Assessment and correlates of aloneliness among Indonesian adolescents.

Introduction: The goals of this study were to: (1) adapt and validate a measure of aloneliness (Solitude and Aloneliness Scale; SolAS) for use among Indonesian adolescents; (2) examine the associations between aloneliness and indices of well-being in this unique developmental and cultural context; and (3) explore possible grade and gender effects. Methods: Participants were Indonesian adolescents aged 11-18 years (M = 14.13 years, SD = 1.62; 58.51% girls) who completed self-report assessments of the adapted SolAS (newly created Indonesian translation), as well as indices of adjustment (e.g., well-being, basic psychological need satisfaction). Results: Among the results, the Indonesian version of the SolAS demonstrated good psychometric properties (e.g., factor structure, good internal reliability) and initial evidence of validity (e.g., significant negative correlations with measures of psychological well-being and basic psychological needs satisfaction). Girls reported higher levels of aloneliness than boys, but no significant grade differences emerged. Conclusions: The SolAS evidenced good psychometric properties and evidence of validity in a sample of Indonesian adolescents, suggesting it is desirable for cross-cultural research.

Parenting Style and Emotional Well-Being Among Adolescents: The Role of Basic Psychological Needs Satisfaction and Frustration.

The research examined the relationship between supportive parenting styles (warmth, structure, and autonomy support) and emotional well-being and whether they are mediated by basic psychological need satisfaction. It also explores thwarting parenting styles (rejection, chaos, and coercion) that may be associated with emotional ill-being, mediated by basic psychological needs frustration. This study involved 394 Indonesian adolescents aged 11-15 years old (49.5% boys, 50.5% girls) as the participants. We employed the structural equation model (SEM) analysis to evaluate the hypotheses. The research found that basic psychological needs satisfaction fully mediated the relationship between supportive parenting styles and emotional well-being; basic psychological needs frustration fully mediated the relationship between thwarting parenting styles and emotional ill-being (Chi-Square = 434.39; df = 220; p = 0.000; RMSEA = 0.05; CFI = 0.91; GFI = 0.91; SRMR = 0.05). Interestingly, the findings indicate that the thwarting parenting style positively influences basic psychological needs satisfaction. The research concludes that supportive parenting enhances the well-being of adolescents by satisfying their basic psychological needs. However, thwarting parental behaviors did not forestall the satisfaction of needs. The way Indonesian adolescents perceived the thwarting parenting style was discussed.

Psychoeducation for breast cancer: A systematic review and meta-analysis.

BACKGROUND: Psychoeducation has emerged as an intervention for women with breast cancer (BC). This meta-analysis evaluated the effectiveness of psychoeducation on adherence to diagnostic procedures and medical treatment, anxiety, depression, quality of life (QoL), and BC knowledge among patients with BC symptoms or diagnosis and BC survivors. METHODS: A systematic literature search (in PubMed, Embase, PsycINFO and Cochrane) for randomised controlled trials (RCTs) comparing the effects of psychoeducation to control among patients with BC symptoms or diagnosis and BC survivors. Effects were expressed as relative risks (RRs) and standardized mean differences (SMDs) with their 95% confidence intervals. RESULTS: Twenty-seven RCTs (7742 participants; 3880 psychoeducation and 3862 controls) were included. Compared with controls, psychoeducation had no significant effect on adherence to diagnostic procedures and medical treatment (RR 1.553; 95% CI 0.733 to 3.290, p = .16), but it significantly decreased anxiety (SMD -0.710, 95% CI -1.395 to -0.027, p = .04) and improved QoL with (SMD 0.509; 95% CI 0.096 to 0.923, p < .01). No effects were found for psychoeducation on depression (SMD -0.243, 95% CI -0.580 to 0.091, p = .14), or BC knowledge (SMD 0.718, 95% CI -0.800 to 2.236, p = .23). CONCLUSION: We demonstrated that psychoeducation did not improve adherence to diagnostic procedures and treatment, depression and BC knowledge but was valuable for reducing anxiety and improving QoL. Future studies may explore the effectiveness of psychoeducation in promoting adherence across various types of cancer.

A self-help intervention for reducing time to diagnosis in Indonesian women with breast cancer symptoms.

OBJECTIVE: We investigated the effectiveness of a self-help intervention named PERANTARA, which aims to improve adherence to diagnostic procedures among women with breast cancer (BC) symptoms to reduce the time to a definitive diagnosis. METHODS: With a cluster randomized crossover design across four hospitals, PERANTARA and treatment as usual (TAU) or TAU only was provided at successive periods in a randomly determined order. The main outcome was the time between the first medical consultation and the definitive diagnosis. Secondary outcomes were BC knowledge, measured by the Breast Cancer Knowledge Test (BCKT); symptoms of anxiety and depression, measured by the Hospital Anxiety and Depression Scale (HADS); quality of life, measured by the World Health Organization Quality of Life-BREF (WHOQOL-BREF); and health status, measured by the EQ-5D-5L. A linear mixed model analysis was conducted to analyse the outcomes. RESULTS: We recruited 132 women with BC symptoms from four hospitals; 67 participants were in the intervention group, and 65 participants were in the control group. PERANTARA reduced the time to definitive diagnosis by 13.3 days (M [SD]: 25.90 [23.20] in the intervention group vs 39.29 [35.10] in the control group; mean difference = -13.26, 95% CI = -24.51 to -2.00, P = .02). No significant difference was found between the groups in BC knowledge, symptoms of anxiety, depression, quality of life, or health status. CONCLUSIONS: PERANTARA reduced the time to definitive diagnosis among Indonesian women with BC symptoms. Psychoeducation may be an important addition to regular BC care to prevent undue delays in diagnostic procedures.