Rika Sarfika, Elvi Oktarina, Mahathir Mahathir, Khatijah L Abdullah, I M M Y Saifudin, Ni M D Sulistiowati, Putu A E S Karin, Gusmunardi Gusmunardi, Dwi I Iswanti
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引用次数: 0
Abstract
Background: Adolescents in West Sumatra's coastal regions face elevated mental health challenges, yet limited research examines self-esteem's protective role in these unique environments.Objective: This study examined the influence of self-esteem and related factors on adolescent mental health in coastal West Sumatra, Indonesia.Methods: This cross-sectional study involving 295 adolescents (mean age = 16.2 years) utilised the Rosenberg Self-Esteem Scale and the Self-Report Questionnaire 29 to assess self-esteem and mental health symptoms. Data were analysed using t-tests, ANOVAs, Pearson's correlations, and multiple regression.Results: Self-esteem was negatively correlated with neurosis (r = -0.452), psychosis (r = -0.205), and posttraumatic stress symptoms (PTSS) (r = -0.333). Females exhibited higher neurosis (p = 0.001) and PTSS (p = 0.022). Higher maternal education was associated with fewer psychotic symptoms (p = 0.006). Regression analyses confirmed self-esteem as a significant negative predictor of neurosis (β = -0.426, p < 0.001), psychosis (β = -0.177, p = 0.003), and PTSS (β = -0.375, p = 0.063). Sex was positively associated with neurosis (β = 0.169, p = 0.001) and PTSS (β = -0.139, p = 0.011), while it was negatively associated with psychoactive symptoms (β = -0.154, p = 0.009). No significant interaction between self-esteem and sex was found. Additionally, maternal education predicted psychosis (β = -0.156, p = 0.006), and school origin predicted PTSS (β = -0.139, p= 0.011).Conclusion: Self-esteem played a protective role in adolescent mental health in coastal areas. Sex-specific vulnerabilities and maternal education levels also contributed significantly. Interventions should focus on enhancing self-esteem and addressing sex and educational factors to promote better mental health outcomes among adolescents.
期刊介绍：
The Journal of Child & Adolescent Mental Health publishes papers that contribute to improving the mental health of children and adolescents, especially those in Africa. Papers from all disciplines are welcome. It covers subjects such as epidemiology, mental health prevention and promotion, psychotherapy, pharmacotherapy, policy and risk behaviour. The journal contains review articles, original research (including brief reports), clinical papers in a "Clinical perspectives" section and book reviews. The Journal is published in association with the South African Association for Child and Adolescent Psychiatry and Allied Professions (SAACAPAP).
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