Faktor Risiko Masalah Mental Emosional Pada Anak Prasekolah Di Kota Sukabumi

  • Shinta Utami STIKES Sukabumi
  • Dewi Hanifah Prodi DIII Kebidanan STIKes Sukabumi
Keywords: Emotional Mental, Risk Factor, Pre-School

Abstract

Impairment of mental and emotional development in children can be an early sign of crime at a young age. Risk factors for mental and emotional disorders in children are influenced by external and internal factors. This study aims to determine the prevalence and factors influencing mental-emotional problems in pre-school children in Sukabumi City in 2020. The study design was cross-sectional. The number of samples of pre-school children is 385 children. The data was collected with the help of a checklist and a questionnaire on psychological emotional problems (KMME). Logistic regression was used in the data analysis. The result of the prevalence of mental emotional disorders is 25.7% (99 children). The results of the multivariate analysis showed that emotional psychological problems in children caused by authoritarian upbringing [OR = 5.88 (95% CI; 3.45-10.02)], birth complications [OR = 3.36 (95% CI); 1.95-5.81)] is affected. , divorced parents [OR = 3.00 (95% CI; 1.09–8.23)], working mother [OR = 1.77 (95% CI; 1.04–3.00)] and mother with a low level of education [OR = 1.74 (95% CI; 1.02–2.95.))], authoritarian upbringing is the dominant factor in emotional psychological problems in children. Routine detection by health workers is required so that mental emotional problems in children can be detected as early as possible.

Abstrak

Perkembangan mental emosional anak yang terganggu dapat menjadi tanda awal kejahatan pada usia remaja. Faktor risiko masalah mental dan emosional pada anak dipengaruhi faktor eksternal dan internal. Studi ini bertujuan untuk mengetahui prevalensi dan faktor-faktor yang mempengaruhi masalah mental emosional pada anak prasekolah di Kota Sukabumi pada tahun 2020. Disain studi potong lintang. Jumlah sampel anak prasekolah adalah 385 anak. Pengambilan data dilakukan dengan menggunakan daftar ceklist dan juga kuesienor masalah mental emosional (KMME). Analisis data menggunakan regresi logistik. Hasil prevalensi masalah mental emosional sebesar 25,7% (99 anak). Hasil analisis multivariat menunjukkan bahwa masalah mental emosional terdapat pada anak dipengaruhi oleh pola asuh otoriter [OR =5,88 (CI 95%;3,45-10,02)], komplikasi saat lahir [OR=3,36 (CI 95%;1,95-5,81)], orangtua bercerai [OR=3,00 (CI 95%; 1,09-8,23)], ibu bekerja [OR= 1,77 (CI 95%;1,04-3,00)], dan pendidikan ibu rendah [OR=1,74 (CI 95%; 1,02-2,95)], Faktor yang paling dominan terhadap masalah mental emosional anak adalah pola asuh otoriter. Perlu dilakukan deteksi secara rutin oleh tenaga kesehatan agar masalah mental emosional pada anak dapat terdeteksi sedini mungkin.

References

Afifi, T. O. et al. (2011) ‘An examination of the relation between conduct disorder, childhood and adulthood traumatic events, and posttraumatic stress disorder in a nationally representative sample’, Journal of Psychiatric Research, 45(12), pp. 1564–1572. https://doi.org/10.1016/j.jpsychires.2011.08.005.

Anderson, J. (2014) ‘The Impact of Family Structure on the Health of Children: Effects of Divorce’, The Linacre Quarterly, 81(4), pp. 378–387. https://doi.org/10.1179/0024363914Z.00000000087.

Arpi, E. and Ferrari, F. (2013) ‘Preterm birth and behaviour problems in infants and preschool-age children: a review of the recent literature’, Developmental Medicine & Child Neurology, 55(9), pp. 788–796. https://doi.org/10.1111/dmcn.12142.

Bayer, J. K. et al. (2011) ‘Risk factors for childhood mental health symptoms: National longitudinal study of Australian children’, Pediatrics, 128(4). https://doi.org/10.1542/peds.2011-0491.

D’Onofrio, B. and Emery, R. (2019) ‘Parental divorce or separation and children’s mental health’, World Psychiatry, 18(1), pp. 100–101. https://doi.org/10.1002/wps.20590.

Fan, R. G., Portuguez, M. W. and Nunes, M. L. (2013) ‘Cognition, behavior and social competence of preterm low birth weight children at school age’, Clinics, 68(7), pp. 915–921. https://doi.org/10.6061/clinics/2013(07)05.

Foy, J. M., Green, C. M. and Earls, M. F. (2019) ‘Mental health competencies for pediatric practice’, Pediatrics, 144(5). https://doi.org/10.1542/peds.2019-2757.

Hanifah, L. and Ningrum, M. P. (2013) ‘Gambaran Hasil Deteksi Dini Masalah Mental Emosional Pada Anak Prasekolah Usia 36 Sampai 72 Bulan Di Playgroup Dan Tk Cherry Kids Club Islamic School Grogol Sukoharjo Tahun 2012’, JUrnal Kebidanan Indonesia, 4(2), pp. 1–19. https://doi.org/10.36419/jkebin.v4i2.77.

Hosokawa, R. and Katsura, T. (2017) ‘A longitudinal study of socioeconomic status, family processes, and child adjustment from preschool until early elementary school: The role of social competence’, Child and Adolescent Psychiatry and Mental Health. BioMed Central, 11(1), pp. 1–28. https://doi.org/0.1186/s13034-017-0206-z.

Huang, C.-Y. et al. (2019) ‘Relationships between Parent-Reported Parenting, Child-Perceived Parenting, and Children’s Mental Health in Taiwanese Children’, International Journal of Environmental Research and Public Health, 16(6), p. 1049. https://doi.org/10.3390/ijerph16061049.

Islam, M. M. (2015) ‘The Effects of Low Birth Weight on School Performance and Behavioral Outcomes of Elementary School Children in Oman’, Oman Medical Journal, 30(4), pp. 241–251. https://doi.org/10.5001/omj.2015.50.

Jois, R, S. (2019) ‘Understanding long-term neurodevelopmental outcomes of very and extremely preterm infants: A clinical review.’, Aust J Gen Pract., 48(1–2), pp. 26–32.

Kemenkes RI (2016) Pedoman pelaksanaan stimulasi, deteksi, dan intervensi tumbuh kembang anak. Jakarta.

Kleinsorge, C. and Covitz, L. M. (2012) ‘Impact of divorce on children: Developmental considerations’, Pediatrics in Review, 33(4), pp. 147–155. https://doi.org/10.1542/pir.33-4-147.

Kruizinga, I. (2015) Early detection of emotional and behavioural problems in preschool.

Lawrence D, Johnson S, Hafekost J, Boterhoven De Haan K, Sawyer M, Ainley J, Z. S. (2015) The Mental Health of Children and Adolescents. Report on the second Australian Child and Adolescent Survey of Mental Health and Wellbeing, Department of Health, Canberra.

Marmot, M., Bell, R. and Donkin, A. (2013) ‘Tackling Structural and Social Issues to Reduce Inequities in Children’s Outcomes in Low- to Middle-income Countries’, (October), p. 52. Available at: https://www.unicef-irc.org/publications/708-tackling-structural-and-social-issues-to-reduce-inequities-in-childrens-outcomes.html%0Ahttps://econpapers.repec.org/paper/ucfindipa/indipa708.htm.

Perou, R. et al. (2013) ‘Mental health surveillance among children--United States, 2005-2011.’, Morbidity and mortality weekly report. Surveillance summaries (Washington, D.C. : 2002), 62 Suppl 2(2), pp. 1–35.

Prihatiningsih, E. and Wijayanti, Y. (2019) ‘Gangguan Mental Emosional Siswa Sekolah Dasar’, HIGEIA Journal of Public Health Research and Development, 3(2), pp. 252–262.

Riska Rahmawati (2018) ‘Hubungan Prematuritas Dengan Perkembangan Sosial Emosional Anak Usia 4-6 Tahun Di Wilayah Kerja Puskesmas Pleret Tahun 2017’, Hubungan Prematuritas Dengan Perkembangan Sosial Emosional Anak Usia 4-6 Tahun Di Wilayah Kerja Puskesmas Pleret Tahun 2017, pp. 1–146.

Rodriguez-JenKins J, M. M. (2014) ‘Parenting stress among child welfare involved families: Differences by child placement’, Child Youth Serv, 46, pp. 19–27. https://doi.org/10.1016/j.childyouth.2014.07.024.Parenting.

Schachar, R. J., Park, L. S. and Dennis, M. (2015) ‘Mental health implications of traumatic brain injury (TBI) in children and youth’, Journal of the Canadian Academy of Child and Adolescent Psychiatry, 24(2), pp. 100–108.

Setyarini, A., Mexitalia, M. and Margawati, A. (2016) ‘Pengaruh pemberian asi eksklusif dan non eksklusif terhadap mental emosional anak usia 3-4 tahun’, Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition), 4(1), pp. 16–21. https://doi.org/10.14710/jgi.4.1.16-21.

Weiss, B. et al. (2014) ‘A nationally representative epidemiological and risk factor assessment of child mental health in Vietnam.’, International Perspectives in Psychology: Research, Practice, Consultation, 3(3), pp. 139–153. https://doi.org/10.1037/ipp0000016.

Weitzman, M., Rosenthal, D. G. and Liu, Y. H. (2011) ‘Paternal depressive symptoms and child behavioral or emotional problems in the United States’, Pediatrics, 128(6), pp. 1126–1134. https://doi.org/10.1542/peds.2010-3034.

Wijirahayu, A., Pranaji, D. K. and Muflikhati, I. (2016) ‘Kelekatan Ibu-Anak, Pertumbuhan Anak, dan Perkembangan Sosial Emosi Anak Usia Prasekolah’, Jurnal Ilmu Keluarga dan Konsumen, 9(3), pp. 171–182. https://doi.org/10.24156/jikk.2016.9.3.171.

Published
2021-09-21