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  1. Article ; Online: The mediating role of coping styles in the relationship between fear of COVID-19 and mental health problems: a cross-sectional study among nurses.

    Huda, Nurul / Shaw, Malissa Kay / Chang, Hsiu Ju / Erwin / Putri, Suci Tuty / Pranata, Satriya

    BMC public health

    2024  Volume 24, Issue 1, Page(s) 545

    Abstract: Fear of being infected by coronavirus disease 2019 (COVID-19) could trigger mental health problems among nurses at the frontline. In such a situation, coping strategies are needed to deal with the imminent threat. The purpose of this study was to test ... ...

    Abstract Fear of being infected by coronavirus disease 2019 (COVID-19) could trigger mental health problems among nurses at the frontline. In such a situation, coping strategies are needed to deal with the imminent threat. The purpose of this study was to test the mediating effects of coping on relationships of fear of COVID-19 with anxiety, depression and post-traumatic syndrome among nurses who were in contact with COVID-19 patients. A cross-sectional and correlational research design was used to recruit a sample of 278 nurses who treated COVID-19 patients in four government referral hospitals in Indonesia. A bootstrap resampling procedure was used to test the significance of the total and specific indirect effects of coping on relationships of Fear of COVID-19 with anxiety, depression and post-traumatic syndrome. The nurses reported moderate levels of fear of COVID-19, considerable anxiety and depression, and a moderate level of coping. We found coping to be significantly negatively correlated with the reported levels of anxiety, depression and post-traumatic syndrome (p < 0.001). Coping mediated relationships of fear of COVID-19 on depression, anxiety and post-traumatic syndrome after controlling for relevant confounders for each dependent variable. This shows that enacting coping mechanisms is important to achieve an adaptive effect on nurses' mental health. Proper assessments and interventions should be tailored and implemented for nurses who have contact with COVID-19 patients to facilitate their use of coping strategies when needed in stressful situations.
    MeSH term(s) Humans ; Cross-Sectional Studies ; Mental Health ; COVID-19 ; Fear ; Coping Skills ; Adaptation, Psychological
    Language English
    Publishing date 2024-02-21
    Publishing country England
    Document type Journal Article
    ZDB-ID 2041338-5
    ISSN 1471-2458 ; 1471-2458
    ISSN (online) 1471-2458
    ISSN 1471-2458
    DOI 10.1186/s12889-024-17863-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Effects of Early Palliative Care in Advanced Cancer Patients: A Meta-Analysis.

    Shih, Hsiu-Hua / Chang, Hsiu-Ju / Huang, Tsai-Wei

    The American journal of hospice & palliative care

    2022  Volume 39, Issue 11, Page(s) 1350–1357

    Abstract: Objective: ...

    Abstract Objective:
    MeSH term(s) Hospice and Palliative Care Nursing ; Humans ; Neoplasms/complications ; Neoplasms/therapy ; Palliative Care/methods ; Quality of Life
    Language English
    Publishing date 2022-03-01
    Publishing country United States
    Document type Journal Article ; Meta-Analysis
    ZDB-ID 1074344-3
    ISSN 1938-2715 ; 1049-9091
    ISSN (online) 1938-2715
    ISSN 1049-9091
    DOI 10.1177/10499091221075570
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: The Efficacy of Health Promotion Program Among Parents Who Had Children With Attention-Deficit/Hyperactivity-Disorder.

    Huang, Ya-Fang / Chang, Shen-Chieh / Purborini, Nurul / Lin, Yen-Kuang / Chang, Hsiu-Ju

    Journal of attention disorders

    2023  Volume 27, Issue 13, Page(s) 1488–1503

    Abstract: Objectives: To explore the effect of health promotion program (HPP) on stress, quality of life, health-promoting lifestyles, and children's attention-deficit/hyperactivity disorder (ADHD) symptoms in parents of children with ADHD.: Methods: Sixty ... ...

    Abstract Objectives: To explore the effect of health promotion program (HPP) on stress, quality of life, health-promoting lifestyles, and children's attention-deficit/hyperactivity disorder (ADHD) symptoms in parents of children with ADHD.
    Methods: Sixty parents of children with ADHD were equally randomized into the intervention (health promotion program) and control (usual care) groups. Outcomes included parents' stress, quality of life, health-promoting lifestyles, and children's ADHD symptoms before, immediately after, and 1, 3, and 6 months after the intervention. The GEE was used to evaluate the effectiveness.
    Results: The intervention group reported significant improvement in the children's hyperactivity/impulse and opposition at the 6- and 3-month, respectively. Parental overall stress significantly improved at 3 and 6 months. Parents' quality of life had significant effects at the immediate, 3-month, and 6-month. Self-actualization behavior for health-promoting lifestyles had significant effects at the immediate follow-up.
    Conclusion: HPP can promote the mental well-being of parents of children with ADHD.
    Language English
    Publishing date 2023-07-28
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2004350-8
    ISSN 1557-1246 ; 1087-0547
    ISSN (online) 1557-1246
    ISSN 1087-0547
    DOI 10.1177/10870547231187165
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  4. Article ; Online: Determinants of Positive and Negative Affect among Adolescents and Young Adults in Indonesia: A Population-Based Survey.

    Purborini, Nurul / Lee, Ming-Been / Chang, Hsiu-Ju

    International journal of environmental research and public health

    2021  Volume 18, Issue 23

    Abstract: Positive and negative affect are crucial for mental health. However, the determinant factors of positive and negative affect have yet to be examined between adolescents and young adults. This study aimed to explore the determinant factors of positive and ...

    Abstract Positive and negative affect are crucial for mental health. However, the determinant factors of positive and negative affect have yet to be examined between adolescents and young adults. This study aimed to explore the determinant factors of positive and negative affect, comparing their effects among adolescents and young adults and among the two sexes in Indonesia. We undertook secondary data analyses of the Indonesia Family Life Survey for this cross-sectional study. Questionnaires on sociodemographic characteristics, physical and mental health-related variables, and childhood family experiences from 2014 were used as independent variables, and positive and negative affect were used as the dependent variables. Hierarchical linear regression was performed to investigate the factors associated with positive and negative affect and to compare their effects between adolescents and young adults. The hierarchical linear regression revealed that sociodemographic characteristics, perceived health, smoking, chronic condition, acute morbidity, sleep, childhood family experiences, depression, personality type, life satisfaction, happiness, and experience of disasters were associated with positive and negative affect among adolescents and young adults in Indonesia. Identification of positive and negative affect as well as their associated factors among adolescents and young adults should be considered when developing preventive programs in the community.
    MeSH term(s) Adolescent ; Child ; Cross-Sectional Studies ; Happiness ; Humans ; Indonesia/epidemiology ; Mental Health ; Surveys and Questionnaires ; Young Adult
    Language English
    Publishing date 2021-11-24
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph182312326
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  5. Article ; Online: Psychological Distress Among Patients With Advanced Cancer: A Conceptual Analysis.

    Huda, Nurul / Shaw, Malissa Kay / Chang, Hsiu-Ju

    Cancer nursing

    2021  Volume 45, Issue 2, Page(s) E487–E503

    Abstract: Background: Psychological distress is a common problem that occurs in advanced cancer patients; however, the concept has not been sufficiently specified or clearly described.: Objective: To develop succinct understanding of psychological distress ... ...

    Abstract Background: Psychological distress is a common problem that occurs in advanced cancer patients; however, the concept has not been sufficiently specified or clearly described.
    Objective: To develop succinct understanding of psychological distress among advanced cancer patients.
    Methods: A literature search was conducted using the CINAHL, PubMed, and MEDLINE databases from 1988 to 2018. The analysis used the 8 steps of concept analysis developed by Walker and Avant. The final articles selected focused on definitions, predictors, determinant factors, and measurements of psychological distress in advanced cancer.
    Results: Analysis identified that psychological distress in terms of advanced cancer has 5 defining attributes: (1) anxiety, (2) depression, (3) death anxiety, (4) demoralization, and (5) a perceived inability to cope effectively. The primary antecedent is treatment complexity. The consequences are acceptance and living in the present positively, lower performance status, poor quality of life, suicide, and hastened death.
    Conclusions: This concept analysis clarifies the meaning of the concept and differentiates the concept of psychological distress from other emotional symptoms that advanced cancer patients commonly experience. It provides clarity in meaning by examining various ways the concept is used in the area of nursing.
    Implications for practice: The identified attributes of psychological distress play vital roles in nursing assessments and should be used as guidance for nurses to provide appropriate nursing care for advanced cancer patients. Interventions should address antecedents and consequences of the concept and consider individuals as persons with unique characteristics.
    MeSH term(s) Adaptation, Psychological ; Anxiety ; Humans ; Neoplasms/complications ; Neoplasms/therapy ; Psychological Distress ; Quality of Life
    Language English
    Publishing date 2021-04-04
    Publishing country United States
    Document type Journal Article
    ZDB-ID 391995-x
    ISSN 1538-9804 ; 0162-220X
    ISSN (online) 1538-9804
    ISSN 0162-220X
    DOI 10.1097/NCC.0000000000000940
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  6. Article ; Online: Mediating effect of resilience on association among stress, depression, and anxiety in Indonesian nursing students.

    Devi, Hilda Mazarina / Purborini, Nurul / Chang, Hsiu-Ju

    Journal of professional nursing : official journal of the American Association of Colleges of Nursing

    2021  Volume 37, Issue 4, Page(s) 706–713

    Abstract: Background: Studies on beneficial effects of resilience among nursing students are scarce, particularly in the context of Indonesian cultural characteristics and family socioeconomic status. Consequently, whether resilience affects the associations ... ...

    Abstract Background: Studies on beneficial effects of resilience among nursing students are scarce, particularly in the context of Indonesian cultural characteristics and family socioeconomic status. Consequently, whether resilience affects the associations between clinical practice-related stress and mental health problems remains unknown.
    Purpose: We aimed to reveal whether resilience mediates the associations among stress, depression, and anxiety.
    Methods: In this study, 336 nursing students were recruited and completed the Connor-Davidson Resilience Scale and the Depression, Anxiety, and Stress questionnaires. Students' economic status was assessed using the Self-Reported Questionnaire Family Socioeconomic Status. Data were collected in mid-2016 and analyzed using Pearson's correlation, independent t-test, one-way ANOVA, and simple linear regression with a mediation test.
    Results: Results demonstrated that resilience had a partial mediating effect on depression (B = 0.044) and anxiety (B = 0.017) after controlling for student age, living situation, and living allowance. These results indicated that resilience affects stress, depression, and anxiety.
    Conclusion: Resilience is thus a crucial mediator of the relationship of clinical practice-related stress with depression and anxiety in nursing students. A well-balanced relationship between academic demands, private life, and financial support can counteract the influence of depression and anxiety in this population.
    MeSH term(s) Anxiety/epidemiology ; Cross-Sectional Studies ; Depression/epidemiology ; Humans ; Indonesia/epidemiology ; Resilience, Psychological ; Stress, Psychological/epidemiology ; Students, Nursing
    Language English
    Publishing date 2021-04-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 632951-2
    ISSN 1532-8481 ; 8755-7223
    ISSN (online) 1532-8481
    ISSN 8755-7223
    DOI 10.1016/j.profnurs.2021.04.004
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  7. Article: Associated factors of depression among young adults in Indonesia: A population-based longitudinal study.

    Purborini, Nurul / Lee, Ming-Been / Devi, Hilda Mazarina / Chang, Hsiu-Ju

    Journal of the Formosan Medical Association = Taiwan yi zhi

    2021  Volume 120, Issue 7, Page(s) 1434–1443

    Abstract: Background/purpose: Depression is highly prevalent among young adults in Indonesia; despite this, information pertaining to the associated factors of depression remains scarce. In this study, we aimed to identify these associated factors among young ... ...

    Abstract Background/purpose: Depression is highly prevalent among young adults in Indonesia; despite this, information pertaining to the associated factors of depression remains scarce. In this study, we aimed to identify these associated factors among young adults in Indonesia by using a longitudinal study design.
    Methods: We undertook secondary data analyses of the Indonesia Family Life Survey. Questionnaires related to smoking behavior, acute morbidities, perceived health, experience of natural disasters, and sociodemographic records from 2007 were used as independent variables and depression in 2014 was used as the outcome variable. The generalized estimating equation (GEE) approach was used to investigate the associated factors of depression.
    Results: The prevalence of depression among 1960 young adults was 27.86%. Based on the GEE results, perceived health was significantly negatively correlated with depression in 2014 (p < .001), whereas smoking behavior, smoking cessation, and acute morbidities in 2007 were significantly positively correlated with depression in 2014 (p < .001).
    Conclusion: We report that the early identification of depression in this population is pivotal and relevant associated factors should be considered when developing preventive programs to avoid depression in the community.
    MeSH term(s) Depression/epidemiology ; Humans ; Indonesia/epidemiology ; Longitudinal Studies ; Prevalence ; Smoking/epidemiology ; Surveys and Questionnaires ; Young Adult
    Language English
    Publishing date 2021-02-05
    Publishing country Singapore
    Document type Journal Article
    ZDB-ID 2096659-3
    ISSN 1876-0821 ; 0929-6646
    ISSN (online) 1876-0821
    ISSN 0929-6646
    DOI 10.1016/j.jfma.2021.01.016
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  8. Article ; Online: Mediating Effects of Coping Strategies on the Relationship Between Mental Health and Quality of Life Among Indonesian Female Migrant Workers in Taiwan.

    Pangaribuan, Santa Maria / Lin, Yen-Kuang / Lin, Mei-Feng / Chang, Hsiu-Ju

    Journal of transcultural nursing : official journal of the Transcultural Nursing Society

    2021  Volume 33, Issue 2, Page(s) 178–189

    Abstract: Introduction: Mental health is a major concern among migrant workers worldwide. More than 200,846 female migrant workers in Taiwan are from Indonesia. The study's purpose was to investigate mediating effects of coping strategies on the relationship ... ...

    Abstract Introduction: Mental health is a major concern among migrant workers worldwide. More than 200,846 female migrant workers in Taiwan are from Indonesia. The study's purpose was to investigate mediating effects of coping strategies on the relationship between mental health problems and the quality of life (QoL).
    Method: This cross-sectional study was conducted in Taiwan. In total, 500 Indonesian female migrant workers completed four questionnaires. A mediation test was conducted to estimate direct and indirect effects.
    Results: Coping strategies, namely substance use, behavioral disengagement, denial, and religious dedication, partially mediated the relationship between mental health problems (depression, anxiety, and stress) and QoL among Indonesian female migrant workers in Taiwan.
    Discussion: Health promotion programs should be developed for Indonesian female migrant workers in Taiwan to help them detect and overcome their mental health problems. Interventions that facilitate effective coping strategies should be administered to improve their QoL.
    MeSH term(s) Adaptation, Psychological ; Cross-Sectional Studies ; Female ; Humans ; Indonesia ; Mental Health ; Quality of Life ; Taiwan ; Transients and Migrants
    Language English
    Publishing date 2021-11-16
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1291524-5
    ISSN 1552-7832 ; 1043-6596
    ISSN (online) 1552-7832
    ISSN 1043-6596
    DOI 10.1177/10436596211057289
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  9. Article ; Online: Psychometric properties and cross-cultural adaptation of the Indonesian version of the Brief COPE in a sample of advanced cancer patients.

    Huda, Nurul / Lin, Yen-Kuang / Shaw, Malissa Kay / Hsu, Yu-Ying / Chang, Hsiu-Ju

    PloS one

    2022  Volume 17, Issue 11, Page(s) e0275083

    Abstract: The Brief COPE Inventory has been proven as acceptable psychometric properties to examine coping strategies among cancer patients. However, most psychometric testing studies have been carried out in Western countries, raising concerns about the ... ...

    Abstract The Brief COPE Inventory has been proven as acceptable psychometric properties to examine coping strategies among cancer patients. However, most psychometric testing studies have been carried out in Western countries, raising concerns about the properties' relevance and applicability in other cultural contexts. This study aimed to present psychometric properties of the Brief COPE in a sample of patients with advanced cancer in Indonesia. Specifically, we intended to examine the factorial structure and the measure's validity and reliability. This study included 440 patients from the original study who completed the Indonesian version of Brief COPE. We used exploratory factor analysis and confirmatory factor analysis to assess factor structure and evaluate the structural model fit, respectively. Reliability was demonstrated by internal consistency represented by Cronbach's alpha coefficient. The factor analysis identified a 21-items scale with 5-factors (avoidance, religion and acceptance, social support coping, problem solving and distraction). Confirmatory factor analysis demonstrated a good model fit. For the whole scale and its subscales Cronbach's alpha coefficients were acceptable signifying good reliability. Convergent, divergent validity and contrast group comparison were evidenced by significant correlations among subscales and the other instruments used. This study shows that the Indonesian version of Brief COPE is a reliable and valid instrument to measure coping in advanced cancer patients and is ready for use amongst this population in the Indonesian cultural context.
    MeSH term(s) Humans ; Psychometrics ; Indonesia ; Cross-Cultural Comparison ; Reproducibility of Results ; Adaptation, Psychological ; Neoplasms
    Language English
    Publishing date 2022-11-28
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0275083
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  10. Article ; Online: Associations among disability, depression, anxiety, stress, and quality of life between stroke survivors and their family caregivers: An Actor-Partner Interdependence Model.

    Yuliana, Sri / Yu, Erica / Rias, Yohanes Andy / Atikah, Nur / Chang, Hsiu Ju / Tsai, Hsiu Ting

    Journal of advanced nursing

    2022  

    Abstract: Aim: To explore the effects of disability, depressive, anxiety and stress symptoms on patients' and their partners' quality of life (QoL) using the actor-partner interdependence model (APIM).: Design: A cross-sectional study using actor-partner ... ...

    Abstract Aim: To explore the effects of disability, depressive, anxiety and stress symptoms on patients' and their partners' quality of life (QoL) using the actor-partner interdependence model (APIM).
    Design: A cross-sectional study using actor-partner interdependence model.
    Methods: We recruited 183 dyads of stroke survivors and their family caregivers in Indonesia. The World Health Organization Disability Assessment (WHODAS 2.0), Depression, Anxiety and Stress (DASS-42) and Rand Short Form Health Survey (SF-36) were used to measure disability, depressive, anxiety and stress symptoms and QoL of stroke survivors and family caregivers. The actor-partner interdependence model was tested using multilevel modelling. The actor-partner interdependence mediation model (APIMeM) was applied to estimate the direct and indirect effect.
    Results: Disability had actor effects on stroke survivor's overall QoL and partner effect on family caregiver's overall QoL. More severe disability of stroke survivors was associated with a lower overall QoL of their own and that of family caregiver's overall QoL. Depressive symptoms of stroke survivors had actor effects on stroke survivors' overall QoL and partner effects on family caregivers' overall QoL. Actor and partner effects also exist on family caregiver's depression symptoms to their own overall QoL and stroke survivor's overall QoL. Moreover, higher anxiety symptoms were associated with lower levels of their own and partner's overall QoL in both stroke survivors and family caregivers. Stroke survivor's stress symptoms also negatively associated with their own and family caregiver's overall QoL. However, a family caregiver's stress without a partner effects on stroke survivor's overall QoL. The APIMeM analysis showed that disability of stroke survivors directly decreased their own overall, physical (PCS) and mental QoL (MCS). Also, disability mediated by stroke survivor's depression, anxiety and stress symptoms decreased both stroke survivor's and family caregiver's physical (PCS) and mental QoL (MCS).
    Conclusion: The findings suggest that stroke survivors and family caregivers may influence each other during the caregiving process and social life. The disability of stroke survivors, and the depression, anxiety and stress symptoms of stroke survivors and family caregivers affect their own QoL and their partners' QoL. Disability of stroke survivors directly decreased their own overall, physical (PCS) and mental QoL (MCS). Also, it indirectly via stroke survivor's depression, anxiety and stress symptoms decreased both stroke survivor's and family caregiver's physical (PCS) and mental QoL (MCS).
    Impact: Dyadic actor-partner interdependence models have shown promising potential to predict the QoL among patients and family caregivers. The dyadic effects of disability, depression, anxiety and stress symptoms on the QoL of stroke survivors and family caregivers can be applied to guide the future development of nursing intervention addressed decreasing depression, anxiety and stress symptoms to optimize health outcomes among stroke survivors and their family caregivers.
    Language English
    Publishing date 2022-10-18
    Publishing country England
    Document type Journal Article
    ZDB-ID 197634-5
    ISSN 1365-2648 ; 0309-2402
    ISSN (online) 1365-2648
    ISSN 0309-2402
    DOI 10.1111/jan.15465
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