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Padjadjaran of Nursing Journal

Original

Vol. 10 No. 2 (2022): Jurnal Keperawatan Padjadjaran

Determinant of Effective Family Communication among First-Grade High School Adolescents Aged 15 - 16 Years: A Multi-Centre Cross-sectional Study

DOI
https://doi.org/10.24198/jkp.v10i2.2009
Submitted
April 25, 2022
Published
2022-08-01

Abstract

Background: Family communication can become a support system for adolescents. Ineffective communication in the family causes emotional problems and poor psychological well-being in adolescents. Purpose: This study aimed to analyze the determinant factor of effective family communication in adolescents. Methods: This was a cross-sectional multi-centre design with 357 participants aged 15-16 from fve high schools in Indonesia. We used the convenience sampling method to select participants. Communication in the family questionnaire, Rosenberg Self Esteem Instrument, Depression Anxiety Stress Scale (DASS-21), and the Scale for Suicide Ideation (SSI) questionnaires were used to measure communication within the family, selfesteem, stress, anxiety, depression, and suicide ideation, respectively. Data were analyzed using Chi-square and binary logistics regression. Results: Most of the adolescents were male (52.1%), had harmonious families (96.6%), had economic status above the minimum wage (65.5%), had high self-esteem (88.5%), and had high social support (67.8%). However, in terms of mental health problems, as many as 47.3%, 74.2%, 72%, and 30.5% of adolescents experienced stress, anxiety, depression, and suicidal ideation, respectively. The multivariate analysis concluded that gender (AOR: 0.499; 95% CI: 0.294-0.847) and socioeconomic status (AOR: 0.2.162; 95% CI: 1.296-3.608) were signifcantly correlated with family communication. Conclusion: Males adolescents are more likely to have ineffective family communication than female adolescents. Also, adolescents with a family socioeconomic status below the minimum wage have a greater risk of ineffective family communication. Therefore, it is essential to improve family communication through assertive communication training in adolescents and families in the educational and community setting.

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References

  1. Adam, N. D., Demissie, G. D., & Gelagay, A. A. (2020). Parent-adolescent communication on sexual and reproductive health issues and associated factors among preparatory and secondary school students of Dabat Town , Northwest Ethiopia. Journal of Environmental and Public Health, 2020, 4708091. https://doi.org/https://doi.org/10.1155/2020/4708091
  2. Anyan, F., Bizumic, B., & Hjemdal, O. (2018). Specificity in mediated pathways by anxiety symptoms linking adolescent stress profiles to depressive symptoms: Results of a moderated mediation approach. Journal of Affective Disorders, 228(March 2018), 109-117. https://doi.org/10.1016/j.jad.2017.12.011
  3. Bi, X., & Wang, S. (2021). Parent-adolescent communication quality and life satisfaction: The mediating roles of autonomy and future orientation. Psychology Research and Behavior Management, 14, 1091-1099. https://doi.org/10.2147/PRBM.S317389
  4. Bireda, A. D., & Pillay, J. (2018). Perceived parent-child communication and well-being among Ethiopian adolescents. International Journal of Adolescence and Youth, 23(1), 109-117. https://doi.org/10.1080/02673843.2017.1299016
  5. Brooks, H., Irmansyah, I., Lovell, K., Savitri, I., Utomo, B., Prawira, B., … Bee, P. (2019). Improving mental health literacy among young people aged 11-15 years in Java, Indonesia: Co-development and feasibility testing of a culturally-appropriate, user-centred resource (IMPeTUs) - A study protocol. BMC Health Services Research, 19, 484. https://doi.org/10.1186/s12913-019-4328-2
  6. CDC. (2019). Youth Risk Behavior Surveillance Data Summary & Trends Report: 2009-2019.
  7. Chi, X., Liu, X., Huang, Q., Huang, L., Zhang, P., & Chen, X. (2020). Depressive symptoms among junior high school students in Southern China: Prevalence, changes, and psychosocial correlates. Journal of Affective Disorders, 274, 1191-1200. https://doi.org/10.1016/j.jad.2020.05.034
  8. Devito, J. A. (2014). The interpersonal communication book. United States: Pearson Education Limited.
  9. Erskine, H. E., Baxter, A. J., Patton, G., Moffitt, T. E., Patel, V., Whiteford, H. A., & Scott, J. G. (2017). The global coverage of prevalence data for mental disorders in children and adolescents. Epidemiology and Psychiatric Sciences, 26, 395-402. https://doi.org/10.1017/S2045796015001158
  10. Erskine, H. E., Moffitt, T. E., Copeland, W. E., Costello, E. J., Ferrari, A. J., Patton, G., … Scott, J. G. (2015). A heavy burden on young minds: The global burden of mental and substance use disorders in children and youth. Psychological Medicine, 45(7), 1551-1563. https://doi.org/10.1017/S0033291714002888
  11. Eunson, B. (2015). Communicating in the 21st Century (4th editio). Willey-Blackwell.
  12. Garcia-Carrion, R., Villarejo, B. C., & Villardón-Gallego, L. (2019). Children and adolescents mental health: A systematic review of interaction-based interventions in schools and communities. Frontiers in Psychology, 10, 918. https://doi.org/10.3389/fpsyg.2019.00918
  13. Gill, C., Watson, L., Williams, C., & Chan, S. W. Y. (2018). Social anxiety and self-compassion in adolescents. Journal of Adolescence, 69, 163-174. https://doi.org/10.1016/j.adolescence.2018.10.004
  14. Guo, L., Tian, L., & Scott Huebner, E. (2018). Family dysfunction and anxiety in adolescents: A moderated mediation model of self-esteem and perceived school stress. Journal of School Psychology, 69, 16-27. https://doi.org/10.1016/j.jsp.2018.04.002
  15. Hayward, L. E., Vartanian, L. R., Kwok, C., & Newby, J. M. (2020). How might childhood adversity predict adult psychological distress? Applying the Identity Disruption Model to understanding depression and anxiety disorders. Journal of Affective Disorders, 265, 112-119. https://doi.org/10.1016/j.jad.2020.01.036
  16. Indrawati, E. S. (2015). Status sosial ekonomi dan intensitas komunikasi keluarga pada ibu rumah tangga di Panggung Kidul Semarang Utara. Jurnal Psikologi Undip, 14(1), 52-57.
  17. Kavehfarsani, Z., Kelishadi, R., & Beshlideh, K. (2020). Study of the effect of family communication and function, and satisfaction with body image, on psychological well-being of obese girls: The mediating role of self-esteem and depression. Child and Adolescent Psychiatry and Mental Health, 14, 39. https://doi.org/10.1186/s13034-020-00345-3
  18. Kesuma, V. M., Atmodiwirjo, E. T., & Idulfilastri, R. M. (2021). Pengujian struktur faktor pada konstruk Beck Scale for Suicide Ideation dengan Individu dewasa awal. Jurnal Muara Ilmu Sosial, Humaniora, Dan Seni, 5(2), 549. https://doi.org/10.24912/jmishumsen.v5i2.11310.2021
  19. Leavey, G., Rosato, M., Harding, S., Corry, D., Divin, N., & Breslin, G. (2020). Adolescent mental health problems, suicidality and seeking help from general practice: A cross-sectional study (Northern Ireland Schools and Wellbeing study). Journal of Affective Disorders, 274, 535-544. https://doi.org/10.1016/j.jad.2020.05.083
  20. Li, X., Yang, H., Wang, H., & Jia, J. (2020). Family socioeconomic status and home-based parental involvement: A mediation analysis of parental attitudes and expectations. Children and Youth Services Review, 116, 105111. https://doi.org/10.1016/j.childyouth.2020.105111
  21. Liu, Q. Q., Yang, X. J., Hu, Y. T., Zhang, C. Y., & Nie, Y. G. (2020). How and when is family dysfunction associated with adolescent mobile phone addiction? Testing a moderated mediation model. Children and Youth Services Review, 111, 104827. https://doi.org/10.1016/j.childyouth.2020.104827
  22. Liu, W. J., Zhou, L., Wang, X. Q., Yang, B. X., Wang, Y., & Jiang, J. F. (2019). Mediating role of resilience in relationship between negative life events and depression among Chinese adolescents. Archives of Psychiatric Nursing, 33(6), 116-122. https://doi.org/10.1016/j.apnu.2019.10.004
  23. Manstead, A. S. R. (2018). The psychology of social class: How socioeconomic status impacts thought, feelings, and behaviour. British Journal of Social Psychology, 57(2), 267-291. https://doi.org/10.1111/bjso.12251
  24. Maroqi, N. (2018). Uji validitas konstruk pada instrumen Rosenberg self esteem scale. Jurnal Pengukuran Psikologi Dan Pendidikan Indonesia, 7(2), 92-96. https://doi.org/10.15408/jp3i.v7i2.12101
  25. Moksnes, U. K., & Reidunsdatter, R. J. (2019). Self-esteem and mental health in adolescents - level and stability during a school year. Norsk Epidemiologi, 28(1-2), 59-67. https://doi.org/10.5324/nje.v28i1-2.3052
  26. Mousena, E., & Raptis, N. (2021). Beyond teaching: School climate and communication in the educational context. In Education at the Intersection of Globalization and Technology. Intech Open. https://doi.org/10.5772/intechopen.93575
  27. Muttaqin, D., & Ripa, S. (2021). Psychometric properties of the Indonesian version of the Depression Anxiety Stress Scale: Factor structure, reliability, gender, and age measurement invariance. Psikohumaniora: Jurnal Penelitian Psikologi, 6(1), 61-76. https://doi.org/10.21580/pjpp.v6i1.7815
  28. Novak, M., Parr, N. J., Ferić, M., Mihić, J., & Kranželić, V. (2021). Positive youth development in Croatia: School and family factors associated with mental health of Croatian adolescents. Frontiers in Psychology, 11, 611169. https://doi.org/10.3389/fpsyg.2020.611169
  29. Otto, C., Reiss, F., Voss, C., Wüstner, A., Meyrose, A. K., Hölling, H., & Ravens-Sieberer, U. (2021). Mental health and well-being from childhood to adulthood: Design, methods and results of the 11-year follow-up of the BELLA study. European Child and Adolescent Psychiatry, 30, 1559-1577. https://doi.org/10.1007/s00787-020-01630-4
  30. Pantoja, J. da S., & Martins, M. das G. T. (2020). Interpersonal communication skills between couples: Contributions of cognitive behavioral therapy. Revista Científica Multidisciplinar Núcleo Do Conhecimento, 10(15), 138-164.
  31. Pei, F., Wang, Y., Wu, Q., Shockley McCarthy, K., & Wu, S. (2020). The roles of neighborhood social cohesion, peer substance use, and adolescent depression in adolescent substance use. Children and Youth Services Review, 112, 104931. https://doi.org/10.1016/j.childyouth.2020.104931
  32. Pramono, F. (2020). Analysis of the family’s communication pattern and the benefits of mother school program for building a harmonious family. Informasi, 50(1), 1-14. https://doi.org/10.21831/informasi.v50i1.30136
  33. Pramono, F., Lubis, D. P., Puspitawati, H., & Susanto, D. (2017). Communication pattern and family typology of high school adolescents in Bogor - West Java. Jurnal Komuniasi (ISKI), 02(01), 20-26.
  34. Ramadhana, M. R., Karsidi, R., Utari, P., & Kartono, D. T. (2019). Role of family communications in adolescent personal and social identity. Journal of Family Sciences, 4(1), 1-11. https://doi.org/10.29244/jfs.4.1.1-11
  35. Riskesdas. (2018). Riset Kesehatan Dasar 2018.
  36. Rocha, B. M. da, Rhodes, S., Vasilopoulou, E., & Hutton, P. (2018). Loneliness in psychosis: A meta-analytical Review. Schizophrenia Bulletin, 44(1), 114-125. https://doi.org/10.1093/schbul/sbx036
  37. Sakthivel, A., Kannappan, S., & Panicker, A. (2021). Prevalence of mental health problems among high school students. Indian Journal of Community Medicine, 46, 574-575. https://doi.org/10.4103/ijcm.IJCM_1041_20
  38. Saleem, S., Mahmood, Z., & Daud, S. (2017). Perceived parenting styles in Pakistani adolescents: A validation study. Pakistan Journal of Psychological Research, 32(2), 487-509.
  39. Shi, X., Wang, J., & Zou, H. (2017). Family functioning and Internet addiction among Chinese adolescents: The mediating roles of self-esteem and loneliness. Computers in Human Behavior, 76, 201-210. https://doi.org/10.1016/j.chb.2017.07.028
  40. Sun, X. jun, Niu, G. feng, You, Z. qi, Zhou, Z. kui, & Tang, Y. (2017). Gender, negative life events and coping on different stages of depression severity: A cross-sectional study among Chinese university students. Journal of Affective Disorders, 209, 177-181. https://doi.org/10.1016/j.jad.2016.11.025
  41. Wang, J.-L., Rost, D. H., Qiao, R.-J., & Monk, R. (2020). Academic Stress and Smartphone Dependence among Chinese Adolescents: A Moderated Mediation Model. Children and Youth Services Review, 105029. https://doi.org/10.1016/j.childyouth.2020.105029
  42. WHO. (2019). Mental disorders.
  43. WHO. (2021). Adolescent mental health.
  44. Wiguna, T., Anindyajati, G., Kaligis, F., Ismail, R. I., Minayati, K., Hanafi, E., … Pradana, K. (2020). Brief research report on adolescent mental well-being and school closures during the COVID-19 Pandemic in Indonesia. Frontiers in Psychiatry, 11, 598756. https://doi.org/10.3389/fpsyt.2020.598756
  45. Windarwati, H. D., Ati, N. A. L., Ilmy, S. K., Sulaksono, A. D., Fitriyah, E. T., Kusumawati, M. W., & Fitri, L. D. N. (2021). Is the desire to take selfies related to self-esteem among high school teens ? Jurnal Keperawatan Soedirman, 16(1), 25-30. https://doi.org/10.20884/1.jks.2021.16.1.1517
  46. Windarwati, H. D., Lestari, R., Wicaksono, S. A., Kusumawati, M. W., Ati, N. A. L., Ilmy, S. K., … Susanti, D. (2022). Relationship between stress, anxiety, and depression with suicidal ideation in adolescents. Jurnal Ners, 17(1), 36-41. https://doi.org/10.20473/jn.v17i1.31216
  47. Wong, A. E., Dirghangi, S. R., & Hart, S. R. (2019). Self-concept clarity mediates the effects of adverse childhood experiences on adult suicide behavior, depression, loneliness, perceived stress, and life distress. Self and Identity, 18(3), 247-266. https://doi.org/10.1080/15298868.2018.1439096
  48. Zheng, Y., Rijsdijk, F., Pingault, J. B., McMahon, R. J., & Unger, J. B. (2016). Developmental changes in genetic and environmental influences on Chinese child and adolescent anxiety and depression. Psychological Medicine, 46(9), 1829-1838. https://doi.org/10.1017/S0033291716000313