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Background: Chronic Kidney Disease (CKD) patients undergoing long-term hemodialysis often experience anxiety due to therapy dependency, changes in health conditions, and uncertainty regarding the disease. Unresolved anxiety can reduce quality of life, comfort, and patient adherence to treatment. Therefore, non-pharmacological interventions are needed that are safe, easy to implement, and aligned with the patient's spiritual values. Mantram Tri Sandya has the potential to provide relaxation and psychological calm, thus helping to reduce anxiety. However, scientific evidence regarding the effectiveness of this therapy in hemodialysis patients is still limited, making this research crucial.  Purpose: The aim of this research is to determine the effect of the Tri Sandya mantra on reducing anxiety levels in CKD patients who are undergoing hemodialysis at the Buleleng Regency Regional Hospital. Methods: Pre-Experimental One Group Pre-Test & Post-Test research design with the Wilcoxon Signed Rank Test conducted at the Buleleng Regency Regional General Hospital. Data were collected using the HARS (Hamilton Anxiety Rating Scale) questionnaire sheet with Purposive Sampling technique with a sample size of 88 people. Results: The results obtained from this study were that there was a decrease in anxiety levels when given Mantra Tri Sandya therapy to CKD patients who were undergoing hemodialysis with a P value <0.001 (p<0.05). Conclusion: There is a significant effect of administering the Tri Sandy mantra on reducing anxiety levels in CKD patients who are undergoing hemodialysis at the Buleleng Regency Regional Hospital.

Anxiety during pregnancy is one of the most common psychological problems experienced by pregnant women, particularly during the third trimester when they face childbirth preparation as well as various physical and emotional changes. If not properly managed, anxiety may adversely affect both maternal and fetal health. This study aimed to describe the level of anxiety among third-trimester pregnant women at Mlati II Public Health Center in 2026. This research employed a descriptive quantitative design with a cross-sectional approach. The study involved 40 third-trimester pregnant women selected using a total sampling technique. Data were collected using the Hamilton Anxiety Rating Scale (HARS) questionnaire and analyzed through univariate analysis in the form of frequency and percentage distributions. The results showed that most respondents were of healthy reproductive age (20–35 years) (92.5%), primigravida (67.5%), had a secondary level of education (70%), and were unemployed (70%). The respondents' anxiety levels were categorized as no anxiety (47.5%), mild anxiety (47.5%), and moderate anxiety (5%), while no cases of severe anxiety or panic were identified. The most dominant anxiety indicators were anxious feelings, tension, respiratory symptoms, and sleep disturbances. These findings indicate that some third-trimester pregnant women still experience anxiety, highlighting the need for early detection, health education, and psychological support through antenatal care services to promote maternal mental well-being during pregnancy.

Artikel ini membahas filsafat eksistensialisme dalam konteks dunia modern, dengan fokus pada tantangan yang dihadapi oleh individu dalam pencarian makna hidup di tengah kemajuan teknologi, perubahan sosial, dan kompleksitas kehidupan kontemporer. Filsafat eksistensialisme, yang berakar pada pemikiran tokoh seperti Søren Kierkegaard, Friedrich Nietzsche, dan Jean-Paul Sartre, menekankan pentingnya kebebasan, tanggung jawab pribadi, dan pencarian makna yang autentik. Dalam artikel ini, eksistensialisme dianalisis dalam kaitannya dengan dinamika sosial dan budaya modern, serta relevansinya dalam membantu individu mengatasi masalah seperti kecemasan eksistensial, alienasi, dan pencarian identitas dalam masyarakat yang cepat berubah. Diharapkan bahwa pemahaman yang lebih dalam tentang eksistensialisme dapat memberikan wawasan tentang cara-cara individu dapat menemukan makna dalam kehidupan mereka di dunia yang serba cepat dan serba digital.

Medical students need to take the Competence test as Doctor Profession Program (UKMPPD) to be passed and earned their medical profession. Exams are one of the most common stressors experienced by medical students and the body will respond to these stressors in the form of feelings of depression or anxiety. Anxiety and depression itself can affect student performance during exam preparation. The purpose of this study was to determine the relationship between anxiety and depression on the preparation of the Professional Doctoral Program Competency Test (UKMPPD) for students of the Faculty of Medicine, University of Pattimura. The method used is quantitative analysis with cross sectional research design and total sampling technique. The sample is all the student population of the Faculty of Medicine, University of Pattimura who meet the inclusion and exclusion criteria, totaling 90 respondents. The results showed that the majority of respondents experienced mild anxiety symptoms, which is 37% during the CBT exam and 34% during the OSCE exam. The majority of respondents also did not experience depression, which is 68% during the CBT and 70% during the OSCE and the majority had an optimal level of preparation for UKMPPD, which is 63% during the CBT and 64% during the OSCE. Data analysis using the chi square test showed a significant relationship between anxiety symptom and the level of preparation for UKMPPD both CBT (p=0.030) and OSCE (p=0.012). There was no significant relationship between depression symptom and the level of preparation for UKMPPD for both CBT (p=0.123) and OSCE (p=0.07). It can be concluded that there is a significant relationship between anxiety and preparation for UKMPPD, but there is no significant relationship between depression and preparation for UKMPPD.

Instagram social media addiction has become an increasingly common phenomenon among university students. Excessive use of Instagram can negatively affect mental, social, and academic well-being, and may increase the risk of social anxiety. Students who experience Instagram addiction tend to have reduced direct social interaction, and fear of negative evaluation from others, which are key factors contributing to social anxiety. This study aims to determine the relationship between Instagram social media addiction and social anxiety among students. This study used a quantitative approach with a cross-sectional design. The sample consisted of 105 respondents selected using purposive sampling. The instruments used were the Instagram Addiction Scale (TIAS) and the Social Anxiety Scale for Social Media Users (SAS-SMU). Data analysis was conducted using the Chi-Square test. The results showed that most respondents had a moderate level of Instagram addiction (56.2%) and a moderate level of social anxiety (68.6%). The Chi-Square test indicated a significant relationship between Instagram addiction and social anxiety, with a p-value < 0.001 (p < 0.05). There is a significant relationship between Instagram addiction and social anxiety among students. However, the relationship is not always linear, as higher levels of addiction do not necessarily correspond to higher levels of social anxiety.

Instagram social media addiction has become an increasingly common phenomenon among university students. Excessive use of Instagram can negatively affect mental, social, and academic well-being, and may increase the risk of social anxiety. Students who experience Instagram addiction tend to have reduced direct social interaction, and fear of negative evaluation from others, which are key factors contributing to social anxiety. This study aims to determine the relationship between Instagram social media addiction and social anxiety among students. This study used a quantitative approach with a cross-sectional design. The sample consisted of 105 respondents selected using purposive sampling. The instruments used were the Instagram Addiction Scale (TIAS) and the Social Anxiety Scale for Social Media Users (SAS-SMU). Data analysis was conducted using the Chi-Square test. The results showed that most respondents had a moderate level of Instagram addiction (56.2%) and a moderate level of social anxiety (68.6%). The Chi-Square test indicated a significant relationship between Instagram addiction and social anxiety, with a p-value < 0.001 (p < 0.05). There is a significant relationship between Instagram addiction and social anxiety among students. However, the relationship is not always linear, as higher levels of addiction do not necessarily correspond to higher levels of social anxiety.

Bullying di lingkungan sekolah merupakan permasalahan yang berdampak pada kesehatan mental dan perkembangan psikososial anak. Tingginya kejadian bullying, baik secara fisik, verbal, maupun digital, menyebabkan siswa merasa tidak aman, mengalami kecemasan, serta penurunan interaksi sosial dan prestasi belajar. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk meningkatkan pengetahuan dan kesadaran siswa mengenai bahaya bullying serta upaya pencegahannya. Metode  pengabdian  yang  dilakukan  berupa  pemberian  penyuluhan  kesehatan menggunakan participatory  action  research (PAR)  dengan  tema “Edukasi Kesehatan Tentang Bullying Pada Anak: “Berani Baik, Bukan Berani Membuli“. Hasil kegiatan menunjukkan adanya peningkatan pemahaman siswa tentang bentuk, dampak, dan cara mencegah bullying, serta meningkatnya sikap empati dan keberanian untuk melaporkan kejadian bullying. Selain itu, siswa menjadi lebih mampu mengenali perilaku bullying dan berpartisipasi dalam menciptakan lingkungan sekolah yang aman. Kesimpulannya, kegiatan edukasi melalui pengabdian masyarakat efektif dalam meningkatkan kesadaran dan pengetahuan siswa terkait bullying, sehingga perlu dilakukan secara berkelanjutan sebagai upaya promotif dan preventif dalam menjaga kesehatan mental anak.

Parental conflict is a significant risk factor that threatens the psychological well-being of adolescents. This study aims to review the relationship between parental conflict and anxiety levels in adolescents through a qualitative literature approach. Various research findings consistently show that high-frequency and high-intensity parental conflict contributes to increased anxiety, emotional insecurity, and maladaptive coping in adolescents. The mechanisms underlying this relationship include the emotional security theory, the cognitive-contextual framework, and the spillover hypothesis, each of which explains how conflict in the family system propagates psychologically to children. The results of this literature study confirm that adolescents who are regularly exposed to parental conflict show a significantly higher risk of developing generalized anxiety, social anxiety, and related internalizing problems. The family environment, particularly the quality of the parental relationship, is the dominant proximal determinant of adolescent mental health. Furthermore, parental conflict has been shown to undermine parent-child attachment, destabilize family functioning, and trigger chronic stress responses in adolescents who are still developing emotional regulation capacities. In the Indonesian context, this problem is particularly urgent given the high prevalence of mental health disorders among adolescents aged 15–24 years. Therefore, integrated preventive interventions involving families, schools, and mental health professionals are urgently needed.

This study aims to examine the relationship between doom scrolling behavior and social anxiety among psychology students at Campus V, Universitas Negeri Padang. Doom scrolling refers to the habitual consumption of negative information through digital media, which is increasingly prevalent in the context of intensive social media use. This research employed a quantitative correlational design with a sample of 205 students selected using purposive sampling. Data were collected through Likert-scale instruments measuring doom scrolling behavior and the Social Anxiety Scale for Adolescents (SAS-A). Statistical analysis using Pearson correlation revealed a significant positive relationship between doom scrolling and social anxiety (r = 0.324, p < 0.01), indicating a low to moderate correlation. These findings suggest that higher engagement in doom scrolling is associated with increased levels of social anxiety. The results support previous studies highlighting maladaptive patterns of social media use as a contributing factor to psychological distress. This study underscores the importance of digital literacy and self-regulation in media consumption, particularly among students, to mitigate the negative psychological impacts associated with excessive exposure to distressing online content.

Anxiety disorders are common mental health problems among adolescents, particularly high school students who face academic demands, social pressure, and emotional changes. Family support, sleep quality, and academic stress are considered factors related to students’ anxiety levels. This study aimed to examine the relationship between family support, sleep quality, academic stress, and anxiety disorders among students of SMAN 1 Sumbawa Besar. An analytical study with a cross-sectional design was conducted involving 114 students selected through stratified random sampling. Data were collected using the Perceived Social Support–Family (PSS-Fa), Pittsburgh Sleep Quality Index (PSQI), Educational Stress Scale for Adolescence (ESSA), and Depression Anxiety Stress Scale (DASS-42). Bivariate analysis was performed using the chi-square test, while multivariate analysis employed binary logistic regression. Bivariate results indicated significant associations between family support, sleep quality, academic stress, and anxiety disorders (p < 0.05). However, multivariate analysis revealed that only family support and sleep quality were significantly associated with anxiety disorders, while academic stress was not significant after controlling for other variables. These findings suggest that anxiety prevention efforts should prioritize strengthening family support and improving sleep quality, alongside academic stress management within the school environment.

Background: Anxiety can affect physiological functions in patients prior to surgery, including increased heart rate and respiration, changes in blood pressure and temperature, relaxation of smooth muscles in the bladder, cold and clammy skin, and dry mouth, which may reduce the patient’s energy level. Psychologically, anxiety can lead to increased postoperative pain, delayed wound healing, increased physical disability, and decreased quality of life. One effective non-pharmacological intervention to reduce anxiety is Benson relaxation therapy. Objective: This study aimed to determine the effect of benson relaxation therapy on reducing anxiety levels in pre operative. Methods: This study used a case study design involving one preoperative patient with anxiety symptoms in the Teratai Ward of Prof. Dr. Margono Soekarjo Hospital, Purwokerto. Benson relaxation therapy was administered for 3 days, twice daily, with a duration of 15 minutes per session. Anxiety levels were measured using the Zung Self-Rating Anxiety Scale (ZSAS) before and after the intervention. Results: The patient showed a decrease in anxiety score from 55 (moderate anxiety) to 40 (mild anxiety) after receiving Benson relaxation therapy. Subjectively, the patient reported feeling calmer, more accepting, and motivated. Objectively, there was a reduction in heart rate and physical signs of anxiety. Conclusion: Benson relaxation therapy is effective in reducing anxiety levels in preoperative patients. This intervention can be used as a non-pharmacological alternative to support psychological recovery of pre-operative patients.

Meningitis is a serious infectious disease that can be prevented through vaccination; however, the vaccination process often causes anxiety in patients, especially during the pre-procedure phase. Uncontrolled anxiety can affect patient readiness and comfort. Therapeutic communication by nurses is one intervention that has the potential to reduce this level of anxiety. This study aims to determine the relationship between nurses’ therapeutic communication and the anxiety levels of patients prior to meningitis vaccination at Pambalah Batung Amuntai Regional General Hospital. This study used a quantitative analytic design with a cross-sectional approach. The sample consisted of 107 respondents selected using a convenience sampling technique. Data on therapeutic communication were collected using an observation sheet, while anxiety levels were measured using the DASS questionnaire (anxiety subscale). Data analysis was conducted using univariate and bivariate methods with the Chi-Square test at a significance level of 0.05. The results showed that most therapeutic communication was in the good category, and patient anxiety levels were predominantly in the normal category. Statistical test results indicated a significant relationship between nurses’ therapeutic communication and patient anxiety levels (p = 0.000 < 0.05). The better the therapeutic communication provided, the lower the patient’s anxiety level. In conclusion, nurses’ therapeutic communication plays an important role in reducing patient anxiety prior to meningitis vaccination and needs to be optimized in nursing practice.

This study aims to analyze the difference in anxiety levels before and after the administration of Qur’anic murottal therapy among third-trimester pregnant women. The third trimester is often associated with increased physical discomfort and psychological stress, which may lead to higher anxiety levels. This research employed a pre-experimental design using a one-group pretest-posttest approach involving 25 respondents selected through purposive sampling. Anxiety levels were measured using the Perinatal Anxiety Screening Scale (PASS), and the data were analyzed using the Wilcoxon Signed Ranks Test. The findings showed that before the intervention, 48% of respondents experienced moderate anxiety and 52% experienced severe anxiety. After the intervention, 40% experienced mild anxiety, 48% moderate, and only 12% severe anxiety. The statistical test result indicated a Z value of -4.376 with a p-value of 0.000 (p < 0.05), which means there was a significant difference in anxiety levels before and after the intervention. These results suggest that murottal therapy is effective in reducing anxiety among third-trimester pregnant women and can be considered as a safe non-pharmacological intervention.

Online games are one of the digital entertainment activities widely favored by adolescents; however, high-intensity use can lead to psychological impacts, one of which is anxiety. Anxiety in adolescents is characterized by feelings of restlessness, irritability, difficulty concentrating, and sleep disturbances, especially when they are unable to play online games or when they experience defeat in the game. This study aimed to determine the relationship between the intensity of online game use and the level of anxiety among adolescents. This study used a quantitative design with a cross-sectional approach, involving 113 respondents selected using a cluster sampling technique. The research instruments used were the DASS questionnaire and an online game usage intensity questionnaire, and the data were analyzed using univariate and bivariate analysis. The respondents in this study were adolescents from SMAN 1 Wanadadi, most of whom were 16 years old (49.6%) and predominantly female (61.9%). The intensity of online game use was mostly in the moderate category (55.8%), while the level of anxiety was mostly in the mild category (89.0%). The results showed that most respondents had a moderate level of online game usage intensity and a mild level of anxiety. Bivariate analysis indicated that there was no significant relationship between the intensity of online game use and the level of anxiety among adolescents, with a p-value of 0.425 and a contingency coefficient value of 0.076. Therefore, it can be concluded that there is no relationship between the intensity of online game use and the level of anxiety among adolescents.

Pregnancy is a period marked by significant emotional challenges for expectant mothers, with stress and anxiety being common issues that may adversely affect maternal well-being and fetal development. The limited availability of safe treatment options for pregnant women, particularly concerning pharmacological interventions, has prompted the exploration of more natural and non-invasive therapeutic alternatives. One increasingly popular method is aromatherapy, which utilizes essential oils to stimulate the limbic system in the brain, thereby promoting relaxation and reducing anxiety. This study aims to explore the effects of aromatherapy in lowering stress and anxiety among pregnant women through a literature review. The method employed involves collecting and analyzing findings from previous studies regarding the use of aromatherapy in pregnancy. Based on the available evidence, aromatherapy—particularly with lavender essential oil—has been proven effective in lowering levels of stress and anxiety in pregnant women. Several studies report a reduction in anxiety levels of up to 40% following the inhalation of lavender oil. However, factors such as the type of essential oil used, the method of application, and individual sensitivity may influence therapeutic outcomes. Despite its potential benefits, the safety of aromatherapy use remains a concern, particularly regarding essential oils that may be unsafe for use during pregnancy.

The development of a student's personality, particularly during classroom interaction, is heavily influenced by their level of self-confidence. A lack of self-assurance often leads to public speaking anxiety, which subsequently restricts student engagement and diminishes academic performance. This phenomenon is frequently identified among tenth-grade Vocational High School (SMK) students who are navigating a period of environmental transition. This research focuses on enhancing the self-confidence of Grade X SMK students struggling with speech-related anxiety through the implementation of group guidance services utilizing role-playing methods. The study follows a Guidance and Counseling Action Research (GCAR) design conducted over two cycles, consisting of preparatory, executive, monitoring, and evaluative phases. The participants were tenth-grade students with low self-confidence profiles as determined by questionnaires and field observations. Data were analyzed using a descriptive quantitative approach to compare performance levels before and after the intervention. The results demonstrate that group guidance integrated with role-playing is an effective strategy for optimizing student self-confidence, as shown by the consistent upward trend in scores throughout the cycles. These findings suggest that this technique serves as a strategic instrument for school counselors to mitigate social anxiety among students. 

Introduction: Appendectomy is a relatively safe surgical procedure. One important aspect of this stage is maintaining the patient's mental stability, especially before administering anesthesia. However, anesthesia often causes anxiety in patients. Mindfulness-based cognitive therapy has been shown to significantly improve quality of life by minimizing anxiety. Objective: This study analyzed the effect of Mindfulness-based cognitive therapy (MCT) in reducing pre-anesthetic anxiety in appendectomy patients. Methods: This study used a case study design with a nursing care process approach. The subjects in this case study were two patients who met the inclusion criteria. The instrument used was an observation sheet according to the Indonesian Society for Anesthesia and Clinical Trials (SLKI). Results: The results of the case study showed that both patients experienced pre-anesthetic anxiety. After receiving Mindfulness-based cognitive therapy, pre-anesthetic anxiety decreased. Conclusion: This case study demonstrated that pre-anesthetic anxiety decreased after Mindfulness-based cognitive therapy.

Preoperative anxiety can lead to increased blood pressure, accelerated heart rate, and bleeding. One of the non-pharmacological interventions that can be provided is dhikr therapy, particularly tahlil dhikr (repeated recitation of La ilaha illallah). This study aims to determine the effect of tahlil dhikr on reducing anxiety in preoperative patients. This research is a quantitative study with a quasi-experimental design, using a one-group pretest-posttest approach. Data collection was conducted from May 22 to May 27, 2025, at Meuraxa Hospital. The population in this study consisted of 270 patients scheduled for surgery at Meuraxa Hospital, Banda Aceh, with a sample of 73 respondents selected through random sampling. The research instruments used were the Standard Operating Procedure (SOP) for Tahlil Dhikr Therapy and the Depression Anxiety Stress Scale 21 (DASS-21) questionnaire, which had a Cronbach’s Alpha score between 0.6 – 0.7 and was considered reliable with a result > 0.6. The results showed a decrease in the intensity of anxiety after the administration of tahlil dhikr. Data analysis using the Wilcoxon Signed-Rank Test showed a p-value = 0.000 (≤ 0.05), indicating a significant effect of tahlil dhikr on reducing preoperative anxiety among patients at Meuraxa Hospital, Banda Aceh. The study recommends the integration of tahlil dhikr as an alternative method for reducing anxiety in preoperative patients.

Academic anxiety is one of the problems commonly experienced by students due to the pressure of assignments, demands for achievement, and concerns about learning outcomes. This article aims to examine the effectiveness of mindfulness-based counseling in reducing students' academic anxiety and to explain the strategic role of guidance counselors in its application in schools. This study uses a literature review method with a literature review approach. Data were obtained from various national journals relevant to the topics of academic anxiety and mindfulness, then analyzed descriptively and qualitatively through a process of collecting, classifying, and synthesizing the results of previous studies. The results of the study show that mindfulness-based counseling is effective in helping students reduce their levels of academic anxiety through conscious breathing exercises, focusing attention, and accepting learning experiences without negative judgment. In addition, guidance counselors play an important role as facilitators, program developers, role models for mindfulness practices, mental health advocates, and liaisons between schools and parents in supporting the success of interventions. By applying the right methods, mindfulness-based counseling can be an effective alternative service in helping students overcome academic anxiety when implemented systematically and continuously  by guidance counselors in schools.

Hysterectomy is a procedure performed to remove the uterus, either partially or completely. This surgery often causes psychological responses in the form of anxiety. One non-pharmacological therapy that can be used to overcome anxiety is Benson relaxation. The design used in this Final Nursing Scientific Paper is a case study using Benson relaxation intervention. Three respondents participated, and the intervention was carried out for two days preoperatively with three sessions, taking place in the Lukas Charitas Hospital Palembang room. After two days of Benson relaxation, changes in anxiety scores were obtained using the Amsterdam Preoperative Anxiety and Information Scale (APAIS) questionnaire. At the final meeting, Mrs. E's anxiety decreased from 18 to 10, Mrs. H's from 16 to 7, and Mrs. S's from 13 to 7. There was a decrease in anxiety before and after Benson relaxation therapy was administered to all three respondents. The implementation of this EBP is expected to provide additional information regarding the provision of Benson relaxation in preoperative hysterectomy patients.