THE RELATIONSHIP BETWEEN FAMILY STRESS, DEPRESSION, AND COPING MECHANISMS IN SCHIZOPHRENIA FAMILIES
Downloads
Introduction: Families play a crucial role in caring for members with schizophrenia, but the stress and depression resulting from caregiving often overshadow the coping mechanisms used. This study aims to analyze the relationship between stress, depression, and coping mechanisms in families caring for individuals with schizophrenia. Methods: A quantitative approach with a cross-sectional design was used. The sample included 59 families with members suffering from schizophrenia who were receiving treatment at the Outpatient Clinic of dr. Samsi Jacobalis Mental Hospital in Bangka Belitung Islands Province in 2024. Stress and depression were measured using the Depression Anxiety Stress Scales (DASS-42), with Cronbach's alpha values of 0.8806 for stress and 0.9053 for depression. Coping mechanisms were measured using the Brief COPE, with a reliability coefficient of 0.952. Data were analyzed using the chi-square test with SPSS software. Results: The study found that 31 individuals (52.5%) experienced severe stress, and 38 individuals (64.4%) experienced moderate depression. Additionally, 39 individuals (66.1%) exhibited maladaptive coping mechanisms. Statistical analysis revealed a significant relationship between stress and coping mechanisms (p = 0.000), and between depression and coping mechanisms (p = 0.000). Conclusions: The study concludes that there is a relationship between stress and depression with family coping mechanisms in schizophrenia patients. It is recommended that families be provided with clear information about schizophrenia, its impact, and how to care for affected members. Additionally, offering training on adaptive coping strategies, such as relaxation, mindfulness, and acceptance, may help families better manage stress and depression.
American Psychiatric Association. (2019). Families. https://www.apa.org/topics/families
Ardyani, B., & Putri, G. K. (2021). Mekanisme koping pada remaja di Desa Ragajaya Kecamatan Bojong Gede Kabupaten Bogor. Indonesian Journal of Nursing Scientific, 1(1), 43–50.
Damayanti, N. P. R., Dewi, N. L. P. T., & Jayanti, D. M. A. D. (2020). The relationship of family burden with the stocks schizophrenic patient of Uptd Puskesmas II working area East Denpasar: Hubungan beban keluarga dengan niat pemasungan pasien skizofrenia wilayah kerja Uptd Puskesmas II Denpasar Timur. Bali Medika Jurnal, 7(1), 1–10. https://doi.org/10.36376/bmj.v7i1.91
Hidayanti, D. R. P. W. (2019). Hubungan mekanisme koping dengan self-efficacy pada penderita TB paru di Puskesmas Tanah Kali Kedinding Surabaya. Retrieved Oktober 09, 2023, from http://repository.stikeshangtuahsby-library.ac.id/312/1/1510011-Dwi%20Rizqi%20Putri%20W.H-SKRIPSI.pdf
Hidayati, S., & Kusumaningtyas, D. (2022). Mekanisme koping pada ibu menyusui yang mengalami Covid-19 di RSUP Dr. Kariadi Semarang. Journal of Bionursing, 4(1), 55-62. https://doi.org/10.20884/1.bion.2022.4.1.121
Mata, L. P. S., Kusumastuti, I., Astuti, I. S. S., & Rachmania, S. (2023). Caregiving burden in family caregivers of post-pasung patients with schizophrenia in Jember: An interpretative phenomenological analysis. Journal of Agromedicine and Medical Sciences, 9(2), 81–89. https://doi.org/10.19184/ams.v9i2.25247
Mashudi, S., & Yusuf, A. (2021). Family coping strategies to improve the health of family members living with schizophrenia. Jurnal Ners, 16(1), 67–73. http://dx.doi.org/10.20473/jn.v16i1.24527
Meilani, N. M., & Diniari, N. K. S. (2019). Beban perawatan pada caregiver penderita skizofrenia di poliklinik rawat jalan rumah sakit jiwa provinsi Bali. E-Jurnal Medika, 8(2).
Nasriati, R. (2020). Tingkat stres dan perilaku manajemen stres keluarga orang dengan gangguan jiwa (ODGJ). Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan, 8(1), 1–8.
Niman, S. (2019). Pengalaman family caregiver dalam merawat anggota keluarga yang mengalami gangguan jiwa. Jurnal Keperawatan Jiwa, 7(1), 19–26. https://doi.org/10.26714/jkj.7.1.2019.19-26
Putri, T. H., Priyono, D., & Fitrianingrum, I. (2022). Coping strategies among Indonesian college students during the Covid-19 pandemic. Malaysian Journal of Medicine and Health Sciences, 18(6), 100–107. doi:10.47836/mjmhs18.6.15
Prasad, F., Hahn, M. K., Chintoh, A. F., Remington, G., Foussias, G., Rotenberg, M., & Agarwal, S. M. (2024). Depression in caregivers of patients with schizophrenia: A scoping review. Social Psychiatry and Psychiatric Epidemiology, 59(1), 1–23. https://doi.org/10.1007/s00127-023-02504-1
Prawestri, A. A. (2019). Hubungan tingkat depresi dengan kemampuan mekanisme koping pada orang tua anak skizofrenia di desa Tlahab Lor Kecamatan Karangreja Kabupaten Purbalingga Tahun 2019. Retrieved February 27, 2024, from, http://repository.unsoed.ac.id/23885/
Riset Kesehatan Dasar (Riskesdas). (2018). Hasil utama riskesdas 2018 kementerian Kesehatan badan penelitian dan pengembangan Kesehatan. Retrieved September 01, 2023, from https://www.kemkes.go.id/resources/download/infoterkini/hasil-riskesdas2018.pdf
Salik, I., & Marwaha, R. (2022). Starpearls [internet]. Statpearls Publishing; Treasure Island (FL). Electroconvulsive Therapy.
Sari, A. (2023). Kondisi psikologis (kecemasan, stres, depresi) keluarga dalam merawat orang dengan gangguan jiwa (ODGJ) di wilayah puskesmas sempor 2. Skripsi Strata Satu, Universitas Muhammadiyah Gombong. Retrieved Oktober 09, 2023, from https://repository.unimugo.ac.id/3041/1/ANASTASIA%20SARI%20NIM.%20A12019012.pdf
Sugiarti, E., Apriliyani, I., & Rahmawati, A. N. (2022). Stres dan strategi koping pada keluarga yang menjadi caregiver pasien skizofrenia. Jurnal Keperawatan Jiwa, 10(3), 501–508.
Survei Kesehatan Indonesia (SKI). (2023). Hasil SKI (Kemenkes) tahun 2023. Available from: https://ppkbtapselpenting.org/hasil-ski-kemenkes-tahun2023/
Tololiu, T. A., Kanine, E., & Mamuko, S. (2019). Stress Supporting Factors In Family That Care For People With Interference Soul (ODGJ). JUIPERDO Jurnal Ilmiah Perawat Manado, 7(2), 146–153. https://doi.org/10.47718/jpd.v7i2.812
Wan, K. F., & Wong, M. (2019). Stress and burden faced by family caregivers of people with schizophrenia and early psychosis in Hong Kong. Internal Medicine Journal, 49, 9–15. https://doi.org/10.1111/imj.14166
World Health Organization. (2023). Mental health. Available from: https://www.who.int/news-room/fact-sheets/detail/mental-disorders
World Health Organization. (2019). Mental health. Available from: https://www.who.int/news-room/fact-sheets/detail/mental-disorders
World Health Organization. (2020). Schizophrenia. Available at: https://www.who.int/news-room/fact-sheets/detail/schizophrenia
Copyright (c) 2025 Emelda Emelda, Nurwijaya Fitri, Nova Mardianna
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright Notice
1. The journal allows the author to hold the copyright of the article without restrictions.
2. The journal allows the author(s) to retain publishing rights without restrictions.
3. The legal formal aspect of journal publication accessibility refers to Creative Commons Attribution (CC BY).
