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High consumption of sugar-sweetened beverages (SSBs) has become an increasing public health concern, particularly among adolescents. Excessive SSB intake is a major risk factor for various non-communicable diseases, including type 2 diabetes mellitus, cardiovascular diseases, obesity, dental caries, and certain types of cancer. This study aimed to analyze the factors associated with the level of sugar-sweetened beverage (SSB) consumption among adolescents. This study employed a descriptive literature review approach. Data were obtained from national and international journals relevant to the topic of SSB consumption among adolescents. The selected articles were analyzed to identify factors associated with SSB consumption. The findings indicated that SSB consumption among adolescents is influenced by several factors, including individual factors (gender and knowledge), socioeconomic factors (peer influence and pocket money allowance), environmental factors (mass media exposure and beverage availability), and psychological factors (stress level and preference for sweet tastes). This study highlights that SSB consumption is a multifactorial behavior influenced by various interacting determinants. Therefore, comprehensive interventions targeting both individual and environmental factors are needed to reduce SSB consumption among adolescents.

Stress in older adults needs attention because it can negatively affect physical, emotional, and social well-being, as well as overall quality of life. Elderly individuals living in social welfare institutions are particularly vulnerable to stress due to environmental changes, limited family involvement, loneliness, daily routines, and reduced independence. This study aimed to determine the effect of art painting group activity therapy on stress levels among older adults at Budi Mulia 2 Cengkareng Social Welfare Home. A quantitative pre-experimental study with a one-group pretest-posttest design was conducted involving 33 participants selected through total sampling. Stress levels were measured using the DASS-21 stress subscale. The intervention consisted of four art painting sessions lasting 30–45 minutes each. Data were analyzed using the Wilcoxon test. The mean stress score decreased from 22.18 before the intervention to 15.94 after the intervention. The Wilcoxon test showed a significant difference (p = 0.000), indicating that art painting group activity therapy effectively reduced stress levels among older adults.

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.

Burnout syndrome is a condition characterized by emotional exhaustion, depersonalization, and a diminished sense of self-efficacy that nurses often experience due to high workloads. One approach that can be taken to reduce the level of burnout syndrome is through mindfulness-based breathing exercises. The objective of this study is to determine the effect of mindfulness-based breathing exercises on the level of burnout syndrome among nurses in the inpatient ward at R. W. Mongisidi Teling Hospital, a Type II General Hospital in Manado. This study employed a quasi-experimental design using a one-group pretest-posttest approach. The study population consisted of 87 nurses, with a sample of 20 respondents selected using purposive sampling. Data collection was conducted using the Mindfulness-Based Breathing Exercise SOP and a burnout questionnaire. The data were then analyzed using a T-test with a significance level (α) of 0.05. The study results showed that the mean score for the burnout syndrome among nurses in the inpatient ward of R. W. Mongisidi Type II General Hospital before the mindfulness-based breathing exercise intervention was 43.65, and the mean score after the intervention decreased to 40.40. The T-test results yielded a p-value of 0.000 < 0.05, indicating a significant effect of mindfulness-based breathing exercises on the burnout syndrome levels among nurses in the inpatient ward of RS TK II. R. W. Mongisidi in Teling, Manado. Mindfulness-based breathing exercises have a significant effect on burnout syndrome levels among nurses because this intervention helps improve self-awareness, control emotions, and reduce work-related stress. Recommendation: This intervention can be routinely implemented in hospitals as an effort to improve nurses’ psychological well-being and the quality of healthcare services.

Burnout syndrome is a condition characterized by emotional exhaustion, depersonalization, and a diminished sense of self-efficacy that nurses often experience due to high workloads. One approach that can be taken to reduce the level of burnout syndrome is through mindfulness-based breathing exercises. The objective of this study is to determine the effect of mindfulness-based breathing exercises on the level of burnout syndrome among nurses in the inpatient ward at R. W. Mongisidi Teling Hospital, a Type II General Hospital in Manado. This study employed a quasi-experimental design using a one-group pretest-posttest approach. The study population consisted of 87 nurses, with a sample of 20 respondents selected using purposive sampling. Data collection was conducted using the Mindfulness-Based Breathing Exercise SOP and a burnout questionnaire. The data were then analyzed using a T-test with a significance level (α) of 0.05. The study results showed that the mean score for the burnout syndrome among nurses in the inpatient ward of R. W. Mongisidi Type II General Hospital before the mindfulness-based breathing exercise intervention was 43.65, and the mean score after the intervention decreased to 40.40. The T-test results yielded a p-value of 0.000 < 0.05, indicating a significant effect of mindfulness-based breathing exercises on the burnout syndrome levels among nurses in the inpatient ward of RS TK II. R. W. Mongisidi in Teling, Manado. Mindfulness-based breathing exercises have a significant effect on burnout syndrome levels among nurses because this intervention helps improve self-awareness, control emotions, and reduce work-related stress. Recommendation: This intervention can be routinely implemented in hospitals as an effort to improve nurses’ psychological well-being and the quality of healthcare services.

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.

The transportation of tiger shrimp postlarvae (Penaeus monodon) in aquaculture practice is a critical stage as it may induce physiological stress that directly reduces survival rate. Salinity, as a water quality parameter closely associated with osmoregulatory processes, is a key determinant of success in closed wet system transportation. The present study was designed to examine how varying salinity concentrations influence the survival percentage of PL 10 tiger shrimp postlarvae subjected to closed wet transport conditions, as well as to identify the most suitable salinity range for such transport. A Completely Randomized Design (CRD) was employed with five salinity levels as treatments — 10, 15, 20, 25, and 30 ppt — each replicated five times. Each experimental unit contained 1,500 postlarvae in 1 L of oxygenated water packed in plastic bags and transported for approximately 3 hours. The main parameter observed was survival rate (SR), while supporting parameters included temperature, dissolved oxygen (DO), and pH. Statistical evaluation included the Kolmogorov–Smirnov normality test, Levene’s test for variance homogeneity, one-way analysis of variance (ANOVA), and Duncan’s Multiple Range Test (DMRT) at a significance level of α = 0.05. Results showed that salinity differences had a highly significant effect on postlarvae survival rate (Sig. = 0.000 < 0.05). The 25 ppt salinity treatment produced the highest survival rate of 99.64%, while 10 ppt resulted in the lowest at 63.78%. The measured water quality variables — temperature, dissolved oxygen, and pH — did not exert a statistically significant effect on postlarvae survival throughout the transport period.

Hypertension has become a chronic disease known as the silent killer because it often does not show symptoms but can cause serious complications such as stroke, heart disease, and kidney failure. According to WHO, hypertension is one of the leading causes of death worldwide and its prevalence continues to rise. Sleep disturbances can increase sympathetic nervous system activity and stress hormones, which impact blood pressure elevation. Depression is characterized by prolonged feelings of sadness, loss of interest, and decreased energy. Physiologically, depression can increase stress hormones and cause autonomic nervous system imbalance, leading to elevated blood pressure. To determine the relationship between sleep pattern disturbances and depression levels with blood pressure in hypertensive patients in the outpatient department of RS Permata Medika Semarang. Quantitative research with a correlational design using a cross-sectional approach. The sampling technique used was consecutive sampling with a sample size of 79 respondents. The instruments used are the PSQI questionnaire for sleep pattern disturbances and the DASS-42 for depression levels. Ethics test no 03/EC-LPPM/UWHS/II-2026. Data analysis used the Spearman Rank test. The research results show that there is a significant relationship between sleep pattern disturbances and blood pressure in hypertensive patients (p=0.000; rho=0.826). Respondents with poor sleep patterns mostly have high blood pressure, indicating a very strong and positive relationship, where the worse the sleep pattern, the more uncontrolled the blood pressure tends to be. Additionally, there is a significant relationship between the level of depression and blood pressure (p=0.000; rho=0.808). Respondents with severe and very severe depression mostly have high blood pressure, which means that the higher the level of depression, the more the blood pressure increases or becomes uncontrolled. There is a relationship between sleep pattern disturbances and depression levels with blood pressure in hypertensive patients in the outpatient department of Permata Medika Hospital Semarang.

The situations frequently faced by final-year students while preparing scientific papers often have an impact on their mental health and learning process. The purpose of this study was to evaluate the effectiveness of Mozart music therapy in reducing stress among final-year students in the Diploma III Nursing Program at Abulyatama University. This study used a quantitative method with a one-group pre-Test and post-Test design. The population studied included all final-year students in the Diploma III Nursing Program at Abulyatama University, totaling 168 students. The sample consisted of 15 respondents selected using purposive sampling technique. The instrument used in this study was the DASS-42 questionnaire with a Cronbach’s Alpha value of 0.8806, and Mozart classical music therapy was administered in accordance with the Standard Operating Procedure sheet. This research was conducted from May 20 to May 23, 2025. Data analysis used the T-test. The results showed a decrease in the mean stress score from 26.07 (pre-Test) to 20.67 (post-Test), with a p-value = 0.000. Based on these results, it can be concluded that Mozart classical music therapy has an effect in reducing stress among final-year students during the process of writing scientific papers. It is expected that students can make Mozart classical music therapy a routine practice in daily life to maintain mental balance, and educational institutions are advised to organize Mozart classical music therapy programs regularly as a preventive effort against academic stress

Excessive smartphone use among adolescents, especially students, can develop into smartphone addiction and potentially disrupt learning concentration. At SMP Negeri 11 Jambi City, most students use smartphones for long periods for entertainment and social media until late at night, which leads to drowsiness and reduced focus during lessons. This study employed a quantitative method with a cross-sectional design. The population consisted of all seventh-grade students at SMP Negeri 11 Jambi City, totaling 352 students, with a sample of 175 respondents selected through stratified proportionate random sampling. Data were collected using the Smartphone Addiction Scale–Short Version (SAS-SV) questionnaire and a learning concentration questionnaire. Data analysis was conducted using univariate and bivariate methods with Kendall’s tau-b test. The results showed that 84% of respondents experienced smartphone addiction, while 61.7% had a good level of learning concentration. Kendall’s tau-b test indicated a significant relationship between smartphone addiction and learning concentration (p-value = 0.000; r = 0.243), showing a weak association. Higher levels of smartphone addiction were linked to decreased learning concentration. Therefore, active involvement from schools and parents is needed to guide adolescents in managing stress and boredom positively.

First-year university students undergo a transitional phase from the school environment to the academic, social, and emotional demands of higher education. This transition often triggers stress when not supported by an adequate social environment. Peer support plays an essential role in this adaptation process by providing emotional support, information, and a sense of belonging. Positive peer relationships can help students manage academic pressure, whereas poor peer interactions may increase the risk of stress. Therefore, peer support serves as a protective factor in maintaining the psychological well-being of first-year students. This study employed a quantitative approach with a cross-sectional design. Data were collected using the Peer Support Questionnaire (PSQ) and the Student-Life Stress Inventory (SSI) from 130 first-year students of the Faculty of Pharmacy, UNISSULA. The sampling technique used was simple random sampling. Data were analyzed using the Gamma correlation test to determine the relationship between the variables. The Gamma test revealed a p-value of 0.000 (<0.05), indicating that the alternative hypothesis was accepted, meaning there is a significant relationship between peer support and stress levels among first-year students. The correlation coefficient of –0.737 indicates a strong negative relationship, suggesting that higher peer support is associated with lower stress levels. There is a significant and strong relationship between peer support and stress levels among first-year students at the Faculty of Pharmacy, UNISSULA.

Ovarian cancer patients undergoing chemotherapy often experience stress due to the side effects of therapy and emotional distress. Religiosity provides a source of inner peace and acceptance of the disease, while coping strategies play a role in how patients deal with the stress they experience. Aims: to determine the relationship between religiosity and coping strategies with stress levels among ovarian cancer patients undergoing chemotherapy. Method: The study employed a descriptive correlational design with a cross-sectional approach. The population included all ovarian cancer patients undergoing chemotherapy totaling 47 patients. The sampling technique used was Total Sampling. Bivariate analysis was performed using the Spearman Rank Correlation test. This research was conducted in the Darussalam and Ma’wa Buildings of Sultan Agung Islamic Hospital Semarang. Result: Based on the Spearman Rank Correlation test on religiosity, the value of r = -0.857 with p-value = 0.000 (p < 0,05) was obtained. This shows a very strong and significant relationshsip between religiosity and stress levels in ovarian cancer patients undergoing chemotherapy. Coping strategies obtained a value of r = -0.810 with p-value = 0.000 (p < 0.05), indicating a very strong and significant relationship between coping strategies and stress levels in ovarian cancer patients undergoing chemotherapy. Conclusion: There is a significant relationship between religiosity and coping strategies with stress levels among ovarian cancer patients undergoing chemotherapy.

Students who are working on their undergraduate thesis often experience stress due to academic workload, pressure to graduate on time, and anxiety regarding their academic performance. Spirituality is considered one of the coping mechanisms that may help individuals achieve emotional calmness, life meaning, and self-acceptance, which potentially reduces stress. This study aims to determine the relationship between the level of spirituality and stress among students working on their thesis. This research used a quantitative method with a cross-sectional approach. A total of 134 students were selected using simple random sampling. The instruments used were the Daily Spiritual Experience Scale (DSES) to measure spirituality and the Perceived Stress Scale (PSS-10) to measure stress levels. Data analysis was performed using the Spearman Rank correlation test. The findings indicate a significant correlation between spirituality and stress levels with a p-value of 0,002. The Spearman correlation coefficient (r = -0,264) indicates a negative correlation, meaning that higher levels of spirituality are associated with lower stress levels among thesis-writing students. There is a significant negative relationship between spirituality and stress among students working on their undergraduate thesis. Increasing spirituality may serve as an effective coping strategy to reduce stress during the thesis completion process.

Academic stress is a psychological pressure commonly experienced by final-year university students, particularly during the process of completing their undergraduate thesis. High academic demands, limited time, pressure to graduate on schedule, and various obstacles encountered during research may intensify students’ emotional burden. When left unmanaged, academic stress can escalate into more serious psychological problems, including suicidal ideation. This study aims to analyze the relationship between academic stress levels and suicidal ideation among final-year students at Universitas Islam Sultan Agung Semarang. This research employed a quantitative design with a cross-sectional approach. A total of 180 respondents were selected using a simple random sampling technique. The research instruments consisted of the Perceived Academic Stress (PAS) scale to measure academic stress levels and the Adult Suicidal Ideation Questionnaire (ASIQ) to assess suicidal ideation. Data analysis was conducted using the Spearman Rank correlation test. The results showed that the majority of students experienced high (49.4%) and very high (47.8%) levels of academic stress. Meanwhile, suicidal ideation was most commonly found in the mild category (42.8%), followed by the no-risk category (28.9%). The statistical test indicated a significance value of p = 0.021 with a correlation coefficient of r = 0.172, demonstrating a positive and significant relationship between academic stress and suicidal ideation. These findings indicate that higher levels of academic stress are associated with an increased likelihood of suicidal thoughts among final-year students. The study highlights the importance of mental health support, academic guidance, and accessible counseling services to mitigate psychological distress and reduce the risk of suicidal ideation during the thesis completion period.

Academic stress is a common type of stress experienced by students, which greatly affects their self-esteem. This study aims to determine the relationship between self-esteem and academic stress levels among students. This study used a quantitative design with a cross-sectional approach and probability sampling technique. The sample consisted of 101 respondents from a total of 132 students. Data analysis was performed using Spearman's rank correlation test. The results showed a weak and negative relationship between self-esteem and academic stress levels with a p-value of 0.000 (p˂ 0.05) and a correlation coefficient (r) = -0.385. There is a relationship between self-esteem and academic stress levels in students, where low self-esteem is associated with higher academic stress levels.

This research aims to explore a culture shock phenomenon and its impact on the stress levels and adaptation processes of migrant students at PASIM national University, as individuals who move into a new environment, culture, different geographical features, migrant students often face problems in communication or psychological pressure. Data collected process done by interviewing respondents, thru qualitative method with phenomenological approach to deeply describe life experiences. Basically culture shock has four phases, start with initial disorientation and cognitive load due to the uncertainty of social life, followed by emotional pressure leading to social isolation and homesickness. After those two the adaptive coping process activated starting with building relationships with peers, after all of these phases formed the increase of post-crisis increase in intercultural and social competence. This finding indicate that early phase of culture shock does indeed have a negative impct, however, as the adaptation process an individual can develop an independence dan stronger self-identity. Conclusion, this research emphasizes the importance of internal resilience and the support external support in transforming challenges into opportunities for self-development that can lead to personal growth and benefits.

Postoperative pain is a common physiological response following surgical procedures, and its suboptimal management can have physiological and psychological effects, including sleep disturbances, decreased functional capacity, increased anxiety, and deterioration in quality of life. This scoping review aims to describe the empirical evidence regarding the effectiveness of music therapy in reducing the intensity of postoperative pain in surgical patients. A systematic search was conducted through four major databases (ScienceDirect, PubMed, Neliti, and Google Scholar) using Boolean operators and keywords such as ‘postoperative pain,’ ‘music therapy,’ and ‘pain scale.’ Inclusion criteria included articles published in the last decade, in English or Indonesian, and available in full text format. In accordance with PRISMA-ScR guidelines, this review analysed 10 articles. The synthesis of results showed that music therapy consistently reduced pain intensity, anxiety, and analgesic requirements through mechanisms such as increased endorphin secretion, decreased stress hormone levels, and activation of the gate control theory. Typically administered for 15–30 minutes, music therapy is a safe, cost-effective, and patient-acceptable non-pharmacological modality. This intervention is recommended as an adjunct component in perioperative pain management in nursing practice, although further standardised research is needed to improve consistency.

Global data shows that more than 60% of adolescents report experiencing moderate to severe stress due to academic and social demands. Physical activity plays an important role in maintaining adolescent mental health. Regular physical activity can stimulate the release of endorphins, improve cognitive function, reduce muscle tension, and reduce levels of cortisol, the main hormone associated with stress. One of the easiest, cheapest, safest, and most accessible forms of physical activity is walking. Walking is a moderate-intensity aerobic activity that has been proven to improve mood, improve sleep patterns, and reduce anxiety. The purpose of this study was to determine the effectiveness of walking as a physical activity on stress disorders in adolescents. The research method used a quasi-experimental design with a pretest-posttest control group approach, involving 44 participants, comprising 22 intervention and 22 control subjects. The walking activity was conducted for three consecutive days, with a duration of 60 minutes, from 16:00 to 17:00 WIB, on 16-18 December 2024. The sample criteria were first-year nursing students in their first semester who performed walking activities continuously for three days. The results showed a significant difference in stress levels before and after the intervention, with a significance level of (Z=-3.557, p=0.000). This means that there was a significant difference in stress levels between before and after the physical activity intervention. The difference in stress levels before and after the intervention in the control group was significant (Z=-1.000, p=0.317). This means that there was no difference in stress levels in the control group. The difference in stress levels between the intervention group and the control group after treatment was significant (Z=-3.445, p=0.001). This indicates that there is a significant difference in stress levels between the intervention group and the control group after the physical activity intervention. Walking is an effective, affordable, and feasible intervention for the adolescent population as a promotive and preventive strategy in stress management.

This study aims to analyze the influence of entertainment content consumption on TikTok toward the stress levels of university students. TikTok has become one of the most frequently used social media platforms among young adults, offering entertainment, distraction, and emotional relief. Meanwhile, academic stress is a common issue among students due to heavy coursework, deadlines, and pressure to perform. This research uses a quantitative method with a survey distributed to 100 active university students aged 18–24 who own a TikTok account and consume entertainment content such as comedy, challenges, and viral videos. Data were analyzed using descriptive statistics and simple linear regression. The results show that the overall frequency of using TikTok for entertainment is very high (mean = 4.26), while the level of academic stress also falls into the high category (mean = 4.06). Regression analysis indicates that TikTok entertainment content significantly affects students’ stress levels (p < 0.001). Result found is positive, meaning higher TikTok usage is associated with higher stress. The significance value based on the simple linear regression coefficient table is 0.000 < 0.05, so it can be concluded that the variable Use of TikTok Entertainment Content (X) has an effect on the variable Stress Levels Among Students (Y).

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.