Health Education and Therapeutic Group Therapy for Mental Emotional and Pornography Addiction in Adolescents in Coastal Areas
DOI:
https://doi.org/10.37287/ijghr.v8i2.713Keywords:
adolescents, health education, mental health, therapeutic group therapyAbstract
Mental health issues in adolescents, such as anxiety and depression, are a significant and growing global public health problem. The combination of health education and group therapy offers an opportunity to increase adolescents' understanding of mental health, reduce stigma, sexual problems and enhance self-esteem through positive interpersonal experiences within a group. This study explores the combination of health education and therapeutic group therapy for adolescents in addressing mental-emotional problems and pornography addiction in coastal areas. The research design used was a quasi-experimental study with pre and post tests without a control group. The sample size for comparing two means, with a 99% confidence interval and 90% power, resulted in a total sample size of 20. The inclusion criteria were: residing in a coastal area, being willing to participate in the study by signing an informed consent form, and being able to communicate effectively. The study used four questionnaires as data collection tools: the SRQ-20 (Self-Reporting Questionnaire-20), the Rosenberg Self-Esteem (RSE) questionnaire, the loneliness level questionnaire, and the pornography addiction questionnaire. Univariate analysis using frequency distribution and bivariate analysis using the Wilcoxon test. Health education and therapeutic group therapy have an impact on emotional and mental problems, pornography addiction, and self-esteem. A combination of interventions, including Health education and therapeutic group therapy, may be recommended to strengthen protective factors in adolescents, particularly those in coastal areas.
References
Al-Muhannadi, M., Al-Karbi, K., Amran, H. A. A., Alsharafi, A. F. M., Alabbas, O. T., Al-Marri, K., & Salem, M. (2021). Prevalence and Co-Occurrence of Major Depression and Generalized Anxiety Disorders Among Adolescents in Qatar. 19(8). doi:10.5742/mewfm.2021.94094
Ali, N. M., Othman, M. Z., Abdullah, M. B., Majid, N. H. A., Jayos, S., & Kamaruddin, F. H. (2024). Exploring the Issues and Thought Patterns of Pornography Addiction to Mental Well-Being: A Systematic Literature Analysis Review Study. International Journal of Academic Research in Business and Social Sciences, 14(5). doi:10.6007/ijarbss/v14-i5/21622
Andreansyach, D. A., Rokhman, A., & Aris, A. (2024). Pengaruh terapi kognitif terhadap harga diri remaja korban bullying. JOURNAL OF Mental Health Concerns, 3(2), 45-52.
Cobos, M. P., Triguero, C. M. C., & Vera, J. R. (2025). Effects of Pornography Consumption on the Mental Health of Adolescents: A Literature Review. Enfermería Cuidándote, 8. doi:10.51326/ec.8.7604307
Dawson, K., Gabhainn, S. N., Friday, R., & MacNeela, P. (2024). Barriers and Recommendations for Parent–child Conversations About Pornography. Frontiers in Sociology, 9. doi:10.3389/fsoc.2024.1349549
Dimitrov, I., & Petrov, G. (2025). Effectiveness of Humor-Based Group Therapy on Depression and Self-Esteem in Adolescents. Journal of Adolescent and Youth Psychological Studies (JAYPS), 6, 105-114. doi:https://doi.org/10.61838/kman.jayps.6.3.12
Felipe, A. O. B., Alves, M. I., de Andrade, M. B. T., Bressan, V. R., & da Silva Moreira, D. (2023). Integrative community therapy for the promotion of mental health in adolescents: A quasi‐experimental study. Counselling and Psychotherapy Research, 23(1), 96-104.
Fu, S., Luo, Z., Hu, Y., Yang, W., & Wei, Z. (2025). A Review of Survey Research on Adolescent Depression. 3(1), 59-65. doi:10.62051/ijphmr.v3n1.09
Gadżała, K., Przygodzka, S., Rutkiewicz, M., Garbino, K., Brudniak, K., Szuścik, A., & Czyczerska, M. (2025). Mental Disorders in Children and Adolescents in Crisis Situations: The Impact of the COVID-19 Pandemic and Armed Conflicts - Types of Disorders, Effects, and Intervention Strategies. Quality in Sport, 37, 57803. doi:10.12775/qs.2024.37.57803
Harsoyo, T. T., & Suyasa, P. T. Y. (2024). Hubungan antara Self-Esteem dengan Dimensi Subjective Well Being (Studi Pada Mahasiswa di Jakarta). Innovative: Journal Of Social Science Research, 4(6), 4508-4517.
Jhe, G., Addison, J., Lin, J., & Pluhar, E. (2023). Pornography Use Among Adolescents and the Role of Primary Care. Family Medicine and Community Health, 11(1), e001776. doi:10.1136/fmch-2022-001776
Keliat, B. A., Mulia, M., & Fitriani, N. (2023). Promosi Kesehatan Jiwa; Terapi Kelompok Terapeutik. Jakarta: EGC.
Kementerian Kesehatan, K. (2023). Laporan Survei Kesehatan Indonesia (SKI) 2023. Retrieved from Jakarta:
Kholisoh, N., Ridaryanthi, M., & Saleh, M. S. M. (2023). Media Literacy on Prevention of Pornography on Social Media at SMK 60 Duri Kepa – Jakarta Barat. Iccd, 5(1), 212-217. doi:10.33068/iccd.v5i1.586
Kim, J. Y., Choi, S., & Su, L. J. (2021). The Effect of Pornography Use Among Adolescents on Violent Sexual Behavior and the Moderating Effect of Family Support. Family and Environment Research, 59(4), 489-500. doi:10.6115/fer.2021.035
Liu, Z., & Kuai, M. (2025). The global burden of depression in adolescents and young adults, 1990-2021: systematic analysis of the global burden of disease study. BMC Psychiatry, 25(1), 767. doi:10.1186/s12888-025-07201-8
Manfro, P. H., Pereira, R., Rosa, M., Cogo‐Moreira, H., Fisher, H. L., Kohrt, B. A., . . . Kieling, C. (2021). Adolescent Depression Beyond DSM Definition: A Network Analysis. European Child & Adolescent Psychiatry, 32(5), 881-892. doi:10.1007/s00787-021-01908-1
Mariyati, M., Zuliana, E., & Arifianto, A. (2021). Adolescent’ Experiences Using Pornography. Indonesian Journal of Global Health Research, 3(1), 91-100. doi:10.37287/ijghr.v3i1.384
Misty, E., & Tirta, S. (2020). Group art therapy untuk meningkatkan self-esteem remaja di lpka tng. Jurnal Muara Ilmu Sosial, Humaniora, Dan Seni, 4(1), 9-16.
Mulia, M., Keliat, B. A., & Wardani, I. Y. (2020). Family Psychoeducation Therapy Increases Self-Esteem of Adolescent Prisoners. Adi Husada Nursing Journal, 5(2), 21-25.
Nasirinia, N. (2021). The Effect of Communication Skills Training for parents on Adolescent Female Students' Self-Esteem. Payesh (Health Monitor), 20(2), 191-199.
Novara, C., Di Napoli, G., Marino, I., & Ruggieri, S. (2025). Vulnerable Narcissism and Sense of Community Among Adolescents: The Role of Self‐Esteem and Use of Social Media. Journal of Community & Applied Social Psychology, 35(2), e70067.
Prabowo, D. A. (2021). Pengembangan dan Uji Psikometri Instrumen Pornography Addiction Scale Indonesia. (Master). UIN Syarif Hidayatullah, Jakarta. Retrieved from https://repository.uinjkt.ac.id/dspace/bitstream/123456789/81580/1/DITO%20ARYO%20PRABOWO-FPSI.pdf
Rahayu, P. P. (2024). Psikoedukasi Pencegahan Adiksi Pornografi Bagi Anak Dan Remaja. Jurnal Pengabdian Masyarakat (Abdira), 4(3), 86-92. doi:10.31004/abdira.v4i3.495
Safitri, D. D., & Widodo, A. (2024). Analisis Validitas Self Reporting Questionnaire (SRQ) Terhadap Kesehatan Mental Pada Remaja. Jurnal Kesehatan Tambusai, 5(1), 754-760.
Sawyer, S. M., Azzopardi, P. S., Wickremarathne, D., & Patton, G. C. (2018). The age of adolescence. Lancet Child Adolesc Health, 2(3), 223-228. doi:10.1016/s2352-4642(18)30022-1
Sharma, M. (2021). Theoretical foundations of health education and health promotion: Jones & Bartlett Learning.
Shaw, Z. A., Huang, M., Li, Y. I., & Starr, L. R. (2020). Anxiety Disorders in Adolescence. 1-11. doi:10.1002/9781119171492.wecad497
Siddik, M. A. B., Pervin, I., Syfullah, M. K., Ali, A., Mahmud, A., Hasan, M., . . . Rahman, M. M. (2024). Post‐COVID‐19 Internet Addiction, Depression, and Pornography Addiction Among Adolescents: Findings From a Nationwide Study in Bangladesh. Health Science Reports, 7(7). doi:10.1002/hsr2.2272
Sipangkar, S., Juniartha, I. G. N., & Suarningsih, N. K. A. (2021). Hubungan tingkat kesepian (loneliness) dengan problematic internet use (PIU) pada mahasiswa pengguna Instagram. Community of Publishing In Nursing (COPING), 9(6), 718-725.
Stuart, G. W. (2016). Prinsip dan praktik keperawatan kesehatan jiwa stuart (J. P. Buni Anna Keliat, Trans. B. Keliat & J. Pasaribu Eds.): Elsevier Singapore.
Townsend, M. C., & Morgan, K. I. (2017). Psychiatric mental health nursing: Concepts of care in evidence-based practice: FA Davis.
UNICEF. (2021). Ensuring mental health and well-being in an adolescent’s formative years can foster a better transition from childhood to adulthood. Retrieved from https://data.unicef.org/topic/child-health/mental-health/
Usraleli, U., Forwaty, E., Amimi, F., Naya, E. R., & Azalea, N. (2022). Efforts to improve self-concept with adolescent therapeutic group therapy (TKT) and assertive training (AT) for 7th grade students at SMP Negeri 20 Pekanbaru City. Community Empowerment, 7(8), 1304-1311.
Wardani, I. Y., Utami, T. W., & Sopha, R. F. (2019). Efektivitas Latihan Kepercayaan Diri dalam Meningkatkan Harga Diri Remaja Putus Sekolah. Jurnal Keperawatan, 11(1), 19-26.
World Health Organization, W. (2025). Mental health of adolescents. Retrieved from https://www.who.int/news-room/fact-sheets/detail/adolescent-mental-health
Yang, B. (2025). Multidimensional Intervention Strategies for Adolescent Depression and Anxiety. Advances in Social Behavior Research, 15(1), 68-71. doi:10.54254/2753-7102/2025.20868
Zeng, X., Chen, Y., Zhang, Q., Jin, Y., Song, Y., Xue, K., . . . Wang, X. (2022). Multidimensional Self-Rating Biological Rhythm Disorder and Its Association With Depression and Anxiety Symptoms Among Adolescents Aged 11–23 years: A School-Based Cross-Sectional Study From China. BMC Psychiatry, 22(1). doi:10.1186/s12888-022-04354-8
Zhang, Y., Huang, J., & Wang, Y. (2019). Parent–adolescent communication and Chinese adolescents’ self-esteem: A cross-lagged model. Social behavior and personality: An international journal, 47(10), 1-11.
Zhou, R., Yang, W., Wu, M., Wang, Y., & Wang, L. Q. (2022). A Meta-Analysis of Prevalence and Risk Factors of Internet Pornography Addiction Among Adolescents. doi:10.37766/inplasy2022.1.0013
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