Impaired Self-concept Research Articles

HUMAN RIGHTS TO HEALTH AND WELLBEING FOR VULNERABLE GROUPS IN TIDAL FLOOD AREAS: A POLICY BRIEF

Objective: Mental health problems in vulnerable groups in tidal flood areas include impaired self-concept, stress, and anxiety. Many policies regulate flood management especially to manage mental health problems in disaster areas. However, during tidal floods, the implementation of programs to handle psychosocial problems was not optimal. This research aims to develop policy recommendations to meet the need for the right to a healthy and prosperous life among vulnerable groups in tidal flood areas. Method: This research is a review type of research that examines the policies and legal norms that apply in Indonesia and is related to the tidal flood disaster situation. Prescriptive analysis is carried out by researchers so that researchers can describe problems based on the perspective of policy studies and legal norms that have been studied and analyzed using literature studies. Result: Various efforts to deal with tidal floods have been carried out, but they still focus on improving the physical environment and dealing with physical health problems. Mental health problems are still ignored because they tend not to be studied and presented by society and the government. Fulfillment of the right to health is unequal because it is not implemented holistically. Conclusion: Exposure to tidal floods that cannot be changed and prevented requires the existence of policies that regulate the prevention and treatment of mental health problems. Existing policies need to be integrated with each other so that they can be implemented technically by carrying out continuous mental health efforts.

Relationship between elimination disorders and internalizing-externalizing problems in children: A systematic review and meta-analysis.

Elimination disorders are highly prevalent in childhood and often associated with clinically relevant comorbid psychological disorders. The aim of this study is to determine if, and to what extent, children with elimination disorders show higher internalizing and externalizing problems than their healthy peers. A multistep literature search was performed from database inception until May 1st, 2022. PRISMA/MOOSE-compliant systematic review (PROSPERO: CRD42022303555) were used to identify studies reporting on internalizing and/or externalizing symptoms in children with an elimination disorder and a healthy control (HC) group. First, a systematic review was provided. Second, where data allowed for it, a quantitative meta-analysis with random effects model was conducted to analyze the differences between the elimination disorder and the HC groups for internalizing and externalizing symptoms. Effect size was standardized mean difference. Meta-regression analyses were conducted to examine the effect of sex, age, and study quality. Funnel plots were used to detect a publication bias. Where found, the trim and fill method was used to correct it. 36 articles were included, 32 of them reporting on enuresis (n=3244; mean age=9.4; SD=3.4; 43.84% female) and 7 of them on encopresis (n=214; mean age=8.6; SD=2.3; 36.24% female). Children with an elimination disorder presented significantly lower self-concept (ES:0.42; 95%CI [0.08; 9.76]; p=0.017) and higher symptom scores for thought problems (ES:-0.26; 95%CI: -0.43;-0.09]; p=0.003), externalizing symptoms (ES: -0.20; 95%CI [-0.37;-0.03]; p=0.020), attention problems (ES:-0.37; 95%CI [-0.51;-0.22]; p=0.0001), aggressive behavior (ES:-0.33; 95%CI [-0.62;-0.04]; p=0.025) and social problems (ES:-0.39; 95%CI [-0.58;-0.21]; p=0.0001). Significant publication biases were found across several of the studied domains. No significant effect of sex, age or quality of the study score was found. Children with an elimination disorder may have significant internalizing and externalizing problems, as well as impaired self-concept. It is recommendable to screen for them in children with enuresis or encopresis and provide appropriate interventions.

Relationship between elimination disorders and internalizing-externalizing problems in children: A systematic review and meta-analysis

IntroductionElimination disorders (ED) include enuresis, defined as wetting from 5 years, and encopresis, defined as soiling from 4 years onwards after organic causes are excluded. They are highly prevalent in childhood and often associated with clinically relevant comorbid psychological disorders. However, no systematic review or meta-analysis examines their co-occurrence with internalizing and externalizing problems in children.ObjectivesThe aim of this study is to determine if, and to what extent, children with ED show higher internalizing and externalizing problems than their healthy peers.MethodsA multistep literature search was performed from database inception until May 1st, 2022. PRISMA/MOOSE-compliant systematic review (PROSPERO: CRD42022303555) were used to identify studies reporting on internalizing and/or externalizing symptoms in children with an ED and a healthy control (HC) group. First, a systematic review was provided. Second, where data allowed for it, a quantitative meta-analysis using random effects model was conducted to analyze the differences between the ED and the HC groups for internalizing and externalizing symptoms. Effect size was standardized mean difference. Meta-regression analyses were conducted to examine the effect of sex, age, and study quality. Funnel plots were used to detect a publication bias. Where found, the trim and fill method was used to correct it.Results36 articles were included, 32 of them reporting on enuresis (n=3244; mean age=9.4; SD=3.4; 43.84% female) and 7 of them on encopresis (n=214; mean age=8.6; SD=2.3; 36.24% female) [Image 1]. The ED group presented significantly lower self-concept (ES:0.42; 95%CI: [0.08;9.76]; p=0.017) and higher symptom scores for thought problems (ES:-0.26; 95%CI: [-0.43;-0.09]; p=0.003), externalizing symptoms (ES:-0.20; 95%CI: [-0.37;-0.03]; p=0.020), attention problems (ES:-0.37; 95%CI: [-0.51;-0.22]; p=0.0001), aggressive behaviour (ES:-0.33; 95%CI: [-0.62;-0.04]; p=0.025) and social problems (ES: 0.39; 95%CI: [-0.58;-0.21]; p=0.0001) [Image 2]. Significant publication biases were found across several of the studied domains [Image 3]. No significant effect of sex, age or quality of the study score was found.Image:Image 2:Image 3:ConclusionsChildren with an elimination disorder may have significant internalizing and externalizing problems, as well as impaired self-concept. It is recommendable to screen for them in children with ED and provide interventions as appropriate.Disclosure of InterestNone Declared

Can Prior Sexual Abuse Explain Global Differences in Measured Self-Esteem in Male and Female Adolescents?

World research has shown that adolescent and young adult women and girls have significantly "poorer" self-esteem than men and boys, on a variety of previously validated self-esteem measures. There is no consensus on reasons for this, and a variety of factors have been proposed: some adolescent girls have a preoccupation with facial and body features, and this leads to a global negative evaluation of self-characteristics; the measures themselves are biased towards describing self-characteristics on which men and boys are likely to evaluate themselves more favourably; and in an often-sexist world, women and girls experience (or anticipate) many structural disadvantages, in education, career and promotion, which lead girls to "internalise" an image of themselves as less able or worthy than men and boys. A separate literature on the sexual abuse and exploitation of children and adolescents has found that (a) sexual exploitation and maltreatment often has a sequel in impaired self-concept and self-esteem and (b) sexual maltreatment is twice as likely to occur in women and girls. It is puzzling that differential levels of child sexual abuse have not been advanced in many studies as an explanation of gender differences in self-esteem in the large-scale studies we review, although this effect is confirmed by clinical and social work literature.

COVID-19 Pandemic Impact on Mental Health in First Year Secondary School Students

Confinement was a helpful measure to avoid virus propagation, but social isolation and the massive closure of face-to face activities in educational institutions, impacted negatively in mental health of students, it increased stress and anxiety in adolescents, affecting their communication skills in this significant step of interpersonal relationships, and the search for their identity. The lockdown in addition to stress and anxiety triggered fear emotions, frustration, worrying and anger, as well as changes in driving energy, diminishing interest and desires. This work aimed to analyze the impact on mental health in first year secondary school adolescents after the COVID-19 pandemic lockdown. Method: Qualitative and phenomenological research, 25 students of first year from a public secondary school of Mexico’s metropolitan area participated in the study; they were girls and boys 12 - 13 years old. Data collection was through a semi-structured interview, testimonials and anecdotes, in two hour sessions, along a week; research team recorded the interviews, testimonials and anecdotes. A signed informed consent was obtained from school authorities, parents and the assent of students. Obtained qualitative data were analyzed according to De Souza Minayo. Results: Four categories emerged with sub-categories. Category 1: Anxiety crisis, sub-categories 1.1. In overcrowded places, 1.2. To speak in public, 1.3. Facing interpersonal relationships with peers. Category 2: Impaired self-concept, sub-categories 2.1. Deficient self-perception, 2.2 Continuous disqualification and 2.3. Deficient personal objectivity. Category 3: Emotions handling, and sub-categories 3.1 Deficient identification of emotions, 3.2 Deficient handling of emotions, 3.3 Maximized emotions. Category 4: Coping strategies, and sub-categories 4.1 Deficient coping strategies, 4.2 Self-injuries, 4.3 Solitude. Conclusion: In early adolescence and in the post-pandemic context tools to face them are insufficient to develop social skills and coping strategies. Lockdown interrupted their socialization process, and their relationships with peers made them anxious and led them to risk behaviors. In this context alternatives to develop significant learning are needed, based on adolescents’ self-awareness highlighting adaptation, communication, emotional intelligence, creative problem solving and resilience skills.

Studi kasus : Asuhan Keperawatan Pada Pasien dengan Harga Diri Rendah

Background: Low self-esteem is a negative feeling experienced by an individual towards himself. The emergence of low self-esteem is the result of biological, psychological and social factors which are characterized by a lowered body posture, a feeling of not having positive strengths or abilities, no eye contact, speaking slowly. The impact of low self-esteem is that individuals will tend to be alone, avoid crowds, feel anxious, and feel anxious. Based on data from the yearbook report of dr. H. Marzoeki Mahdi in 2021, the number of patients with paranoid schizophrenia both outpatient and inpatient care is 1144 people with 815 men and 329 women. Purpose: The purpose of this writing is to gain real experience in caring for patients with low self-esteem. Method: This study uses a case study approach through the management of nursing care in patients with impaired self-concept: low self-esteem. Result: this research was conducted in the Bratasena room RSJ dr. H. Marzoeki Mahdi Bogor in January 2022 for three days. Data collection was carried out through observation and interview techniques. Based on the study, several nursing problems were found, namely low self-esteem, social isolation, risk of violent behavior. Conclusion: The expected evaluation from this case study is that patients can have a positive self-concept, an increase in the ability to increase self-esteem followed by a decrease in signs and symptoms.

LITERATURE REVIEW: APPLICATION OF POSITIVE ABILITY EXERCISES TO INCREASE LOW SELF-ESTEEM IN CLIENTS WITH SCHIZOPHRENIA

Introduction: Positive ability is the ability or positive aspect of an individual to identify the ability that exists in the individual so that clients can choose activities according to their abilities. Patients with low self-esteem see that they are not helpful and feel unable to; by practising positive abilities, they can explore aspects of their positive abilities so that they are expected to see themselves as valuable and become good individuals. Methods: The study used was a literature review of positive ability exercises. Searching for the article is done by Google Scholar or Google Scholar, published from 2015 to 2020, accessed full text in PDF format. Of the five studies used, three used the case study method, one used the Quasi-Experimental Pre-post without control method, and the other used the lecture and discussion method. The search strategy in this literature study uses databases, including Science Direct, Google Scholar and Garuda. Results: A literature review of 7 articles showed that positive ability training varied widely. Conclusions: Positive ability training can overcome nursing problems in patients with schizophrenia with impaired self-concept and low self-esteem.

Adaptation status and related factors in patients living with implantable cardioverter defibrillators.

An implantable cardioverter-defibrillator (ICD) is the only approach to treat patients with life-threatening ventricular arrhythmias. Adaptation and acceptance of ICD play an important role in the optimal treatment of the patients. The aim of this study was to determine adaptation status and related factors in patients living with ICDs. In this descriptive-analytical study, 148 patients referred to Kowsar Hospital in Shiraz and Farshchian Hospital in Hamedan city between July 2020 and September 2021 were included in the study. Patients' adjustment status was measured based on the mode of the Roy nursing model and using the Baecke physical activity questionnaire, Pittsburgh sleep quality, mini nutritional assessment (MNA) nutrition questionnaire, constipation scoring questionnaire, self-concept scale, and multidimensional scale of perceived social support (MSPSS). Patients had low physical activity and poor sleep quality. Negative self-concept in relation to the disease and adherence to physicians' recommendations was observed among patients. In addition, patients did not have optimal interpersonal communication. Multivariate regression findings showed that the number of years of device implantation and the number of shock discharges are effective factors in the incidence of insomnia and the negative self-concept of patients. Patients living with ICD did not adjust to the new conditions after placement of the device. Low level of physical activity and sleep disturbance and also negative self-concept about the disease and adherence to treatment was observed among the patients. Shock discharges and duration of the device implantation were associated with impaired self-concept and insomnia in the patients.

The Effect of Social Media Use Intensity on Anxiety, Depression and Stress Level During Covid-19 Pandemic Outbreak

Background: The Covid-19 pandemic has had a significant impact on living things. Discussions about the issue of the coronavirus in Indonesia on social media have changed the behavior of social media users. Excessive use of social media will have the potential to cause mental health problems such as depression, anxiety, stress, risk of suicide, and impaired self-concept. Objective: This study aimed to determine the effect of social media on anxiety, depression, and stress during the pandemic. Method: This research used quantitative analytic analysis with a cross-sectional approach. A total of 200 people were selected by using random sampling. The research instrument used the intensity scale of social media use (SIPMS) and the Depression, Anxiety, Stress Scale (DASS 21) questionnaire. Result: The results showed that most respondents had a high intensity of social media use, as many as 118 respondents (59%). Conclusion: in conclusion that there was a significant relationship between the intensity of social media use and the level of anxiety, depression, and stress in adolescents in Sirnagalih Village, as evidenced by the results of Kendall's tau b = 0.000 statistical test < 0.05 and ranxiety=0.263, rdepression=0.257, and rstress=0.172

LITERATURE REVIEW : PENERAPAN LATIHAN KEMAMPUAN POSITIF TERHADAP PENINGKATAN HARGA DIRI RENDAH PADA KLIEN YANG MENGALAMI SKIZOFRENIA DENGAN GANGGUAN KONSEP DIRI HARGA DIRI RENDAH

ABSTRACT&#x0D; &#x0D; Background : Positive ability is the ability or positive aspect of an individual to identify the ability that exists in the individual itself, so that clients can choose activities according to their abilities. In patients with low self-esteem, they see that they are not useful and feel they are not able to, by practicing positive abilities, they can explore aspects of their positive abilities so that they are expected to be able to see themselves useful and become good individuals. &#x0D; Objective: To determine the application of positive ability exercises in helping to overcome the problem of low self-esteem in patients with mental disorders. &#x0D; Method: The study used in this study was a literature review of positive ability exercises. Searching for the article is done by Google Scholar or Google Scholar, published from 2015 to 2020 which is accessed fulltext in PDF format. Of the 5 studies used 3 of them used the case study method, 1 the other used the Quasi Experimental Pre-post without control method and 1 the other used the lecture and discussion method. Results: Literature review shows that positive ability exercises vary greatly. The positive skills training consists of self-dressing activities, sewing therapy, washing activities, drawing activities and Plant Therapy activities. Significantly shows that all positive ability exercises can enhance and maintain the abilities that the client still has. Conclusion: Positive ability training can be used to overcome nursing problems in patients with schizophrenia with impaired self-concept of low self-esteem.

Self-concept of cervical cancer patients after chemotheraphy in Yogyakarta

Cervical cancer is one of the deadliest types of cancer that attacks women in the world. One of the treatment efforts for cancer is chemotherapy. Patients with cervical cancer who receive chemotherapy more than twice will experience impaired self-concept. This study aims to determine self-concept in cervical cancer patients who have undergone chemotherapy in Yogyakarta. This research uses qualitative method with phenomenology approach. Data collection is done with interview and observation. Participants totaling five people were determined by purposive sampling. The validity of the data used source triangulation and checked the data back to the participants. Analysis of data were by comparing among categories, marking and describing descriptively. The results of the study are 6 themes, namely physical changes, emotional changes, changes in sexual relations, changes in relationships with family, changes in the role of parenting and social changes in society. The impact of chemotherapy causes various changes in cervical cancer patients which make the self-concept of cervical cancer patients undergo changes

Konsep Diri Penderita TB Paru dengan Karies Gigi di Wilayah Kerja UPT Puskesmas Ambunten Kecamatan Ambunten Kabupaten Sumenep

Pulmonary TB is still a major global health problem. It causes ill-health among millions of people every year and ranks the second leading cause of death from infectious diseases worldwide after Human Immunodeficiency Virus. This disease can affect anyone and can cause physical, mental, and social changes. This situation can affect the sufferer's self-concept. The purpose of this study was to determine how many TB patients with dental caries experienced impaired self-concept. Design This research is a quantitative descriptive study using a cross-sectional non-analytic design. The population in this study were all 64 patients with pulmonary tuberculosis with dental caries, using a total sampling technique. The variable in this study was the self-concept of pulmonary tuberculosis patients with dental caries.The results showed that patients with pulmonary tuberculosis in the Work Area of the Ambunten Health Center, Ambunten District, Sumenep Regency in 2018, showed that of the 64 respondents studied had a self- concept disorder where most 36 people (56%) experienced negative self-concept and 28 people (43.8%) had a conceptual disorder. positive self. The conclusion of the self-concept study of pulmonary tuberculosis patients is that most people who suffer from pulmonary TB disease still experience negative self-concept disorders.

Symptoms and beyond: Self-concept among sexually assaulted women.

The unique characteristics of sexual assault (SA)-a toxic mix of an interpersonal harm, a violent exploitation of one's body, and a transformation of an act of connectedness into an act of submission-are postulated to negatively affect the self-concept. We sought to deepen the understanding of self-concept impairments among sexually assaulted women with varying levels of posttraumatic distress. To this end, we compared women with a main trauma of SA to women with a main trauma of motor-vehicle accident (MVA) and to nontraumatized (NT) women on several self-concept aspects. Our main hypotheses were (a) sexually assaulted women without PTSD exhibit impaired self-concept as compared with NT women and (b) SA is related to greater self-concept impairments as compared with MVA, even when posttraumatic distress is statistically controlled. Women (N = 235: NT = 69, MVA = 87, SA = 79) completed a web-based survey including measures designed to assess the global and domain-specific contents and structure of the self-concept as well as background and clinical questionnaires. Sexually assaulted women without PTSD reported impaired self-concept as compared with NT women. Furthermore, SA was related to greater self-concept impairments as compared with MVA, even when considering participants' levels of posttraumatic distress. SA is related to unique self-concept impairments that extend beyond symptoms, emphasizing the need to assess and address self-concept impairments in sexually assaulted women. The importance of adopting a multifaceted conceptualization of the self to gain a deeper understanding of the aftermath of trauma is highlighted. (PsycINFO Database Record

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN TINGKAT KECEMASAN PADA PASIEN PRE OPERASI BEDAH UMUM DI RUMAH SAKIT UMUM DAERAH KABUPATEN KEPULAUAN MERANTI

Anxiety is a subjective experience of the individual and can not be observed directly as well as an emotional state without a specific object. Surgery or surgery is an action treatment using invasive way to open or display the body part being handled. Quantitative research methods with cross sectional study design with the general population of all surgical patients who will undergo surgery in hospitals district Meranti Islands in 2015 which amounted to 607 people. The result showed that there was significant relationship between traumatic events be at the level of anxiety Pvalue = 0.013 between the emotional conflicts with the level of anxiety Pvalue = 0.000 between Impaired self-concept and anxiety level Pvalue = 0.004 between physical disorder with anxiety level Pvalue = 0.001and the threat of self-esteem with the level of anxiety Pvalue = 0.000. It is recommended that the hospital more active role in providing information as well as procedures and actions to be taken so that patients who have a history of the disorder can prepare before surgery whether physical or psychological , which can provide beneficial effects for the patient .

Seizure drawings: insight into the self-image of children with epilepsy

Epilepsy is a chronic disorder that is associated with numerous psychological challenges, especially in children. Drawings have been underutilized as a method to obtain insight into psychological issues in children with epilepsy. We asked 105 children with epilepsy, ages 5 to 18 years, to draw a picture of what it is like to have a seizure. Across ages and epilepsy syndromes, the drawings showed evidence of impaired self-concept, low self-esteem, and a sense of helplessness and vulnerability. Overall, the drawings of human figures were less developed than expected for chronological age. In some drawings, indicators of underlying depression were found. When considered by epilepsy syndrome or seizure type, some specific artistic features were noted. Children with simple partial (motor) seizures drew distorted body parts, especially limbs. Those with complex partial seizures depicted sensory symptoms and mental status changes such as confusion. Children with generalized tonic–clonic seizures showed shaking extremities. Drawings by children with absence seizures illustrated mainly staring. In conclusion, drawings are a powerful method to examine the self-concept of children with epilepsy and gain insight into their feelings about themselves and their world.

Cognitive Impairments:

Cognitive impairments, including learning disability, traumatic brain injury, and minimal brain dysfunction, have characteristics that include impulsiveness, communication skill deficits, difficulties with reasoning and problem solving, and impaired self-concept. Without professional intervention, these problems are likely to lead to marginal social acceptance, low levels of intimacy, and impaired sexuality development. This paper describes selected cognitive and behavioral implications of cognitive impairments and the influences of cognitive impairments on sexuality. Suggestions for social work interventions are provided to help persons with cognitive impairments develop positive self-images and values, and to help them establish satisfying intimate and sexual relationships.

Suicide Attempts Among Adolescent Drug Users

Substance use has been identified as a significant risk factor in nonfatal and fatal suicides during adolescence. A comprehensive questionnaire on patterns of alcohol and other drug use, early childhood and nuclear family psychological and behavioral history, and previous suicidal attempts was completed by 298 (88%) of 340 outpatient adolescent substance abusers in three geographic regions east of the Mississippi River. An abbreviated Beck Depression Inventory was included to ascertain current symptoms of depressed mood. Adolescents admitting to a previous suicide attempt (30%) were compared with two age- and sex-matched samples. Substance abusers were three times as likely as a normative population of non-drug-using age- and sex-matched peers to make a suicide attempt. Thirty-three percent of attempts reported occurred prior to high school. Both the wish to hurt oneself and actual suicide attempts were found to increase significantly after the initiation of substance use. Forty percent used drugs within 8 hours before the suicide attempt, and 23% of attempters reported that their families continued to have a firearm with ammunition in the home following the suicide attempt. Adolescent substance abusers who had attempted suicide were significantly more likely than a matched group of nonattempters in the same drug treatment facility to: (1) complain of usually feeling "blue" or sad (depressed affect) during early childhood, (2) identify important childhood behavioral problems, (3) identify long-standing self-perceived impaired self-concept, and (4) identify serious parental problems, such as chronic depression or alcoholism. Self-perceived chronic loneliness in childhood appears to be a singularly important initiator of adolescent drug use and subsequent suicide attempts among drug abusers.

Psychosocial aspects of constitutional short stature: Social competence, behavior problems, self-esteem, and family functioning

To determine the psychosocial effects of short stature, we administered a battery of psychologic tests to 24 children (ages 6 to 12 years) with constitutional short stature. Their results were compared to those of a group of 23 healthy children with normal stature matched for age, IQ, sex, and socioeconomic status. The short children had significantly higher scores on parental ratings of behavioral difficulties, especially somatic complaints, social withdrawal, and schizoidal tendencies. There were also indications of impaired self-concept as expressed by feelings of unpopularity and dissatisfaction. Parental responses suggested a tendency to set less clear limits on behavior, but not necessarily toward overprotectiveness. Parents of short children also gave responses indicating poorer communication and cooperation among family members. In contrast to recent studies of growth hormone-deficient children, in which no maladjustment surfaced, these results indicate that children with constitutional delay have characteristic behavioral difficulties.

Psychopathology of Abused Children

The major types of psychopathology and behavioral deviancy observed in physically abused children during their participation in clinical research and treatment programs are described. Some of the more prominent areas of disturbance were: overall impairment of ego functioning, associated with intellectual and cognitive defects; traumatic reactions with acute anxiety stales; pathological object relationships characterized by the failure to develop “basic trust”; excessive use of primitive defenses such as denial, projection, introjection, and splitting; impaired impulse control; impaired self-concept; masochistic and self-destructive behavior; difficulties with separation, and problems in school adjustment.

Some Implications of the Self-Concept for Christian Education

Factors involved in the development of the self-concept and some pertinent questions concerning the agreement between the secular and Christian profile of the self-concept are discussed. The problems which an impaired self-concept poses for teaching certain theological concepts are raised. Areas of needed research, educational methodological possibilities, leadership training, challenges, and the role of conversion are discussed. Christian education is perceived as the confrontation of growing persons with Jesus Christ's demands to effect intentionally, through conversion, consistency between their value system and His — i.e., to develop a Christian life style through nurture and growth in Biblical principles of living and witnessing.