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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 174 Documents
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Determinants of depression among individuals aged 15 years and older with hypertension (Analysis of Indonesian Health Survey Data 2023) Rindu Desilva Nabila; Muhammad Syukri; Helmi Suryani Nasution; Adelina Fitri
JOURNAL OF Mental Health Concerns Vol. 5 No. 4 (2026): July 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.v5i4.3236

Abstract

Background: Depression among hypertension patients leads to low medication adherence and increases morbidity and suicidal ideation. Purpose: To analyze the determinants of depression among hypertension patients. Method: A secondary data analysis study used data from the Indonesian Health Survey in 2023 with a cross-sectional design. The population in this study was hypertensive patients aged 15 years and above in Indonesia. Data analysis was performed using SPSS using the Complex Sample Chi-Square and Logistic Regression statistical tests. Results: The prevalence of depression in hypertension patients was 2.9% (95% CI: 2.6% - 3.3%). Statistically significant variables were age 15-44 years [Adj. POR = 1.93 (95% CI: 1.34 - 2.78)], female [Adj. POR = 1.66 (95% CI: 1.10 - 2.50)], and having a chronic disease [Adj. POR = 2.36 (95% CI: 1.92 – 2.90)], smoking daily [Adj. POR = 2.83 (95% CI: 1.90 – 4.24)], not working [Adj. POR = 1.49 (95% CI: 1.17 – 1.90)], primary education [Adj. POR = 2.30 (95% CI: 1.44 – 3.67)], and not having a partner [Adj. POR = 1.55 (95% CI: 1.24 – 1.93)]. Conclusion: Daily smoking is a dominant factor in the occurrence of depression among people with hypertension. Suggested to people with hypertension pay more attention to their mental health. Please immediately check health screening and quit smoking to prevent depression. Keywords: Depression; Indonesian Health Survey (IHS); Hypertension; Smoking.
Conformity and psychological well-being among early adults without romantic relationship experience Mutiara Mona; Deitje Katuuk; Gloridei Lingkanbene Kapahang; Yeheskiel Entaren
JOURNAL OF Mental Health Concerns Vol. 5 No. 3 (2026): June 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.v5i3.3331

Abstract

Background: Early adulthood is often characterized by various social demands, including expectations related to romantic relationships. Individuals who have never dated frequently experience social pressure from their peer environment, which may potentially affect their psychological well-being. Purpose: To examine the effect of conformity on psychological well-being among early adults who have never been in a romantic relationship. Method: A quantitative causal (explanatory) research design to examine the effect of conformity on psychological well-being among early adults who had never been involved in a romantic relationship. The research participants consisted of 98 active students at Universitas Negeri Manado who had never been in a romantic relationship, selected through purposive sampling. The research instruments included a conformity scale and a psychological well-being scale. Data were analyzed using simple linear regression with a bootstrapping technique. Results: A significant negative effect of conformity on psychological well-being (p = 0.000; R² = 0.291). This finding suggests that higher levels of conformity are associated with lower levels of psychological well-being. Conformity accounted for 29.1% of the variance in psychological well-being, while the remaining 70.9% was influenced by other factors not examined in this study. Additional analyses showed that the effect of conformity was stronger among male respondents (34.3%) compared to female respondents (24.9%).These findings indicate that social pressure encouraging excessive conformity can reduce the psychological well-being of early adults who have never been in a romantic relationship. Conclusion: This study is expected to serve as a reference for psychology practitioners and counselors in developing intervention services that focus on strengthening autonomy, self-confidence, and coping skills in dealing with social pressure. Keywords: Conformity; Early Adulthood; Never Been In A Romantic Relationship; Psychological Well-Being.
Health promotion model based community nursing for improving psychological well-being and treatment adherence among patients with hypertension Juanda Sitepu; Cau Kim Jiu; Lidia Hastuti
JOURNAL OF Mental Health Concerns Vol. 5 No. 3 (2026): June 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.v5i3.3381

Abstract

Background: Hypertension is one of the most prevalent non-communicable diseases in Indonesia, with a prevalence rate of 34.1% in 2023. At Silat Hilir Primary Health Center, Kapuas Hulu Regency, West Kalimantan, adherence to antihypertensive medication is only 43%, far below the 70% target established by the Minimum Service Standards (MSS). This gap is exacerbated by geographical barriers in remote rural areas, limited health literacy, and the absence of a structured community-based monitoring system. Purpose: To improve psychological well-being and treatment adherence among patients with hypertension through the implementation of “BAKSO CERDIK”, an innovative community nursing approach based on the Health Promotion Model (HPM). Method: This article presents a community nursing innovation paper using a descriptive-analytic approach. Program development was based on evidence synthesized from a systematic literature review (2014–2024) and an analysis of the local epidemiological situation. The theoretical framework was derived from Pender’s Health Promotion Model (1982, revised 2011), which was operationalized through two complementary pillars: “BAKSO” (Bina-Awasi-Kontrol-Support-Observasi) for medication adherence monitoring and “CERDIK” (Cek-Enyahkan-Rajin-Diet-Istirahat-Kelola) for healthy lifestyle promotion. Results: The program is implemented by trained community health cadres through a monthly cycle integrated into the Integrated Primary Care (ILP) system of the Primary Health Center. Based on evidence from the literature, the program is projected to increase medication adherence from 43% to ≥70%, improve blood pressure control rates from 30% to ≥60%, and reduce treatment dropout rates by up to 50% within the first year of implementation. Conclusion: The intervention is a theoretically grounded, contextually relevant, and systemically integrated community nursing innovation that addresses the gap between high service coverage and low treatment adherence through proactive community-based interventions aligned with the national ILP policy and hypertension MSS targets. Keywords: Health Promotion Model; Psychological Well-Being; Treatment Adherence.
Effects of video-assisted diabetic foot exercises on self-efficacy and glycemic control in adults with type 2 diabetes mellitus Yokki Dio Sandhika; Sri Maryuni; Nova Nurwinda Sari
JOURNAL OF Mental Health Concerns Vol. 5 No. 3 (2026): June 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.v5i3.3384

Abstract

Background: Type 2 diabetes mellitus (DM) is a chronic disease characterized by elevated blood sugar levels due to insulin resistance. DM management involves more than just pharmacological therapy, but also requires non-pharmacological interventions such as physical activity. Video-assisted DM foot exercises are a simple form of exercise that can be performed independently by DM sufferers. Purpose: To determine the effect of video-assisted DM foot exercises on random blood sugar levels in type 2 DM sufferers. Method: A pre-experimental design with a one-group pre-test–post-test approach. The sample consisted of 25 type 2 diabetes patients selected using a purposive sampling technique. The intervention, which included video-based DM foot exercises, was administered according to established procedures. Random blood sugar levels were measured before and after the intervention. Data were analyzed using a paired t-test. Results: The average random blood sugar level before the intervention (pre-test) was 223.88 mg/dL and after the intervention (post-test) it decreased to 185.40 mg/dL. The results of the Paired t-test showed a t value = 4.811 with a p-value = 0.000 (p < 0.05), which indicates a significant effect of DM foot exercise with video media on reducing random blood sugar levels. Conclusion: DM foot exercises using video media have a significant effect on reducing random blood sugar levels in type 2 DM patients. It is recommended that DM foot exercises can be implemented routinely as a non-pharmacological intervention in primary health care. Keywords: DM Foot Exercises; Random Blood Sugar Levels; Type 2 Diabetes Mellitus; Video Media.
Guided imagery and music therapy for anxiety in third-trimester pregnancy Sumenah Sumenah; Osep Yasier Almunsiri; Lailatul Fadilah; Cucuk Kunang Sari
JOURNAL OF Mental Health Concerns Vol. 5 No. 3 (2026): June 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.v5i3.3393

Abstract

Background: Pregnancy is a sensitive period that brings physical and psychological changes, including anxiety. Anxiety is a normal reaction when it functions as an adaptive mechanism that helps individuals prepare for facing threats. To overcome anxiety, a combination of guided imagery and music therapy can be used as one of the non-pharmacological measures to reduce anxiety in pregnant women in the third trimester. Purpose: To determine the effect of a combination of guided imagery and music therapy on the anxiety level of third-trimester pregnant women in the working area. Method: A quantitative approach with a Quasi-Experiment design, utilising a One-Group Pretest-Posttest layout without a control group. The sampling technique used was non-probability, specifically accidental sampling. Based on Roscoe's theory, the sample size was set at 10-20 individuals. Results: The results of the paired samples T-test showed a p-value of 0.001, which is less than the significance level (α = 0.05). Conclusion: There is an effect of the combination of guided imagery and music therapy on the anxiety levels of pregnant women in their third trimester in the work area. Keywords: Anxiety; Guided Imagery; Music Therapy; Pregnant Women.
Expressive writing therapy for academic stress among twelfth-grade students Nurhasanah Nurhasanah; Osep Yasier Almunsiri; Lailatul Fadilah; Cucuk Kunang Sari
JOURNAL OF Mental Health Concerns Vol. 5 No. 3 (2026): June 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.v5i3.3394

Abstract

Background: Grade XII students are in the transitional phase of late adolescence, making them vulnerable to severe psychosocial pressure. A dense curriculum, final exam preparation, and intense competition for university entrance selection trigger academic stress. Expressive Writing Therapy (EWT) is an effective independent complementary nursing intervention for managing emotional pressure, utilizing expressive writing to release mental burdens and facilitate cognitive restructuring. Purpose: To identify the effect of expressive writing therapy on reducing academic stress levels in grade xii students. Method: A quantitative research method with a quasi-experimental approach using a one-group pretest-posttest design. Purposive sampling was used to select a sample of 36 Grade XII students. The research instrument was an adapted version of the Educational Stress Scale for Adolescents (ESSA) questionnaire. Bivariate data analysis was performed using the non-parametric Wilcoxon Signed-Rank Test. Results: Statistical analysis showed that the mean academic stress score before the intervention (pre-test) was 53.83, which significantly decreased to 35.56 after the intervention (post-test), yielding a p-value of 0.00. Conclusion: There is a meaningful and significant effect of Expressive Writing Therapy on reducing academic stress levels among Grade XII students.  Keywords: Academic Stress; Expressive Writing Therapy; Late Adolescence.
The effect of website-supported positive self-talk therapy on anxiety levels among eleventh-grade students Silvi &#039;Indana Rusyida; Lailatul Fadilah; Osep Yasier Almunsiri; Alif Nurul Rosyidah
JOURNAL OF Mental Health Concerns Vol. 5 No. 3 (2026): June 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.v5i3.3395

Abstract

Background: Anxiety in adolescents is a mental health problem that can affect the learning process, psychological development, and social relationships. Academic pressure, emotional changes, and environmental demands are factors that contribute to the emergence of anxiety in adolescents. One non-pharmacological intervention that can be used to help reduce anxiety is Positive Self-Talk Therapy. The implementation of this intervention can be supported by website media, which facilitates access to independent, continuous practice. Purpose: To find out the effect of Positive Self-Talk Therapy with the support of the website media on the anxiety level of eleventh-grade students. Method: A pre-experimental design with a one-group pre-test-post-test approach by Positive Self-Talk Therapy with the support of the website media ‘Suara Positifku’. The research sample consisted of 33 respondents selected through purposive sampling, with proportional representation in each class. Anxiety levels were measured using a teenage anxiety questionnaire that had been adapted and modified by Ways AlQorny in 2023. Results: The average level of student anxiety decreased from 21.42 before taking the intervention to 13.97 after taking the intervention. The results of the Wilcoxon Signed Rank Test showed a significance value of p < 0.001, (p < 0.05). Conclusion: Positive Self-Talk Therapy with the support of the website media has a significant effect on the anxiety levels of eleventh-grade students. Keywords: Anxiety; Positive Self-Talk Therapy; Teenagers; Website.
Effect of combined guided imagery and lavender aromatherapy on anxiety levels among twelfth-grade students Lisa Nurul; Lailatul Fadilah; Osep Yasier Almunsiri; Alif Nurul Rosyidah
JOURNAL OF Mental Health Concerns Vol. 5 No. 3 (2026): June 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.v5i3.3404

Abstract

Background: Adolescence is a transitional period characterized by physical, psychological, and social changes that can increase the risk of anxiety. Uncontrolled anxiety can affect mental health, learning concentration, and adolescents' ability to adapt. Guided imagery and lavender aromatherapy are non-pharmacological therapies that can provide a relaxing effect, thus helping to reduce anxiety levels. Purpose: To determine the effect of the combination of guided imagery and lavender aromatherapy on the anxiety levels of twelfth-grade students. Method: A pre-experimental design with a one-group pre-test and post-test approach. The sample consisted of 36 respondents selected using purposive sampling. Anxiety levels were assessed using a teenage anxiety questionnaire Data were analysed using univariate and bivariate analysis with a paired t-test. Results: Based on the research results, the average anxiety level before the intervention was 30.83 ± 2.823 and decreased to 17.25 ± 3.467 after the intervention. The Paired T-Test results showed a p-value < 0.001, indicating that there is an effect of the combination of guided imagery and lavender aromatherapy on anxiety levels in adolescents. Conclusion: The combination of guided imagery and lavender aromatherapy is effective in reducing anxiety levels in twelfth-grade students.Keywords: Adolescents; Anxiety; Guided Imagery; Lavender Aromatherapy.
Effect of combined deep-breathing relaxation and expressive writing therapy on anxiety among students Wynda Damayanti; Lailatul Fadilah; Osep Yasier Almunsiri; Cucuk Kunang Sari
JOURNAL OF Mental Health Concerns Vol. 5 No. 3 (2026): June 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.v5i3.3409

Abstract

Background: Anxiety is an emotional condition resulting from anticipation of an unclear threat, which can affect the learning process and adolescent development if not properly managed. Deep breathing relaxation and expressive writing therapy are complementary therapies that can help reduce stress responses and assist individuals in managing emotions and thoughts related to anxiety. Purpose: To find out the effect of the combination of deep breathing relaxation and expressive writing therapy on anxiety in students. Method: This research design uses a quasi-experimental approach with a one-group pre-test and post-test design. The research sample was taken using a nonprobability sampling technique, namely accidental sampling, with a total of 20 respondents. The research instrument used a questionnaire on the level of adolescent anxiety, which had been adapted and modified by Ways Alqorny in 2023. Results: Based on the results of the Paired T Test on the samples, a p-value of 0.001 was obtained, which is less than the significance value (α = 0.05). Conclusion: The results of this study indicate that there is an effect of the combination of deep breathing relaxation and expressive writing therapy on reducing anxiety in students. Keywords: Adolescents; Anxiety; Deep Breathing Relaxation; Expressive Writing Therapy.
Effectiveness of animated video-based group psychoeducation in improving mental health literacy among family caregivers of people with mental disorders Pahreza Zaka Raihan; Osep Yasier Almunsiri; Lailatul Fadilah; Cucuk Kunang Sari
JOURNAL OF Mental Health Concerns Vol. 5 No. 3 (2026): June 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.v5i3.3433

Abstract

Background: Mental disorders remain a health problem with a high relapse rate in People with Mental Disorders (PWMD), which is influenced by the low level of family mental health knowledge in recognizing signs and symptoms and efforts to prevent relapse. Purpose: To examine the effectiveness of animated video-based group psychoeducation in improving family mental health literacy for relapse prevention among individuals with SMI in the working area Method: A quantitative approach with a quasi-experimental design using a one-group pretest - posttest design was employed. The study involved 40 family members of individuals with SMI. Data were collected using the Mental Health Literacy Scale (MHLS) before and after the intervention. Statistical analysis was conducted using the Paired Samples t-test.   Results: The analysis revealed a statistically significant difference between pretest and posttest scores (p < 0.001), indicating that the intervention had a significant effect on improving family mental health literacy. Conclusion: Animated video-based group psychoeducation is effective in enhancing family mental health literacy for relapse prevention among individuals with SMI. Keywords:  Animated Videos; Group Psychoeducation; MHLS; Mental Health Knowledge; People With Mental Disorders.

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