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Abstract
Adolescence is a transitional stage marked by biological, emotional, and cognitive changes that increase the risk of developing mental-emotional disorders such as anxiety, depression, and emotional instability. WHO report that 10–20% of adolescents face mental health problems, influenced by factors such as family conflict, peer pressure, and excessive social media use. Without early intervention, these disorders may lead to long-term consequences including chronic psychiatric conditions and increased suicide risk. This study aims to analyze the effect of SHG therapy in reducing emotional and mental disorders in adolescents. A quantitative, pre-experimental one-group pretest-posttest design was used. The sample consisted of 76 junior high school students in grades VII and VIII in Malang Regency, selected through total sampling. SHG therapy was conducted based on the Specialist Mental Health Nursing Standard Operating Procedure in four structured stages: problem identification, planning, problem solving, and evaluation. The intervention was delivered across 17 meetings divided into four sessions, facilitated by a trained mental health nurse and five facilitators. Mental-emotional disorders were assessed using the validated Pediatric Symptom Checklist-17 (PSC-17). Participants had PSC scores ≥15 and consented to full participation. Data were analyzed using the Wilcoxon test. The mean score for emotional and mental disorders decreased from 17.16 (SD = 5.001) before the intervention to 15.63 (SD = 6.092) after (p = 0.001), reflecting a 9% reduction. SHG therapy significantly reduces emotional and mental disorders in adolescents and holds potential for implementation in school-based mental health initiatives
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JKEP (Jurnal Keperawatan)
References
Becht AI, Nelemans SA, Branje SJT, Vollebergh WAM, Meeus WHJ. Daily Identity Dynamics in Adolescence Shaping Identity in Emerging Adulthood: An 11-Year Longitudinal Study on Continuity in Development. J Youth Adolesc. 2021;50(8).
Azzahra AA, Shamhah H, Kowara NP, Santoso MB. PENGARUH POLA ASUH ORANG TUA TERHADAP PERKEMBANGAN MENTAL REMAJA. J Penelit dan Pengabdi Kpd Masy. 2022;2(3).
Mkubwa B, Angwenyi V, Nzioka B, Newton CR, Sijbrandij M, Abubakar A. Knowledge, attitudes, and practices on child and adolescent mental health among healthcare workers in sub-Saharan Africa: a scoping review. Vol. 18, International Journal of Mental Health Systems. BioMed Central Ltd; 2024.
Konicar L, Prillinger K, Klöbl M, Lanzenberger R, Antal A, Plener PL. Brain Stimulation for Emotion Regulation in Adolescents With Psychiatric Disorders: Study Protocol for a Clinical-Transdiagnostical, Randomized, Triple-Blinded and Sham-Controlled Neurotherapeutic Trial. Front Psychiatry. 2022;13.
Haşimi SD, Alkar ÖY. The Correlates of Psychological Resilience in Turkish Adolescents During The COVID-19 Pandemic: A Systematic Review. OPUS J Soc Res [Internet]. 2024 Oct 15 [cited 2024 Nov 15];21(5):362–76. Available from: https://dergipark.org.tr/en/pub/opusjsr/issue/87674/1520935
Jorns-Presentati A, Napp AK, Dessauvagie AS, Stein DJ, Jonker D, Breet E, et al. The prevalence of mental health problems in sub-Saharan adolescents: A systematic review. PLoS One. 2021;16(5 May).
Indari I, Yuni Asri, Aminah T, Rizzal AF. Peer Education : Kesehatan Mental Remaja Untuk Pencegahan Gangguan Mental Remaja di Desa Ngadas. J Heal Innov Community Serv. 2023;2(2).
Indari, Pitaloka Priasmoro D, Dio Fatma E. Prevalensi Dan Analisis Faktor Mental Emosional Remaja Pada Keluarga Broken Home. J Nurs Care Biomol. 2021;6(2).
Tariq A, Gray E, M. Gregory A, W. Y. Chan S. Emotional Vulnerability in Adolescents (EVA) Longitudinal Study: Identifying individual differences in symptoms of adolescent depression and anxiety and their biopsychosocial mechanisms based on demographic and mental health characteristics. Wellcome Open Res. 2024 Sep 4;9:510.
Paulus FW, Ohmann S, Möhler E, Plener P, Popow C. Emotional Dysregulation in Children and Adolescents With Psychiatric Disorders. A Narrative Review. Vol. 12, Frontiers in Psychiatry. 2021.
Maulidiya AK, Su’udi A, Wibowo W. Emotional, mental disorders and depression in adolescents. J Edukasi Ilm Kesehat [Internet]. 2024;2(2):63–70. Available from: https://jurnal.edi.or.id
Lin J, Guo W. The Research on Risk Factors for Adolescents’ Mental Health. Vol. 14, Behavioral Sciences. Multidisciplinary Digital Publishing Institute (MDPI); 2024.
Brenning K, Soenens B, Vansteenkiste M, De Clercq B, Antrop I. Emotion Regulation as a Transdiagnostic Risk Factor for (Non)Clinical Adolescents’ Internalizing and Externalizing Psychopathology: Investigating the Intervening Role of Psychological Need Experiences. Child Psychiatry Hum Dev. 2022;53(1).
Jimenez-Vazquez D, Garcia-Lopez LJ, Vivas-Fernandez M. Indicated Preventive Interventions for High-risk Adolescents of Emotional Disorders: A Systematic Review. Rev Psicol Clin con Ninos y Adolesc. 2024 May 1;11(2):46–57.
Kholifah S, Khuzaimah Ahmad Sharoni S, Yusuf A. Intervention programme to improve emotional regulation among adolescent with mental disorders: a systematic review. Int J Public Heal Sci. 2024 Dec 1;13(4):1749.
Smith L, Hunt K, Parker S, Camp J, Stewart C, Morris A. Parent and Carer Skills Groups in Dialectical Behaviour Therapy for High-Risk Adolescents with Severe Emotion Dysregulation: A Mixed-Methods Evaluation of Participants’ Outcomes and Experiences. Int J Environ Res Public Health. 2023;20(14).
Bangun SR. The Effectiveness of Group Psychotherapy on Reducing Anxiety and Depression Symptoms in Adolescents. J Psikiatri Surabaya. 2022;11(2).
Nurhidayah R, Kusumawati PD. Self-Help Group Therapy as Community Nursing Intervention to Reduce Stress Response and Increase Self-Efficacy in High-Risk Pregnant Women. J Nurs Pract. 2023;6(2).
Mawarti SD, Nurlinawati N, Nasution RA. Hubungan Kecemasan dengan Kesepian pada Remaja Putri Boarding School di Pondok Karya Pembangunan Al-Hidayah Provinsi Jambi. J Ners [Internet]. 2023 Oct 31 [cited 2024 Dec 12];7(2):1760–6. Available from: http://journal.universitaspahlawan.ac.id/index.php/ners/article/view/16655
Lu W, Todhunter-Reid A, Mitsdarffer ML, Muñoz-Laboy M, Yoon AS, Xu L. Barriers and Facilitators for Mental Health Service Use Among Racial/Ethnic Minority Adolescents: A Systematic Review of Literature. Vol. 9, Frontiers in Public Health. 2021.
Pozzi E, Vijayakumar N, Rakesh D, Whittle S. Neural Correlates of Emotion Regulation in Adolescents and Emerging Adults: A Meta-analytic Study. Biol Psychiatry. 2021;89(2).
Shannon H, Bush K, Villeneuve PJ, Hellemans KGC, Guimond S. Problematic Social Media Use in Adolescents and Young Adults: Systematic Review and Meta-analysis. Vol. 9, JMIR Mental Health. 2022.
Hidayati E, Ben Olina Y, da Costa Freitas AF, Martins AX. The Influence of Group Therapeutic Intervention on the Enhancement of Emotional and Psychosocial Development in Adolescents. Malaysian J Nurs. 2024 Jul 1;16(1):169–77.
Richard J, Rebinsky R, Suresh R, Kubic S, Carter A, Cunningham JEA, et al. Scoping review to evaluate the effects of peer support on the mental health of young adults. Vol. 12, BMJ Open. 2022.
Fitrianur WL, Suminar E, Sari MK, Firdaus AR Al. Pengaruh Self Help Group (SHG) Terhadap Koping Mahasiswa Baru Program Studi Ilmu Keperawatan. Indones J Prof Nurs. 2023 Dec 31;4(2):144.
Widiyanto J, Putri SE, Yarnita Y, Nugraha A, Program ), Keperawatan S, et al. Implementasi Penyuluhan Kesehatan Berbasis Self Help Group Terhadap Pencegahan Depresi pada Remaja di SMA 1 Muhammadiyah, Pekanbaru. J Med Med. 2024;3(2):283–9.
Putri TAW. Self–help group untuk menurunkan stres mahasiswa tingkat akhir. Procedia Stud Kasus dan Interv Psikol. 2022;10(2):43–6.
Widiyanto J, Putri SE, Sansuwito T Bin, Ayakannu R, Nugraha A. The Self-Help Group-Based Health Education Impact on Adolescent Depression Reduction. J Angiother [Internet]. 2024 [cited 2025 May 13];8(5):1–6. Available from: https://publishing.emanresearch.org/Journal/FullText/5429
Lindayani ALY, Retnowuni A. Efektifitas Terapi SHG (Self Help Group) dalam Menurunkan Tingkat Stress Pada Santri Menghadapi Ujian Akhir Pondok. J Ilm STIKES Yars Mataram. 2023;13(2).
Dwiputri MN. Self-help group pada remaja dengan internet gaming disorder. Procedia Stud Kasus dan Interv Psikol [Internet]. 2023 Sep 29 [cited 2025 May 13];11(3):80–4. Available from: https://ejournal.umm.ac.id/index.php/procedia/article/view/24321
Gurjar M. Empowerment of Women through Self- Help Groups A Case Study of Rajasthan. Int J Integr Stud [Internet]. 2025 Feb 10 [cited 2025 May 16];1:48–54. Available from: https://ijis.co.in/index.php/files/article/view/132
Nobre J, Oliveira AP, Monteiro F, Sequeira C, Ferré-Grau C. Promotion of mental health literacy in adolescents: A scoping review. Int J Environ Res Public Health [Internet]. 2021 Sep 1 [cited 2025 May 16];18(18):9500. Available from: https://www.mdpi.com/1660-4601/18/18/9500/htm
Yahaya AD, Adwan-Kamara L, Yaro PB, Teg-Nefaah P, Id T. Does supporting self-help groups of people with mental conditions for longer duration lead to more effective groups? A qualitative evaluation in Ghana. PLOS Ment Heal [Internet]. 2025 [cited 2025 May 16];2(1):e0000249. Available from: https://journals.plos.org/mentalhealth/article?id=10.1371/journal.pmen.0000249