Understanding mental health and its determinants from the perspective of adolescents: A qualitative study across diverse social settings in Indonesia

Willenberg, Lisa; Wulan, Nisaa R.; Medise, Bernie Endyarni; Devaera, Yoga; Riyanti, Aida; Ansariadi, Ansariadi; Wiguna, Tjhin; Kaligis, Fransiska; Fisher, Jane; Luchters, Stanley; Jameel, Aishah; Sawyer, Susan Μ; Tran, Thach; Kennedy, Elissa; Patton, George C; Wiweko, Budi; Azzopardi, Peter

doi:10.1016/j.ajp.2020.102148

Cited by 22 publications

(47 citation statements)

References 34 publications

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“…Emotional and behavioral problems in children and adolescents, in particular, have been a focus of research, examining issues such as the association between stature and mental illness and psychopathological symptoms related to negative life events (Dhamayanti, Deliana, & Bukkar, 2018; Moreira et al, 2020). Students' perceptions about mental health and cyberbullying are new issues that are also concerning (Wiguna et al, 2018; Willenberg et al, 2020).…”

Section: Methodsmentioning

confidence: 99%

The state of psychiatric research in the Asia Pacific region

Roche

Fung

Ransing

et al. 2020

Asia-Pacific Psychiatry

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Introduction This study aims to review recent scientific publications and research output in the field of psychiatry, from a series of countries in the Asia‐Pacific region (Australia, India, Indonesia, Iran, Lebanon, Malaysia, and Nepal), with a view to identify themes and similarities across regions, as well as to examine the barriers and challenges in mental health research faced by countries in the region. Methods Seven psychiatrists from seven countries reviewed recent published and ongoing research in psychiatry in their respective nations, with respect to themes, as well as any barriers or challenges faced by mental health researchers. Results While the seven nations included in this review vary in terms of research capabilities and economic development level, they share many similarities both in terms of research direction, and with regards to challenges faced. Limitations in the form of sociocultural differences from the West, and a lack of funding were some of the barriers identified. Discussion Mental health research in the region has been progressing well. However, more varied research in the form of qualitative or economic studies are lacking, as are multi‐center studies. The similar issues that nations face with regards to research could perhaps benefit from collaborative efforts and initiatives for the furtherance of research in the region.

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Section: Methodsmentioning

confidence: 99%

The state of psychiatric research in the Asia Pacific region

Roche

Fung

Ransing

et al. 2020

Asia-Pacific Psychiatry

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“…Despite purposively sampling children and young people with a range of experiences, mental illness appeared at times to be of limited salience to participants [50]. This represents a key difference from existing literature undertaken with older adolescents in Indonesia [17]. This may because participants in the current study were younger and the identified lack of understanding reflected their earlier stage of development.…”

Section: Plos Onementioning

confidence: 78%

“…symptoms and that approximately 10% of 15-24-year-olds have a diagnosis of non-specific emotional disorder [15]. Research in adult and child populations in Indonesia has highlighted the salience of mystical and supernatural forces as perceived determinants of mental illness and demonstrated the negative impact of stigma on conceptualisations of health and illness [16,17].…”

Section: Plos Onementioning

confidence: 99%

“…Understanding the perceptions and attitudes that CYP hold towards mental health is crucial to optimising the development of acceptable and targeted interventions. The present study adopts a broad interpretation of health perceptions and includes both perceptions of positive mental health and mental illness [17]. Further, this study takes account of criticisms of traditional approaches which often fail to take social cultural factors into consideration [29].…”

Section: Plos Onementioning

confidence: 99%

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Children and young people’s beliefs about mental health and illness in Indonesia: A qualitative study informed by the Common Sense Model of Self-Regulation

et al. 2022

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Background Mental illness is a leading cause of disease burden amongst children and young people (CYP). This is exacerbated in low- and middle-income (LMIC) countries which often have embryonic care structures. Understanding and targeting illness beliefs is a potentially efficacious way of optimising the development of health prevention interventions. These beliefs remain relatively underexplored in CYP in LMIC contexts. Aim: To develop an in-depth understanding of CYPs beliefs about mental health and illness in Indonesia. Methods and findings Semi-structured interviews (n = 43) combined with photo elicitation methodology were undertaken with CYP aged 11–15 from Java, Indonesia. Our sample comprised those living with (n = 19) and without (n = 24) high prevalence mental health conditions, specifically anxiety or depression. Data were analysed using framework analysis, informed by the Common Sense Model of Self-Regulation of Health and Illness. Positive mental health and illness were dichotomised in accounts with mental health typically characterised as an absence of mental disturbance. This contributed to attributions of abnormality and the marginalisation of those with mental illness. Mental illness was conceptualised as a single entity, commonly arising from individual failings. This prompted feelings of self-stigma in those with lived experience of mental illness. Analysis identified marked differences in the perceived time dimensions of positive mental health and illness with mental illness conceived as less transient than episodes of positive mental health. Illness beliefs appeared relatively consistent across the two groups of CYP although some nuanced differences were identified. CYP with anxiety and depression were less likely to believe that mental illness could be diagnosed visually, more likely to uphold multiple causal factors and endorse the potential efficacy of professional input. Conclusions Public health interventions to increase understanding may be necessary to develop healthcare systems to reduce treatment barriers, optimise return on investment and enhance population health effect.

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“…They pointed out that 37.8% of the observed school-aged children exhibited negative emotional symptoms originating from maternal parenting stress. Furthermore, the national data indicates that 10% of Indonesian adolescents exhibited poor mental health; 32% of which had experienced bullying at school [31,32]. With regard to hypertension, it has been long known that interactions of multiple genetic and environmental factors play a significant role, and identified several indices associated with prevalence of hypertension such as body mass index [33][34][35].…”

Section: Logistic Regression Analysis Of the Prevalence Of Health Problemsmentioning

confidence: 99%

Relation between occupants’ health problems, demographic and indoor environment subjective evaluations: A cross-sectional questionnaire survey study in Java Island, Indonesia

et al. 2021

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This study aimed to evaluate the link between health problems, demographic factors, and the indoor environment quality of residents in Indonesia. We conducted a cross-sectional design study through a questionnaire survey with 443 respondents aged between 12 and 81 years. The questionnaire was concerned with previous health problem occurrences associated with thermal discomfort experiences, indoor environments, economic conditions, and basic anthropometric factors. Logistic regression with the odds ratio (OR) was applied to evaluate the tendency of different respondent groups to suffer from certain health problems, when compared to reference groups. Furthermore, structural equation modelling (SEM) was used to incorporate certain factors (economic conditions, thermal discomfort experiences, and perceived indoor environments) into a single model to understand their direct and indirect effects on health conditions. The results indicate that economic conditions are the most significantly associated with health problems. Furthermore, we found that the low-income group was the most vulnerable to health problems, including coughing, puking, diarrhoea, odynophagia, headaches, fatigue, rheumatism, fidgeting, skin rashes, muscle cramps, and insomnia (OR: 1.94–6.04, p <0.05). Additionally, the SEM suggested that the respondents’ economic conditions and thermal discomfort experiences had significant direct effects on their health problems with standardized estimates of -0.29 and 0.55, respectively. Additionally, perceived indoor environment quality, which is possible to cause thermal discomfort experience, indirectly affect health problems. These findings contribute an insightful and intuitive knowledge base which can aid health assessments associated with demographic and physical environments in developing sustainable and healthy environment strategies for the future.

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Understanding mental health and its determinants from the perspective of adolescents: A qualitative study across diverse social settings in Indonesia

Cited by 22 publications

References 34 publications

The state of psychiatric research in the Asia Pacific region

The state of psychiatric research in the Asia Pacific region

Children and young people’s beliefs about mental health and illness in Indonesia: A qualitative study informed by the Common Sense Model of Self-Regulation

Relation between occupants’ health problems, demographic and indoor environment subjective evaluations: A cross-sectional questionnaire survey study in Java Island, Indonesia

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