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Data from the World Health Organization (WHO) in 2020 shows that around 8-10% experi- ence anxiety during pregnancy and this increases to 13% when delivery ap- proaches. Midwives have a big role in overcoming this problem, one of which is by lavender aromatherapy and audio hypnosis. Research objective: to determine of giving lavender aromatherapy and audiohypnosis to reduce anxiety facing child- birth in third trimester pregnant women. Researchmethodology: Search for jour- nals using a database via Google Schoolar and Pubmed with keywords, then 10 journals were found that met the inclusion and exclusion criteria which were then reviewed. The research results from each journal show that the intervention of providing lavender aromatherapy and audio hypnosis has an effect on reducing anxiety facing childbirth in third trimester pregnant women. Conclusion: The intervention of providing lavender aromatherapy and audio hypnosis has an effect on reducing anxiety facing childbirth in third trimester pregnant women. Suggestion:Pregnant women who receive of lavender aromatherapy and audio hypnosis inter- vention are expected to be able to carry out the intervention correctly so that they can overcome stress and tension during pregnancy.

Penelitian ini bertujuan untuk mengkaji dampak pola asuh otoriter terhadap perkembangan sosial dan emosional anak usia dini. Perkembangan sosial emosional anak usia dini sangat penting karena membentuk sikap, nilai, dan perilaku mereka di masa depan. Studi kepustakaan ini menelaah berbagai teori dan penelitian relevan untuk menganalisis bagaimana pola asuh otoriter, yang menekankan kontrol ketat dan kepatuhan, memengaruhi perkembangan anak. Hasil kajian menunjukkan bahwa pola asuh otoriter dapat menghambat perkembangan regulasi emosi anak, meningkatkan risiko kecemasan dan depresi, serta memicu reaksi defensif yang mengarah pada perilaku eksternalisasi seperti agresi atau internalisasi seperti isolasi sosial. Dampak gender juga terlihat, di mana anak perempuan cenderung memendam emosi menjadi apatis atau cemas, sementara anak laki-laki lebih mengeksternalisasi menjadi ledakan emosi. Selain itu, faktor budaya seperti nilai kolektivisme di Indonesia dapat memperburuk dampak negatif pola asuh ini. Dampak jangka panjang dari pola asuh otoriter meliputi masalah akademik dan sosial di sekolah dasar, serta peningkatan risiko gangguan mental di masa dewasa. Penelitian ini menekankan pentingnya intervensi untuk mencegah anak-anak yang diasuh secara otoriter mengulangi pola tersebut di generasi berikutnya.

Background: Cardiac catheterization is the most widely used diagnostic and hemodynamic intervention procedure in the world for the treatment of coronary heart disease (CHD). Cardiac catheterization can cause anxiety in patients who will undergo it. Objective: To analyze the factors that influence the anxiety of patients who will undergo cardiac catheterization. Method: This study is a descriptive analytical study with a cross-sectional approach conducted at Murni Teguh Memorial Hospital Medan. The study population was 40 people, and all of them were used as samples (total sampling). The research instrument was a questionnaire. Data analysis was carried out univariately and bivariately using the Chi-Square test with a significance level of 95% (= 0.05). Results: This study shows that there is a significant influence between knowledge, family support, past experience, and education level on the anxiety of patients who will undergo cardiac catheterization at Murni Teguh Hospital Medan. This is proven by the chi square test with p values for each knowledge (p = 0.000); family support (p = 0.002); past experience (p = 0.003); and education (p=0.003) which are all less than 0.005. Conclusion: Cardiac catheterization patient anxiety is influenced by knowledge, family support, past experience, and education level. Suggestion: It is recommended that further researchers increase the number of samples and independent variables, considering that many factors influence patient anxiety before cardiac catheterization/angiography

Anxiety is an emotional response that children often experience when facing medical procedures, including circumcision. Unresolved anxiety can have a negative impact, such as increasing pain, disrupting the process of action, and causing trauma. Non-pharmacological efforts such as audiovisual administration and puzzle game therapy can be used to reduce anxiety. This study aims to analyze the difference in anxiety levels in pre-circumcision children between audiovisual giving and puzzle games at Pondok Khitan, Bancang Village, Tahulu Village. Research design using quantitative with post test design only design. The research population is pre-circumcision children at Pondok Khitan, Bancang Hamlet, Tahulu Village with a sample of 40 respondents taken with the purposive sampling technique. Consists of 20 children of the Audiovisual group and 20 children of the Puzzle Game Group. The research instrument is in the form of a child anxiety questionnaire. The research results were analyzed using the Mann-Whitney test with a significance level of α = <0,05 with an Asymp value. Sig. (2-tailed) = 0.029 < 0.05. the mean rank value of the Audiovisual group of 24.23 and the Puzzle Game group of 16.77 shows that the Puzzle Game is more effective in minimizing anxiety in pre-circumcision children which means H1 is accepted. The discovery of meaningful differences between Audiovisual and Puzzle Games towards anxiety so that the technique can be used as an interactive educational medium.

Body shaming is the behavior of belittling or commenting negatively on someone's physical appearance, which can lead to psychological effects such as anxiety. This study aims to identify the relationship between body shaming, social media use, and anxiety among adolescents at MTsN Al-Istiqomah Wungu Madiun. The research method used is quantitative with a cross-sectional design. The sample consisted of 60 respondents aged 13 to 15 years, selected using probability sampling techniques. Data were collected using questionnaires on body shaming, social media use, and the Hamilton Anxiety Rating Scale (HARS). Data analysis was conducted using multivariate linear regression testing. The results showed a significant relationship between body shaming and anxiety (p<0.05) and between social media use and anxiety (p<0.05). The conclusion of this study is that body shaming and excessive use of social media can increase anxiety among adolescents. Therefore, it is important to provide education about the negative impacts of body shaming and social media use on adolescent mental health.

Penelitian ini menganalisis peran motivasi spiritual dalam meningkatkan ketahanan belajar siswa muslim di SD IT Ar Risalah Miri dengan menggunakan pendekatan kualitatif studi kasus. Data dikumpulkan melalui wawancara mendalam, observasi partisipatif, dan analisis dokumen terhadap siswa kelas IV-VI, guru, dan manajemen sekolah. Temuan penelitian mengungkapkan bahwa motivasi spiritual berkontribusi fundamental terhadap pembentukan resiliensi akademik melalui empat dimensi utama: kesadaran menuntut ilmu sebagai ibadah, penerapan nilai kesabaran dalam menghadapi kesulitan pembelajaran, manifestasi ketekunan dalam konsistensi belajar, dan sikap tawakal yang mengurangi kecemasan akademik. Program pembiasaan keagamaan yang sistematis meliputi shalat dhuha berjamaah, tadarus Al-Qur'an, hafalan berjenjang, dan mentoring spiritual personal terbukti efektif menginternalisasi nilai-nilai spiritual dalam perilaku belajar siswa. Hasil penelitian menunjukkan bahwa integrasi dimensi spiritual tidak hanya meningkatkan motivasi intrinsik tetapi juga membangun fondasi psikologis untuk menghadapi tekanan akademik. Penelitian ini memberikan kontribusi teoretis terhadap pengembangan model pendidikan Islam terpadu holistik dan implikasi praktis bagi stakeholder pendidikan dalam merancang kebijakan berbasis spiritual untuk penguatan resiliensi akademik siswa muslim tingkat sekolah dasar.

Kecemasan akademik adalah isu yang meluas dalam pendidikan tinggi yang secara signifikan mengganggu kinerja dan kesejahteraan mahasiswa. Artikel ini mengembangkan model konseptual Komunikasi Intrapersonal Islami yang didasarkan pada prinsip Tawakkal (berserah diri kepada Tuhan) sebagai mekanisme untuk mereduksi kecemasan akademik. Dengan menggunakan pendekatan tinjauan literatur, studi ini mensintesis teori psikologi komunikasi intrapersonal (dialog diri dan restrukturisasi kognitif) dengan konsep teologis Islam tentang usaha (ikhtiar) dan penyerahan (tawakkal). Temuan ini mengusulkan Model Tiga Fase: 1) Fase Pra-Aksi (Ikhtiar), di mana komunikasi intrapersonal berfokus pada motivasi proaktif; 2) Fase Tengah-Aksi (Pembingkaian Ulang Kognitif Spiritual), di mana pikiran cemas negatif ditantang dan diinterpretasikan ulang menggunakan narasi spesifik Al-Qur'an dan Sunnah (misalnya, Laa yukallifullaahu nafsan illaa wus’ahaa); dan 3) Fase Pasca-Aksi (Tawakkal), di mana dialog diri beralih ke penerimaan total atas hasil yang telah ditentukan, sehingga melarutkan kecemasan sisa. Model ini berhipotesis bahwa Tawakkal berfungsi sebagai mekanisme stabilisasi inti, yang menyediakan jangkar kognitif akhir yang mengurangi ketidakpastian hasil yang dirasakan. Kerangka konseptual ini menawarkan sudut pandang teoritis yang orisinal untuk mengembangkan intervensi konseling berbasis agama guna menumbuhkan ketahanan akademik pada mahasiswa Muslim.

The prevalence of hypertension in the elderly continues to increase and is a major cause of morbidity and mortality. Uncontrolled blood pressure can lead to serious complications such as heart disease, stroke, and kidney failure. Anxiety, which is often experienced by the elderly, also plays a role in worsening hypertension through activation of the sympathetic nervous system and increased stress hormones. This study aims to determine the relationship between anxiety levels and the incidence of hypertension in the elderly at the Kuta Alam Community Health Center in Banda Aceh City. The study used a quantitative method with a cross-sectional analytical design. The study population consisted of 145 elderly people with hypertension, with a sample of 59 people selected through a purposive sampling technique. The study was conducted from April 28 to May 8, 2025. Anxiety levels were measured using the Geriatric Anxiety Inventory (GAI) questionnaire, and blood pressure was measured using a digital sphygmomanometer. Data analysis was carried out univariately and bivariately using the Chi-square test. The results showed that the majority of respondents experienced panic anxiety (39.0%) and Grade III hypertension (44.1%). There was a significant relationship between anxiety levels and the incidence of hypertension in the elderly (ρ = 0.000; ρ < 0.05). In conclusion, anxiety influences the severity of hypertension, so psychological aspects need to be considered in elderly health services at the Kuta Alam Community Health Center.

Patients undergoing surgery often experience preoperative anxiety due to concerns about the outcome, pain, and the risk of complications. Uncontrolled anxiety can affect the patient's physiological and psychological condition and slow the recovery process. One non-pharmacological effort that can be used to reduce anxiety is the finger-holding relaxation technique, a simple method that can help balance emotions and provide a sense of calm. To determine the effect of the finger-holding relaxation technique on changes in preoperative anxiety levels in patients at Batang Regional General Hospital. Method: This study used a descriptive case study approach. The respondents were four patients who were about to undergo surgery and were experiencing anxiety. The intervention was conducted for approximately 15 minutes using the finger-holding relaxation technique. Anxiety levels were measured before and after the intervention using the Hamilton Anxiety Rating Scale (HARS). All respondents experienced a decrease in anxiety levels after the intervention. The average reduction in anxiety scores was 7.25 points. Before the intervention, two patients experienced severe anxiety and two patients experienced moderate anxiety. After the intervention, two patients experienced mild anxiety and two others experienced a decrease to moderate levels. This indicates that finger-holding therapy has a positive effect on reducing preoperative anxiety in patients. The finger-holding relaxation technique has been proven effective in reducing preoperative anxiety in patients. This intervention can be used as a simple, safe, and easy-to-implement non-pharmacological therapy alternative for nurses to improve patient psychological comfort.

Menarche is the first transitional period marked in women, known as the first menstruation (menarche). During menarche, physical and psychological changes occur, such as anxiety and sadness, due to the physical changes in this period. The changes usually include pubic hair, armpit hair, and breast development. This often happens among elementary school students, including those in SDN Lampeuneurut. This study aims to determine the relationship between parental support and the level of anxiety in girls facing menarche in SDN Lampeuneurut. This research employed a quantitative method with a cross-sectional design. The population consisted of 120 female students in grades 5 and 6 at SDN Lampeueneurut who had not yet experienced menarche. The sample was selected using purposive sampling, resulting in 55 respondents who met the inclusion criteria. This research was conducted from June 18th to 20th, 2025. The instruments used were a parental support questionnaire and the STAI (State Trait Anxiety Inventory) of anxiety questionnaire. The data were analyzed using a bivariate statistical test, the Chi-Square test. The research findings indicated a significant relationship between parental support and the anxiety levels of female students in facing menarche, with a p-value of 0.011 (p-value < 0.05). This study concludes that parental support is related to a decrease in the anxiety levels of girls facing menarche. This study recommends that schools provide basic reproductive health education from an early age, especially regarding menarche, and that parents understand the importance of providing emotional, informational, instrumental, and appreciative support.

Postpartum anxiety is a psychological problem that often occurs after childbirth and can have a direct impact on decreased breast milk production. Non-pharmacological efforts that can help overcome this are Spiritual Emotional Freedom Technique (SEFT) therapy and Endorphin, Oxytocin, and Suggestive Massage Stimulation (SPEOS). This community service activity aims to improve comfort, calmness, and increase breast milk production through the application of a combination of SEFT and SPEOS therapy to postpartum mothers in the Sambau Community Health Center, Batam City. The activity method is carried out through education, demonstrations, and direct practice with postpartum mothers given to 48 postpartum mothers. The results of the activity showed an increase in mothers' knowledge about SEFT and SPEOS relaxation techniques, about managing anxiety, and how to increase breast milk production as obtained from the results of qualitative evaluations through interviews and group discussions. This activity received a positive response from participants and local health workers, and is recommended for routine implementation in community midwifery services.

The surgery often causes anxiety, which has an impact on physical and psychological conditions of preoperative patients. The data from WHO shows that 50% patients all over the world experienced anxiety, where 5-25% patients are between 5 and 20 years old, and 50% patients are 55 years old. Pre-operational anxiety reaches 534 million patients. Many factors affect anxiety in patients, including family support. This study aims to acknowledge the correlation between family support and anxiety of post-surgery patients in Meuraxa Regional General Hospital, Banda Aceh. This study employs an analytical correlational method with a cross-sectional approach by involving 51 patients selected using an accidental sampling technique. A family support questionnaire is adopted from Nurwulan, with a Cronbach's alpha 0.856. The questionnaire of anxiety using the APAIS scale of Cronbach's alpha 0.825. Univariate and bivariate analysis using the chi-square test. The results indicate that among 51 respondents, the level of anxiety is in a medium state, as 26 respondents (51.0%), family support is in the high category, 47 respondents (92.2%), with a P-value 0.026 (P-value < 0.05). In conclusion, there is a significant relationship between family support and preoperative anxiety at Meuraxa General Hospital Banda Aceh. Families are expected to continuously provide emotional, informational, instrumental, and appraisal support so that patients feel calmer, are able to reduce excessive anxiety, and are better prepared to undergo surgery.

Pre-menopause is a transitional phase before menopause characterized by physiological and psychological changes, including physical changes of body shape. These changes often trigger anxiety, especially when body image is perceived negatively. This study aims to determine the relationship between body image and anxiety levels in premenopausal women in Dham Ceukok Village, Ingin Jaya, Aceh Besar, 2025. This research used a quantitative method with a cross- sectional design. The population consisted of all women aged 40–50 years in Dham Ceukok Village, totaling 35 women, chosen using a total sampling technique. The instruments used were a body image questionnaire and an anxiety level questionnaire based on the Hamilton Anxiety Rating Scale (HARS). The data were analyzed using univariate and bivariate analysis with the Chi-square test. The study was conducted from May 5 to May 10, 2025. The results showed a significant relationship between body image and anxiety among premenopausal women in Dham Ceukok Village, with a value of 0.035 (p < 0.05). The results indicate that there is a relationship between body image and anxiety in premenopausal women in Dham Ceukok Village, Ingin Jaya, Aceh Besar District. It is recommended that health workers collaborate with the village to be more active in providing counseling or educational activities to maintain physical and mental health, especially for women in the premenopausal stage.

Background: Hysterosalpingography (HSG) is an examination of infertile women. HSG examination can cause anxiety. Anxiety experienced before the HSG examination includes insomnia, palpitations, fear, feeling tense and even no appetite. Lavender is a plant that can be used to treat anxiety.  Objective: This study to determine the effect of lavender aromatherapy inhalation on reducing the anxiety level of infertile women during HSG examinations in the Radiology Room at Muhammadiyah Hospital Gresik. Methods: The research design uses pre-experiment with a one group pre test-post test approach. The research sample was 34 infertile women who underwent HSG examinations from October to December 2023. The sampling technique used consecutive sampling and the HARS (Hamilton Anxiety Rating Scale) questionnaire to identify anxiety. Data analysis used the Wilcoxon Signed Rank Test. Result: The results of the study showed that almost all (44%) infertile women experienced severe anxiety before being given lavender aromatherapy. Some (50%) infertile women experience mild anxiety after being given lavender aromatherapy. There is an effect of lavender aromatherapy on reducing the anxiety level of infertile women with a value of ? 0.000 < 0.05. Lavender aromatherapy which is rich in linalool can play a role in reducing anxiety. Conclusion: Lavender aromatherapy can be used to reduce anxiety in infertile women undergoing Hysterosalpingography examination.

Mathematics anxiety is a psychological barrier that negatively affects students’ performance and self-confidence. A valid and reliable measurement tool is required to identify this condition accurately. This study aims to examine the construct validity of the Mathematics Anxiety Rating Scale 30 (MARS-30) using a Monte Carlo simulation approach. The research employed first-order confirmatory factor analysis (CFA) through R software with a simulated sample of 300 respondents. The findings revealed that the overall measurement model achieved excellent fit indices, as indicated by Normed χ², RMSEA, SRMR, and CFI, all within the optimal range. Nevertheless, only 8 out of 30 items (26.7%) met the validity criteria, while the remaining 22 items were found invalid. This result suggests that although the global model fit was adequate, most items of MARS-30 did not consistently represent the construct of mathematics anxiety. The implication of this study highlights the necessity of revising the instrument by refining item wording, adjusting indicators, and conducting further testing to ensure stronger construct validity. A more valid instrument will enable educators and researchers to design targeted pedagogical interventions for reducing mathematics anxiety and supporting students’ learning outcomes.

Anxiety disorders are common mental health problems in society, often unrecognized by the sufferer. Identifying the type of anxiety disorder and its influencing factors is crucial for proper treatment. This research aims to apply the K-Nearest Neighbor (K-NN) method in identifying types of anxiety disorders based on influencing factors, focusing on patient data from Sylvani Hospital, Binjai. The K-NN method was chosen because of its ability to classify based on data proximity. This study used medical record data of patients with anxiety disorders, which were processed using MATLAB and Microsoft Excel software. The results show that the K-NN method is effective in identifying types of anxiety disorders, with a high level of accuracy, especially in the identification of Panic Disorder (K05) and Social Anxiety Disorder (K03). The use of MATLAB simplified the identification process by automating results, while data processing in Excel improved classification accuracy. This study concludes that the K-NN method can be an effective alternative in identifying anxiety disorder types based on the factors that influence them. It is recommended for future research to involve more variables and mental health experts for a more comprehensive validation of the results.

Clinical practice is a crucial stage in nursing education that requires students to apply theoretical knowledge in real healthcare settings. The transition to a clinical environment often triggers anxiety, as students face competency demands, professional responsibilities, and direct interactions with patients. This study aims to determine the anxiety levels of fifth-semester nursing students prior to clinical practice at Universitas Muhammadiyah Semarang. A descriptive quantitative design was employed with a sample of 35 students selected using a simple random sampling technique. Data were collected using the Hamilton Anxiety Rating Scale (HARS) and analyzed descriptively with Microsoft Excel to obtain frequency and percentage distributions. The results showed that most students experienced severe anxiety (31%), followed by moderate (29%), mild (23%), no anxiety (14%), and panic-level anxiety (3%). These findings indicate that the majority of nursing students experience anxiety before clinical practice, predominantly at severe and moderate levels. Therefore, psychological support and mental preparation programs are essential to help students transition optimally into the clinical environment.

University students frequently face various academic demands, such as coursework, research, field practice, and examinations. These pressures may lead to psychological stress that can trigger anxiety. If not properly managed, anxiety can negatively affect academic performance, social interactions, and students’ psychological well-being. The aim of this study was to examine the relationship between the intensity of Qur’an recitation and the level of anxiety among students. This research employed a quantitative descriptive design involving 103 students from the Department of Psychology, Padang State University as participants. The sampling technique used was nonprobability sampling with a purposive sampling approach. The instruments consisted of the Qur’an Reading Intensity Scale adapted from Pradika (2014) with a reliability coefficient of 0.721, and the Zung Self-Rating Anxiety Scale with a reliability coefficient of 0.829. Data were analyzed using Pearson’s product-moment correlation test. The findings revealed a significant negative correlation between the intensity of Qur’an recitation and students’ anxiety levels (r = -0.801; p = 0.000 < 0.05). This indicates that the more frequently students read the Qur’an, the lower their anxiety levels, and vice versa. Categorization results further showed that most students had a high intensity of Qur’an recitation (42.7%) and experienced low to moderate levels of anxiety (78.7%). These results reinforce previous studies suggesting that spiritual practices such as Qur’an recitation can serve as an effective spiritual coping strategy to foster tranquility, regulate emotions, and strengthen resilience in facing academic stressors. Therefore, Qur’an recitation can be recommended as a complementary approach to maintaining students’ mental health in higher education settings.

Adolescent girls living in orphanages face more complex psychosocial challenges compared to their peers in general. Experiences of loss, limited family support, and uncertainty about the future often lead to heightened anxiety. One effective psychological intervention to manage anxiety is mindful breathing training, or conscious breathing exercises. This community service activity aimed to provide mindful breathing training for adolescent girls at the Aisyiyah Muhammadiyah Orphanage in Banjarmasin as an effort to reduce anxiety and enhance inner calmness. The implementation method employed educational, participatory, and practical approaches, consisting of four stages: preparation, implementation, evaluation, and follow-up. The results of the activity showed that participants gained a good understanding of the concepts of anxiety and mindfulness, and were able to correctly practice the mindful breathing technique. Based on the evaluation results, more than 80% of participants stated that the training was engaging, clear, and beneficial in helping them manage anxiety. Therefore, mindful breathing training proved to be an effective, simple, and applicable strategy for reducing anxiety levels among adolescents in the orphanage.

Background: Sectio caesarea is performed to ensure the safety of the mother and baby. Before the operation, health workers, especially nurses, need to provide education to the mother about informed consent and the operation procedure to reduce the mother's anxiety and concerns about the safety of her baby. Objective: To determine the effect of providing informed consent education on surgical preparation with anxiety levels in patients with Pre-Operational Caesarean Section. Method: This study is an analytical survey study using the cross-sectional method. The study was conducted at RSIA Murni Teguh Rosiva Medan. The population was 30 people and all of them were used as samples, sampling was done using purposive sampling. The analysis was performed univariately in the frequency distribution table and bivariately using the Kendall's tau-b test. Results: This study showed that the majority of pre-operative caesarean section patients stated that the provision of informed consent education in preparation for surgery was in the good category (60.0%). The majority of pre-operative caesarean section patients felt mild anxiety (50.0%). The provision of informed consent education in preparation for surgery had a significant effect on the level of anxiety of pre-operative caesarean section patients at RSIA Murni Teguh Rosiva Medan, p-value = 0.005 <0.05. Conclusion: The anxiety of pre-operative caesarean section patients was influenced by the provision of informed consent education in preparation for surgery by nurses. Suggestion: It is recommended that nurses provide informed consent education regarding preparation for caesarean section surgery to improve the knowledge and readiness of mothers to overcome anxiety that can affect caesarean section procedures.