The Need for Adolescent Mental Health Intervention in Primary Health Care

Susan Fitriyana, Hilmi Sulaiman Rathomi, Sara Shafira

Abstract


Mental health problems in adolescents became a global concern. About 10–20% of children and adolescents worldwide experience mental health problems, but only about 10% get medical attention. This study aims to perform an initial screening of adolescent mental health in Bandung, especially adolescents at school age, to get the magnitude of the problem of mental health in adolescents. This research was a cross-sectional study conducted in Bandung. Data collected in December 2018. The study used consecutive sampling to recruit 140 students from junior and senior high schools. The instrument used was the strength and difficulties questionnaire (SDQ) YR1 version, which was filled independently by respondents. Data were analyzed using STATA 13. The results of this study were that the prevalence of mental health problems in adolescents was 21%. The highest aspect was emotional (28%) and conducted problems (21%). There was a significant different male versus female in emotional and conduction problems. In conclusion, the magnitude of the adolescent's mental health problems in Bandung was enormous; thus, interventions at the primary care level and partnership with another sector needed.

 

PERLU INTERVENSI KESEHATAN MENTAL REMAJA DI PELAYANAN KESEHATAN PRIMER

Masalah kesehatan mental pada remaja telah menjadi perhatian dunia. Sekitar 10–20% anak dan remaja di seluruh dunia mengalami masalah kesehatan mental, tetapi hanya 10% yang mendapatkan pelayanan kesehatan. Tujuan penelitian ini melakukan penapisan awal besaran masalah kesehatan mental pada remaja usia sekolah di Kabupaten Bandung. Penelitian ini merupakan penelitian potong lintang yang dilakukan di Kabupaten Bandung. Data dikumpulkan pada bulan Desember 2018 menggunakan consecutive sampling dengan melibatkan 140 siswa SMP dan SMA. Instrumen yang digunakan adalah strength and difficulties questionaire (SDQ) YR1 version yang diisi oleh responden. Data dianalisis menggunakan STATA 13. Hasil penelitian didapatkan prevalensi masalah kesehatan mental pada remaja adalah 21%. Aspek penilaian tertinggi berada pada masalah emosional (28%) dan conducting problem (21%). Terdapat perbedaan nilai yang siginifikan untuk aspek emosinal dan conduct problem antara kelompok laki-laki dan perempuan. Simpulan, masalah kesehatan mental remaja di Kabupaten Bandung sangat besar sehingga dibutuhkan penanganan kesehatan mental remaja di tingkat pelayanan kesehatan primer dan kerja sama dengan sektor lain.


Keywords


Adolescent; kesehatan mental; mental health; pelayanan kesehatan primer; primary health care; remaja

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References


World Health Organization. Health for the world's adolescents: a second chance in the second decade: summary [Internet]. Geneva, Switzerland: World Health Organization; 2014 [cited 2020 July 8]. Available from: https://www.who.int/docs/default-source/substance-use/1612-mncah-hwa-executive-summary.pdf.

Department of Economic and Social Affairs, United Nations. Mental health matters: social inclusion of youth with mental health conditions [Internet]. New York: United Nations; 2014 [cited 2020 July 8]. Available from: http://www.un.org/esa/socdev/documents/youth/youth-mental-health.pdf.

Kieling C, Baker-Henningham HB, Belfer M, Conti G, Ertem I, Omigbodun O, et al. Child and adolescent mental health worldwide: evidence for action. Lancet. 2011;378(9801):1515–25.

Badan Penelitian dan Pengembangan Kesehatan, Kementerian Kesehatan Republik Indonesia. Laporan Nasional Riskesdas 2018. Jakarta: Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan; 2019.

Faidah NC, Respati T, Fitriyana S. Persepsi siswa SMA Negeri di Kota Bandung terhadap individu yang memiliki gangguan kesehatan jiwa. Prosiding Pendidikan Dokter. 2017;3(1):215–21.

Ayu IM, Respati T, Susanti Y. Preschoolers’ mental health status based on their mobile gadget usage. J Phys Conf Ser. 2020;1469:012054.

Di Riso D, Salcuni S, Chessa D, Raudino A, Lis A, Altoe G. The strengths and difficulties questionnaire (SDQ). Early evidence of its reliability and validity in a community sample of Italian children. Pers Individ Dif. 2010;49(6):570–5.

Goodman A, Lamping DL, Ploubidis GB. When to use broader internalising and externalising subscales instead of the hypothesised five subscales on the strengths and difficulties questionnaire (SDQ): data from British parents, teachers and children. J Abnorm Child Psychol. 2010;38(8):1179–91.

Stone LL, Otten R, Engels RCME, Vermulst AA, Janssens JMAM. Psychometric properties of the parent and teacher version of the strengths and difficulties questionnaire for 4- to 12-year-olds: a review. Clin Child Fam Psychol Rev. 2010;13(3):254–74.

He JP, Burstein M, Schmitz A, Merikangas KR. The strengths and difficulties questionnaire (SDQ): the factor structure and scale validation in U.S. adolescents. J Abnorm Child Psychol. 2013;41(4):583–95.

Gomez R, Suhaimi AF. Incidence rates of emotional and behavioral problems in Malaysian children as measured by parent ratings of the strengths and difficulties questionnaire. Asian J Psychiatr. 2013;6(6):528–31.

Atilola O, Balhara YPS, Stevanovic D, Avicenna M, Kandemir H. Self-reported mental health problems among adolescents in developing countries: results from international pilot sample. J Dev Behav Pediatr. 2013;34(2):129–37.

Benjet C. Childhood adversities of populations living in low-income countries: prevalence, characteristics, and mental health consequences. Curr Opin Psychiatry. 2010;23(4):356–62.

Rodriguez JDM, da Silva AAM, Bettiol H, Barbieri MA, Rona RJ. The impact of perinatal and socioeconomic factors on mental health problems of children from a poor Brazilian city: a longitudinal study. Soc Psychiatry Psychiatr Epidemiol. 2011;46(5):381–91.

Zulfa A, Hendryanny E, Garna H, Rathomi HS, Suryani YD. Hubungan riwayat kejang demam dengan gangguan perkembangan anak di RSUD Al-Ihsan Bandung. Prosiding Pendidikan Dokter. 2018;4(1):306–13.

Ulfah E, Rahayuningsih SE, Herman H, Susiarno H, Gurnida DA, Gamayani U, et al. Asuhan nutrisi dan stimulasi dengan status pertumbuhan dan perkembangan balita usia 12–36 bulan. GMHC. 2018;6(1):12–20.

Rothon C, Head J, Klineberg E, Stansfeld S. Can social support protect bullied adolescents from adverse outcomes? A prospective study on the effects of bullying on the educational achievement and mental health of adolescents at secondary schools in East London. J Adolesc. 2011;34(3):579–88.

Marshall JE. Adolescent alcohol use: risks and consequences. Alcohol Alcohol. 2014;49(2):160–4.

Lee S, Guo WJ, Tsang A, He YL, Huang YQ, Zhang MY, et al. The prevalence of family childhood adversities and their association with first onset of DSM-IV disorders in metropolitan China. Psychol Med. 2011;41(1):85–96.

Arshat Z. Adolescents and parental perception of family strength: relation to Malay adolescent emotional and behavioural adjustment. IJHSS. 2013;3(18):163–8.

Meinck F, Cluver LDC, Orkin FM, Kuo C, Sharma AD, Hensels IS, et al. Pathways from family disadvantage via abusive parenting and caregiver mental health to adolescent health risks in South Africa. J Adolesc Health. 2017;60(1):57–64.

Alamanda KR, Susanti Y, Fitriyana S. Gambaran tingkat kecemasan mahasiswa tingkat IV dalam menghadapi ujian objective structured clinical examination. Prosiding Pendidikan Dokter. 2018;4(1):56–63.

Nurhayati E, Fitriyana S. Determinan kesehatan dalam perspektif Islam: studi pendahuluan. JIKS. 2020;2(1):52–6.

Nurhayati E, Rathomi HS, Fitriyana S, Ibnusantosa RG. A remote training of maternal knowledge and children health center: a multi-user application implementation. J Phys Conf Seri. 2020;1469:012059.

Stadler C, Feifel J, Rohrmann S, Vermeiren R, Poustka F. Peer-victimization and mental health problems in adolescents: are parental and school support protective? Child Psychiatry Hum Dev. 2010;41(4):371–86.




DOI: https://doi.org/10.29313/gmhc.v8i2.6376

pISSN 2301-9123 | eISSN 2460-5441


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