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The Influence of Parental Attachment toward Early Childhood Children's Separation Anxiety

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Abstract

Most preschool children show incapabilities of overcoming anxieties so that they have negative emotions while parting with an intimate figure. This research examined parental attachment toward early childhood children's parting anxieties. The research population consisted of 793 participants aged 5-6 years old. The sampling technique was purposive sampling. It involved 185 early childhood children (87 boys and 98 girls). The data were collected through a questionnaire. The data technique used the Parental-Child Attachment-Child Survey questionnaire to measure parental attachment to children. Separation anxiety in early childhood was measured using the Children's Separation Anxiety Disorders (CSAS) questionaire. Each question item was read by the researcher to facilitate the children. The applied analysis was a simple linear regression. It was to analyze the parental attachment toward children's separation anxiety. The result shows Fcount = 15.26 < Ftable = 3.045 with a Sig value 0.000 < 0.05. It means high parental attachment lowered children's separation anxiety at schools. This child-parent intimacy supported adaptive social quality in a peer group. It also provided a positive foundation for their further development.
501
Journal of Primary Education
9 (5) (2020) : 501510
https://journal.unnes.ac.id/sju/index.php/jpe
The Influence of Parental Attachment toward Early Childhood
Children's Separation Anxiety
Umi Astuti 1, Hartono Hartono2, Sunawan Sunawan 2
DOI: https://doi.org/ 10.15294/jpe.v9i5.43210
1. Genuksari Pertiwi Kindergarten,Semarang, Indonesia
2. Pascasarjana, Universitas Negeri Semarang, Indonesia
Article Info
________________
History Articles
Received:
17 September 2020
Accepted:
12 October 2020
Published:
31 December 2020
________________
Keywords:
Parental Attachment,
Separation Anxiety,
Early Childhood
Children
____________________
Abstract
___________________________________________________________________
Most preschool children show incapabilities of overcoming anxieties so that
they have negative emotions while parting with an intimate figure. This
research examined parental attachment toward early childhood children's
parting anxieties. The research population consisted of 793 participants aged 5-
6 years old. The sampling technique was purposive sampling. It involved 185
early childhood children (87 boys and 98 girls). The data were collected
through a questionnaire. The data technique used the Parental-Child
Attachment-Child Survey questionnaire to measure parental attachment to
children. Separation anxiety in early childhood was measured using the
Children's Separation Anxiety Disorders (CSAS) questionaire. Each question
item was read by the researcher to facilitate the children. The applied analysis
was a simple linear regression. It was to analyze the parental attachment
toward children's separation anxiety. The result shows Fcount = 15.26 < Ftable =
3.045 with a Sig value 0.000 < 0.05. It means high parental attachment
lowered children's separation anxiety at schools. This child-parent intimacy
supported adaptive social quality in a peer group. It also provided a positive
foundation for their further development.
Correspondence address:
Genuksari Pertiwi Kindergarten Semarang Indonesia 50237
E-mail: umiastuti@gmail.com
p-ISSN 2252-6404
e-ISSN 2502-4515
Umi Astuti, et al./ Journal of Primary Education 9 (5) (2020) : 501510
502
INTRODUCTION
Anxiety is an unpleasant, uncertain,
anxious, and unclear feeling about what will
happen. Tamisa (2016:125) argues that anxiety
is entailed by a specific physical reaction in
which will be repeated on an individual. The
anxious reaction of children is caused by
parting, losing, having a physical injury, or
feeling pain (Tamsuri et al., 2010). Lim (2015)
also explains that anxiety frequently appears in
6-12-year-old children. It is frequently caused by
parting, feeling not being loved, lacking
attention, and having no parental supports.
Pepito & Montalbo (2019) divide anxiety
aspects of children into three aspects. The first is
physical aspect reflected on children's physical
conditions, such as trembling hands and having
difficulties in speaking. Secondly, a cognitive
aspect that is indicated by having difficulties to
concentrate, feeling not confident to handle
problems, and being afraid to be unable to solve
problems. The third deals with the behavioural
aspect. It is shown by anxious behaviours that
make such children avoid, attach, and shocked.
Such anxiety felt by children while parting
with an intimate figure is a normal state for
them. It is since these children have specific
needs to remain closer to the intimate figures. If
this anxiety develops time by time, it will put
them in disadvantages later in their adulthood
life (Milrod et al., 2013).
Anxiety is a normal feeling felt by
children, and it is temporal. Children should
ideally have a low anxiety level. It includes
when they are left by their parents. Such anxiety
type, caused by parting, usually has analytic
depression nature. Ideally, separation anxiety of
children lasts from their toddler until preschool
periods (A' diilah & Imran, 2016).
The facts show several children still have
difficulties in managing their anxieties. In
several cases, preschool-aged children showed
that they could not manage their anxieties for
the first time joining the first school year period.
Thus, negative emotion appears while parting
with intimate figures.
Negative emotion is triggered due to
anxieties, such as crying while screaming,
kicking surrounding objects, and hurting
surrounding adults who try to calm him down
(Carpenter et al., 2014). Children with
separation anxiety symptoms have
aggressiveness or anger toward their parents or
any conditions that make them parted from their
parents.
Bigdeli (2010) argues that children's
cognition in such anxiety state makes them
worried, breathless, and nervous. Thus, they
influence their memories and learning processes.
Mendez et al. (2014) argue that separation
anxiety of early childhood children is controlled
by three inter-correlated dimensions. The first
component is the cognitive dimension. It is
about internal anxiety of the children. They
might think something bad would happen to
them or to their parents. Second, the
psychophysiological dimension that deals with
the feeling of difficulties due to pressures from
exaggerating negative activities of children. The
third dimension is behavioural or opposition. It
is defined as the reluctance be left by their
parents or away from their houses.
Anxiety is caused by unhealthy parental
attachment. Parents are safe and comfortable
subjects for children. Maina et al. (2016),
Brumariu et al. (2012) also state that separation
anxiety of children is disproportional anxious
reactions toward a parting condition. It is mostly
caused by parental attachment. Pozzi et al.
(2014) also argue that separation anxiety is an
individual's fear to engage with an intimate
parting figure.
Anxiety is caused by exaggerating and
unhealthy parental attachment. These make
children more defensive and impede their
classroom learning participation (Hasanah,
2013). According to Sari et al. (2018), parental
attachment is an interaction between parents
and children. They are realized into compassion,
attitude, and responses of parenting and
children's necessities. This interaction lasts for a
long time. It even continues in later hoods and
develops intimacy patters on children.
Umi Astuti, et al./ Journal of Primary Education 9 (5) (2020) : 501510
503
Children with positive attachment or
intimacy are indicated by three aspects. They are
high communication between children and
parents, high trust, and low alienation
(Thornberry et al., 1991). It is supported by
Armsden & Greenberg (1987). They explain that
self-attachment consists of three dimensions:
trust, communication, and alienation.
Children-parents' attachments have
important roles in children's developments. They
need compassion, response, and positive
attitudes from their parents. Parents' positive
behaviours allow children to develop and
establish positive personalities. However,
negative attachment of parents experienced by
their children will interrupt children's
development and their personality developments
(Kerns & Brumariu, 2014).
Wampler & Downs (2010) found positive
attachments between children and parents
decreased behavioural problems and mischiefs.
This research analyzed the issues of parental
attachment toward separation anxiety of
children's first day schools.
METHODS
The applied method was quantitative with
the associative or clausal approach. It had a
purpose to find out the correlation between
parental attachments toward separation
anxieties of children. The research population
consisted of 793 participants aged 5-6 years old.
The sampling technique was purposive
sampling. It involved 185 early childhood
children (87 boys and 98 girls).
The data were collected by Parental-Child
Attachment Survey questionnaire, developed by
Thornberry et al. (1991). A questionnaire of
Children's Separation Anxiety Disorders (CSAS)
developed by Mendez et al. (2014) was used to
measure the children's separation anxiety. The
parental attachment instrument obtained a
coefficient score of α = 0.874. On the other
hand, the CSAS obtained a coefficient score of
α= 0.925.
The data were analyzed by simple
regressive analysis technique before applying
classical assumption test. The questionnaire was
filled by the assistance of the researcher. The
researcher assisted to read aloud the
questionnaire items because the subjects were
early childhood children. The data collection
was done once the research obtained the parents'
consents and agreed by the children. The
research procedures were begun by providing a
quiet room. The participants were then called
one by one and asked with several structured
questions. It was started by a demographic
question about the names and the ages.
RESULTS AND DISCUSSION
The anxiety levels of the children at
Genuksari Pertiwi Kindergarten, Semarang,
could be seen from three-dimension. They were
cognitive, psychophysiological, and behavioural
or opposition dimensions. The average
descriptive analysis result and the deviation
standard of separation anxiety and parental
attachment are shown in Table 1.
Table 1. Descriptive Analysis
N
Mean
SD
185
60.864
4.862
185
75.50
8.462
Table 1 shows the mean and deviation
standard of separation anxiety (M= 60, 864;
SD=4,862). The mean and deviation standard of
parental attachment are M= 75,50; SD= 8,462.
The descriptive statistics results show higher
mean than the deviation standard. It represents
excellent data distribution.
Then, the data about anxiety level based
on the cognitive dimension of the children were
anxious that something bad could happen on
Umi Astuti, et al./ Journal of Primary Education 9 (5) (2020) : 501510
504
themselves or other attached objects while
parting shown in Figure 1. Figure 1 is a chart of
anxiety level within a cognitive dimension on
the children.
Figure 1. Cognitive Dimension Anxiety Level of the Children
Based on the Figure 1, the cognitive
dimension anxiety level of the children is in a
low category with a percentage of 71%. The
cognitive dimension percentage is deficient, with
a percentage of 28%. Meanwhile, there are none
of the students categorized high or extremely
high in this dimension. This means that most
children experience low anxiety when the child
starts schooling. Children feel confident when
they part with the sticky figure, namely parents.
According to Mian (2014), the factors that
influence anxiety in pre-school children are the
family environment, namely the first
environment known to the subject, the family
environment plays an important role in shaping
a child's personality, from birth to adulthood. A
positive family life will provide the basic features
of forming a good child's personality.It meant
most of the children had lower anxieties in their
first year school period. They felt better and
confident while being left by the attached figures
for them, their parents.
Then, to find out the anxiety level from
psychophysiological dimension, Figure 2 is
provided. It could be seen that the anxiety level
within this dimension is low. It was due to low
stress due to activities done by the children. This
Figure 2 presents the anxiety level data within
the psychophysiological dimension of the
children.
0 0
28
72
very high high average low
The cognitive dimension percentage (%)
Umi Astuti, et al./ Journal of Primary Education 9 (5) (2020) : 501510
505
Figure 2. Psychophysiological Dimension Anxiety Level of the Children
Based on the Figure 2, the
psychophysiological dimension anxiety level of
the children is in a low category with a
percentage of 61%. The psychophysiological
dimension percentage is deficient, with a
percentage of 39%. Meanwhile, there is no
student categorized with high or extremely high
categories. It shows a lower stressed feeling of
the children while being left by their parents due
to appropriate parenting. Pacholec et al. (2013)
found the correlation between parents and their
modified parental
practices allowed children to manage their
separation anxiety. When parents provide
proper care, feelings of stress and fear do not
occur. Children will have self-confidence.
Figure 3 explains the children's anxiety
levels data within a behavioural dimension. In
this dimension, the children had bravery when
they were left by their parents and were far from
their houses. Figure 3 is presented in a chart of
children's anxiety levels data within a
behavioural dimension.
Figure 3. Behavioural Dimension Anxiety Level of the Children
0 0
39
61
very high high average low
percentage psycho-physiological dimension
(%)
0 0
22
78
very high high average low
percentage behavioral anxiety levels
(%)
Umi Astuti, et al./ Journal of Primary Education 9 (5) (2020) : 501510
506
Based on the Figure 3, the behavioural
dimension level of the children is in a low
category with a percentage of 78 %. The
behavioural dimension percentage is deficient,
with a percentage of 22%. Meanwhile, there is
no student categorized with high or extremely
high categories. It showed most children did not
feel anxious while parting from their parents.
According to Godoy (2013) the most important
influence in overcoming anxiety is the
assessment of parents towards children. Parents
must give confidence and motivation to children
so that children have confidence in themselves
The description results of the children's
parental attachment could be seen from three
dimensions: trust, communication, and
alienation. Table 2 explains the parental
attachment of Genuksari Pertiwi Kindergarten
children in Semarang.
Table 2. The Attachment Dimension Percentage(%)
Dimension
low
less
high
Very high
Trust
0.5
31.5
67.9
0.0
Communication
0.5
30.4
69.0
0.0
Alienation
41.80
58.20
0.0
0.0
Note: 90 boys and 92 females
Table 2 shows most Genuksari Pertiwi
children had high trust (67.9%). It meant they
really trusted their parents and had an intimate
relationship with their parents. The parents
provided all children's necessities. Then, the
communication aspect was categorized high,
with a percentage of 69%. It showed the children
were involved in parents' activities so they were
comfortable and thought their parents were
great.
On the other hand, the alienation score
was in a low category with a percentage of 58%.
It showed there were transparent relationships
between parents and children. They were also
proud of their parents. Thus, they did not hide
any complaints, any intentions, or anything to
their parents.
The next step involved the classical
assumption test, consisting of a normality test.
The researcher also used regression test to
examine the influence of parental attachment to
children's anxiety levels at the first school year.
The regression test results are summarized in
Table 3.
Table 3. The Attachment Regression Test toward Anxiety
Model
R
R square
df
Mean square
F
Sig
Regression
.284
.081
1
337.325
15.957
.000b
Residual
182
21.140
Total
183
Note: R = the multiple correlative coefficient value; R-Sq = R squared/determination coefficient;
MSE = Mean Square Error; F = the tested model score; df = degree of freedom; Significant degree.
Table 3 shows the influence of attachment
and anxiety. It is proven by the R score, .284. It
meant there was a correlation between child
attachment and separation anxiety. The R
square's score based on the table is .081. It
meant the influence of child attachment toward
the separation anxiety was 8.1%. Thus, the
remaining percentage, 91.9%, was influenced by
other external variables of this research. The F
count score is 15.957. The Ftable score is 3.045,
with a significant level of 5%. The Fcount score is
greater than F table on a significant level of 5%
(15.25 > 3.045). Thus, parental attachment
influenced the lower children's anxiety level at
school.
Umi Astuti, et al./ Journal of Primary Education 9 (5) (2020) : 501510
507
There was an influence between child
attachments toward children's anxiety levels to
begin schooling. This anxiety had positive
attachment indicated by high communication
and trust and low alienation aspects. High
attachment lowered children's anxiety as
indicated by lower cognitive, behavioural, and
psychophysiological dimensions.
This finding is supported by Van et al.
(2014) and Verissimo et al. (2014). They found
that maternal attachment to children influenced
positively toward lower anxiety levels. Thus, it
influenced the children's social development.
Positive attachment toward children seemed
more socially involved and emphasized on
contributive social, emotional, and
cognitive skills toward peer-acceptance at
schools. On the other hand, child attachment
with mother and high alienation between them
would trigger aggressiveness of the children
(Moss et al., 2007; Gault-sherman, 2012).
Children with positive attachments had
better trust. It is a crucial matter for them to
develop secure attachments to their mothers.
Low empathy children and lack
acknowledgement on other people were
correlated to the lower parental trust during the
children's childhood (Cortazar & Herreros,
2010).
An excellent communication quality
between a mother and a child extremely
influences maternal attachment realization
Thomson-Hollands, 2014). High alienation was
not something good for mother-child
attachment. It could be caused by the mother's
business such as additional and external tasks
(for example, becoming an active organizational
member) so that she had limited time for her
child. It might also be due to the mother's
business to take care of the households (Hardani
et al., 2017).
Maternal attachment to children
supported social adaptation in an early
childhood peer group. It could provide a positive
foundation and became the influential factor of
children's socialization development (Kochanska
et al., 2009). Confident children toward
environmental acceptance would consider a
secure attachment with their attached figures.
They also developed a trust not only for their
mothers but also their surroundings. Early
childhood period is a critical period to develop
trust.
If it fails to be developed, then a distrust
will occur. This feeling, trust, is a foundation of
healthy social-emotional development for the
next stage (Kochanska & Kim 2012). Trust will
be developed in a predictable nurturing
environment for children. Children could predict
that a nurturing figure should be stable and
could create an enjoyable and comfortable
atmosphere. Thus, they could feel being
accepted and loved. Therefore, children need
mothers as nurturing figures, especially to create
a strong bond (bonding). According to Corwin
(2012), positive attachment cycle is the existence
of attached figures as the basis of exploration
encouragement. It will influence children's social
skills.
Anapratiwi et al. (2013) also found a
correlation of attachment between children and
mothers toward the children's socialization
skills. Children with positive attachment had
better socialization skills. Children with high
trust and lower anxiety would easily develop
friendly relationships toward parents or other
children. When children had trusted, they would
have healthy social relationships and could
easily adapt to the environment. They believed
in such a secure and comfortable environment
(Shahidul & Karim, 2015). Meanwhile, children
with lower attachment influenced the denial of
anxiety. Thus, it led to lower socialization skills.
They would be afraid and alert to any
potential threats even when they did not exist.
With so much directed energy for protection,
they would have lesser energies to develop their
interest and to learn. Thus, it would be difficult
to be directed or guided (Hoeve et al., 2012).
These children would have high alienation
feeling and mistrust or suspicion. They seemed
like capricious persons and afraid of any
intimacy. It might turn to distrust upon other
people's loyalty or preparedness. They would
also be afraid if they were left by their parents
(Helmi, 1999).
Umi Astuti, et al./ Journal of Primary Education 9 (5) (2020) : 501510
508
Thus, attachment obviously influenced
children's anxiety. Children with high
attachment had lower anxiety. Therefore, they
had excellent personal trust or trust for other
people and their surroundings. On the other
hand, children with low attachment had high
anxiety. It turned into an anxious and stressed
feeling. Thus, it affected children's tantrums, so
they had difficulties to socializes with their
surroundings.
CONCLUSION
There was a positive correlation between
attachment and anxiety of the children. It led to
a lower state of children's anxiety. High attached
children had positive social skills. Children
would have excellent personal trust or trust for
other people and their surroundings.
Meanwhile, children with lower attachment had
high anxiety. It would affect their anxious and
stressed feelings. Thus, children would have
difficulties to socialize with their environments.
Therefore, parents should provide a positive
child-mother nurturing pattern.
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high risk fordelinquency. Clinical Social
Work Journal. 38(1) :107-119.
... This can happen because in cases of divorce for couples who already have children, conflicts over children can occur. Separation between family members if it lasts for a long time and is not resolved can potentially cause separation anxiety (U. Astuti et al., 2020;Praptomojati, 2018;Suroso & Arsanti, 2023). Separation anxiety is a fear or anxiety about separation from an individual to whom one is attached, which is excessive, inappropriate, and persistent. ...
... Psychological distress has been found to predict changes in general sleep patterns over time. So, several previous studies have shown a relationship between psychological distress and insomnia (U. Astuti et al., 2020;Praptomojati, 2018;Suroso & Arsanti, 2023). The results of the second study were that there were the relationship between psychological distress and separation anxiety. ...
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Bullying in schools has become a significant problem, negatively impacting students' well-being and psychological development. This phenomenon requires effective intervention strategies to reduce these behaviors among students. This study aims to test the effectiveness of the intervention using the role-playing technique approach in reducing bullying cases in students in Vocational High Schools (SMK). This study uses an experimental quantitative approach with a quasi-experimental design research design, precisely the Pretest-Post-test model, Non-Equivalent Control Group Design. The sample in this study consisted of 8 grade XI students who were identified as experiencing and bullying, which were then divided into two groups: the experimental group and the control group, each consisting of 4 students. The experimental group was given a role-playing technique intervention, while the control group did not receive a similar intervention. Data was collected through interviews, observations, and questionnaires. Data analysis was carried out using descriptive tests and inferential statistics. The results showed that before the intervention, students' bullying behavior was at a high level. However, after the intervention through a five-stage role playing technique, student participation in bullying behavior decreased to a very high and high level. There was a significant difference between the experimental group that received this intervention and the control group that did not. The conclusion of this study shows that intervention through the role-playing technique approach is effective in reducing bullying behavior in grade XI students in vocational schools.
... This can happen because in cases of divorce for couples who already have children, conflicts over children can occur. Separation between family members if it lasts for a long time and is not resolved can potentially cause separation anxiety (U. Astuti et al., 2020;Praptomojati, 2018;Suroso & Arsanti, 2023). Separation anxiety is a fear or anxiety about separation from an individual to whom one is attached, which is excessive, inappropriate, and persistent. ...
... Psychological distress has been found to predict changes in general sleep patterns over time. So, several previous studies have shown a relationship between psychological distress and insomnia (U. Astuti et al., 2020;Praptomojati, 2018;Suroso & Arsanti, 2023). The results of the second study were that there were the relationship between psychological distress and separation anxiety. ...
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The divorce phenomenon often poses psychological problems for both the children and the parents. Most scientific studies are more focused on the impact of the divorces merely from the children’s side, not on the impact of divorce experienced by parents. Therefore, the objective of this study is to determine the relationship between psychological distress and insomnia disorder mediated by separation anxiety in parents who do not get child custody due to divorce. There are 74 parents as participants in this study who were divorced and losing custody with the age range of 20-40 years old. The measuring instruments used are The Depression Anxiety Stress Scale – 42 (The DASS-42) to measure psychological distress, insomnia severity index (ISI) to measure insomnia, and Adult Separation Anxiety – 27 (ASA-27) to measure separation anxiety. Using multiple linear regression analysis, this study found that separation anxiety plays a role in partially mediating the relationship between psychological distress and insomnia. This means that the higher the separation anxiety level, the higher the psychological distress and insomnia are experienced by the parents without custody. In addition, separation anxiety is proven more affecting the non-working parents compared to the working ones.
... This means that education plays a role in the development of the personality as a whole. The national education system in Indonesia expressly states that the purpose of education is to educate the nation's life and develop the whole Indonesian people (Astuti et al., 2020;Guo et al., 2020). Indonesian people are expected to be individuals who are not only intellectually intelligent, but also faithful, have noble character, and have social and national responsibility (Falade et al., 2022;Kurniawan, 2013;Ningrum & Hidayat, 2023;Retnaningtyas & Zulkarnaen, 2023;Susanti & Tarigan, 2021). ...
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Background:Changes in the education sector present significant challenges and problems for communities, influencing various sectors, including the social domain. Educational institutions, such as madrasahs, are crucial in addressing these challenges. Purpose:This study aims to analyze the impact of the visionary leadership of madrasah heads, organizational culture, and achievement motivation on teacher performance. Methods:A quantitative approach with path analysis was used in this research. Data collection was conducted through a questionnaire, followed by normality, validity, and reliability tests. The data were processed using SPSS software for path analysis. Results:The study found that visionary leadership of madrasah heads, organizational culture, and motivation for achievement significantly influenced teacher performance. Conclusions:The findings suggest that strengthening visionary leadership, enhancing organizational culture, and fostering achievement motivation can improve teacher performance in madrasahs. However, the study is limited to madrasah aliyah (high school) level, and future research is recommended at higher educational levels.
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This study focused on parents' and teachers' strategies in handling children with separation anxiety. A qualitative case study method was used. Multiple cases (3) were explored. A within case followed by a cross-case analyses were used to analyze data. The study found out that parents and teachers employed different strategies in handling children with separation anxiety like Affective, Verbal, Cognitive, and Child-Centered Strategies. In spite of these, teachers and parents had limited knowledge on effective strategies in handling and managing children with separation anxiety. Children with separation anxiety need planned, structured and comprehensive intervention and help from other professionals aside from teachers and parents. Thus, it is recommended that parents' and teachers' additional educational training in handling children with separation anxiety are needed. Early childhood centers should have clear policies and services to cater children's general mental health.
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FAKTOR-FAKTOR YANG MEMPENGARUHI KECEMASAN PADA IBU SAAT MENGHADAPI HOSPITALISASI PADA ANAK DI RUANG ANAK RSUD PARE KEDIRI TAHUN 2008Factors That Influence Anxiety of Mothers With Childrens Hospitalization In Pediatric Room Rsud Pare Kediri 2008Anas Tamsuri1, Helena Lenawati2, Hendrit Puspitasari31)Akademi Keperawatan Pamenang PareJl. Soekarno Hatta No 1 Pelem Pare Kediri 642112,3)Rumah Sakit Umum Daerah PareJl. PK. Bangsa Pare Kediri1)e-mail: anastamsuri@gmail.comABSTRAKPada saat anak mengalami hospitalisasi, orang tua dapat mengalami kecemasan yang pada akhirnya dapat mengganggu individu ibu sendiri maupun menyebabkan proses perawatan pada anak menjadi tidak optimal. Tujuan dari penelitian adalah untuk mengetahui apakah faktor pengalaman, pengetahuan dan dukungan sosial keluarga berpengaruh terhadap kecemasan ibu dalam menghadapi hospitalisasi pada anak. Desain yang digunakan dalam penelitian ini adalah analytic cross sectional, sampel diambil dari ibu-ibu yang sedang menunggu anaknya yang sakit di ruang anak RSUD Pare Kediri sejumlah 32 orang yang dipilih secara acak. Pengambilan data dilakukan dengan kuesioner selama Januari dan Februari 2008. Analisis dilakukan dengan uji regresi berganda dengan á = 0,05. Hasil dari penelitian menunjukkan pengalaman dan dukungan sosial berpengaruh terhadap kecemasan ibu sedangkan pengetahuan tidak berpengaruh secara signifikan terhadap kejadian kecemasan. Persamaan regresi hasil pengujian tidak memenuhi asumsi klasik sehingga model regresi belum layak untuk dijadikan kesimpulan penelitian. Dari hasil penelitian disarankan agar perawat dapat memberikan informasi sebagai upaya meningkatkan pengetahuan sekaligus sebagai dukungan sosial serta disarankan ada penelitian lebih lanjut yang mampu memberikan hasil penelitian yang lebih baik.Kata kunci: pengalaman, pengetahuan, dukungan sosial, kecemasan, hospitalisasiABSTRACTWhile child hospitalizing, parents may experienced anxiety which may affect to themselves or cause the quality of care for their child is not adequate. The objectives of this research was to explore are experience, knowledge and social support has influence to level of anxiety of the mother while their child was being hospitalized. Research design was analytic cross sectional. Sample was mother which accompanied their child in Pare Kediri Hospital as 32 persons and chosen randomly. Data was taken by question list on January-February 2008. Data was analyzed by regression test with á = 0,05. Study result was there was significant influence of experience and knowledge due to anxiety and that knowledge didn’t significantly influence anxiety. Regression formula was not meet the classic assumption due to the model can’t figured as the result of research. From research, it is suggested for nurse to give appropriate information as an effort to increase mother’s knowledge and as a kind of social support and it’s suggested for further research in this field for better result.Keywords: experience, knowledge, social support, anxiety, hospitalization
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Penelitian ini dilatarbelakangi bahwa hospitalisasi menjadi saat yang memberikan perasaan tidak nyaman bagianak yang dapat mengakibatkan kecemasan. Hasil studi pendahuluan pada Ruang Anak RS X ditemukan 6 pasienkategori toddler-prasekolah menunjukkan reaksi cemas ketika akan dilakukan tindakan keperawatan, sedangkan4 pasien sebaliknya. Peran perawat dalam hal ini adalah mendukung perilaku koping anak, menstimulasiperkembangannya, dan mengurangi ketidaknyamanan, salah satu caranya dengan terapi mendongeng. Tujuanpenelitian untuk mengetahui pengaruh terapi mendongeng terhadap tingkat kecemasan anak usia toddlerdan prasekolah selama tindakan keperawatan. Penelitian ini merupakan penelitian kuantitatif dengan desaineksperimen semu ini menggunakan pendekatan posttest design with a comparison group. Variabel yang digunakanadalah terapi mendongeng dan tingkat kecemasan. Sampel penelitian menggunakan teknik quota purposivesampling, yaitu 15 sampel untuk tiap kelompok. Hasil penelitian menunjukkan mean skor kecemasan toddler4.40, sedangkan prasekolah 1.80, artinya skor kecemasan prasekolah lebih rendah dibandingkan toddler setelahterapi mendongeng. Simpulan penelitian menunjukkan terdapat perbedaan skor kecemasan pada usia toddlerdan prasekolah setelah pemberian terapi mendongeng. Namun, terapi lebih efektif diberikan kepada prasekolah.
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Objectives: The DSM-5 classifies depressive and anxiety disorders according to clinical symptoms and assesses possible correlations with a medical condition, use of psychoactive or pharmacological drugs, or substance abuse. The objective of the present review is to overview the main depressive and anxiety disorders according to the classification of the DSM-5 and to present the primary pharmacological and non-pharmacological treatments, with particular emphasis on the problem of compliance. Methods: Literature review of recent years on depressive disorders and anxiety disorders was carried out following publication of the DSM-5 (2013). Results: In the DSM-5, depressive disorders include disruptive mood dysregulation, major depressive disorder, persistent depressive disorder, premenstrual dysphoric disorder, depressive disorder induced by substances/drugs, and depressive disorder due to other medical conditions. The common characteristic of these conditions is the presence of sad, empty, or irritable mood, which together with specific cognitive and somatic symptoms leads to significant distress or impairment in functioning. The anxiety disorders recognised in the DSM-5 include separation anxiety disorder, selective mutism, specific phobia, social anxiety disorder, panic disorder, agoraphobia, generalised anxiety disorder, anxiety disorder induced by substances/drugs and anxiety disorder due to another medical condition. All the disorders share characteristics of excessive fear and anxiety correlated with behavioural alterations. In anxiety disorders, the stimulus, external or internal, produces a disproportionate anxious reaction that is a source of intense distress or significant impairment of functioning. Pharmacological therapy alone, psychotherapy alone, or the combination of both are efficacious in the treatment of depression, generalised anxiety disorder, panic attacks and insomnia. It is important to involve the patient in the therapeutic course through adequate communication and information about time to therapeutic response and possible side effects. SSRIs (selective serotonin reuptake inhibitors) and SNRIs (serotonin-norepinephrine reuptake inhibitors) are first-choice agents in the treatment of depression, with demonstrated efficacy and safety. A benzodiazepine can be used in the first 4 weeks of therapy for depression in the presence of significant symptoms of anxiety, in panic disorder and insomnia to obtain rapid improvement in symptoms. In the treatment of depressive disorders, compliance is important to achieve the objectives of antidepressant therapy. In recent years, significant progress has been made in identification of risk factors for poor compliance and development of a variety of strategies aimed at increasing adherence to therapy, especially in improving communication, patient education, dose optimisation and scheduled follow-up. Conclusions: In treatment of depressive and anxiety disorders, therapeutic choice should consider patient preferences and must be decided together with the patient. Compliance is an important aspect that determines the success of treatment.