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Postpartum depression is a postpartum mental health disorder that significantly impacts maternal well-being, infant development, and family functioning. The high prevalence of postpartum depression in Indonesia is due to limited access to health services, low mental health literacy, and social stigma in the community. This indicates a significant gap between the need for maternal mental health services and the availability of existing interventions, making education a crucial component in efforts to prevent postpartum depression early. This study aims to analyze the prevention of postpartum depression in postpartum mothers through telenursing-based education and screening using the Edinburgh Postnatal Depression Scale (EPDS) in the community. A descriptive case study design was used, involving one respondent, a 25-year-old primigravida mother residing in the Bantul area. The intervention was implemented online via WhatsApp and video calls, including structured health education on postpartum psychological changes, adaptive coping strategies, and the importance of social support. The intervention also included daily remote monitoring of the respondent's condition via the WhatsApp mobile application. The EPDS was administered as a pre-test and post-test to evaluate changes in the respondent's psychological condition. The findings showed a significant decrease in the EPDS score from 16 (moderate depression) to 6 (minimal depression), indicating significant psychological improvement. These results imply that integrating EPDS screening, structured health education, and daily monitoring is an effective and accessible community-based approach to preventing postpartum depression, particularly for mothers with limited mobility and access to health services.

This research was conducted to describe the condition of displaced communities who experience limitations in meeting basic needs, such as decent housing, access to education, and health services. Socio-economic inequality is the main factor that affects the quality of life of vulnerable groups, including children, adults, and the elderly. The Rumah Asa program is designed as an effort to provide protection, psychological support, and economic empowerment through skills training and health services according to needs. The research used a qualitative approach through interviews, field observations, and questionnaire dissemination to gain an in-depth understanding of the respondents' living situation. The research population consisted of displaced individuals who had the potential to become beneficiaries of the program. The data obtained were analyzed to identify patterns of vulnerability and intervention needs. The results showed that each respondent faced unstable socio-economic conditions, with limited income, lack of family support, and high health risks. The discussion showed that neglect is multidimensional and requires comprehensive interventions that include material, emotional, social, and health aspects. The conclusion of the study confirms that the Rumah Asa Program has great potential as a model of effective social intervention in improving the quality of life of vulnerable groups, as long as it is supported by the collaboration of the community, government, and social institutions.

This study aims to examine the relationship between family support and depression levels among the elderly in Pejuang Village, Bekasi City, through a descriptive-narrative literature review. The review analyzed relevant scientific articles discussing family support, social support, and depression in older adults. Literature was selected based on the suitability of the elderly population, the presence of family or social support variables, and the measurement of depressive symptoms or depression levels. The analysis compared each article’s objectives, research design, respondent characteristics, instruments, findings, and conclusions. The results indicate that most studies found a relationship between family support or social support and depression among the elderly. Adequate family support, including emotional, instrumental, informational, and appraisal support, helps older adults feel cared for, valued, secure, and better able to adapt to the aging process. Preliminary findings at the Elderly Posyandu in Pejuang Village also show variations in family support and depression levels among elderly participants. Conversely, limited family support may increase loneliness, psychological distress, and depressive symptoms. Therefore, family support functions as a protective factor in reducing depression risk among older adults. Strengthening the involvement of families, health workers, and elderly posyandu cadres is necessary as a promotive and preventive strategy to maintain psychological well-being through education, early detection, and sustainable community-based assistance for vulnerable elderly groups living in community and family environments.

Patient-Centered Care (PCC) is a healthcare approach that places the patient at the center of every interaction and clinical decision-making. However, a preliminary study at Tarumajaya Hospital showed that 58% of healthcare workers had not yet optimally implemented the PCC approach. This study aimed to analyze the influence of self-efficacy and social support on the implementation of Patient-Centered Care, with safety culture as a mediating variable, at Tarumajaya Hospital. The research method used was quantitative analytic with a cross-sectional design. The study sample used a saturated sampling technique of 132 healthcare workers, consisting of doctors, nurses, and medical support staff. Data analysis used Structural Equation Modeling–Partial Least Squares (SEM-PLS). The results showed that self-efficacy and social support had a positive and significant effect on safety culture and PCC implementation. Safety culture also had a positive and significant effect on PCC implementation. Furthermore, safety culture was shown to mediate the influence of self-efficacy and social support on PCC implementation. The coefficient of determination value indicates that the model has strong ability to explain variations in PCC.

This research aims to develop a customized chatbot based on a local large language model (LLM) using Ollama Anything as a form of psychosocial support for Pencak Silat athletes. Mental toughness is a critical factor for Pencak Silat athletes, particularly when coping with competitive failure or sports-related injuries. Injuries sustained in Pencak Silat competitions often involve psychological consequences, including trauma, fear, anxiety, and disturbances in self-identity. To address these challenges, the proposed chatbot functions as a screen-integrated psychosocial support system for athletes. This research used an experimental method combined with Natural Language Processing (NLP) techniques was employed to construct a digital twin chatbot capable of simulating athlete-centered conversations. The Pencak Silat Athlete Chatbot is designed to assist athletes by providing responsive support when they experience defeat or performance setbacks during competitions. The research findings indicate that, although the chatbot is functional, its conversational responses remain relatively rigid, access times are prolonged, and further testing with Pencak Silat athletes in controlled settings is required. Overall, the development of the Pencak Silat Athlete Digital Twin Chatbot represents an ongoing effort to advance digital innovation and strengthen the ecosystem of sports achivements development in Indonesia.

Postpartum depression is a mood disorder that occurs in mothers after childbirth, with symptoms that can appear from pregnancy until 4 weeks postpartum. This condition negatively impacts the psychological health of the mother and the development of the baby. This study aims to analyze factors associated with the risk of postpartum depression. The method used was quantitative with an analytical survey design through a cross-sectional approach. Data collection was carried out using the Edinburgh Postnatal Depression Scale (EPDS) questionnaire consisting of 10 questions. The results of the validity test showed a calculated r value of > 0.3610 and the reliability test obtained a Cronbach's alpha value of 0.67. The study sample consisted of 42 respondents selected using a total sampling technique, with inclusion criteria of mothers aged ≥18 years, in the period <6 weeks postpartum, and willing to be respondents. Data analysis used the chi-square test. The results showed that all variables had a significant relationship with the risk of postpartum depression (p < 0.05). These variables include age (p=0.040), education (p=0.018), occupation (p=0.011), history of depression (p=0.024), complications (p=0.017), economic status (p=0.048), parity (p=0.016), type of delivery (p=0.006), husband's support (p=0.000), and family support (p=0.028). Therefore, it can be concluded that demographic, obstetric, and social support factors play an important role in the risk of postpartum depression. These results are expected to form the basis for prevention efforts and early intervention to improve postpartum maternal mental health.

Background: Elderly people were a vulnerable population who experienced physical, psychological, social, and environmental changes that could reduce their quality of life. One important factor influencing quality of life was social support. Social support played a crucial role in helping alderly people improve their well-being and life satisfaction. Elderly people who received high social support from family, friends, or their environment tended to feel more valued, loved, and cared for. Method: This study employed a quantitative method with a cross-sectional approach. The study population consisted of 204 elderly people living in Pucang Gading Social Service Home, Semarang and Wening Wardoyo Social Servise Home, Ungaran. A total of 135 respondents were selection using non probability sampling. Data were collected using the Multidimensional Scale of Perceived Social Support (MSPSS) to measure social support and the WHOQOL-OLD questionnaire to assess quality of life of older adults. Data analysis was conducted using the Somers’d test with a significance level of 0,05. Results: The results showed that most respondents have high social support (60,7%) and high quality of life (74,1%). The somers’d test indicated a p-value = 0,000 (p<0,05) and a correlation coefficient (r) of 0,508, indicating a positive relationship with moderate strength. Conclusion: There was a significant relationship between social support and quality of life among elderly people at social homes in Semarang. Increasing social support from family, peers, and the institutional environment could help elderly people experience their later years more happily, meaningfully, and prosperously.

This study aims to determine the relationship between family social support and the discipline of 4-5-year-old children at Pembina State Kindergarten. The study used a quantitative method with a descriptive correlational approach. A sample of 14 parents was selected using a purposive sampling technique. Data were obtained through a five-level Likert scale questionnaire and analyzed using the Pearson Product-Moment correlation test. The results showed that children's discipline was in the very high category at 93.5%, while family social support was also in the very high category at 94.9%. However, the correlation test showed an r value of –0.14, indicating a very weak and insignificant relationship between family social support and children's discipline. This finding indicates that, despite high family support, other factors such as role models and school habits likely have a greater influence on the development of children's discipline. This study emphasizes the importance of collaboration between families and educational institutions in supporting the development of discipline in early childhood.

This parenting seminar was designed to increase parents' capacity to understand and implement integrative holistic parenting, encompassing education, health, nutrition, and psychosocial aspects of children. An integrative holistic approach is considered important because child growth and development are influenced not only by formal education but also by health conditions, adequate nutrition, and emotional and social support from the family environment. This activity aims to provide comprehensive education to parents so they can carry out their parenting role optimally and sustainably. The activity was implemented using an interactive seminar method involving the delivery of material by competent speakers in the fields of childcare, education, and health, accompanied by discussions and a question-and-answer session that encouraged active participant participation. The material presented focused on understanding the concept of integrative holistic parenting, strategies for implementing positive parenting patterns, and the role of parents in supporting children's physical, emotional, social, and cognitive development. The results of the activity showed a significant increase in parents' knowledge, understanding, and attitudes regarding the importance of comprehensive and integrated parenting. Parents became more aware of their role as key figures in shaping character and optimizing children's potential from an early age. This seminar made a real contribution in equipping parents to be able to create a healthy, safe, and supportive parenting environment. This activity is expected to become a model for developing parental capacity in a sustainable manner with an integrative holistic approach as the key to successful child growth and development.

Depression is one of the mental health problems that often arise in patients with chronic diseases, such as diabetes mellitus, hypertension, and chronic kidney failure. This condition not only impacts the patient's quality of life, but also affects the treatment process and the burden on the family. However, mental health literacy in the community is still low, so targeted preventive and curative efforts are needed. The Community Service Program (PKM) aims to improve people's mental health through educational interventions with scientific booklet media that are easy to understand and apply. The activity method is carried out in a participatory manner, including the preparation stage, socialization, educational implementation, and evaluation. Education is provided to the community with a focus on preventing depression through a healthy lifestyle, stress management skills, and early intervention efforts by seeking professional support. Evaluation is carried out through pre-post tests, observations, and group discussions. The results of the activity showed an increase in public knowledge about depression, a change in attitudes to be more open in expressing feelings, as well as practical skills in relaxation, maintaining sleep patterns, and building social support. Participants also better understand the importance of seeking professional help when depressive symptoms are getting worse. The conclusion of this PKM is that the scientific booklet has proven to be effective as a preventive and curative educational intervention medium, and can be an innovative strategy in improving the mental health of people affected by chronic diseases.

This study critically examines the effectiveness of early intervention programs in addressing war-related trauma in the Middle East by meta-synthesizing forty-seven interventions implemented between 2010 and 2024. The analysis demonstrates that cognitive behavioral therapy (CBT) based interventions achieved a success rate of 78.3 percent with p value less than 0.001 in reducing post-traumatic stress disorder symptoms, with an effect size of d equal to 0.86 indicating substantial therapeutic strength. Group based interventions showed higher effectiveness (83.2 percent) than individual approaches (71.5 percent), and programs involving family support yielded better recovery outcomes (84.7 percent) than those without family involvement (69.3 percent). Regression analysis identified three primary predictors of successful intervention outcomes, namely intervention duration (beta 0.42, p value less than 0.001), therapist cultural competence (beta 0.38, p value less than 0.001), and the integration of social support systems (beta 0.35, p value less than 0.001). These findings expand on prior studies by Ennis et al. (2020) and Mawar et al. (2025), which were limited to evaluating CBT effectiveness, and also reinforce the significance of cultural dimensions and social support systems as critical determinants. In contrast to the meta analysis by Nocon et al. (2017), which reported an effectiveness rate of 65 percent for individual interventions, the present study reveals the superiority of group based approaches in communal Middle Eastern societies. The novelty of this study lies in its comprehensive identification of culturally sensitive determinants of early intervention success and the formulation of an integrative model positioning family support as an essential component in protocols for war-related trauma care.

This meta-analysis evaluates the effectiveness of Community-Based Rehabilitation (CBR) programs in promoting mental health recovery in communities affected by long-term conflict in the Middle East. Analyzing 47 studies with 12,487 participants published between 2000 and 2024, the research shows significant improvements in mental health, with a large aggregated effect size (g=0.83, 95% CI [0.76, 0.90]). Social support mechanisms were found to mediate 43% of the treatment effect. This study also highlights the importance of culturally adapted CBR, which demonstrated a 27% increase in effect size compared to non-adaptive interventions (g=0.92 vs. g=0.72, p<0.001). Additionally, peer support significantly improved the sustainability of outcomes (OR=2.14, 95% CI [1.87, 2.41]). These findings provide a deeper understanding of the specific factors that contribute to the success of CBR in conflict-affected regions and offer new insights into intervention strategies for mental health recovery.

Background: Mental health during pregnancy is influenced by multiple factors, including the social environment. Family support, peer interactions, and community engagement are critical determinants of psychological well-being, yet their impact local community health settings remains underexplored. Objective: This study aimed examine the influence the social environment the mental health pregnant women Tilongka Billa Community Health Center. Methods: A quantitative correlational study was conducted with 70 pregnant women selected through purposive sampling. Data were collected using structured questionnaires assessing demographic characteristics, social support (family, peer, and community), and mental health status (Perceived Stress Scale and Edinburgh Postnatal Depression Scale). Descriptive statistics summarized the participants’ characteristics, while Pearson Spearman correlation tests analyzed relationships between social environment factors mental health outcomes (p < 0.05). Results: The results indicated that family support had the highest mean score (4.1 ± 0.7), followed by peer support (3.8 ± 0.8) and community involvement (3.5 ± 0.9). Mental health assessments revealed moderate stress levels (18.2 ± 5.0) and mild depression risk (9.5 ± 4.3). Correlation analysis showed significant negative relationships between social support and mental health indicators, with family support exhibiting the strongest correlation with reduced stress (r = -0.48, p = 0.002) and depression (r = -0.52, p = 0.001). Conclusion: The study demonstrates that supportive social environment, particularly family and peer support, plays crucial role in reducing stress and depressive symptoms among pregnant women. Strengthening social support networks through counseling, peer groups, and community engagement programs may enhance maternal mental health and promote positive pregnancy outcomes.

This study explores the satisfaction levels of health science students with their clinical practice experiences at Prabumulih City General Hospital. Clinical practice serves as a vital component of health education, enabling students to apply theoretical knowledge in real healthcare settings. Using a qualitative phenomenological approach, the research sought to gain an in-depth understanding of students’ subjective experiences. Data were collected through in-depth interviews, focus group discussions, and participatory observations with students undergoing clinical practice. Thematic analysis and data triangulation ensured the validity of findings. Results revealed that students’ satisfaction was influenced by hospital facility quality, guidance from medical staff and lecturers, and interactions with patients and their families. Moreover, challenges in managing clinical cases and the social support received also shaped students’ satisfaction. The study recommends improving clinical practice facilities, strengthening supervision and mentoring by medical personnel, and providing greater institutional support. It also suggests that health education institutions design clinical practice programs more closely aligned with student needs and professional expectations.

Student mental health is an important issue in higher education, yet many students remain reluctant to utilize counseling services. Several factors are suspected to influence students’ willingness to participate in counseling, including stress levels, social support, public stigma, and self-stigma. This study aimed to determine the relationship between stress level, social support, public stigma, and self-stigma with students’ intention to engage in mental health counseling. The research used a quantitative design with a cross-sectional approach. A total of 202 first-year nursing students from Campus I of Poltekkes Kemenkes Semarang were selected using a total sampling technique. The research instrument was a questionnaire that had been tested for validity and reliability, and data were analyzed using Spearman’s rho correlation test. The results showed that most students had a moderate level of stress (52.8%), adequate social support (58.1%), moderate public stigma (53.7%), and moderate self-stigma (55.3%). Students’ willingness to seek counseling was also in the moderate category (63.4%). Statistical analysis indicated a significant relationship between stress level (p=0.000), social support (p=0.002), public stigma (p=0.000), and self-stigma (p=0.000) with the intention to engage in mental health counseling. These findings highlight the importance of promotive and preventive approaches from educational institutions to enhance students’ awareness and access to mental health counseling services.

In recent years, the Indonesian government has actively promoted digital transformation in public service delivery, including in rural and remote areas. However, digital adoption among communities in these regions remains inconsistent and often hindered by infrastructural and socio-cultural constraints. This study aims to assess the digital readiness of rural communities in adopting mobile-based public service information systems, with a specific focus on understanding the social and technological dynamics that shape their engagement. Employing a mixed methods approach with an explanatory sequential design, the research began with a structured survey involving 150-200 respondents per location, followed by in-depth interviews with key informants such as village officials, service operators, and local users. The quantitative data were analyzed using SPSS to identify general patterns in digital readiness based on the Technology Readiness Index and the Digital Readiness Framework, while qualitative insights were thematically analyzed using NVivo to uncover contextual factors. The findings reveal that while some respondents exhibit a moderate level of digital optimism, barriers such as unstable internet access, limited digital literacy, and fear of misusing technology significantly affect adoption rates. Furthermore, social support from family members emerged as a critical facilitator in overcoming these challenges. This study contributes to the discourse on inclusive digital transformation by highlighting the importance of integrating community-based support mechanisms into system design and policy planning. The implications suggest that successful digitalization efforts in rural areas must go beyond infrastructure development and address the social readiness of users through culturally sensitive and participatory approaches.

The purpose of this study was to explore differences in students creative thinking abilities based on gender and domicile. The research method used was descriptive quantitative. Sampling used proportional random sampling technique at Public Junior High Schools in South Konawe Regency. The research instrument used a creative thinking test as primary data. The data analysis technique used the winsteps program with scalogram analysis. The results showed that female students tended to be superior in fluency, originality, and elaboration, both at very high and low levels of creative thinking ability, while male students showed superiority in flexibility. This difference can be influenced by biological, psychological, and social factors that play a role in cognitive development and creativity. In addition, differences in creative thinking abilities were also found based on domicile. Urban students are superior in several indicators at very high levels of creative thinking ability, but are more susceptible to decreased creativity at very low levels compared to rural students. Environmental factors such as access to educational resources, intellectual stimulation, and higher social support in urban areas play a role in this difference. Overall, these findings confirm that gender and domicile significantly influence students creative thinking abilities.

Schizophrenia is a severe mental disorder characterized by a decline in cognitive abilities and social skills, an inability to care for oneself, and potential brain function impairment. One of the consequences often observed in schizophrenia patients is social isolation, where the individual is unable to interact with others around them. This study aims to assess and provide psychiatric nursing care for Sdr. A, who is experiencing the primary issue of social isolation: withdrawal due to paranoid schizophrenia at the Gatotkaca ward of RSJD dr. Gondohutomo in Central Java Province. Initial assessment of the patient revealed that Sdr. A is experiencing social isolation, particularly withdrawal from their social environment. Four nursing problems were identified, including social isolation: withdrawal, low self-esteem, sensory perception disturbances such as hallucinations, and self-care deficits. A nursing care plan was developed based on the Indonesian Nursing Diagnosis Standard , Indonesian Nursing Service Standard, and Indonesian Nursing Information System , tailored to the patient's condition at the time. The care plan includes interventions to enhance social interaction, improve self-esteem, address sensory perception disturbances, and promote self-care abilities. The nursing implementation was carried out using a holistic approach involving psychosocial support and appropriate medical therapy based on the patient’s needs. It is expected that through this approach, the patient can reduce social isolation symptoms and improve their quality of life. This study emphasizes the important role of psychiatric nursing care in addressing social issues in patients with paranoid schizophrenia and how a structured nursing care plan can support patient recovery.

The increasing number of elderly people in Yogyakarta City demands the provision of an inclusive environment that supports the welfare of the elderly. This study aims to assess the suitability of Yogyakarta City for the concept of an elderly-friendly city based on seven main variables: green open space, public transportation, pedestrian facilities, health services, social support, elderly-friendly intergenerational interactions, and advocacy for the basic rights of the elderly. The research used a quantitative approach with observation and questionnaire methods to elderly people in all sub-districts in Yogyakarta City. The data were analyzed using a Guttman scale to determine the level of suitability of each variable. The results showed that overall Yogyakarta City is classified as “suitable” for the concept of an elderly-friendly city, with a total score of 5.32 out of a maximum scale of 6.80. Four variables meet the suitability criteria, namely public transportation, health services, social support, and intergenerational interaction. Meanwhile, the other three variables are still not fully suitable and require improvement. This study recommends improvements in these three aspects so that the implementation of the concept of an elderly-friendly city in Yogyakarta City can be more optimal and sustainable.

This study aims to analyze the economic and social impacts within the environmental context on the sustainability of catfish farming in Basanah Village. Environmental issues such as water quality, land availability, and land-use changes have significantly affected aquaculture practices. Moreover, the social dynamics of the surrounding community, including patterns of cooperation, public perception of catfish farming, and economic impacts on farmers’ income and welfare, are central to the investigation. This research employs a descriptive qualitative approach through field observations, in-depth interviews, and documentation involving local farmers, community leaders, and relevant stakeholders. The findings reveal that economic aspects, such as production cost efficiency and income improvement, are highly dependent on stable environmental conditions and strong social support. Conversely, environmental degradation and weak social participation hinder business development. Therefore, participatory-based policies integrating sustainable environmental management with the strengthening of local socioeconomic capacities are urgently needed. This study offers a significant contribution as a foundation for formulating empowerment strategies for environmentally and socially-based small-scale aquaculture enterprises at the village level.