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Minority clients’ self-confidence is often influenced by various obstacles that arise within the context of multicultural counseling. These obstacles can be internal or external, including experiences of discrimination, social prejudice, language differences, and conflicts related to cultural identity. Counselors who are not sensitive to clients’ cultural and social dynamics risk reinforcing low self-confidence and hindering the counseling process. This study aims to analyze these barriers and identify effective intervention strategies to enhance minority clients’ self-confidence. The method used is a comprehensive literature review of studies related to multicultural counseling, self-esteem, and empowerment of minority clients. The analysis shows that culturally-based counseling approaches, adaptive communication, and the application of empowerment techniques can help clients overcome psychological and social barriers. Additionally, creating an inclusive and emotionally safe counseling environment has been proven to increase client engagement and strengthen self-confidence. This study emphasizes the importance of multicultural training for counselors and the implementation of strategies that respect clients’ cultural identities. The findings provide practical implications for counselors to develop effective interventions that support the psychological well-being of minority clients.

This journal article explores the application of multicultural counseling for students who experience identity-based intolerance and discrimination in school settings. Such experiences often affect students’ psychological well-being, self-esteem, and their ability to grow academically and socially. Multicultural counseling is understood as an approach that places cultural, religious, ethnic, gender, and other personal identity backgrounds at the center of the recovery process. This study highlights the role of counselors in building safe and empathetic relationships, understanding students’ identity dynamics, and applying counseling techniques that align with their lived experiences. The article also emphasizes the importance of collaboration among counselors, teachers, and school administrators in creating an inclusive environment. These efforts include developing anti-discrimination policies, strengthening diversity education, and establishing ongoing support mechanisms. Through a holistic approach, multicultural counseling not only helps students recover from the impact of discrimination but also supports the creation of a school culture that is fair and respectful of differences. This article is intended to serve as a reference for educators and school counselors in designing culturally responsive interventions that address the needs of students affected by intolerance.

The Top Schedule plays a vital role in the audit process by summarizing the accounts being examined. Despite its importance, the preparation of this document is often hindered by human errors and psychological pressures faced by auditors, such as tight deadlines and fatigue. These challenges can result in inaccurate analysis and delays in audit completion. This study explores the implementation of standardized templates as a strategic approach to enhance the accuracy and consistency of Top Schedule preparation. A consistent format allows auditors to perform their tasks more methodically, thereby minimizing errors in documentation. Furthermore, the research examines how psychological factors influence auditors' attention to detail and how the use of templates can help alleviate these effects. Utilizing a literature review method, this study evaluates the effectiveness of standardized templates. The findings suggest that adopting such templates can significantly reduce human error, improve the efficiency of audit documentation, and streamline the overall audit process.

This study analyzes the role of families and caregivers at Panti Sosial Tresna Werdha Wana Seraya Denpasar in implementing elderly care programs and examines the implications of these programs for the quality of life of older adults. Using a qualitative method with an ethnographic approach, data were collected through participant observation, in-depth interviews, and documentation. Two theoretical frameworks guided the analysis: Carrolyn Smith-Morris’ Social Support Theory, which highlights the importance of emotional, informational, and instrumental support for elderly well-being, and Robert J. Havighurst’s Activity Theory, which states that active involvement in social, physical, and spiritual activities enhances happiness and life satisfaction in old age. The findings show that families’ involvement remains limited due to time and distance constraints, yet their emotional presence still contributes positively to the psychological comfort of the elderly. Caregivers play a dominant role in meeting the physical, social, emotional, and spiritual needs of residents. The care program demonstrates positive implications, including improved health stability, increased social interaction, strengthened feelings of appreciation, and enhanced spiritual peace. Additionally, Balinese cultural values such as tatwam asi and menyama braya reinforce empathy, togetherness, and respectful relationships within the care system. The study concludes that synergy between families, caregivers, and local cultural values forms a crucial foundation for a meaningful and humane elderly care system.  

Background: Patients with chronic kidney failure must undergo hemodialysis/dialysis therapy. Chronic kidney failure patients undergoing hemodialysis experience several changes in their lives due to the patient's illness. Objective: This study aims to gain an in-depth understanding of the life experiences of chronic kidney failure patients undergoing hemodialysis. Methods: This research uses a qualitative research method with a phenomenological approach. The instruments for this research were the researcher himself, voice recorder, field notes, stationery, interview guide, and informed consent form. The informants used in this research were 7 informants. Results were analyzed using thematic analysis techniques. Results: Based on the results obtained in this study, 4 themes were found, namely (1) physiological, psychological, social, spiritual and economic changes, (2) Coping techniques in overcoming problems or changes due to chronic kidney failure, (3) Experiences in undergoing the hemodialysis process , (4) The hardest experience while suffering from chronic kidney failure. Conclusion: All informants experienced physiological, psychological and spiritual changes, while only a few informants experienced social and economic changes. Coping techniques for dealing with these changes are good except for economic changes where there is no solution for these changes. Experiences in undergoing the hemodialysis process include some being positive and some being negative. Meanwhile, the hardest experiences while suffering from chronic kidney failure vary according to what happens in the informant's life.

This study analyzes the role of families and caregivers at Panti Sosial Tresna Werdha Wana Seraya Denpasar in implementing elderly care programs and examines the implications of these programs for the quality of life of older adults. Using a qualitative method with an ethnographic approach, data were collected through participant observation, in-depth interviews, and documentation. Two theoretical frameworks guided the analysis: Carrolyn Smith-Morris’ Social Support Theory, which highlights the importance of emotional, informational, and instrumental support for elderly well-being, and Robert J. Havighurst’s Activity Theory, which states that active involvement in social, physical, and spiritual activities enhances happiness and life satisfaction in old age. The findings show that families’ involvement remains limited due to time and distance constraints, yet their emotional presence still contributes positively to the psychological comfort of the elderly. Caregivers play a dominant role in meeting the physical, social, emotional, and spiritual needs of residents. The care program demonstrates positive implications, including improved health stability, increased social interaction, strengthened feelings of appreciation, and enhanced spiritual peace. Additionally, Balinese cultural values such as tatwam asi and menyama braya reinforce empathy, togetherness, and respectful relationships within the care system. The study concludes that synergy between families, caregivers, and local cultural values forms a crucial foundation for a meaningful and humane elderly care system.  

The contemporary digital era has triggered the normalization of pornography and promiscuous sexual behavior, which significantly threatens the theological understanding and sacramental practice of Catholic marriage among young adults. This article aims to examine, from a theological-juridical perspective, how canons 1055–1101 of the Code of Canon Law (CIC) serve as the authoritative foundation for the Church in safeguarding the dignity and validity of the sacrament of marriage. The method employed is a comprehensive literature study of the CIC, relevant magisterial documents of the Church, and contemporary scholarly works on the dynamics of young adult relationships. The concise findings indicate that exposure to and normalization of pornography directly weaken three fundamental aspects of Catholic marriage, namely the capacity to give free consent, the intention to practice permanent fidelity, and the correct understanding of the body’s meaning as a total self-gift. Nevertheless, the Church possesses solid canonical and pastoral instruments to address these challenges and facilitate restoration. In conclusion, a synergistic integration of canonical approaches, moral teachings, and pastoral guidance is required to assist young adult couples so that they may realize marriages that are not only canonically valid but also psychologically mature and sacramentally holy.

Background: Multiple sclerosis (MS) is a chronic autoimmune disease that affects the central nervous system and often leads to fatigue, mobility impairments, and psychological issues such as anxiety and depression, all of which significantly reduce the quality of life of those affected. Yoga therapy, as a holistic non-pharmacological approach, has gained attention as an alternative rehabilitative intervention for MS patients. Objective: The aim of this review is to literatureally examine the effectiveness of yoga therapy on the physical and psychological aspects of individuals with MS, with a particular focus on the duration, frequency, and forms of yoga practice used. Methods: The method employed in this study was a literature literature search across databases including Google Scholar, PubMed, ScienceDirect, and ResearchGate, using clearly defined inclusion and exclusion criteria. A total of 15 articles with experimental and quasi-experimental research designs published within the past 10 years were analyzed in this review. Result: The results indicate that yoga is effective in reducing fatigue levels, improving balance and muscle strength, and enhancing daily physical functioning. Psychologically, yoga has been shown to significantly reduce anxiety, stress, and depression, while also improving self-efficacy, focus, and emotional quality of life. Conclusion: In conclusion, yoga is a safe and effective intervention that can serve as a complementary rehabilitative strategy in the management of MS, both physically and psychologically, although further research with stronger methodologies is needed to support its implementation in clinical practice.

The phenomenon of introduction through social media has become very common in this digital era. Social media offers ease and efficiency in introducing individuals to others, allowing them to meet, interact, and build relationships in a different way than traditional methods. However, the introduction of a partner through social media also brings its own challenges, emotional manipulation, and limitations in understanding the partner in depth. In the context of Catholic marriage, this phenomenon poses a serious challenge to canonical law. Canon law strictly regulates marriage in order to remain faithful to the Church's teaching of lifelong union and openness to procreation. However, the introduction of a couple through social media can affect the validity of the agreement, psychological readiness, and understanding of the nature of marriage. The Church needs to meet these challenges with a new pastoral approach, including the development of specific guidelines for the companionship of couples who start relationships through social media. This approach includes strengthening more intensive and comprehensive pastoral mentoring, utilizing social media as a tool for education and counseling and reminding couples of the importance of transparency and honesty in relationships. Thus, the Church faces the challenge of ensuring the psychological readiness of both parties and helping couples to understand more deeply about the marital commitments they make and to maintain the values of the sacrament of marriage in an ever-evolving digital world.

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.

Fasting as a spiritual and health practice has been practiced for thousands of years in various religious and cultural traditions around the world. In the last decade, researchers have shown increasing interest in the health aspects of fasting, not only from a physiological but also a psychological perspective. This phenomenon is interesting to study further, especially in the context of modern society which often faces stress, anxiety, and various mental disorders. The approach used in this study was a qualitative approach with a literature study method that analyzed in depth various reference sources related to the mental impact of fasting. The results of the review of several studies show that fasting has been proven to have an effect on mental health because it has a significant impact on overall mood improvements, with reduced anxiety levels and increased feelings of calm. Furthermore, another important aspect of mental health is cognitive function, which includes attention, concentration, memory, and executive function. It was found that cognitive alertness is generally maintained during short- to medium-term fasting, but begins to decline after longer fasting durations. Fasting also has an impact on extraordinary psychological resilience and good mental health despite advanced age. Researchers attribute this extraordinary mental resilience to the consistent practice of long-term fasting, which may have induced significant neuroplastic and psychological adaptations.

This study aims to identify and analyze viewers' motives in watching fashion review content on the YouTube platform. The study was conducted in Semarang City during the period from October 1 to October 31, 2025 with a qualitative approach. Data collection techniques include documentation and observation of audience behavior and the content displayed. The results showed that the main motives of viewers included searching for product references, obtaining tips and guides, comparing products, as well as social validation and credibility from reviewers. In addition to the informative aspect, the entertainment dimension is also a significant factor that drives interest in watching. Psychological satisfaction such as pleasure, relaxation, and emotional fulfillment become part of the viewing experience, especially when filling your free time. Viewers also show interest in the vlogger's personality, communicative delivery style, and visually appealing video production quality. The aesthetic pleasure of creatively packaged fashion looks also strengthens the appeal of the content. These findings suggest that the motivation for watching is not only functional but also emotional and aesthetic. The implications of this study can be input for fashion content creators in designing more effective and attractive delivery strategies, as well as for fashion industry players to understand the behavior of digital consumers in accessing product information through social media.

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.

Bullying is one of the most common forms of violence still occurring in schools, causing serious impacts on students’ psychological conditions and social development. Various efforts have been made to reduce bullying cases, yet communicative campaign media that match the characteristics of the digital generation remain limited. This study aims to develop educational media based on interactive motion graphics designed with Visual Communication Design principles to support anti-bullying digital campaigns in schools. The research stages include designing the main characters using Adobe Illustrator and Adobe Photoshop, separating body parts in vector format for easier animation, importing the files into Adobe Character Animator, and synchronizing movements, facial expressions, and voices through dubbing processes. The final product is an interactive animation entitled “Berani Bicara, Berani Membela” (Dare to Speak, Dare to Defend), which features three main scenes: bullying in a school corridor, peer support in the classroom, and reporting the case to the guidance counselor. The findings indicate that this media provides a more engaging and interactive learning experience while effectively delivering moral messages. The animation not only emphasizes the importance of victims’ courage to report bullying but also highlights peer support and the school’s role in providing protection. Therefore, interactive motion graphics can serve as an alternative digital campaign strategy that is relevant, easily accepted by young generations, and has the potential to foster safe, inclusive, and friendly school environments for all students.

The current education system is facing a crucial dilemma: the intensifying focus on cognitive achievement amidst the specific challenges faced by Generation Z. Junior high school students aged 12–15, who are digital natives, are at risk of reduced social interaction and mental health issues due to high screen time. Addressing this urgency, this study aims to describe the strategic role of dance arts education in shaping character and creativity, and to identify implementation solutions at SMP Negeri 1 Wonogiri. This descriptive qualitative study utilized 8 students active in dance as primary subjects, with data collected through observation, interviews, and documentation. The findings indicate that dance arts, through an embodied learning approach based on physical movement, is highly effective in cultivating character. Values such as discipline, which is transferred from the punctuality required in practice to general school life , collective responsibility , and self-confidence that overcomes social awkwardness, grew significantly. Furthermore, dance reinforces authentic cooperation and cultural appreciation. In terms of creativity, the activity encourages movement exploration, improvisation, and creative problem-solving. Psychologically, dance practice functions as a positive coping mechanism that effectively lowers adolescent stress levels. Although constraints exist, such as limited instructional time (80 minutes per week) , adaptive solutions like strengthening extracurricular activities and the peer tutoring system are being implemented. This research concludes that dance arts education is an essential and strategic medium for developing holistic competencies, including the 4Cs (Critical Thinking, Creativity, Collaboration, and Communication) and the Profil Pelajar Pancasila.

Hyperemesis gravidarum is a condition of severe nausea and vomiting during pregnancy that can cause serious physical and psychological effects on pregnant women. In addition to biological and hormonal factors, psychological aspects such as anxiety are thought to play an important role in the occurrence of hyperemesis gravidarum. This study aims to analyze the relationship between the level of anxiety in pregnant women and the occurrence of hyperemesis gravidarum. The study uses a quantitative approach with an analytical observational design through a cross-sectional method. The study sample consisted of 30 pregnant women in their first trimester who were selected using purposive sampling. Anxiety levels were measured using a standardized anxiety questionnaire and categorized as moderate and severe anxiety, while the incidence of hyperemesis gravidarum was determined based on complaints of excessive nausea and vomiting and clinical data. Data analysis was performed univariately and bivariately using the Goodman–Kruskal tau test with a significance level of 0.05. The results showed that most respondents experienced moderate to severe anxiety, and some respondents experienced hyperemesis gravidarum. Bivariate analysis showed a significant and very strong relationship between anxiety levels and the incidence of hyperemesis gravidarum. These findings indicate that the higher the anxiety level of pregnant women, the greater the likelihood of hyperemesis gravidarum. The conclusion of this study confirms that anxiety is an important psychological factor associated with the occurrence of hyperemesis gravidarum. Therefore, the integration of anxiety screening and management into antenatal care is essential as part of a comprehensive, mother-centered approach to pregnancy care

One of the main sunnah prayers is the night prayer (Tahajud), because the night prayer is one of the mustajab prayers offered by a servant to the Creator, namely those who can wake up at night and pray at night and then perform the prayer service, because the night is the most appropriate time for someone to pray and munajat to perform prayers at night with the highly recommended prayer, namely the Tahajud prayer. The research method used in this article is a library research method with a descriptive qualitative approach. This approach is used to examine and analyze various relevant scientific sources regarding the Tahajjud Prayer in a Psychological and Health Perspective. The results of the study show that the Tahajud Prayer has a significant positive impact on psychological and physical health. Psychologically, Tahajud can increase calm, reduce stress and anxiety, and increase self-confidence and enthusiasm. From a physical health perspective, the Tahajud prayer can help increase endurance, improve blood circulation, and even help overcome digestive disorders.

Background: Early marriage remains prevalent among adolescents aged 15–19 years, a period during which individuals are often medically and psychologically unprepared to assume marital responsibilities. Decisions to marry early are influenced by internal factors such as psychological readiness, emotional maturity, and critical thinking ability, as well as external factors including family pressure, cultural norms, and economic challenges. Objective: This study aims to explore the factors influencing adolescents' decisions to engage in early marriage and examine its impacts on their lives. Method: This research employed a qualitative descriptive design. A purposive sampling technique was used to select 10 adolescents who had experienced early marriage. Data were collected through in-depth interviews and document review, and analyzed thematically. Results: The primary factors contributing to early marriage in Delu Depa Village, Kodi Bangedo District, were premarital pregnancy (2 cases), economic hardship (4 cases), and limited educational attainment (4 cases). The consequences included psychological, health, and social impacts. Psychologically, participants reported experiencing stress, anxiety, and depression. Health-related risks included complications associated with immature reproductive organs, such as premature birth, obstructed labor, and preeclampsia. Social impacts included stigma, limited social interaction, school dropout, and employment in low-skilled jobs to fulfill daily needs. Conclusion: Early marriage poses significant risks to adolescents' psychological well-being, physical health, and social functioning. Strengthened preventive efforts and targeted interventions are needed to reduce its prevalence and mitigate negative consequences.

Technological advancements in education have led to major transformations, particularly with the implementation of the Merdeka Curriculum, which emphasizes learning flexibility, student-centered approaches, and educator autonomy in developing innovative teaching methods. One of its essential aspects is the integration of technology for managing educational data, including student health records. At SMP IT Mutia Rahma, biannual student health monitoring has generated a growing volume of data, making it difficult to identify students experiencing psychological challenges. Adolescent mental health problems—such as learning stress, anxiety, and social pressure—can negatively affect academic performance if left unaddressed. This study aims to group students based on their mental health conditions to support more effective intervention strategies. The K-Means Algorithm, a data mining technique for clustering data by similarity, was employed to analyze student health data. The results show that in a three-cluster model, Cluster 2 represents students in a stable condition characterized by high resilience and low counseling needs, indicating good mental health and academic engagement. Meanwhile, Clusters 1 and 3 include students requiring further attention and support. This research demonstrates that the K-Means Algorithm can serve as an effective tool in identifying and categorizing student mental health conditions to improve school-based health management and early intervention programs.

Digital transformation has revolutionized Islamic da'wah and counseling services, providing opportunities to reach a wider audience, especially millennials and Gen Z. This study aims to examine digital content innovation and creation that can improve the effectiveness of da'wah and counseling. The method used is a literature review with content-based data analysis, which identifies themes, patterns, and meanings from journals, books, and related digital documents. The results show that digital audiences tend to prefer content that is concise, visual, and easily accessible. Therefore, an effective content development model must encompass research, scripting, production, evaluation, and the selection of an appropriate distribution platform. In digital counseling services, aspects of ethics, privacy, and data security are crucial to maintain user trust. Furthermore, the integration of da'wah messages with counseling in a single platform is considered effective in simultaneously meeting the spiritual and psychological needs of the community. Challenges faced include information overload, misinformation, low digital literacy, and the risk of data breaches. In conclusion, the success of digital da'wah and counseling depends on understanding the audience and implementing a creative and ethical model, to provide a sustainable positive impact.