Efektivitas terapi self-help group dalam mengurangi gejala eksternalisasi pada remaja
DOI: https://doi.org/10.33024/hjk.v19i7.1043
Efektivitas Gejala Eksternalisasi; Remaja Self-Help Group (SHG)
Abstract
Background: Mental health issues have become a serious concern worldwide, especially mental health issues among adolescents. This study aims to determine the effect of Self-help Groups (SHGs) on symptoms of externalizing disorders in adolescents.
Purpose: To analyze the effect of Self-help Group therapy on symptoms of externalizing disorders in adolescents
Method: This quantitative study used a one-group pre-post-test method and was conducted from April to August 2024 at Junior High School X in Malang Regency, East Java. The sampling technique used total sampling with a sample size of 76 respondents. The independent variable in this study was Self-Help Group therapy, while the dependent variable was the reduction in externalizing symptoms. Data analysis used univariate data in the form of frequency distributions and bivariate data using the Wilcoxon test.
Results: Statistical tests showed p = 0.005 (< 0.05), so it can be concluded that SHG therapy has a significant effect on reducing externalization symptoms in adolescents.
Conclusion: The effects of SHG provided and carried out directly by selected and trained cadres can reduce externalization symptoms in schools. The reduction in externalization symptoms in this study is in line with social learning theory, where the atmosphere, environment, conditions, and learning behavior can influence a person's behavior with definition.
Keywords: Adolescents; Effectiveness; Externalization Symptoms; Self-Help Group (SHG).
Pendahuluan: Masalah kesehatan mental telah menjadi masalah yang cukup memprihatinkan di seluruh dunia, terutama masalah kesehatan mental pada remaja. Penelitian ini bertujuan untuk mengetahui pengaruh Self-help Group (SHG) terhadap gejala gangguan eksternalisasi pada remaja.
Tujuan: Untuk menganalisis efek terapi self-help group terhadap gejala gangguan eksternalisasi pada remaja
Metode: Penelitian kuantitatif menggunakan metode pre-post-test one group, dilaksanakan pada April-Agustus 2024 di SMP X di Kabupaten Malang, Jawa Timur. Teknik pengambilan sampel menggunakan total sampling dengan jumlah sampel yang digunakan sebanyak 76 responden. Variabel independen dalam penelitian ini adalah terapi Self-help Group, sedangkan variabel dependen adalah penurunan gejala eksternalisasi. Analisis data yang digunakan univariate dalam bentuk distribusi frekuensi dan bivariat menggunakan Wilcoxon test.
Hasil: Uji statistik menunjukkan p = 0.005 (< 0.05), sehingga dapat disimpulkan bahwa terapi SHG berpengaruh signifikan terhadap penurunan gejala eksternalisasi pada remaja.
Simpulan: Efek SHG yang diberikan dan dilakukan secara langsung oleh kader yang telah dipilih dan dilatih dapat mengurangi gejala eksternalisasi di sekolah. Penurunan gejala eksternalisasi dalam penelitian sejalan dengan teori pembelajaran sosial, di mana suasana, lingkungan, kondisi dan perilaku belajar dapat mempengaruhi perilaku seseorang dengan definisi.
Kata Kunci: Efektivitas; Gejala Eksternalisasi; Remaja; Self-Help Group (SHG).
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References
Amalia, M., Sahara, E. R., Rizqina, D. L., & Zuhro’fitriana, A. Q. (2023). Efektivitas Self Esteem Dengan Pendekatan Rational Emotive Behavior Therapy (Rebt) Pada Kesehatan Mental Remaja Yatim Di Desa Pulukan, Bali. Jurnal Ekonomika Dan Bisnis (Jebs), 3(2), 289-294.
Anditiasari, N., Pujiastuti, E., & Susilo, B. E. (2021). Systematic Literature Review: Pengaruh Motivasi Terhadap Kemampuan Berpikir Kreatif Matematis Siswa. Aksioma: Jurnal Matematika Dan Pendidikan Matematika, 12(2), 236-248.
Ansori, Y. Z., Nahdi, D. S., & Saepuloh, A. H. (2021). Menumbuhkan Karakter Hormat Dan Tanggung Jawab Pada Siswa Di Sekolah Dasar. Jurnal Educatio Fkip Unma, 7(3), 599-605.
Armitage, R. (2021). Bullying In Children: Impact On Child Health. Bmj Paediatrics Open, 5(1), E000939.
Bonete, S., Molinero, C., & Garrido-Zurita, A. (2022). Generalization Task For Developing Social Problem-Solving Skills Among Young People With Autism Spectrum Disorder. Children, 9(2), 166.
Bosnjak, M., Ajzen, I., & Schmidt, P. (2020). The Theory Of Planned Behavior: Selected Recent Advances And Applications. Europe's Journal Of Psychology, 16(3), 352.
Brody, C., Hoop, T. D., Vojtkova, M., Warnock, R., Dunbar, M., Murthy, P., & Dworkin, S. L. (2017). Can Self-Help Group Programs Improve Women’s Empowerment? A Systematic Review. Journal Of Development Effectiveness, 9(1), 15-40.
Camodeca, M., & Nava, E. (2022). The Long-Term Effects Of Bullying, Victimization, And Bystander Behavior On Emotion Regulation And Its Physiological Correlates. Journal Of Interpersonal Violence, 37(3-4), Np2056-Np2075.
Chingono, R., Kasese, C., Miles, S., & Busza, J. (2022). ‘I Was In Need Of Somewhere To Release My Hurt:’Addressing The Mental Health Of Vulnerable Adolescent Mothers In Harare, Zimbabwe, Through Self-Help Groups. Global Health Action, 15(1), 2040151.
Chung, Y. R., Hong, J. W., Kim, B. B., Kim, J. S., Noh, I. S., Wee, J. H., & Lim, M. H. (2020). Adhd, Suicidal Ideation, Depression, Anxiety, Self-Esteem, And Alcohol Problem In Korean Juvenile Delinquency. Medicine, 99(11), E19423.
Danukusumah, F., Suryani, S., & Shalahuddin, I. (2022). Stigma Masyarakat Terhadap Orang Dengan Gangguan Jiwa (Odgj). Jurnal Ilmu Kesehatan Masyarakat, 11(03), 205-212.
Dorol, O., & Mishara, B. L. (2021). Systematic Review Of Risk And Protective Factors For Suicidal And Self-Harm Behaviors Among Children And Adolescents Involved With Cyberbullying. Preventive Medicine, 152, 106684.
Eadeh, H. M., Breaux, R., & Nikolas, M. A. (2021). A Meta-Analytic Review Of Emotion Regulation Focused Psychosocial Interventions For Adolescents. Clinical Child And Family Psychology Review, 24(4), 684-706.
Eirich, R., Mcarthur, B. A., Anhorn, C., Mcguinness, C., Christakis, D. A., & Madigan, S. (2022). Association Of Screen Time With Internalizing And Externalizing Behavior Problems In Children 12 Years Or Younger: A Systematic Review And Meta-Analysis. Jama Psychiatry, 79(5), 393-405.
Erskine, H. E., Maravilla, J. C., Wado, Y. D., Wahdi, A. E., Loi, V. M., Fine, S. L., & Scott, J. G. (2024). Prevalence Of Adolescent Mental Disorders In Kenya, Indonesia, And Viet Nam Measured By The National Adolescent Mental Health Surveys (Namhs): A Multi-National Cross-Sectional Study. The Lancet, 403(10437), 1671-1680.
Gabrielli, S., Rizzi, S., Carbone, S., & Piras, E. M. (2021). School Interventions For Bullying–Cyberbullying Prevention In Adolescents: Insights From The Upright And Creep Projects. International Journal Of Environmental Research And Public Health, 18(21), 11697.
Gandhi, N., Wedanthi, P. H., & Alfinuha, S. (2021). Pelatihan Emotional Intelligence Untuk Meningkatkan Kemampuan Manajemen Konflik Pada Siswa Sma. Journal An-Nafs: Kajian Penelitian Psikologi, 6(2), 165-178.
Gong, X., Huebner, E. S., & Tian, L. (2021). Bullying Victimization And Developmental Trajectories Of Internalizing And Externalizing Problems: The Moderating Role Of Locus Of Control Among Children. Research On Child And Adolescent Psychopathology, 49(3), 351-366.
Hahlbeck, S. M., & Vito, A. G. (2022). Adolescent Marijuana Dependence: The Role Of Social Bonds And Social Learning Theory. Journal Of Psychoactive Drugs, 54(1), 43-53.
Hasha, W., Igland, J., Fadnes, L. T., Kumar, B. N., Heltne, U. M., & Diaz, E. (2022). Effect Of A Self-Help Group Intervention Using Teaching Recovery Techniques To Improve Mental Health Among Syrian Refugees In Norway: A Randomized Controlled Trial. International Journal Of Mental Health Systems, 16(1), 47.
Hui, V. K. Y., Wong, C. Y. F., Ma, E. K. Y., Ho, F. Y. Y., & Chan, C. S. (2020). Treating Depression With A Smartphone-Delivered Self-Help Cognitive Behavioral Therapy For Insomnia: Study Protocol For A Parallel Group Randomized Controlled Trial. Trials, 21(1), 843.
Khaliza, C. N., Besral, B., Ariawan, I., & El-Matury, H. J. (2021). Efek Bullying, Kekerasan Fisik, Dan Kekerasan Seksual Terhadap Gejala Depresi Pada Pelajar Smp Dan Sma Di Indonesia: Analisis Data Global School-Based Student Health Survey Indonesia 2015. Jurnal Penelitian Dan Pengembangan Kesehatan Masyarakat Indonesia, 2(2), 98-106.
Kulkarni, R., Chauhan, S., Joshi, B., Balsaraf, K., Chaudhari, R., Donde, G., & Juneja, K. (2022). Assessing The Potential Of Self-Help Group Women For Improving Reproductive Health Of Women In A Tribal Block Of Maharashtra, India. Indian Journal Of Medical Research, 156(2), 191-197.
Kusumawardani, W., Aridamayanti, B. G., Nursalam, N., & Nihayati, H. E. (2020). Efektivitas Therapeutic Group Therapy (Tgt) Terhadap Self-Efficacy Pada Remaja: A Systematic Review. Jurnal Penelitian Kesehatan" Suara Forikes"(Journal Of Health Research" Forikes Voice")
Lee, M. S., & Bhang, S. Y. (2023). Attention, Externalizing And Internalizing Problems Mediated Differently On Internet Gaming Disorder Among Children And Adolescents With A Family History Of Addiction As An Adverse Childhood Experience. Journal Of Korean Medical Science, 38(27).
Marceau, K., & Neiderhiser, J. (2022). Generalist Genes And Specialist Environments For Adolescent Internalizing And Externalizing Problems: A Test Of Severity And Directionality. Development And Psychopathology, 34(1), 379-386.
Mcallister, C., Hisler, G. C., Blake, A. B., Twenge, J. M., Farley, E., & Hamilton, J. L. (2021). Associations Between Adolescent Depression And Self-Harm Behaviors And Screen Media Use In A Nationally Representative Time-Diary Study. Research On Child And Adolescent Psychopathology, 49(12), 1623-1634.
Mcevoy, D., Brannigan, R., Cooke, L., Butler, E., Walsh, C., Arensman, E., & Clarke, M. (2023). Risk And Protective Factors For Self-Harm In Adolescents And Young Adults: An Umbrella Review Of Systematic Reviews. Journal Of Psychiatric Research, 168, 353-380.
Mcgrath, J. J., Al-Hamzawi, A., Alonso, J., Altwaijri, Y., Andrade, L. H., Bromet, E. J., & Zaslavsky, A. M. (2023). Age Of Onset And Cumulative Risk Of Mental Disorders: A Cross-National Analysis Of Population Surveys From 29 Countries. The Lancet Psychiatry, 10(9), 668-681.
Nichols, C. (2021). Self-Help Groups As Platforms For Development: The Role Of Social Capital. World Development, 146, 105575.
Sørlie, M. A., Hagen, K. A., & Nordahl, K. B. (2021). Development Of Social Skills During Middle Childhood: Growth Trajectories And School-Related Predictors. International Journal Of School & Educational Psychology, 9(Sup1), S69-S87.
Van Den Heuvel, L. L., Assim, A., Koning, M., Nöthling, J., & Seedat, S. (2025). Childhood Maltreatment And Internalizing/Externalizing Disorders In Trauma-Exposed Adolescents: Does Posttraumatic Stress Disorder (Ptsd) Severity Have A Mediating Role?. Development And Psychopathology, 37(1), 55-67.
Wang, H., Tang, J., Dill, S. E., Xiao, J., Boswell, M., Cousineau, C., & Rozelle, S. (2022). Bullying Victims In Rural Primary Schools: Prevalence, Correlates, And Consequences. International Journal Of Environmental Research And Public Health, 19(2), 765.
Wang, S., Li, Q., Lu, J., Ran, H., Che, Y., Fang, D., & Xiao, Y. (2023). Treatment Rates For Mental Disorders Among Children And Adolescents: A Systematic Review And Meta-Analysis. Jama Network Open, 6(10), E2338174-E2338174.
Widiyanto, J., Putri, S. E., & Yarnita, Y. (2024). Implementasi Penyuluhan Kesehatan Berbasis Self Help Groupterhadap Pencegahan Depresi Pada Remaja Di Sma 1 Muhammadiyah, Pekanbaru. Jurnal Medika: Medika, 3(2), 283-289.
Witt, K. G., Hetrick, S. E., Rajaram, G., Hazell, P., Salisbury, T. L. T., Townsend, E., & Hawton, K. (2021). Interventions For Self‐Harm In Children And Adolescents. Cochrane Database Of Systematic Reviews, (3).
Wong, B. H. C., Cross, S., Zavaleta-Ramírez, P., Bauda, I., Hoffman, P., Ibeziako, P., & Ougrin, D. (2023). Self-Harm In Children And Adolescents Who Presented At Emergency Units During The Covid-19 Pandemic: An International Retrospective Cohort Study. Journal Of The American Academy Of Child & Adolescent Psychiatry, 62(9), 998-1009.
Yang, L., Jia, F. F., Lu, X. Y., & Jia, C. X. (2023). Internalizing And Externalizing Problems Mediate The Relationship Between Maltreatment And Self-Harm Among Uk Adolescents. Journal Of Affective Disorders, 333, 240-248.
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