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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 192 Documents
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Effect of mindfulness-based stress reduction on stress levels among first-trimester pregnant women in Neglasari Public Health Center working area Devi Khusnul Khotimah; Osep Yasier Almunsiri; Lailatul Fadilah; 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.v5i3.3454

Abstract

Background: Pregnancy is a significant period that brings many changes, both physically and emotionally, as well as psychosocially. This condition often leads to excessive stress in pregnant women. If not addressed, it can impact the health of both the mother and the fetus. One method considered effective for managing stress is Mindfulness-Based Stress Reduction (MBSR). Purpose: To determine the effect of MBSR intervention on stress levels in pregnant women. Method: A Quasi-Experiment with a One-Group Pre- and Post-Test design. The sampling technique used total sampling with 26 respondents. The instrument used to measure stress levels was the DASS questionnaire. Results: Data analysis showed that the average stress level before MBSR intervention was 19.77, which decreased to 16.15 after the intervention, with a standard deviation of 0.710 for pre-test and 1.953 for post-test. Statistical test results showed a P-Value of 0.000 (<0.05), indicating a significant difference in stress levels before and after the intervention. Conclusion: The MBSR intervention significantly affects the reduction of stress levels in pregnant women, as evidenced by the decrease in the average stress scores before and after the intervention. Keywords: MBSR; Mindfulness; Stress; Pregnant Women.
Leaflet-based preoperative education, knowledge, and anxiety among patients undergoing spinal anesthesia Bella Yunita Tri Lestari; Cahaya Nugraheni; Ratih Kusuma Dewi
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.v5i3.3544

Abstract

Background: Patients undergoing spinal anesthesia are at risk of experiencing anxiety because they remain conscious throughout the surgical procedure. A lack of understanding regarding medical procedures may trigger fear and stress responses that affect both the physiological and psychological conditions of patients. Uncontrolled anxiety may disrupt hemodynamic stability and delay recovery. Limited information can also reduce patient cooperation during treatment. Preoperative education is therefore needed to improve patient knowledge and reduce anxiety, one of which can be delivered through leaflets/leaflet-based education that presents information in a concise, clear, and easily understandable format. Purpose: To examine the effect of leaflet-based preoperative education on patients' knowledge and anxiety levels among individuals undergoing surgery with spinal anesthesia. Method:  A quantitative pre-experimental design with a one-group pretest–posttest approach. A purposive sampling technique was used to recruit 68 respondents. Data were collected using a knowledge questionnaire and the Amsterdam Preoperative Anxiety and Information Scale (APAIS). Data were analysed using the Wilcoxon signed-rank test with a significance level of α = 0.05. Results: The findings demonstrated an increase in patients' knowledge and a decrease in anxiety levels following leaflet-based preoperative education. Before the intervention, most respondents had poor knowledge and moderate to severe anxiety levels. After the intervention, respondents showed improved knowledge and reduced anxiety levels. The Wilcoxon signed-rank test yielded a statistically significant difference in both knowledge and anxiety scores before and after the intervention (p < 0.001). Conclusion: Leaflet-based preoperative education significantly improves patients' knowledge and reduces anxiety levels among individuals undergoing spinal anesthesia. Keywords: Anxiety; Knowledge; Leaflet Education; Preoperative; Spinal Anesthesia.
Interactive pop-up book education and preoperative anxiety among school-aged children undergoing general anaesthesia Shofy Humaira Azzahra; Cahaya Nugraheni; Astika Nur Rohmah
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.v5i3.3546

Abstract

Background: Surgical procedures involving general anaesthesia are often unfamiliar experiences for school-aged children (6–12 years), frequently triggering preoperative anxiety. Unresolved anxiety may affect physiological stability and hinder the recovery process. Therefore, innovative educational media that are appropriate to children's developmental stages, such as interactive popup books, are needed to provide visual and engaging explanations of medical procedures and help reduce psychological distress. Purpose: To determine the effect of educational intervention using an interactive pop-up book on preoperative anxiety levels among paediatric patients undergoing general anaesthesia. Method: A pre-experimental design with a one-group pretest–posttest approach. The study sample consisted of 63 respondents selected using a purposive sampling technique. Anxiety levels were measured using the Chinese Version State Anxiety Scale for Children (CSAS-C). Data were analysed using the Wilcoxon Signed Rank Test. Result: Prior to the intervention, the majority of respondents (58.7%) experienced severe anxiety. Following educational intervention through the interactive pop-up book, a significant reduction in anxiety levels was observed, with most respondents classified as having moderate anxiety (57.1%) and mild anxiety (31.7%). Statistical analysis showed a p-value of 0.000 (p < 0.05), indicating a significant effect of the intervention. Conclusion: Preoperative anxiety scores decreased significantly following interactive pop-up book education among school-aged children undergoing general anaesthesia. Controlled studies are needed to confirm the effectiveness of the intervention. Keywords: General Anaesthesia; Pop-Up Book; Preoperative Anxiety; School-Aged Children.
The relationship between functional status and mental–emotional health among adults aged 40 years and older Muh. Amri Arfandi; Muhamad Zakki Saefurrohim; Irfansyah Baharuddin Pakki; Siswanto Siswanto; Risva Risva
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.v5i4.3789

Abstract

Background: Mental–emotional problems frequently remain undetected among middle-aged and older adults. Declining functional status associated with aging contributes to increased mental-emotional symptoms. Purpose: To examine the relationship between functional status and mental–emotional symptoms among adults aged 40 years and older. Method: This cross-sectional study involved 128 adults aged 40 years and older in Samarinda, Indonesia. Functional status was assessed using the Barthel Index (BI) and mental-emotional health using the Self-Reporting Questionnaire-20 (SRQ-20). Analyses included Fisher Exact test, Mann-Whitney U test, and Spearman correlation. Results: Participants, 19.5% had functional dependency and 22.7% screened positive for MED. The median SRQ score in the dependent group (5.0) was significantly higher than the independent group (2.0; p=0.001). A significant negative correlation was found between BI and SRQ scores (r=-0.322; p=0.0002). OR for MED in the dependent group was 2.334 (95% CI: 0.901–6.045). Conclusion: Poorer functional status was associated with a greater burden of mental–emotional symptoms. However, the categorical association between dependency and positive screening was not statistically significant. Integrated functional and mental-health screening may be useful in primary care for middle-aged and older adults. Keywords: Barthel Index; Functional Status; Mental–Emotional Symptoms; Older Adults; SRQ-20.
Butterfly hug intervention and anxiety among preoperative odontectomy patients Faizar Dimas Nugraha; Cahaya Nugraheni; Heri Puspito
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.v5i4.3560

Abstract

Background: Odontectomy under general anesthesia frequently triggers pre-operative anxiety, which carries the risk of causing physiological complications and even surgical cancellation. Management that relies solely on pharmacological premedication can produce adverse side effects, making it necessary to explore safe and practical self-administered relaxation alternatives. One such non-pharmacological therapy for managing this anxiety is the butterfly hug technique. Purpose: To explore the effectiveness of butterfly hug therapy as a practical and structured self-administered non-pharmacological relaxation intervention in reducing anxiety levels among pre-operative odontectomy patients. Method: A quantitative approach with a pre-experimental research design was used. Samples were selected through purposive sampling, yielding 44 respondents. Data were collected using the Amsterdam Preoperative Anxiety and Information Scale (APAIS) questionnaire. Data analysis was performed using the non-parametric Wilcoxon Signed-Rank Test. Results: The bivariate Wilcoxon test yielded a significance value of 0.000, which is lower than 0.05 (sig. 0.000 < 0.05), indicating a significant difference between pre-test and post-test scores. The hypothesis stating that "Butterfly Hug has an effect on anxiety levels in pre-operative odontectomy patients under general anesthesia at Salatiga Regional Hospital" was therefore supported. Conclusion: Butterfly Hug has a significant effect on anxiety levels in pre-operative odontectomy patients under general anesthesia. Keywords: Butterfly Hug; General Anesthesia; Odontectomy; Pre-operative Anxiety.
Student–teacher relationships and academic performance as predictors of subjective well-being among senior high school students Qori Anisa Putri; Asri Mutiara Putri; Elsy Junilia
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.v5i4.3561

Abstract

Background: Student subjective well-being (SSWB) reflects how students evaluate their quality of life at school. Student-teacher relationships and academic performance are important factors that may contribute to students’ subjective well-being. Purpose: To examine whether student–teacher relationships and academic performance predict subjective well-being among senior high school students, both simultaneously and individually. Method: A descriptive-analytical cross-sectional design and multiple linear regression analysis. The study was conducted at Senior High School 1 Padang Cermin, Pesawaran Regency, Lampung Province, Indonesia, with data collected offline on 10 April 2026. The accessible population comprised 623 active students in Grades X and XI from a total school enrolment of 932 students across Grades X–XII; Grade XII students were not included because they were no longer engaged in active classroom learning. A total of 254 students participated through quota sampling based on grade level, with the final sample comprising 128 Grade X (50.4%) and 126 Grade XI (49.6%) students. The sample size was not derived from a named Slovin, Cochran, or G*Power calculation; rather, it was justified by the adequacy of the sample for multivariate analysis and the number of eligible students accessible during data collection. Data were collected using the SSWQ, S-TSRI, and Academic Performance Scale. Results: Student–teacher relationships and academic performance jointly predicted subjective well-being, explaining 16.9% of its variance, F = 26.775, p < .001. Academic performance was a significant individual predictor, β = .408, t = 7.062, p < .001, whereas student–teacher relationships were not, β = .060, t = 1.037, p = .301. Conclusion: Academic performance significantly predicted students’ subjective well-being, whereas student–teacher relationships did not make a significant unique contribution after academic performance was included in the model. Keywords: Academic Performance; Senior High School Students; Student Subjective Well-Being; Student Teacher Relationships.
Emotional intelligence and job stress as predictors of work–life balance among married female elementary school teachers Larasati Eka Setia Ningrum; Asri Mutiara Putri; Supriyati Supriyati
JOURNAL OF Mental Health Concerns Vol. 5 No. 5 (2026): August 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.v5i5.3569

Abstract

Background: The increasing participation of women in the workforce has led to multiple-role demands, particularly among married female teachers, which may affect their work–life balance. Emotional intelligence and job stress are considered important factors influencing work–life balance. Purpose: To examine whether emotional intelligence and job stress predict work–life balance among married female elementary school teachers. Method: This quantitative correlational study involved 106 married female elementary school teachers recruited through convenience sampling. Participants were recruited from elementary schools in Kemiling District, Bandar Lampung, Indonesia. Data were collected using the Work–Life Balance Scale, Emotional Intelligence Scale, and Job Stress Scale. Data were analyzed using multiple regression analysis. Results: The findings indicated that emotional intelligence and job stress significantly contributed to work–life balance among married female teachers. Emotional intelligence showed a positive contribution, whereas job stress demonstrated a negative contribution to work–life balance. Conclusion: Higher emotional intelligence and lower job stress were associated with better work–life balance. School-based support and stress-management initiatives may help teachers manage competing work and family responsibilities. Keywords: Emotional Intelligence; Job Stress; Married Female Teachers; Work–Life Balance.
Social media use intensity and self-esteem as predictors of psychological well-being among university students Mario Fazri; Asri Mutiara Putri; Dary Ies Shabrina
JOURNAL OF Mental Health Concerns Vol. 5 No. 5 (2026): August 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.v5i5.3570

Abstract

Background: University students in emerging adulthood face academic and social demands that may affect their psychological well-being and well-being. High social media use intensity and low self-esteem may be associated with poorer mental health outcomes. Purpose: To examine the simultaneous and individual contributions of social media use intensity and self-esteem to psychological well-being among active undergraduate students. Method: This quantitative study employed a cross-sectional correlational design. A total of 379 undergraduate students were recruited through convenience sampling. Data were collected online using the Psychological well-being–Short Form, Coopersmith Self-Esteem Inventory, and Social Media Use Intensity Scale and analysed using multiple linear regression in SPSS version 25. Results: The regression model was statistically significant and explained 28.3% of the variance in psychological well-being, R² = .283, F (2, 376), p < .001. Self-esteem was a significant positive predictor of psychological well-being, whereas social media use intensity was a significant negative predictor. Conclusion: Self-esteem and social media use intensity were jointly associated with psychological well-being. Higher self-esteem predicted better mental health, whereas greater social media use intensity predicted poorer mental health. Universities may consider providing psychological counselling services to support students in managing digital stressors and promoting psychological well-being.   Keywords: Psychological well-being; Psychological well-being; Self-Esteem; Social Media Use; University Students.
Socioeconomic status and internalizing–externalizing behaviours as predictors of student subjective well-being among adolescents Ghina Aliya Mufidah; Asri Mutiara Putri; Prida Harkina
JOURNAL OF Mental Health Concerns Vol. 5 No. 5 (2026): August 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.v5i5.3572

Abstract

Background: High school students in coastal communities may experience academic, psychological, and socioeconomic challenges associated with their quality of school life. Purpose: To examine the simultaneous and individual associations of parental socioeconomic status and internalizing–externalizing behaviours with student subjective well-being. Method: This quantitative cross-sectional correlational study involved 248 Grade X and XI students at Senior High School 1 Padang Cermin, Lampung, recruited through quota sampling. Data were collected using the Student Subjective Well-Being Questionnaire (SSWQ), a socioeconomic status index adapted from the Kuppuswamy scale, and the Youth Internalizing and Externalizing Problems Screener (YIEPS). Results: The overall regression model was statistically significant, indicating that parental socioeconomic status and internalizing externalizing behaviours were jointly associated with student subjective well-being. Conclusion: Internalizing externalizing behaviours were more strongly associated with lower student subjective well-being than parental socioeconomic status in this sample. The limited variation in socioeconomic status may partly explain its nonsignificant association. These findings suggest that school-based psychological support and early behavioural interventions may help improve students' subjective well-being. Keywords: Adolescents; Internalizing and Externalizing Behaviours; Socioeconomic Status; Student Subjective Well-Being.
Storytelling intervention for reducing anxiety among hospitalized preschool children Shifa Yulianti Qomara; Endang Suartini
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.v5i4.3617

Abstract

Background: Hospitalization is a stressful experience for preschool children and frequently induces anxiety due to unfamiliar environments, medical procedures, and separation from parents, potentially affecting treatment cooperation and recovery. Purpose: To examine changes in anxiety levels among hospitalized preschool children following a storytelling intervention. Method: A quantitative study employing a pre-experimental one-group pretest–posttest design was conducted among 30 hospitalized preschool children recruited using total sampling. Participants received an individual 10-minute storytelling education session using an age-appropriate illustrated storybook. Anxiety levels were assessed before and after the intervention using a validated hospitalization anxiety questionnaire for preschool children. Data were analyzed using descriptive statistics and the Wilcoxon signed-rank test, with statistical significance set at p < 0.05. Results: Anxiety scores were significantly lower after the storytelling intervention than before the intervention (Z = −4.806, p < 0.001). The proportion of children with severe anxiety decreased from 20.0% before the intervention to 0% after the intervention, while the proportion with mild anxiety increased from 20.0% to 66.7%. Conclusion: Anxiety scores decreased significantly following the storytelling intervention among hospitalized preschool children. However, because this study used a one-group pretest–posttest design without a control group, the findings should be interpreted cautiously, and further controlled studies are needed to confirm the effectiveness of storytelling in reducing hospitalization-related anxiety. Keywords: Anxiety; Hospitalization; Preschool children; Storytelling.

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