Psychiatry Nursing Journal (Jurnal Keperawatan Jiwa)

THE PSYCHOLOGICAL IMPACT OF SURVIVORS OF THE EARTHQUAKE, TSUNAMI, AND LIQUEFACTION: A QUALITATIVE STUDY

Sun, 01 Sep 2024 00:00:00 +0700

Introduction: Natural disasters in the form of earthquakes, tsunamis, and liquefactions in Central Sulawesi in 2018 had several impacts on disaster survivors' psychology. These psychological problems have developed as an effect from serious injuries or loss of family members of the survivors. Psychological disorders, such as anxiety, depression, to Post traumatic stress disorder, can affect long-term quality of life. This study aims to explore the psychological impacts experienced by survivors of the earthquake, tsunami, and liquefaction in Central Sulawesi.

Method: A qualitative study with a phenomenological approach. In-depth interviews were conducted using semi-structured guideline, observation and voice recording of 18 survivors of the earthquake, tsunami, and liquefaction disasters. The determination of the sample is using a purposive sampling technique based on inclusion criteria. The results of the interviews were transcribed, member checking, and analyzed using the Van Mannen method.

Results: This study produced four themes and fifteen sub-themes. The research themes consist of the grieving phase, post-traumatic stress disorder, social support and health services support.

Conclusions: Further screening of disaster survivors who experienced psychological disorders is needed, not only as a preventive measure but also as a psychological support to improve their quality of life.

FAMILY FUNCTION AND SELF-HARM BEHAVIOR IN EARLY ADOLESCENTS: A CROSS-SECTIONAL STUDY

Sun, 01 Sep 2024 00:00:00 +0700

Introduction: Self-harm behavior is a form of maladaptive coping mechanism that is very harmful because it can cause injury and even threaten the individual's life. Several factors cause self-harm behavior in early adolescence, one of the factors is family dysfunction. This study aimed to determine the relationship between family functioning and self-harm behavior in early adolescents at the Agricultural Area of Jember.

Method: This study used a correlational design with a cross-sectional approach. The research sample was obtained through a proportional stratified random technique with a total of 376 respondents. The independent variable in this study is family function and the dependent variable is self-harm behavior in early adolescents. Data was collected using the Family APGAR and Deliberate Self-harm Inventory (DSHI) questionnaires.

Results: The result showed that family function is in the high category, 224 respondents (59,6%), and self-harm behavior is low self-harm, 319 respondents (84,8%). There is a relationship between family function and self-harm behavior in early adolescents in the agricultural area of Jember (p = 0,001 and r = -0,131) very weak and negative correlation. Poor communication between family members can lead to inner conflict and negative emotions that put individuals at risk of self-harm. The data was analyzed by Kendall's Tau C correlation test.

Conclusions: Early adolescents with low family functioning are more at risk of self-harm. This study can be used as a guideline for schools, psychiatric nurses and community nurses to develop appropriate nursing interventions for early adolescents who engage in self-harm behavior.

ADAPTATION TRAINING FOR MENTAL RESILIENCE OF ADOLESCENTS USING THE ROY ADAPTATION MODEL APPROACH

Sun, 01 Sep 2024 00:00:00 +0700

Introduction: Adolescence is a key period for mental health, as over half of mental health problems begin during this stage and often persist into adulthood. Many adolescents, however, lack access to specialized care. This research aims to examine the impact of adaptation training on mental health resilience in adolescents, utilizing the Roy Adaptation Model.

Method: This quasi-experimental study followed a pre-test-post-test control group design. The sample consisted of 100 adolescents, divided into an experimental group (50 respondents) and a control group (50 respondents), selected using purposive sampling. The experimental group participated in six weeks of adaptation training, with one session held each week. The training aimed to help adolescents better adapt to stressors, fostering mental resilience. The Adolescent Resilience Questionnaire (ARQ) was used to measure resilience, specifically evaluating the capacity to achieve positive outcomes despite facing challenges. The Wilcoxon Paired test was applied to assess differences within each group before and after the intervention, and the Mann-Whitney test was used to compare outcomes between the two groups. Both tests utilized an ordinal scale for analysis.

Results: The Mann-Whitney test results showed a significant difference between the experimental and control groups, with a p-value of 0.000. This indicates that adaptation training had a positive effect on increasing adolescent mental resilience.

Conclusion: Adaptation training is effective in improving adolescents' mental resilience. It has the potential to be integrated into school programs to support mental health promotion and prevention, offering a proactive approach to addressing adolescent mental health challenges.

ENHANCING SELF DEVELOPMENT AND ASSERTIVE BEHAVIOR OF ADOLESCENTS THERAPEUTIC GROUP THERAPY

Fajriyah Nur Afriyanti — Sun, 01 Sep 2024 00:00:00 +0700

Background: Adolescents in fulfilling their growth and development tasks, impact their biology, cognitive, emotional, psychosexual, language, psychosocial and behaviour entering adulthood. The problem adolescents often encounter, in the form of behaviour resulting from this transition period, is how to behave assertively. Therapeutic group therapy allows adolescents to optimally fulfil their growth and development tasks and change their behaviour to be more adaptive.

Method: This study used a quasi-experimental design with a sample of 76 adolescents (38 intervention and 38 control). The instruments used were assertive behaviour, behaviour observation sheets, and therapeutic group therapy modules. The intervention group received 7 therapeutic group therapy sessions, each 30-45 minutes. The Assertiveness Inventory by Alberti and Emmons was used to measure adolescent assertive behaviour. Meanwhile, this study used a dependent t-test for data analysis.

Results: Respondent characteristics included adolescents aged 13-15 years, females (52.63%), parents' educational level of Bachelor (63.16%), and parents' occupation as employees (42.11). The results show that aspects of adolescent self-development have a mean value of emotional (0.588), cognitive (0.533), language (0.435), and psychosocial (0.378). This indicates that there is a significant and meaningful influence on adolescents' assertive behaviour before and after TGT (α=0.05 and p-value <0.001).

Conclusion: Therapeutic group therapy can improve adolescents' self-development abilities (including growth and development tasks) and assertive behaviour. Therapy can be used as a learning program at school/home by involving teachers, parents, and the community to improve the quality of life for adolescents.

DETERMINING THE RELATIONSHIP BETWEEN SOCIAL MEDIA APPEARANCE CONSCIOUSNESS AND SELF-ESTEEM IN ADOLESCENTS

Tugba Oluc, Gulsun Ayran — Sun, 01 Sep 2024 00:00:00 +0700

Introduction: Adolescents' active use of social media raises curiosity about how they appear on social media platforms. This situation may cause changes in their personality. This study was conducted to determine the relationship between social media appearance consciousness and self-esteem in adolescents.

Method: This cross-sectional study was conducted between January and March 2023. The study involved 1103 students from three different high schools located in a province in eastern Turkey. As part of the study process, data were collected using the "Questionnaire", "Appearance-Related Social Media Consciousness Scale" and "Rosenberg Self-Esteem Scale". To analyze the data, percentages, averages, independent sample t-tests, one-way ANOVA, Pearson correlation, and regression analysis were performed. The significance level in all tests was set at 0.05. Shao's method was employed to assess the conformity of the data to normal distribution. As a result, the Skewness value was 0.409, the Kurtosis value was -0.370, and it was determined that the data showed a normal distribution between -3 and +3.

Results: The mean age of the students in the study was 26.8% 15 years old, 62.2% were male, and 27% were 9th-grade students. The mean total score of the students was 41.11±17.74 for the Appearance-Related Social Media Consciousness Scale and 29.36±6.35 for the Rosenberg Self-Esteem Scale. It was determined that there was a positive correlation between the scores of the Appearance-Related Social Media Consciousness Scale and the Rosenberg Self-Esteem Scale (p<0.05).

Conclusions: In conclusion, it was observed that increasing social media appearance consciousness scores was associated with higher self-esteem levels.

THE RELATIONSHIP OF FEAR OF MISSING OUT (FoMO) AND PEER SOCIAL SUPPORT WITH THE BODY IMAGE OF FEMALE ADOLESCENT AT SENIOR HIGH SCHOOL

Mayra Putri Marfita, Rizki Fitryasari, Lailatun Ni'mah — Sun, 01 Sep 2024 00:00:00 +0700

Introduction: Adolescent girls are involved and exposed to various comments regarding physical appearance, which can lead to experiences of body dissatisfaction, resulting from failing to meet the unrealistic standards of physical attractiveness set by society. This condition can be influenced by FoMO and social support from peers. This research aims to analyze the relationship between Fear of Missing Out (FoMO) and social support from peers with body image in adolescent girls at SMA Negeri 13 Surabaya. Method: This research use descriptive correlation design with cross-sectional approach. The population was 650 people, with a sample size of 191 female teenagers at senior high school in Surabaya. The sampling technique used is simple random sampling. The independent variables are FoMO and peer social support. The dependent variable is body image. Data was taken using a questionnaire and analyzed using the Spearman's rank test. Results: There is a relationship between FoMO and body image in female adolescents (p=0,031<0.05 and (r) = -0,156). For the peer social support variable, the value obtained was p=0,568>0,05, which means there is no relationship. Discussion: FoMO may be related to body image. Peer social support is not associated with body