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
{"title":"印度尼西亚西苏门答腊岛沿海青少年的自尊和心理健康：一项横断面研究。","authors":"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","doi":"10.2989/17280583.2025.2507322","DOIUrl":null,"url":null,"abstract":"<p><p><i>Background:</i> Adolescents <i>in West Sumatra's coastal regions face elevated mental health challenges, yet limited research examines self-esteem's protective role in these unique environments.</i><i>Objective:</i> This study examined the influence of self-esteem and related factors on adolescent mental health in coastal West Sumatra, Indonesia.<i>Methods:</i> 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 <i>t</i>-tests, ANOVAs, Pearson's correlations, and multiple regression.<i>Results:</i> Self-esteem was negatively correlated with neurosis (<i>r</i> = -0.452), psychosis (<i>r</i> = -0.205), and posttraumatic stress symptoms (PTSS) (<i>r</i> = -0.333). Females exhibited higher neurosis (<i>p</i> = 0.001) and PTSS (<i>p</i> = 0.022). Higher maternal education was associated with fewer psychotic symptoms (<i>p</i> = 0.006). Regression analyses confirmed self-esteem as a significant negative predictor of neurosis (<i>β</i> = -0.426, <i>p</i> < 0.001), psychosis (<i>β</i> = -0.177, p = 0.003), and PTSS (<i>β</i> = -0.375, <i>p</i> = 0.063). Sex was positively associated with neurosis (<i>β</i> = 0.169, <i>p</i> = 0.001) and PTSS (<i>β</i> = -0.139, <i>p</i> = 0.011), while it was negatively associated with psychoactive symptoms (<i>β</i> = -0.154, <i>p</i> = 0.009). No significant interaction between self-esteem and sex was found. Additionally, maternal education predicted psychosis (<i>β</i> = -0.156, <i>p</i> = 0.006), and school origin predicted PTSS (<i>β</i> = -0.139, <i>p</i>= 0.011).<i>Conclusion:</i> 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.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":" ","pages":"1-22"},"PeriodicalIF":1.0000,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Self-esteem and mental health among coastal adolescents in West Sumatra, Indonesia: A cross-sectional study.\",\"authors\":\"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\",\"doi\":\"10.2989/17280583.2025.2507322\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p><i>Background:</i> Adolescents <i>in West Sumatra's coastal regions face elevated mental health challenges, yet limited research examines self-esteem's protective role in these unique environments.</i><i>Objective:</i> This study examined the influence of self-esteem and related factors on adolescent mental health in coastal West Sumatra, Indonesia.<i>Methods:</i> 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 <i>t</i>-tests, ANOVAs, Pearson's correlations, and multiple regression.<i>Results:</i> Self-esteem was negatively correlated with neurosis (<i>r</i> = -0.452), psychosis (<i>r</i> = -0.205), and posttraumatic stress symptoms (PTSS) (<i>r</i> = -0.333). Females exhibited higher neurosis (<i>p</i> = 0.001) and PTSS (<i>p</i> = 0.022). Higher maternal education was associated with fewer psychotic symptoms (<i>p</i> = 0.006). Regression analyses confirmed self-esteem as a significant negative predictor of neurosis (<i>β</i> = -0.426, <i>p</i> < 0.001), psychosis (<i>β</i> = -0.177, p = 0.003), and PTSS (<i>β</i> = -0.375, <i>p</i> = 0.063). Sex was positively associated with neurosis (<i>β</i> = 0.169, <i>p</i> = 0.001) and PTSS (<i>β</i> = -0.139, <i>p</i> = 0.011), while it was negatively associated with psychoactive symptoms (<i>β</i> = -0.154, <i>p</i> = 0.009). No significant interaction between self-esteem and sex was found. 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引用次数: 0
摘要
背景：西苏门答腊岛沿海地区的青少年面临着更高的心理健康挑战，然而有限的研究调查了自尊在这些独特环境中的保护作用。目的：探讨自尊及其相关因素对印尼西苏门答腊岛沿海地区青少年心理健康的影响。方法：采用罗森博格自尊量表和自我报告问卷29对295名青少年（平均年龄16.2岁）的自尊和心理健康症状进行评估。数据分析采用t检验、方差分析、Pearson相关和多元回归。结果：自尊与神经症（r = -0.452）、精神病（r = -0.205）、创伤后应激症状（r = -0.333）呈负相关。女性表现出较高的神经症（p = 0.001）和PTSS （p = 0.022）。较高的母亲教育程度与较少的精神病症状相关（p = 0.006）。回归分析证实自尊是神经官能症（β = -0.426, p < 0.001）、精神病（β = -0.177, p = 0.003）和ptsd （β = -0.375, p = 0.063）的显著负向预测因子。性别与神经症（β = 0.169, p = 0.001）和ptsd （β = -0.139, p = 0.011）呈正相关，与精神活性症状呈负相关（β = -0.154, p = 0.009）。自尊和性别之间没有明显的相互作用。此外，母亲教育程度与精神疾病相关（β = -0.156, p= 0.006），学校出身与ptsd相关（β = -0.139, p= 0.011）。结论：自尊在沿海地区青少年心理健康中起保护作用。性别不同的脆弱性和孕产妇教育水平也起着重要作用。干预措施应侧重于增强自尊和处理性和教育因素，以促进青少年获得更好的心理健康结果。
Self-esteem and mental health among coastal adolescents in West Sumatra, Indonesia: A cross-sectional study.
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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