempts can be exacerbated by self-esteem. Self-esteem in adolescents will affect the feelings that arise, but adolescents often manage in an ineffective way, which can exacerbate depression. Purpose: To determine the relationship between self-esteem and the incidence of depression in middle adolescents. Method: This study used a cross sectional design. Respondents of this study were middle adolescents aged 15-18 years and the sample size was 311 respondents with proportionate stratified random sampling technique. The research instrument used the Rosenberg Self-Esteem Scale (RSES) and Patient Health Questionnaire-9 (PHQ-9) questionnaires. The analysis test used the Spearman Rank test. Results: The results of the Spearman Rank test in the study obtained a p-value = 0.001 (p <0.05) and a Correation Coefficient (r) of -0.287. Conclusion: There is a relationship between self-esteem and the incidence of depression in middle adolescence with a relationship in the low category. Keywords: Adolescents; Depression; Self-esteem.]]>
<![CDATA[The relationship between quarter-life crisis and career anxiety among senior nursing students ]]>
<![CDATA[Cahaya Sri Mega]]>;
<![CDATA[Prastiwi Puji Rahayu]]>;
<![CDATA[Slamet Riyanto]]>
<![CDATA[ JOURNAL OF Mental Health Concerns Vol. 5 No. 2 (2026): May Edition 2026 ]]>
Publisher : <![CDATA[Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah ]]>
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DOI: 10.56922/mhc.v5i2.3320
<![CDATA[Background: Early adulthood (20–35 years) is a transitional phase full of developmental demands and prone to emotional stress in the form of a quarter-life crisis, characterized by confusion about life's direction, self-doubt, and anxiety about the future, particularly career anxiety. This phenomenon is often experienced by final-year students who are in the phase of determining their academic and career futures. Final-year students, as a group of early adults, are vulnerable to experiencing a quarter-life crisis, which results in increased career anxiety. Purpose: To determine the relationship between quarter-life crisis and career anxiety in final-year nursing students. Method: A descriptive correlation design, and the time approach used is cross-sectional. The analysis test uses the Spearman rank test. Results: The results of data analysis using the Spearman rank test obtained a correlation coefficient value of 0.538** with a significance of 0.000 ≤ 0.05, so Ha was accepted and Ho was rejected, which means there is a relationship between quarter-life crisis and career anxiety of final-year nursing students. Conclusion: Quarter life crisis affects career anxiety of final year nursing students. Keywords: Career Anxiety; College Students; Quarter Life Crisis.]]>
<![CDATA[The relationship between anxiety levels and hypertension among older adults ]]>
<![CDATA[Jita Gabela]]>;
<![CDATA[Suryani Suryani]]>;
<![CDATA[Zubaida Rohmawati]]>
<![CDATA[ JOURNAL OF Mental Health Concerns Vol. 5 No. 2 (2026): May Edition 2026 ]]>
Publisher : <![CDATA[Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah ]]>
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DOI: 10.56922/mhc.v5i2.3321
<![CDATA[Background: Hypertension is known as the silent killer because it often does not cause specific complaints or symptoms. Normally, a person's blood pressure ranges from 100-140 mmHg systolic and 60-90 mmHg diastolic. Blood pressure is not only influenced by physical factors, but also psychological conditions. Anxiety is one psychological aspect that is closely related to hypertension. The prevalence of hypertension in Yogyakarta was highest in 2022 at 28.420 cases and lowest in 2018 (18.057 people). Purpose: To determine the relationship between anxiety levels and hypertension among older adults. Method: A quantitative research design with an analytical observation method and a cross-sectional approach on 75 elderly people suffering from hypertension using total sampling. The measurement tools used to collect data on anxiety levels were the GAI questionnaire and blood pressure measurements using a digital sphygmomanometer. The data analysis used was univariate and bivariate analysis. Bivariate analysis used Kendall's tau test. Results: The results showed that 53.3% of respondents had stage 2 hypertension, and 60% of them experienced severe anxiety. The bivariate test on the variable of anxiety level with the incidence of hypertension was p value = 0.001 with a significance level of α = 0.05, which means that there is a significant relationship between anxiety level and the incidence of hypertension in the elderly. Conclusion: There is a relationship between anxiety levels and the incidence of hypertension in the older adults. Keywords: Anxiety; Blood Pressure; Elderly; Hypertension.]]>
<![CDATA[The effect of five-finger hypnosis therapy on anxiety levels among patients with type 2 diabetes mellitus ]]>
<![CDATA[Akhmad Danu Shafar Pradana]]>;
<![CDATA[Deasti Nurmaguphita]]>;
<![CDATA[Slamet Riyanto]]>
<![CDATA[ JOURNAL OF Mental Health Concerns Vol. 5 No. 2 (2026): May Edition 2026 ]]>
Publisher : <![CDATA[Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah ]]>
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DOI: 10.56922/mhc.v5i2.3322
<![CDATA[Background: Patients with Type 2 Diabetes Mellitus often experience psychological disorders, one of which is anxiety due to lifestyle changes and long-term treatment. Five-finger hypnosis therapy is a non-pharmacological intervention that combines relaxation and positive suggestion. Purpose: To determine the effect of five-finger hypnosis therapy on reducing anxiety levels in Type 2 Diabetes Mellitus patients. Method: A pre-experimental design with a one-group pretest-posttest approach. The sample consisted of 30 respondents selected through purposive sampling. The research instrument used the Hamilton Anxiety Rating Scale (HARS). Data analysis used the Paired Sample T-Test. Results: The average anxiety score before the intervention was 16.87 (SD = 2.921) and decreased to 11.27 (SD = 3.523) after the intervention. Statistical test results showed a p-value of 0.000 (< 0.05). Conclusion: There is a significant effect of providing five-finger hypnosis therapy in reducing anxiety levels in Type 2 Diabetes Mellitus patients. Keywords: Anxiety; Five-Finger Hypnosis; Type 2 Diabetes Mellitus.]]>
