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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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Digital interventions for adults with schizophrenia in clinical settings: A scoping review Indra Maulana; Iwan Shalahuddin
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.v5i4.3639

Abstract

Background: Schizophrenia is a severe mental disorder that substantially affects quality of life and is associated with frequent relapse and poor treatment adherence. Although pharmacological treatment remains the cornerstone of schizophrenia management, digital technology-based interventions have increasingly been explored as complementary approaches to improve clinical and psychosocial outcomes. Purpose: To identify and map the types of digital technology-based interventions used for the management of schizophrenia among adults in clinical settings and to describe the role of nurses in their implementation. Method: A scoping review design following the Arksey and O'Malley framework, refined by the Joanna Briggs Institute, and reported according to the PRISMA-ScR guidelines. Literature searches were conducted in PubMed, Scopus, and ScienceDirect using the Population–Concept–Context framework. Primary studies published in English or Indonesian between 2019 and 2026 were included. From 13,637 identified records, 17 studies met the eligibility criteria and were analysed using descriptive and narrative synthesis. Results: The included studies evaluated various digital interventions, including mobile applications, web-based platforms, virtual reality, telehealth, videoconference-delivered cognitive behavioural therapy, and other digital technologies. Several studies reported improvements in psychotic symptoms, cognitive functioning, treatment adherence, patient engagement, and quality of life. However, some interventions showed limited or no statistically significant improvements in specific clinical outcomes, indicating variability in effectiveness across intervention types and study settings. Across the included studies, nurses were consistently identified as facilitators of digital intervention implementation through patient education, digital literacy support, monitoring, and coordination of care. Conclusion: Current evidence suggests that digital technology-based interventions may support schizophrenia management in clinical settings, although their reported effectiveness varies across intervention modalities and outcomes. Further high-quality studies are needed to determine the most effective approaches and to support the integration of digital interventions into routine psychiatric nursing practice. Keywords: Digital interventions; Health technology; Psychiatric nursing; Schizophrenia; Scoping review.
Medication adherence education for a patient with severe depression and psychotic symptoms: A case study Zarma Zirani; Mamnuah Mamnuah
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.v5i4.3651

Abstract

Background: Medication nonadherence remains a problem among patients with mental disorders. According to 2023 data from the Ministry of Health, the rate of medication nonadherence reached 37.2%. Purpose: To describe changes in medication knowledge and adherence following a seven-day educational intervention in a patient with a mental disorder. Method: A qualitative descriptive approach using a case study design involving one patient diagnosed with nonadherence at Wisma Srikandi, Grhasia Mental Hospital in Yogyakarta. The nursing diagnosis was based on the Indonesian Nursing Diagnosis Standards (INDS). The intervention consisted of education on the benefits of medication, the “5 Rights of Medication” principles, and the consequences of non-adherence, delivered over 7 days for 15–25 minutes per day through lectures, discussions, and informational leaflets. Data were collected through observation, interviews, and pre- and post-tests. Results: After the intervention, patient adherence improved, as indicated by an increase in adherence scores from level 1 to level 5, as well as improved knowledge regarding the benefits of medication, the “5 Rights” of medication adherence, and the consequences of non-adherence. The signs and symptoms of the illness remained unchanged. Conclusion: Education is effective in improving knowledge and medication adherence among patients with mental disorders, thereby supporting the success of therapy and reducing the risk of relapse. Keywords: Adherence Level; Education; Medication.
Dhikr therapy for a patient at risk of violent behavior: A psychiatric nursing case study Nural Wafinur; Mamnuah Mamnuah
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.v5i4.3679

Abstract

Background: Risk of violent behaviour is a common behavioural problem among patients with schizophrenia and is characterized by an increased potential to cause physical or psychological harm to oneself, others, or the surrounding environment. In addition to pharmacological treatment, psychoreligious interventions such as dhikr may help patients regulate emotions and improve self-control. Purpose: To describe the implementation of psychoreligious therapy using dhikr in reducing the signs and symptoms of risk of violent behaviour in a patient with schizophrenia. Method: A qualitative descriptive study using a single-patient case study design was conducted at Wisma Srikandi, Grhasia Mental Hospital, Yogyakarta. The nursing diagnosis was established based on the Indonesian Nursing Diagnosis Standards (INDS), and psychoreligious therapy using dhikr was implemented as part of nursing care for five consecutive days, with each session lasting 10–15 minutes. Patient progress was evaluated through daily clinical observation using the Indonesian Nursing Outcomes Standards (SLKI). Results: After five days of intervention, the patient demonstrated a reduction in the frequency of the signs and symptoms associated with the risk of violent behaviour. Improvements were observed in emotional control, anger management, willingness to follow therapeutic recommendations, and the patient's ability to control aggressive impulses based on daily nursing outcome assessments. Conclusion: Psychoreligious therapy using dhikr may contribute to improvements in the clinical manifestations of risk of violent behaviour when provided as an adjunct to standard psychiatric nursing care. Because the findings are based on a single case, they should be interpreted cautiously and cannot be generalized to broader patient populations. Keywords: Dhikr; Psychoreligious Therapy; Risk of Violent Behaviour; Schizophrenia.
Exploring avoidance coping among first-year medical students: A qualitative study Ratna Gumilang Sari; Sri Maria Puji Lestari; Mardheni Wulandari; Stri Nareswari
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.v5i4.3691

Abstract

Background: First-year students of the Medical Education Program at the Faculty of Medicine, Universitas Malahayati experience substantial academic pressure from the beginning of their studies. These challenges may generate significant stress and encourage students to adopt avoidance coping strategies as a way of managing academic demands and adaptation difficulties. Purpose: To explore avoidance coping behaviours among first-year students of the Medical Education Program. Method: A qualitative phenomenological design was employed. Data were collected through Focus Group Discussions (FGDs). Participants were selected using purposive sampling to obtain diverse perspectives based on gender, academic achievement (high, moderate, and low block scores), age, and residential status (living in dormitories and non-dormitories). Data were analysed using thematic analysis to identify patterns and themes related to avoidance coping behaviours among first-year medical students. Results: The findings revealed that avoidance coping behaviours among first-year medical students were manifested through several strategies, including escape coping, distraction coping, behavioural avoidance, and emotion-focused coping. The most frequently reported strategies were distraction coping and behavioural avoidance, including excessive social media use, sleeping, engaging in recreational activities, and postponing academic responsibilities. These behaviours were influenced by internal factors, such as emotional responses and self-regulation abilities, as well as external factors, including academic demands and environmental pressures. Conclusion: Avoidance coping behaviours among first-year medical students emerged as responses to academic demands and adaptation challenges within the medical education environment. Understanding these coping patterns may support the development of appropriate psychological support strategies for students during the early stages of medical education. Keywords: Avoidance Coping; Exploration; First-Year Students; Medical Students.
Emotional eating experiences among first-year medical students: A qualitative study Muhammad Zaidan Afkar; Sri Maria Puji Lestari; Nia Triswanti; Okta Reni Setiawati
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.v5i4.3702

Abstract

Background: Emotional eating is an eating behaviour triggered by emotional states rather than physiological hunger. Academic stress experienced by first-year medical students may increase the tendency to engage in emotional eating, potentially affecting their physical and psychological well-being. Purpose: To explore emotional eating behaviour among first-year medical students. Method: An exploratory design. Data were collected through focus group discussions (FGDs) involving first-year medical students at the Faculty of Medicine, Universitas Malahayati. Data were analysed using descriptive thematic analysis supported by source triangulation and relevant literature. Results: Emotional eating was commonly reported as a response to academic stress and adaptation challenges during the first year of medical education. Participants described changes in eating behaviours, including overeating, increased consumption of sweet foods, eating in response to negative emotions, and impulsive eating. These behaviours were perceived to influence both physical health and emotional well-being. Conclusion: Emotional eating among first-year medical students functions as a coping strategy for academic stress and adaptation difficulties. Strengthening emotional regulation and providing psychological support may help reduce emotional eating behaviours and promote healthier coping mechanisms. Keywords: Academic Stress; Coping Behaviour; Emotional Eating; First-Year Medical Students; Qualitative Study.
Workload and job stress among emergency department nurses Agus Mi'raj Darajat; Leny Triandriyana; Santi Puspitasari
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.v5i4.3723

Abstract

Background: Emergency room (ER) nurses are exposed to high workloads due to the unpredictable nature of emergency services, which may increase the risk of job stress and negatively affect nursing performance. Purpose: To examine the relationship between workload and job stress among ER nurses. Method: A quantitative study with a cross-sectional correlational design was conducted among 30 ER nurses using total sampling. Workload was assessed using the National Aeronautics and Space Administration Task Load Index (NASA-TLX), while job stress was measured using the Expanded Nursing Stress Scale (ENSS). Data were analyzed using the Spearman Rank correlation test. Results: Half of the respondents (50.0%) experienced a moderate workload, and 43.3% reported moderate job stress. Statistical analysis showed a significant relationship between workload and job stress among ER nurses (p = 0.001). Conclusion: Workload is significantly associated with job stress among ER nurses. Appropriate workload management strategies are needed to reduce occupational stress and support nurses' well-being and performance in emergency care settings. Keywords: Emergency Room; Job Stress; Nurses; Workload.
Application of the scolding technique for managing auditory hallucinations in a patient with schizophrenia: A case study Helena Candra Devi; Mamnuah Mamnuah
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.v5i4.3758

Abstract

Background: Schizophrenia is a severe mental disorder characterized by disturbances in perception, thought processes, emotions, and behaviour. Auditory hallucinations are among the most common positive symptoms experienced by individuals with schizophrenia and may interfere with daily functioning if not managed appropriately. Scolding technique are non-pharmacological nursing interventions that can help patients reduce the intensity and frequency of hallucinations by redirecting their attention to external stimuli. Purpose: To evaluate the effectiveness of the scolding technique in reducing auditory hallucinations among patients with schizophrenia. Method: A descriptive case study was conducted on one patient diagnosed with sensory perception disturbance: auditory hallucinations at Wisma Srikandi, Grhasia Mental Hospital, Yogyakarta. The nursing intervention consisted of scolding technique implemented for five consecutive days. Data were collected through observation, interviews, and nursing assessments, and outcomes were evaluated by comparing patients' signs and symptoms before and after the intervention. Results: The implementation of scolding technique reduced the frequency and severity of auditory hallucinations. Improvements were observed in the patient's ability to recognize and control hallucinations, accompanied by decreased signs and symptoms following the intervention. Conclusion: Scolding technique were effective in reducing auditory hallucinations and improving patients' ability to control hallucinatory experiences. This intervention may be considered a complementary non-pharmacological nursing strategy in the management of patients with schizophrenia experiencing auditory hallucinations. Keywords: Auditory Hallucinations; Mental Health Nursing; Schizophrenia; Scolding technique; Sensory Perception Disturbance.
Effect of family support on preoperative stress among older adults undergoing general anesthesia Masayu Kayla Ramadina; Muhaji Muhaji; Ratih Kusuma Dewi
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.v5i4.3779

Abstract

Background: Preoperative stress is common among geriatric patients undergoing surgery with general anesthesia because of age-related physiological decline and reduced adaptive capacity. Elevated stress levels may increase the risk of perioperative complications, delay postoperative recovery, and adversely affect surgical outcomes. Family support is considered an important non-pharmacological approach to improving psychological readiness before surgery. Purpose: To determine the effect of family support on stress levels among preoperative geriatric patients undergoing general anesthesia. Method: A quantitative study with a pre-experimental one-group pretest–posttest design was conducted among 35 geriatric patients scheduled for surgery under general anesthesia. Participants were selected using purposive sampling. Family support was assessed using the family subscale of the Multidimensional Scale of Perceived Social Support (MSPSS), while stress levels were measured using the stress subscale of the Depression Anxiety Stress Scale-21 (DASS-21). Data were analyzed using the Wilcoxon Signed-Rank Test. Results: Before the intervention, 48.6% of participants experienced moderate stress and 17.1% experienced severe stress. Following family support, the proportion of participants with severe stress decreased to 8.6%, while 14.3% achieved normal stress levels. The mean stress score decreased from 22.00 at pretest to 18.23 at posttest. Statistical analysis demonstrated a significant reduction in stress levels after the intervention (Z = −4.776; p < 0.001). Conclusion: Family support significantly reduced stress levels among preoperative geriatric patients undergoing general anesthesia. Integrating family involvement into preoperative nursing care may enhance psychological preparedness and contribute to improved perioperative outcomes. Keywords: Family Support; General Anesthesia; Geriatric Patients; Preoperative Stress.
Associations of physical activity with quality of life and sleep quality among adults with hypertension in primary care Iba Supra Saba; Sumbara Sumbara
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.v5i4.3882

Abstract

Background: Hypertension is a major public health problem that negatively affects patients' quality of life and sleep quality. Physical activity is an important non-pharmacological strategy that may improve both outcomes; however, evidence from primary healthcare settings remains limited. Purpose: To examine the relationship between physical activity, quality of life, and sleep quality among patients with hypertension. Method: This analytical correlational study employed a cross-sectional design involving 84 hypertensive patients selected from a population of 352 registered at Singajaya Public Health Center. Data were collected using a respondent characteristics questionnaire, the Global Physical Activity Questionnaire (GPAQ), the World Health Organization Quality of Life-BREF (WHOQOL-BREF), and the Pittsburgh Sleep Quality Index (PSQI). Descriptive statistics and Spearman's rank correlation test were used for data analysis, with a significance level of 0.05. Results: Most participants had low physical activity (38.1%), good quality of life (54.8%), and poor sleep quality (52.4%). Physical activity was positively correlated with quality of life (ρ = 0.721, p < 0.001) and negatively correlated with PSQI scores (ρ = -0.628, p < 0.001), indicating that higher physical activity was associated with better quality of life and better sleep quality. Conclusion: Higher levels of physical activity were significantly associated with better quality of life and sleep quality among patients with hypertension. These findings support the importance of promoting physical activity as part of hypertension management in primary healthcare settings. Keywords: Hypertension; Physical Activity; Quality of Life; Sleep Quality; Primary Healthcare.
Association between anxiety level and short-term memory performance among medical students during examinations Jihan Afifa Hasna; Stri Nareswari; Akhmad Kheru Dharmawan; Marisa Anggraini
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.v5i5.3963

Abstract

Background: Anxiety is a common psychological response experienced by medical students during academic examinations and may influence cognitive functions, including short-term memory, which plays an important role in learning and academic performance. Purpose: To determine the relationship between anxiety level and short-term memory performance during the academic examination phase among Class of 2024 medical students. Method: An observational analytic study with a cross-sectional design was conducted among 130 Class of 2024 medical students selected using a total sampling technique. Anxiety level was measured using the Hamilton Anxiety Rating Scale (HARS), while short-term memory performance was assessed using the Digit Span Backward Test. Data were analysed using descriptive statistics and the Spearman rank correlation test. Results: Most respondents experienced mild anxiety (60.0%) and demonstrated moderate short-term memory performance (60.0%), with no respondents classified as having low memory performance. Spearman rank correlation analysis revealed a very weak positive correlation between anxiety level and short-term memory performance; however, the association was not statistically significant (r = 0.107, p = 0.226). Conclusion: Anxiety level was not significantly associated with short-term memory performance among Class of 2024 medical students during the academic examination phase. These findings suggest that the anxiety experienced by most students remained within an adaptive range and did not substantially affect short-term memory performance. Stress management and psychological support may help students maintain psychological well-being during periods of academic demands. Keywords: Anxiety; Medical Students; Short-Term Memory; Digit Span Backward Test.

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