Mental health literacy as a moderator relationship between self-diagnosis and help-seeking behavior in adolescent Posyandu
DOI:
https://doi.org/10.12928/empathy.v7i2.29799Keywords:
adolescents, help-seeking behavior, mental health literacy, self-diagnosisAbstract
In the context of rapid societal changes and the digital era, adolescents are increasingly vulnerable to mental health issues, which are often reflected in help-seeking behavior. A significant 34.9% of adolescents exhibit symptoms of mental disorders, yet only 2.6% seek professional help. The establishment of adolescent health posts (Posyandu) serves as a platform for monitoring adolescent health. However, challenges remain due to the low response rates in help-seeking behaviors and limited interest in Posyandu activities. This study aims to examine the relationship between self-diagnosis and help-seeking behavior, moderated by mental health literacy, among adolescents in Posyandu in the city of "Y." The research adopted a quantitative approach, targeting all members of adolescent Posyandu in the city. A purposive sampling method was employed, selecting adolescents aged 10-23 years who were active in the Posyandu, resulting in 114 respondents. Data were collected using scales for help-seeking behavior (α = 0.801), self-diagnosis (α = 0.795), and mental health literacy (α = 0.528). Data analysis was conducted using Chi-Square correlation and PROCESS Macro Hayes version 4.2. The correlation analysis revealed a significant positive relationship between self-diagnosis and help-seeking behavior. Meanwhile, the PROCESS analysis indicated that the interaction between self-diagnosis and mental health literacy negatively affected help-seeking behavior. It can be concluded that while mental health literacy moderates the relationship between self-diagnosis and help-seeking behavior, it does not strengthen this association among Posyandu adolescents in the city of "Y."
References
[1] Rohaeti, L., Laksmi, N., Christanti, S., Marthatilova, F., Ginting, E., Zulaidah, H., Saputra, P., Angreani, S., Raiyan, M., Hasti, S., & Risvayanti, E. (2018). Petunjuk teknis penyelenggaraan posyandu remaja (S. Khumaidah, Ed.). Kementerian Kesehatan Republik Indonesia.
[2] Blakemore, S. J. (2019). Perspectives. The Lancet, 393(10185), 2030–2031. https://doi.org/10.1016/S0140-6736(19)30800-X
[3] Argiati, S. H. B., Farida, H., & Purwani, G. R. (2024). Mental health literacy and help-seeking behaviour in psychology students. Jurnal Spirits, 15(1), 1–6. https://doi.org/10.30738/spirits.v15i1.16959
[4] Wahdi, A. E., Wilopo, S. A., & Erskine, H. E. (2023). The prevalence of adolescent mental disorders in Indonesia: An analysis of Indonesia – National Mental Health Survey (I-NAMHS). Journal of Adolescent Health, 72(3), S70. https://doi.org/10.1016/j.jadohealth.2022.11.042
[5] Meliyanti, F., Astriana, W., & Heryanto, E. (2024). Analisis tingkat kehadiran remaja di posyandu remaja. Babul Ilmi: Jurnal Ilmiah Multi Science Kesehatan, 16(1), 205–217. https://doi.org/10.36729/bi.v16i1.1222
[6] Chin, W., Chan, K., Lam, C., Lam, & Wan, E. (2015). Help-seeking intention and subsequent 12-month mental health service use in Chinese primary care patients with depressive symptoms. BMJ Open, 5(1), 1–10. https://doi.org/10.1136/bmjopen-2014-005969
[7] Hellström, L., & Beckman, L. (2021). Life challenges and barriers to help seeking: Adolescents' and young adults' voices of mental health. International Journal of Environmental Research and Public Health, 18(24), 13101. https://doi.org/10.3390/ijerph182413101
[8] Nguyen, M. H., Serik, M., Vuong, T. T., & Ho, M. T. (2019). Internationalization and its discontents: Help-seeking behaviors of students in a multicultural environment regarding acculturative stress and depression. Sustainability (Switzerland), 11(7), 1–20. https://doi.org/10.3390/su11071865
[9] Patte, K. A., Battista, K., Goddard, J., Ferro, J., & Leatherdale, S. T. (2024). Students’ reasons for being reluctant to seek help for mental health concerns in secondary schools. Cogent Mental Health, 3(1), 1–17. https://doi.org/10.1080/28324765.2023.2298918
[10] Pimenta, S. (2020). Young people’s help-seeking behaviours: Dealing with their own versus a friend’s symptoms of poor mental health. The Association for Child and Adolescent Mental Health (ACAMH). https://doi.org/10.13056/acamh.12463
[11] Radez, J., Reardon, T., Creswell, C., Lawrence, P. J., Evdoka-Burton, G., & Waite, P. (2021). Why do children and adolescents (not) seek and access professional help for their mental health problems? A systematic review of quantitative and qualitative studies. European Child & Adolescent Psychiatry, 30(2), 183–211. https://doi.org/10.1007/s00787-019-01469-4
[12] Barker, G. (2007). Adolescents, social support and help-seeking behaviour: An international literature review and programme consultation with recommendations for action. www.inis.ie.
[13] Kuswardana, D. P. (2019). Hubungan antara literasi kesehatan dengan help-seeking behavior pada remaja dengan status mental beresiko depresi [Master’s thesis, Universitas Islam Negeri Sunan Ampel-Surabaya].
[14] Divin, N., Harper, P., Curran, E., Corry, D., & Leavey, G. (2018). Help-seeking measures and their use in adolescents: A systematic review. Adolescent Research Review, 3, 113–122. https://doi.org/10.1007/s40894-017-0078-8
[15] Yamauchi, T., Suka, M., & Yanagisawa, H. (2020). Help-seeking behavior and psychological distress by age in a nationally representative sample of Japanese employees. Journal of Epidemiology, 30(6), 237–243. https://doi.org/10.2188/jea.JE20190042
[16] Putri, A. S., Labiba, S. R., Sari, T. Y., & Sa’id, M. (2023). Perilaku help-seeking layanan kesehatan mental: Perspektif teori social learning. Flourishing Journal, 3(8), 330–337. https://doi.org/10.17977/um070v3i82023p330-337
[17] Pearson, S., & Hyde, C. (2021). Influences on adolescent help-seeking for mental health problems. Journal of Psychologists and Counsellors in Schools, 31(1), 110–121. https://doi.org/10.1017/jgc.2020.28
[18] Rickwood, D., Deane, F. P., Wilson, C. J., & Ciarrochi, J. (2005). Young people’s help-seeking for mental health problems. Australian E-Journal for the Advancement of Mental Health, 4(3), 218–251. https://doi.org/10.5172/jamh.4.3.218
[19] Wright, A., Jorm, A. F., & MacKinnon, A. J. (2012). Labels used by young people to describe mental disorders: Which ones predict effective help-seeking choices? Social Psychiatry and Psychiatric Epidemiology, 47(6), 917–926. https://doi.org/10.1007/s00127-011-0399-z
[20] Maskanah, I. (2022). Fenomena self-diagnosis di era pandemi COVID-19 dan dampaknya terhadap kesehatan mental. JoPS: Journal of Psychological Students, 1(1), 1–10. https://doi.org/10.15575/jops.v1i1.17467
[21] White, R. W., & Horvitz, E. (2009). Cyberchondria: Studies of the escalation of medical concerns in web search. ACM Transactions on Information Systems, 27(4), 1–37. https://doi.org/10.1145/1629096.1629101
[22] Albab Annury, U., Yuliana, F., Aufara Zuhra Suhadi, V., Sekar Ayu Karlina, C., Studi Ilmu Komunikasi, P., & Ilmu Sosial, J. (2022). Dampak self diagnose pada kondisi mental health mahasiswa universitas negeri surabaya. Prosiding Seminar Nasional Ilmu Sosial (SNIIS), 481, 481–486.
[23] Ahmed, A., & Stephen, S. (2017). Self-diagnosis in psychology students. The International Journal of Indian Psychology, 4(2), 120–139. http://www.ijip.in
[24] Oswalt, S. B., Lederer, A. M., Chestnut-Steich, K., Day, C., Halbritter, A., & Ortiz, D. (2020). Trends in college students’ mental health diagnoses and utilization of services, 2009–2015. Journal of American College Health, 68(1), 41–51. https://doi.org/10.1080/07448481.2018.1515748
[25] Cormier, E., Park, H., & Schluck, G. (2022). College students’ mental health literacy and risk of diagnosis with mental health disorders. Healthcare, 10(12), 2406. https://doi.org/10.3390/healthcare10122406
[26] Kim, E. J., Yu, J. H., & Kim, E. Y. (2020). Pathways linking mental health literacy to professional help-seeking intentions in Korean college students. Journal of Psychiatric and Mental Health Nursing, 27(4), 393–405. https://doi.org/10.1111/jpm.12593
[27] Jorm, A. F. (2012). Mental health literacy: Empowering the community to take action for better mental health. American Psychologist, 67(3), 231–243. https://doi.org/10.1037/a0025957
[28] Jorm, A. F. (2000). Mental health literacy: Public knowledge and beliefs about mental disorders. The British Journal of Psychiatry, 177, 396–401. https://doi.org/10.1192/bjp.177.5.396
[29] Pebruarini, V., & Boediman, L. (2023). Peran literasi kesehatan mental sebagai moderator antara gejala depresi dan intensi mencari bantuan psikologis daring pada remaja di Indonesia. Universitas Indonesia.
[30] Sugiyono. (2013). Metode penelitian kuantitatif, kualitatif, dan R&D. Alfabeta.
[31] Steinberg, L. (2013). Adolescence (10th ed.). The McGraw-Hill Companies, Inc. https://www.scribd.com/document/391757484/Adolescence
[32] Agustina, R. (2020). Kontribusi kemampuan literasi kesehatan terhadap self-diagnosis. Universitas Pendidikan Indonesia.
[33] Masitah, E. (2019). Validasi modul literasi kesehatan mental untuk meningkatkan self-efficacy guru pendamping dalam melakukan deteksi dini permasalahan kesehatan mental di sekolah berasrama. Universitas Gadjah Mada.
[34] Haribowo, I. N. (2017). Pengaruh pengumuman likuidasi bank terhadap minat menarik uang dari bank. Modus, 29(1), 17–35. https://doi.org/10.24002/modus.v29i1.1037
[35] Hinton, P., McMurray, I., & Brownlow, C. (2014). SPSS explained (2nd ed.). Routledge.
[36] Mardliyyah, K., & Asyanti, S. (2022). The association between mental health literacy and perception of community stigma with help-seeking behavior among final-year university students. In International Summit on Science Technology and Humanity (ISETH) (pp. 289–299).
[37] Shabrina, A., Prathama, A. G., & Ninin, R. H. (2021). Persepsi stigmatisasi dan intensi pencarian bantuan kesehatan. Jurnal Psikologi, 17(1), 80–92. https://doi.org/10.24014/jp.v17i1.11399
[38] Rizkika, E., Fitriana, D., Sa’adati, T. I., & Afandi, A. (2023). Analysis of self-diagnosis rates in the early adult age range. In The 2nd International Seminar of Multicultural Psychology (ISMP 2nd) (pp. 313–318).
[39] Tse, J., & Haslam, N. (2024). Broad concepts of mental disorder predict self-diagnosis. SSM – Mental Health, 6, 1–8. https://doi.org/10.1016/j.ssmmh.2024.100326
[40] Degan, T. J., Kelly, P. J., Robinson, L. D., Deane, F. P., Wolstencroft, K., Turut, S., & Meldrum, R. (2019). Health literacy in people living with mental illness: A latent profile analysis. Psychiatry Research, 280, 1–8. https://doi.org/10.1016/j.psychres.2019.112499
[41] Horsfield, P., Stolzenburg, S., Hahm, S., Tomczyk, S., Muehlan, H., Schmidt, S., & Schomerus, G. (2020). Self-labeling as having a mental or physical illness: The effects of stigma and implications for help-seeking. Social Psychiatry and Psychiatric Epidemiology, 55(7), 907–916. https://doi.org/10.1007/s00127-019-01787-7
[42] Supriyanto, M. (2020). Pengaruh self-diagnosis terhadap perilaku pencarian pengobatan (health seeking behavior). Universitas Negeri Jakarta.
[43] Binder, J. (2013). Primary care interviewing. Springer Science & Business Media.
[44] O’Connor, P. J., Martin, B., Weeks, C. S., & Ong, L. (2014). Factors that influence young people’s mental health help-seeking behaviour: A study based on the Health Belief Model. Journal of Advanced Nursing, 70(11), 2577–2587. https://doi.org/10.1111/jan.12423
[45] Ismail, N. A., Kusumaningtyas, I., & Firngadi, M. (2023). Self-diagnose is associated with knowledge and attitude towards mental illness of university students in Indonesia. Egyptian Journal of Neurology, Psychiatry and Neurosurgery, 59(1), 1–9. https://doi.org/10.1186/s41983-023-00760-1
[46] Goodfellow, C., Sosu, E., Macintyre, A., & Knifton, L. (2021). Mental health literacy and adolescent help-seeking: The mediating and moderating effects of personal and perceived stigmas. Retrieved from http://eprints.gla.ac.uk/232693/
[47] Pakerti, M. (2023). Narrative review: Hubungan literasi kesehatan mental dan intensi mencari bantuan pada remaja. Jurnal Fusion, 3(5), 481–490. https://doi.org/10.54543/fusion.v3i05.303
[48] Sukmawati, D. T., Yusuf, S., & Nadhirah, N. A. (2023). The phenomenon of self-diagnosis of mental health in the era of mental health literacy. Journal of Education and Counseling, 4(1), 48–63. https://doi.org/10.32627/jeco.vi.902
[49] Dewa, I., & Putri, A. S. (2023). Peran literasi kesehatan mental, lokus kontrol, dan gender terhadap sikap mencari bantuan profesional psikologi pada mahasiswa. Jurnal RAP (Riset Aktual Psikologi), 13(2), 166–183. https://doi.org/10.24036/rapun.v13i2.119029
[50] Lasquites, J., Etom, A., Hayag, K., Manaois, J., & Barros, M. (2024). Examining the moderating role of mental health literacy on the relationship between self-stigma, stigma on seeking help, and help-seeking behavior. International Journal of Research and Scientific Innovation, 11, 191–201. https://doi.org/10.51244/IJRSI.2024.1101015
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