The prevalence of and perception toward mental illness: a cross-sectional study among Indonesian mental health nurses.

BACKGROUND: The emergence of the Coronavirus disease 2019 (Covid-19) pandemic has affected nurses' mental and psychological health. This study investigates the prevalence of depression, anxiety, and stress among Indonesian mental health nurses and their perception of mental illness. METHODS: A cross-sectional study was conducted shortly before the height of the Covid-19 outbreak in Indonesia. The data were collected using the 21 items of the Depression, Anxiety, and Stress Scale (DASS-21), the questionnaire on perception toward mental illness, and demographic information. RESULTS: Approximately 2.5%, 6.5%, and 1.9% of the nurses had the symptoms of depression, anxiety, and stress, respectively. The vast majority of them perceive that society should treat well people with mental illness (94.8%) and that the government should protect them (94.8%). More than half also believe that they can eat anything but seldom get physically ill (62.1%) and that in Islam, people with mental illness are innocent and are destined for paradise (61.1%). CONCLUSIONS: A considerably low prevalence of mental distress was discovered, which might be attributed to the nurses' implementation of mental health skills and effective coping mechanisms. Further training and awareness-raising campaigns are needed to address their misconceptions about mental illness.

Investigating the burden of mental distress among nurses at a provincial COVID-19 referral hospital in Indonesia: a cross-sectional study.

BACKGROUND: The current outbreak of the COVID-19 pandemic has distorted the physical, mental, and psychological condition of frontline healthcare providers in health facilities. This study aims to investigate the prevalence, and risk factors of depression, anxiety, and stress among nurses working in a COVID-19 referral hospital in Indonesia. METHODS: A cross-sectional study was conducted among 491 nurses, aged between 31, and 56 years, using a self-administered questionnaire. The Depression Anxiety Stress Scale (DASS21), and demographic questions were used to screen the presence of psychological problems, and their associated factors. RESULTS: The prevalence of moderate to extremely severe depression, anxiety and stress was 8.5 %, 20.6 and 6.3 %, respectively. Regression analysis showed that anxiety was significantly higher among nurses working in non-COVID wards (p = .01), those who experienced social rejection (p < .05), and those who frequently watched television (p < .05). Those who had temporary contracts were more stressed (p < .05), and those who faced financial hardship during the COVID-19 pandemic significantly experienced depression, anxiety, and stress at 10.5 %, 23.5 %, and 8.1 % respectively(p < .05). CONCLUSIONS: While the prevalence of mental distress in this hospital is low, it exists, and hospital management should consider training for all nurses, public sensitization on COVID-19, and provision of financial subsidies for frontline workers, in order to manage the risk factors.

Prevalence and determinants of posttraumatic stress in adolescents following an earthquake.

CONTEXT: The 2016 Aceh earthquake causes a significant mental health impact in adolescents. However, the prevalence and determinants have never been reported. AIMS: The study aimed to estimate the prevalence rate and determinants of posttraumatic stress symptoms in adolescents following an earthquake. SETTINGS AND DESIGN: This cross-sectional study was conducted in Pidie Jaya district approximately 6 months following the earthquake. MATERIALS AND METHODS: The Trauma Screening Questionnaire (TSQ) was distributed to adolescents living around the earthquake-affected area. STATISTICAL ANALYSIS: The Chi-square test and binomial logistic regression were performed using GNU PSPP statistical software. RESULTS: The prevalence of posttraumatic stress disorder (PTSD) was 47%, and the mean score of TSQ was 5.11 (standard deviation = 2.3). The presence of PTSD was associated with gender and age (P = 0.001). Logistic regression analysis confirmed that gender, being injured, witnessing someone injured, feeling stressed after the earthquake, and feeling scared of staying inside a building following the earthquake were independently and significantly associated with PTSD (P = 0.001). CONCLUSION: The prevalence of PTSD at 6 months following an earthquake is relatively high, and many factors are associated with the presence of PTSD.