Determinant of Mental Emotional Disorder in Adolescent: A Cross-Sectional Study

Authors

  • Marisa Lestary Dondo Master Program in Public Health, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia https://orcid.org/0009-0002-9570-7502
  • Shanti Riskiyani Department of Health Promotion and Behavioral Science, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia
  • Suriah Department of Health Promotion and Behavioral Science, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia
  • Muhammad Syafar Department of Health Promotion and Behavioral Science, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia
  • Wahiduddin Department of Epidemiology, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia
  • Nurhaedar Jafar Department of Nutrition, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia

DOI:

https://doi.org/10.6000/1929-6029.2023.12.18

Keywords:

Mental Health, Self-esteem, Self-concept, Bullying

Abstract

Objective: Adolescence is a critical period for experiencing mental disorders because this age is a transition from adolescence to adulthood, this period is also a determinant of one's mental health in the future. According to survey data from the Indonesia National Adolescent Mental Health Survey (I-NAMHS), which examined the prevalence of adolescent mental disorders in the country reveal that 1 out of 20 (5.5%) adolescents aged 10-17 years in Indonesia were diagnosed with a mental disorder. This study aimed to investigate the degree of risk of poor self-concept clarity, low self-esteem, a lack of peer support, and victims of bullying on mental-emotional disorders incidence in adolescents.

Methods: This research is an observational study using a cross-sectional design. The sample in this study were high school students aged 15-18 years (n = 390) who were randomly selected from four high schools in Kotamobagu City, North Sulawesi Province, Indonesia. The data in this study were analyzed through the Chi-Square test and multiple regression test using the SPSS version 22.0.

Results: This research shows that poor self-concept clarity (adj OR = 5.760; 95%CI = 3.173-10.458; p<0.001), low self-esteem (adj OR =3.647; 95%CI = 1.950-6.818; p<0.001), and victims of bullying (adj OR = 4.204; 95% CI =1.525-11.589; p=0.006) are related to adolescents’ mental-emotional disorders.

Conclusions: It was concluded that the factors that influence mental-emotional disorders in adolescents are poor self-concept clarity, low self-esteem, and being a victim of bullying.

References

American Psychiatric Association. What is Mental Illness?. Washington DC: Psychiatry.org; 2022. Available from: https://www.psychiatry.org/patients-families/what-is-mental-illness

Medvedev ON, Landhuis CE. Exploring constructs of well-being, happiness and quality of life. PeerJ 2018; 6: 1-16. https://doi.org/10.7717/peerj.4903 DOI: https://doi.org/10.7717/peerj.4903

World Health Organization. The WHO Special Initiative for Mental Health (2019-2023): Universal Health Coverage for Mental Health 2019: 1-4. Available from: https://apps.who.int/iris/bitstream/handle/10665/310981/WHO-MSD-19.1-eng.pdf?ua=1

Sunaryo. Personality Psychology For Nursing. Jakarta: EGC; 2004.

Idaiani S, Suhardi, Kristanto AY. Analysis of Symptoms of Mental Emotional Disorders in Indonesian Population. Maj Kedokt Indones 2009; 59 (10): 473-479.

Batubara JRL. Adolescent Development. Sari Pediatr 2010; 12(1): 21-29. https://doi.org/10.14238/sp12.1.2010.21-9 DOI: https://doi.org/10.14238/sp12.1.2010.21-9

Juhari F, Suwaryani N, Mangunwibawa AA, Poerwanto. Gen-Great Teen. Jakarta: Ditjen PAUD dan Kesmas KEMENDIKBUD RI; 2019.

Mubasyiroh R, Yunita I, Putri S. Mental Emotional Symptoms’ Determinants Of Junior-Senior High School Student In Indonesia 2015. Indones Bull Health Res 2017; 45(2): 103-112.

Muri’ah S, Wardan K. Child and Adolescent Developmental Psychology. Malang: Literasi Nusantara; 2020.

WHO. World Mental Health Report: Transforming Mental Health For All. Geneva: World Health Organization; 2022. License: CC BY-NC-SA 3.0 IGO.

Center for Reproductive Health, University of Queensland, Johns Bloomberg Hopkins School of Public Health. Indonesia - National Adolescent Mental Health Survey (I-NAMHS): Research Report. Yogyakarta: Pusat Kesehatan Reproduksi; 2022.

Ministry of Health Republic of Indonesia 2018 National Basic Health Report. Jakarta: Litbangkes KEMENKES RI; 2019.

Rahmayanthi D, Moeliono MF, Kendhawati L. Adolescents Mental Health During COVID-19 Pandemic. Insight J Ilm Psikol 2021; 23(1): 91-101.

WHO. Child and adolescent mental and brain health 2020b. [cited 2022 December 1] Available from: https://www.who.int/activities/improving-the-mental-and-brain-health-of-children-and-adolescents

Setiawati Y. Pocket Book Guidelines for Early Detection of Mental Emotional Disorders for Health Workers at Health Centers. Sidoarjo: Dwiputra Pustaka Jaya; 2017.

Findley D. Self-Concept Clarity and Self-Esteem in Adolescence: Associations with Psychological, Behavioral, and Academic Adjustment. Florida: University of South Florida; 2013.

Parise M, Canzi E, Olivari MG, Ferrari L. Self-concept clarity and psychological adjustment in adolescence: The mediating role of emotion regulation. Pers Individ Dif 2019; 138: 363-365. https://doi.org/10.1016/j.paid.2018.10.023 DOI: https://doi.org/10.1016/j.paid.2018.10.023

Cherry K. Self-Concept in Psychology: Definition, Development, Theories. VerryWell Mind 2022. Available from: https://www.verywellmind.com/what-is-self-concept-2795865

Chen TH, Hsiao RC, Liu TL, Yen CF. Predicting effects of borderline personality symptoms and self-concept and identity disturbances on internet addiction, depression, and suicidality in college students: A prospective study. Kaohsiung J Med Sci 2019; 35(8): 508-514. https://doi.org/10.1002/kjm2.12082 DOI: https://doi.org/10.1002/kjm2.12082

Zhang Q, Miao L, He L, Wang H. The Relationship between Self-Concept and Negative Emotion: A Moderated Mediation Model. Int J Environ Res Public Health 2022; 19(16): 1-10. https://doi.org/10.3390/ijerph191610377 DOI: https://doi.org/10.3390/ijerph191610377

Palenzuela-Luis N, Duarte-Clíments G, Gómez-Salgado J, Rodríguez-Gómez JÁ, Sánchez-Gómez MB. International Comparison of Self-Concept, Self-Perception and Lifestyle in Adolescents: A Systematic Review. Int J Public Health 2022; 67(9): 1-11. https://doi.org/10.3389/ijph.2022.1604954 DOI: https://doi.org/10.3390/children9010091

Sholiha S, Aulia LAA. Relationship between Self Concept and Self Confidence. J Psikol 2020; 7(1): 41-55. https://doi.org/10.35891/jip.v7i1.1954 DOI: https://doi.org/10.35891/jip.v7i1.1954

Sitasari N, Kaur RMS. Self-concept and Decision-making for Ex Drug Addict. in Proceedings of the 1st International Conference on Health - ICOH; ISBN 978-989-758-454-1. Setúbal: SciTePress 2020; 65-71.

Van Dijk MPA, Branje S, Keijsers L, Hawk ST, Hale WW, Meeus W. Self-Concept Clarity Across Adolescence: Longitudinal Associations With Open Communication With Parents and Internalizing Symptoms. J Youth Adolesc 2014; 43 (11): 1861-1876. https://doi.org/10.1007/s10964-013-0055-x DOI: https://doi.org/10.1007/s10964-013-0055-x

Singhal S, Prakash N. Relationship between Self-esteem and Psychological Well-being among Indian College Students. J Interdisciplinary Cycle Res 2020; 12(8): 748.

Tanoko SM. Is There a Relationship Between Self-esteem and Depression? A Meta Analysis Study. J Ilm Psikol 2021; 23(1): 35-45.

The Search Institute. 40 Developmental Assets for Adolescents 2006. Available from: http://v.fastcdn.co/u/ 73824624/35782691-0-12-18-English2557998.pdf

Zeigler-Hill V (Ed). Self-Esteem. London & New York: Psychology Press; 2013. https://doi.org/10.4324/9780203587874 DOI: https://doi.org/10.4324/9780203587874

Moksnes UK, Reidunsdatter RJ. Self-esteem and mental health in adolescents - level and stability during a school year. Nor Epidemiol 2019; 28(8): 59-67. https://doi.org/10.5324/nje.v28i1-2.3052 DOI: https://doi.org/10.5324/nje.v28i1-2.3052

Peñate W, González-Loyola M, Oyanadel C. The predictive role of affectivity, self-esteem and social support in depression and anxiety in children and adolescents. Int J Environ Res Public Health 2020; 17(19): 1-11. https://doi.org/10.3390/ijerph17196984 DOI: https://doi.org/10.3390/ijerph17196984

Nguyen DT, Wright EP, Dedding C, Pham TT, Bunders J. Low self-esteem and its association with anxiety, depression, and suicidal ideation in Vietnamese secondary school students: A cross-sectional study. Front Psychiatry 2019; 10(9): 1-7. https://doi.org/10.3389/fpsyt.2019.00698 DOI: https://doi.org/10.3389/fpsyt.2019.00698

Global Burden of Disease 2019; Mental disorders — Level 2 cause | Institute for Health Metrics and Evaluation. (n.d.). Available from: https://www.healthdata.org/results/gbd_ summaries/2019/mental-disorders-level-2-cause

Ye Z, Wu D, He X, Ma Q, Peng J, Mao G, et al. Meta-analysis of the relationship between bullying and depressive symptoms in children and adolescents. BMC Psychiatry 2023; 23(1): 215. https://doi.org/10.1186/s12888-023-04681-4 DOI: https://doi.org/10.1186/s12888-023-04681-4

Wen Y, Zhu X, Haegele JA, Yu F. Mental Health, Bullying, and Victimization among Chinese Adolescents. Children 2022; 9(2): 1-9. https://doi.org/10.3390/children9020240 DOI: https://doi.org/10.3390/children9020240

Kasoema RS. The Relationship between Parental Familiarity and Bullying With Depression in Adolescents in Bukittinggi City. Hum Care J 2020; 5(3): 798-803. https://doi.org/10.32883/hcj.v5i3.840 DOI: https://doi.org/10.32883/hcj.v5i3.840

Garaigordobil M, Machimbarrena JM. Psychosocial Intervention Victimization and Perpetration of Bullying / Cyberbullying : Connections with Emotional and Behavioral Problems and Childhood Stress. Psycosocial Interv 2019; 28(2): 67-73. https://doi.org/10.5093/pi2019a3 DOI: https://doi.org/10.5093/pi2019a3

Solomon P. Peer Support/Peer Provided Services Underlying Processes, Benefits, and Critical Ingredients. Psychiatr Rehabil J 2004; 27(4): 392-401. https://doi.org/10.2975/27.2004.392.401 DOI: https://doi.org/10.2975/27.2004.392.401

Friedlmeier W, Granqvist P. Attachment transfer among Swedish and German adolescents: A prospective longitudinal study. Pers Relatsh 2006; 13(3): 261-279. https://doi.org/10.1111/j.1475-6811.2006.00117.x DOI: https://doi.org/10.1111/j.1475-6811.2006.00117.x

Rosenthal NL, Kobak R. Assessing Adolescents’ Attachment Hierarchies: Differences Across Developmental Periods and Associations With Individual Adaptation. J Res Adolesc 2010; 20(3): 678-706. https://doi.org/10.1111/j.1532-7795.2010.00655.x DOI: https://doi.org/10.1111/j.1532-7795.2010.00655.x

Umemura T, Lacinová L, Kotrčová K, Fraley RC. Similarities and differences regarding changes in attachment preferences and attachment styles in relation to romantic relationship length: longitudinal and concurrent analyses. Attach Hum Dev 2018; 20(2): 135-159. https://doi.org/10.1080/14616734.2017.1383488 DOI: https://doi.org/10.1080/14616734.2017.1383488

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Published

2023-10-17

How to Cite

Dondo, M. L. ., Riskiyani, S. ., Suriah, Syafar, M. ., Wahiduddin, & Jafar, N. . (2023). Determinant of Mental Emotional Disorder in Adolescent: A Cross-Sectional Study. International Journal of Statistics in Medical Research, 12, 148–154. https://doi.org/10.6000/1929-6029.2023.12.18

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General Articles