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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 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.

Regular physical activity is known to play an important role in maintaining overall health, including improving immune system function and mental health. Lack of physical activity remains a public health issue, making it important to understand the impact of physical activity on the immune system and mental health. This study aimed to review the effect of regular physical activity on the immune system and mental health using a literature review method. The literature sources were obtained from publications within the last five years using databases such as Google Scholar, PubMed, and ScienceDirect. The articles were then screened and selected based on inclusion and exclusion criteria, resulting in nine relevant articles for analysis. The selection results indicate that regular physical activity can increase the mobilization and activity of immune cells such as lymphocytes, neutrophils, and natural killer cells, and also modify the adaptive immune system through changes in T cells and B cells. In addition, physical activity also improves mental health through neurobiological mechanisms such as increased endorphin, dopamine, and serotonin levels, which can reduce stress, anxiety, and depression, as well as improve sleep quality and psychological well-being. Therefore, regular physical activity has a positive effect on the immune system and mental health and can be used as a promotive and preventive strategy to maintain overall health.

The advancement of social media platforms, especially TikTok, has drastically changed the behavioral patterns and lifestyles of Generation Z. One psychological impact of intensive social media use is Fear of Missing Out (FoMO), which is the worry of missing out on news, trends, or viral social activities. This study aims to reveal how FoMO affects the lifestyle of Generation Z active on TikTok, focusing on aspects of mental health, shopping habits, and the balance of social interactions. This research uses a literature study approach with a qualitative descriptive method, through in-depth analysis of 21 scientific articles published between 2019 and 2025. The findings show that FoMO is associated with increased anxiety, depression, personal dissatisfaction, and excessive social media use among Generation Z. Furthermore, FoMO also drives impulsive consumption patterns and purchases triggered by online trends as well as the desire for social approval. On the other hand, internal factors such as self-confidence and self-control ability have proven to reduce the level of FoMO and its negative effects. This study concludes that FoMO is a complex phenomenon that impacts the mental health and lifestyle of Generation Z, thus requiring measures such as increasing digital literacy, strengthening self-control, and using social media wisely to reduce the negative impacts of FoMO in the long term.

Postpartum depression (PPD) is a common and serious mental health disorder for mothers after givingbirth, which is a public mental health problem because it not only has a direct impact on the baby, but also on the family. The most common symptoms of PPD are overwhelming sadness, feelings of hopelessness and helplessness, moodiness, an inability to experience joy with the baby, serve anxienty, loss of appetite, poor concentration and memory, sleep disturbances, prolonged fatigue, and suicidal ideation (American Psychological Association, 2013). The design used in this study was quantitative by measuring the prevalence of postpartum depression in postpartum mothers using the EPDS form. The research was conducted at Gandapura Community Health Center, this location wa used as the research site because it had not been exposed at all regarding the use of the EPDS form as part of the initial assessment of midwifery services. A population is all elements that meet certain criteria for inclusion in a study. The population in this study was all postpartum mothers who gave birth in the obstetrics ward. The sample criteria in this study are divided into two, namely inclusion criteria and exclusion criteria. Conclusion: Postpartum guidance provided to mothers influences the risk of postpartum depression. Postpartum women who receive assistance are less likely to experience postpartum depression, and mothe who do not receive assistance are depression.

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.

The postpartum period is a critical transitional phase during which women are vulnerable to psychological disturbances, particularly postpartum depression. Psychological distress may undermine maternal confidence, including the perceived ability to breastfeed effectively. This study aimed to examine the relationship between breastfeeding self-efficacy and postpartum depression among postpartum mothers. A quantitative cross-sectional design was employed involving 45 respondents selected through total sampling. Depressive symptoms were assessed using the Edinburgh Postnatal Depression Scale (EPDS), while breastfeeding self-efficacy was measured using the Breastfeeding Self-Efficacy Scale-Short Form (BSE-SF). Data were analyzed using Spearman’s Rank correlation test with a significance level of 0.05. The results demonstrated a statistically significant and strong negative correlation between breastfeeding self-efficacy and postpartum depression (r = –0.616; p < 0.05). Mothers with higher depressive symptoms tended to report lower levels of breastfeeding self-efficacy. These findings highlight the importance of integrating mental health screening and breastfeeding support into postpartum care to strengthen maternal confidence and improve breastfeeding outcomes.  

Generation Z students face increasingly complex academic challenges within the competitive higher education ecosystem. The pressure to maintain academic performance, social expectations, and intense digital exposure contribute to rising mental health issues such as stress, anxiety, and burnout. This study aims to analyze the relationship between academic pressure and the psychological condition of Gen Z students using a quantitative-descriptive approach through an online survey. The research instrument adapted the Academic Stress Scale (ASS) and the Depression Anxiety Stress Scale (DASS-21). The results show that the majority of respondents experience significant academic pressure, which correlates positively with symptoms of stress and anxiety. These findings highlight the importance of educational system reform that not only emphasizes academic performance but also supports students' mental well-being. Higher education institutions are expected to provide safe spaces, reliable counseling services, and more empathetic teaching approaches in response to the mental health issues facing this generation.

Breakups often trigger psychological conflict ranging from stress, anxiety, depression, to risky behavior that have an impact on individual well-being and the social environment. This study explores the role of law in preventing, responding to, and recovering such psychological impacts through an interdisciplinary approach. The methodology used is a normative-juridical study combined with a literature review of clinical psychology and mental health policy. The findings show that the legal framework can function on three levels: (1) preventive, through the guarantee of the right to mental health, digital literacy, and platform governance to prevent post-breakup online harassment; (2) protective, through victim protection mechanisms against psychological violence, stalking, doxing, and the dissemination of non-consensual intimate content; and (3) curative, with a referral scheme for counseling services, the provision of legal aid, data confidentiality guarantees, and restorative justice instruments centered on victim recovery. However, there are implementation gaps, including the lack of standardization of psychological assessments in the legal process, limited access to services at the grassroots level, and coordination between institutions that are not optimal. This article recommends the integration of mental health protocols in the law enforcement process, evidentiary guidelines for psychological violence, as well as cross-sectoral collaboration with psychological service providers and digital platforms. The main contribution of this study is the mapping of a comprehensive legal intervention framework for post-breakup psychological conflicts.

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 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.

Bullying behavior in elementary schools, characterized by the intentional harm of others, can manifest as teasing, harsh words, intimidation, and physical actions. It involves aggressive and repeated behavior aimed at demeaning others, which can significantly impact victims. Repeated bullying can lead to psychological issues, hindering students' ability to engage in the learning process, communicate with peers, and interact at home. Bullying in schools can result in mental health problems like anxiety and depression, academic struggles such as poor performance and truancy, and social challenges like difficulty forming relationships. Long-term effects may include trauma, low self-esteem, and even self-harm. To prevent bullying, schools should adopt a holistic approach that includes collaboration with parents and students. Strategies involve character education to promote empathy and respect, establishing clear school policies, and creating a safe, supportive environment. Raising awareness through anti-bullying campaigns and providing psychological support for victims, along with intervention for perpetrators, can further contribute to reducing bullying. Engaging the entire school community in these efforts is crucial to creating a positive, inclusive atmosphere where bullying is actively prevented.

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 meta-synthesis examines in depth the effectiveness of technology-assisted therapy (TAT) in the treatment of war-related trauma through a systematic analysis of 47 empirical studies with a total of 6,842 participants published between 2010 and 2024. The quantitative synthesis indicates that the implementation of TAT demonstrates statistically significant effectiveness in reducing the severity of post-traumatic stress disorder symptoms (d=0.78, 95% CI [0.65, 0.91]), anxiety (d=0.69, 95% CI [0.54, 0.84]), and depression (d=0.72, 95% CI [0.58, 0.86]) among populations affected by armed conflict. Among the various digital modalities, Virtual Reality Exposure Therapy (VRET) exhibits the strongest therapeutic effect (d=0.85) compared with mobile-based intervention (d=0.71) and teletherapy (d=0.68). Further moderator analysis identifies the optimal intervention duration as 12 to 16 weeks, with a significant effect contribution (β=0.34, p<.001) and a relatively moderate dropout rate of 18.7%. These findings extend Tng et al. (2024) by confirming the superiority of VRET and by confirming the significance of therapist support for the effectiveness of TAT (Wu et al., 2025). In contrast to the meta-analysis by Eshuis et al. (2021), which emphasized a single approach, this study reveals that hybrid interventions that integrate multiple digital platforms simultaneously (d=0.89) are superior to single-platform interventions (d=0.67). Overall, the results of this meta-synthesis provide a strong empirical foundation for the development of more comprehensive, adaptive, and contextually relevant TAT protocols for war-related trauma.

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.

Cancer is a chronic disease that not only affects physical conditions but also imposes a significant psychological burden on both cancer patients and cancer survivors. Various mental health problems, such as anxiety, depression, stress, and psychological distress, are frequently experienced throughout the processes of diagnosis, treatment, and the survivorship phase. One psychological intervention that has developed and been widely studied is expressive writing, which allows individuals to freely express their thoughts and emotions through writing. This study aims to examine the effectiveness of expressive writing interventions on the mental health of cancer patients and cancer survivors using a literature review method. The article search process was conducted in international databases (ScienceDirect, PubMed, and SpringerLink) and a national database (Garuda), covering publications from 2020 to 2025. Article selection was carried out using PRISMA guidelines, and methodological quality assessment was conducted using the Critical Appraisal tools from the Joanna Briggs Institute (JBI). Based on the selection results, nine articles met the eligibility criteria for analysis. The review findings indicate that most studies report positive effects of expressive writing in reducing anxiety, depression, stress, and psychological distress, as well as improving quality of life, positive affect, self-efficacy, and posttraumatic growth. However, the effectiveness of this intervention varies depending on individual characteristics, clinical context, writing structure and focus, intervention duration, and cultural appropriateness. Therefore, expressive writing has the potential to serve as an effective, flexible, and low-cost supportive intervention in cancer care, particularly when it is designed contextually and adaptively in accordance with patients’ psychological needs.

The increasing number of mental health disorders in various countries has created an urgent need for innovation in the diagnosis and treatment process. This problem not only impacts individuals' quality of life but also creates a significant social and economic burden. One solution that is beginning to be widely researched is the use of artificial intelligence (AI) in the field of mental health. This research used a literature review of various previous studies discussing the role, application, and impact of AI. The results of the review indicate that AI technology, particularly in the form of digital applications such as chatbots, has great potential to support the recovery process for patients with mental disorders. AI-based chatbots can provide responsive, two-way interactions, so users feel heard and receive initial emotional support. One technical approach used is Natural Language Processing (NLP), which enables the system to understand natural human language. Simultaneously, Long Short-Term Memory (LSTM) algorithms are used to analyze language patterns and detect symptoms of depression more accurately. Various studies have reported that the application of NLP and LSTM can improve the reliability of diagnoses and provide responses tailored to user needs. Furthermore, AI can provide personalized recommendations, tailor interventions to the user's condition, and monitor mental health developments in real time. This has the potential to assist mental health practitioners in making faster and more informed decisions. However, the adoption of AI among practitioners remains relatively low. Influencing factors include limited technological understanding, limited infrastructure, and debates over ethical aspects and data privacy. Therefore, while AI has significant potential to improve the quality of mental health services, regulations, ethical guidelines, and synergy between technology and healthcare professionals are needed to ensure safe and effective implementation.

Generation Alpha refers to children born after 2010, who are growing up in a rapidly evolving digital ecosystem. In the Indonesian context, the emergence of depressive disorders among this generation poses a critical mental health challenge that has not been thoroughly addressed. This study aims to analyze the prevalence of depressive symptoms in Generation Alpha, identify the major risk factors, and evaluate current and potential preventive strategies through a narrative literature review approach. Data were collected from national and international journals using platforms such as PubMed, Google Scholar, and Garuda, with inclusion criteria covering articles published between 2019 and 2024 and relevant to children’s mental health. Findings reveal a significant increase in depressive symptoms among children aged 5 to 13 years. Key risk factors include non-democratic parenting styles, academic stress, bullying in school environments, and excessive use of digital gadgets. Additionally, the COVID-19 pandemic and remote learning have exacerbated children’s mental health, particularly among those from low-income families or with limited access to psychological support. On the other hand, preventive strategies involving holistic approaches such as school-based mental health education, play therapy, digital mental health interventions, and Islamic spirituality-based approaches have demonstrated considerable potential in mitigating depressive symptoms. This review highlights the urgency of implementing multi-level and context-sensitive prevention strategies through collaboration between schools, families, and community-based institutions.

The mining system applied by PT Bukit Baiduri Energi is an open pit mining system utilizing the open-pit method. The application of the open-pit method creates a depression that has a high potential to become a catchment area for both surface runoff and groundwater. In the mining pit of PT Bukit Baiduri Energi, there is a sump located at an elevation of -86 meters above sea level (mdpl). The planned mining boundary is at an elevation of -110 mdpl. Therefore, this research aims to determine the area of the catchment, runoff discharge values, sump capacity, and pump capacity, so that the volume of incoming water can be known, allowing for the control of the sump to prevent overflow that could disrupt mining activities.. Based on the data obtained and the calculations performed, the catchment area was found to be 103.42 ha. In the calculation of runoff discharge using the rational method, the total runoff discharge entering sump A9 was found to be 4,211.66 m3/day. The capacity of the sump was measured at 125,187.62 m3. In the pump capacity calculation, the pump capacity based on the pumping discharge was found to be 2,926.80 m3/day.

Education is not only about academic knowledge, but also about the overall balance between body and mind. Amidst increasing academic demands and constant social pressures, students’ mental health is a crucial aspect that should not be ignored. Mental health literacy in a legal perspective is the foundation for academic success, healthy social interactions and overall quality of life. In the educational environment, we often talk about achievement, grades and preparation for the future, but we often forget that students’ mental health is an important foundation for achieving such success. Mental health disorders such as anxiety, depression or stress that are not addressed can interfere with concentration in learning, healthy social interactions, and even general physical health. Therefore, it is important for us to start building mental health literacy in a legal perspective among students. By knowing the symptoms that may appear, preventive measures that can be taken and available sources of support, we can help create an inclusive, caring and supportive educational environment for students’ mental well-being. Many countries have specific regulations that cover aspects of mental health literacy in the educational environment, including students’ rights related to access to services and protection from discrimination. Student mental health literacy from a legal perspective involves the application of legal principles in the context of protecting and fulfilling students' rights related to mental health in the educational environment. Mental health literacy from a legal perspective as an integral part of individual well-being is gaining increasing emphasis in the legal realm. Protection of individual mental health does not only rely on medical aspects, but is also closely intertwined with the rights and regulations that accompany it. Education, advocacy, and cross-sector collaboration are key in efforts to improve mental health protection from a legal perspective that includes interrelated social, educational, health, and legal aspects. Through a better understanding of this background, regulations and policies can be developed to better protect and support students' mental health in educational institutions.