The Impact of Stress Management Training on Reducing Stress Levels in Adolescents at the Mamuju Detention Center

  • Zulhaini Sartika A. Pulungan Postgraduate Program, Faculty of Nursing, Universitas Indonesia, Depok, West Java, Indonesia. Department of Nursing, Poltekkes Kemenkes Mamuju, West Sulawesi, Indonesia https://orcid.org/0000-0003-4222-0709
  • Edi Purnomo Postgraduate Program, Faculty of Nursing, Universitas Indonesia, Depok, West Java, Indonesia. Department of Nursing, Poltekkes Kemenkes Mamuju, West Sulawesi, Indonesia
  • Achir Yani S. Hamid Department of Psychiatric Nursing, Faculty of Nursing, Universitas Indonesia, Depok, West Java, Indonesia https://orcid.org/0000-0002-3548-1348
DOI: https://doi.org/10.56338/jphp.v5i3.6379
Keywords: Adolescents, Incarceration, Stress Disorders, Nursing Care, Psychiatric Nursing

Abstract

Introduction: Teenagers in detention centres often experience high levels of stress due to loss of freedom, an uncertain future, and social stigma. This study aims to determine the effect of stress management training on the stress level of adolescent inmates in detention centres.

Methods: Quasi-experimental research with pre-post test with control group design. The study sample was 72, divided into intervention and control groups of 36. Purposive sampling technique. Stress management training was conducted in 8 sessions. Instrument used: Depression Anxiety Stress Scale 42. Data analysis with paired t-test and independent t-test.

Results: The average age of respondents in the control group was 20.42 years, and the intervention group was 19.94 years. All respondents were male. The last education of the majority of respondents was high school; the control group was 55.6%, while the intervention was 69.4%. Most jobs before entering the prison were self-employed; the control group was 47.2%, while the intervention was 55.6%. Most cases were narcotics; the control group was 44.4%, while the intervention was 41.7%. The average length of stay in the detention centre in the control group was 2.69 months, while the intervention group was 2.61 months. There was a significant difference in reduced stress levels between the intervention and control groups (p = 0.002; d = 0,75).

Conclusion: Stress management training lowers stress levels in adolescents in Rutan. These findings open up an excellent opportunity to develop more holistic rehabilitation programs that focus on the recovery and self-development of juvenile inmates. To maximize the positive impact of the study's findings, the researchers recommend that correctional institutions integrate stress management training programs into existing rehabilitation programs.

References

  1. Abhishek R, Balamurugan J. Impact of social factors responsible for Juvenile delinquency – A literature review. J Edu Heal Promot. 2024;13(102):1–7. Doi: 10.4103/jehp.jehp_786_23
  2. United Nations Children’s Fund (UNICEF). Estimating the Number of Children Deprived of Liberty in the Administration. New York; 2021. https://data.unicef.org/resources/children-in-detention-report/
  3. Penal Reform International. Global Prison Trends 2022 [Internet]. Penal Reporm International. 2022 [cited 2022 Nov 27]. Available from: https://www.penalreform.org/global-prison-trends-2022/children/
  4. Kusnandar VB. Prison and Detention Residents Exceed Capacity by 109% in September 2022. Katadata.co.id. Jakarta; 2022. https://databoks.katadata.co.id
  5. Putri FEK. The Government Continues to Strive to Fulfill the Rights of Foster Children in LPKA [Internet]. Kemenko PMK. 2022 [cited 2022 Sep 16]. Available from: https://www.kemenkopmk.go.id/pemerintah-terus-berupaya-penuhi-hak-anak-binaan-di-lpka
  6. Astitene K, Barkat A. Post Traumatic Stress Disorder in Schooled Adolescents in Detention. Open Access Libr J. 2018;05(e4929):1–20. Doi: 10.4236/oalib.1104929
  7. Beaudry G, Yu R, Långström N, Fazel S. An Updated Systematic Review and Meta-regression Analysis: Mental Disorders Among Adolescents in Juvenile Detention and Correctional Facilities. J Am Acad Child Adolesc Psychiatry. 2021;60(1):46–60. Doi: 10.1016/j.jaac.2020.01.015
  8. Ansah EW, Addae J, Hagan JE, Baidoo MA. Assessing Stress Levels, Predictors and Management Strategies of Inmates at Ankaful Prison Complex in the Central Region, Ghana. Behav Sci (Basel). 2023;13(3). Doi: 10.3390/bs13030201
  9. Nurwela TS, Rindu Y. Stress Levels in Adolescents at the Kupang Class I Children's Special Development Institution. Flobamora Nurs J. 2022;1(2):9–14. http://jurnal.poltekeskupang.ac.id/index.php/fnj
  10. Pulungan ZSA, Ahmad M, Hardiyati. Karakteristik dan Tingkat Stress Warga Binaan Remaja di Rumah Tahanan Kelas II B Mamuju. Konas Jiwa XVI Lampung. 2019;4(1):140–6. https://journalpress.org/proceeding/ipkji/article/view/26
  11. Abdulkadir H, Girma M, Gebru Z, Sidamo NB, Temesgen G, Jemal K. Anxiety and its associated factors among inmates in ARBA Minch and JINKA town, southern Ethiopia. BMC Psychiatry. 2022;22(1):1–8. Doi: 10.1186/s12888-022-04230-5
  12. Hill CM, Williams EC, Ornelas IJ. Help Wanted: Mental Health and Social Stressors Among Latino Day Laborers. Am J Mens Health. 2019;13(2). Doi: 10.1177/1557988319838424
  13. Stawinska-Witoszynska B, Czechowska K, Moryson W, Wieckowska B. The Prevalence of Generalised Anxiety Disorder Among Prisoners of the Penitentiary Institution in North-Eastern Poland. Front Psychiatry. 2021;12(June):1–7. Doi: 10.3389/fpsyt.2021.671019
  14. Lanciano T, de Leonardis L, Curci A. The Psychological Effects of Imprisonment: The Role of Cognitive, Psychopathic and Affective Traits. Eur J Psychol. 2022;18(3):262–78. Doi: 10.5964/ejop.3995
  15. Moore KE, Stuewig JB, Tangney JP. The Effect of Stigma on Criminal Offenders’ Functioning: A Longitudinal Mediational Model. Deviant Behav. 2016;37(2):196–218. Doi: 10.1080/01639625.2014.1004035
  16. Tremlin RC, Beazley P. A systematic review of offender mental health stigma: commonality, psychometric measures and differential diagnosis. Psychol Crime Law. 2024;30(2):125–49. Doi: 10.1080/1068316X.2022.2072842
  17. Tolou-Shams M, Folk JB, Holloway ED, Ordorica CM, Dauria EF, Kemp K, et al. Psychiatric and Substance-Related Problems Predict Recidivism for First-Time Justice-Involved Youth. J Am Acad Psychiatry Law. 2023;51(1):35–46. Doi: 10.29158/JAAPL.220028-21
  18. Lim Y, Park EJ, Kim B. Psychiatric disorders and recidivism among Korean adolescents on probation or parole. Psychiatry Investig. 2018;15(6):561–7. Doi: 10.30773/pi.2017.11.30.1
  19. Plattner B, Steiner H, The SSL, Kraemer HC, Bauer SM, Kindler J, et al. Sex-specific predictors of criminal recidivism in a representative sample of incarcerated youth. Compr Psychiatry. 2009 Sep;50(5):400–7. Doi: 10.1016/j.comppsych.2008.09.014
  20. Clemens WM, Longmore MA, Giordano PC, Wendy DM. Criminal Justice Involvement and Young Adult Health: The Role of Adolescent Health Risks and Stress. Ohio J Public Heal. 2021;2(1):1–17. https://ohiopha.org/wp-content/uploads/2019/06/OJPH-2019-2-FINAL.pdf.
  21. Simpson AIF, Jones RM. Two Challenges Affecting Access to Care for Inmates with Serious Mental Illness: Detecting Illness and Acceptable Services. Can J Psychiatry. 2018;63(10):648–50. Doi: 10.1177/0706743718792844
  22. Smith HJ, Topp SM, Hoffmann CJ, Ndlovu T, Charalambous S, Murray L, et al. Addressing common mental health disorders among incarcerated people living with HIV: Insights from implementation science for service integration and delivery Helene. Curr HIV/AIDS Rep. 2020;17(5):438–49. Doi: 10.1007/s11904-020-00518-x.
  23. Hermansyah A, Masitoh M. Pemenuhan Hak Narapidana Lanjut Usia Bidang Kesehatan di Lembaga Pemasyarakatan Kelas IIA Banda Aceh. Syiah Kuala Law J. 2020;4(1):88–96. Doi: 10.24815/sklj.v4i1.16775
  24. Lehrer PM, Woolfolk RL, Sime WE. Principles and practice of stress management. 3rd ed. New York: Guilford Press; 2007.
  25. Kristofersson GK, Kaas MJ. Stress management techniques in the prison setting. J Forensic Nurs. 2013;9(2):111–9. Doi: 10.1097/JFN.0b013e31827a5a89
  26. Ng TJ, Ling J, Robbins LB, Kao TA. Stress Management Interventions Among U.S. High School Adolescents: A Meta-Analysis. J Am Psychiatr Nurses Assoc. 2024 Mar 27;30(2):252–78. Doi: 10.1177/10783903231161608
  27. Rew L, Johnson K, Young C. A Systematic Review of Interventions to Reduce Stress in Adolescence. Issues Ment Health Nurs. 2014 Nov 29;35(11):851–63. Doi: 10.3109/01612840.2014.924044
  28. Rentala S, Thimmajja S, Tilekar S, Nayak R, Aladakatti R. Impact of holistic stress management program on academic stress and well-being of Indian adolescent girls: A randomized controlled trial. J Educ Health Promot. 2019;8(1):253. Doi: 10.4103/jehp.jehp_233_19
  29. Herr R, Barrech A, Riedel N, Gündel H, Angerer P, Li J. Long-Term Effectiveness of Stress Management at Work: Effects of the Changes in Perceived Stress Reactivity on Mental Health and Sleep Problems Seven Years Later. Int J Environ Res Public Health. 2018 Feb 3;15(2):255. Doi: 10.3390/ijerph15020255
  30. Monat A, Lazarus RS, Reevy G. The praeger handbook on stress and coping. Westport, CT: Praeger; 2007.
  31. Azizah LM, Akbar A, Zainur I. Effectiveness of Stress Management to Reduce Level Stress and Emotional Coping Focused in Convict at Class IIB Penitentiary of Mojokerto City. Int J Nurs Midwifery Sci. 2018;2(2):98–105. Doi: 10.29082/IJNMS/2018/Vol2/Iss02/71
  32. Sugiyono. Metode penelitian kuantitatif, kualitatif, dan kombinasi (mixed methods). Jakarta: Alfabeta; 2018.
  33. Monks FJ, Knoers AMP, & Hadinoto SR. Psikologi perkembangan: pengantar dalam berbagai bagiannya. Yogyakarta: Gadjah Mada University Press; 2019.
  34. Lovibond SH, Lovibond PF. Manual for the Depression Anxiety Stres Scales. Australia: The Psychology Foundation of Australia Inc.; 1995.
  35. Rogerson O, Wilding S, Prudenzi A, O’Connor DB. Effectiveness of stress management interventions to change cortisol levels: a systematic review and meta-analysis. Psychoneuroendocrinology. 2024;159(106415):1–10. Doi: 10.1016/j.psyneuen.2023.106415
  36. Huh HJ, Kim KH, Lee HK, Jeong BR, Hwang JH, Chae JH. Perceived stress, positive resources and their interactions as possible related factors for depressive symptoms. Psychiatry Investig. 2021;18(1):59–68. Doi: 10.30773/pi.2020.0208
  37. Porter LC. Being “on Point”: Exploring the Stress-related Experiences of Incarceration. Soc Ment Health. 2019 Mar 14;9(1):1–17. Doi: 10.1177/2156869318771439
  38. Ko?odziej K, Kurowska A, Majda A. Intensity of perceived stress and control of anger, anxiety and depression of people staying in Polish penitentiary institutions. Int J Prison Health. 2022 Jan 25;18(1):83–96. Doi: 10.1108/IJPH-12-2020-0103
  39. Adlirna, S., Narimah, A.H.H., Ahmad Fahmi, A.Z., Iskandar, M.A., Nur Amirah, S. NF, A., Nurul Akmal A. The factors, effects and management of stress among wardens and prisoners in Selangor. Malaysian J Public Heal Med. 2007;7(2):42–8.
  40. Rabbani H, Hidayati NO. Overcrowding and Stress Levels Among Female Prisoners: a Cross-Sectional Study. J Keperawatan Soedirman. 2024;19(2):59–64. Doi: 10.20884/1.jks.2024.19.2.9121
  41. Unver Y, Yuce M, Bayram N, Bilgel N. Prevalence of Depression, Anxiety, Stress, and Anger in Turkish Prisoners. J Forensic Sci. 2013 Sep 17;58(5):1210–8. Doi: 10.1111/1556-4029.12142
  42. Pleško M, Rihtari? ML. Coping With Stress and Mental Health of Prisoners. Kriminologija Soc Integr. 2024;32(1):17–40. Doi: 10.31299/ksi.32.1.2
  43. Burkhart K, Mason E, Lazebnik R. Stress Management Intervention: A Pilot Evaluation in an Urban Adolescent Medicine Clinic. Clin Pediatr (Phila). 2018 Jun 3;57(6):700–5. Doi: 10.1177/0009922817733704
  44. Sri Hindriyastuti, Noor Faidah, Gardha Rias A. The Effect of Progressive Muscle Relaxation Therapy on Reducing The Stress Level of Inmates In Class II B Kudus Detention Center. Int J Heal Sci. 2023;3(2):110–7. Doi: 10.55606/ijhs.v3i2.2752
  45. Toussaint L, Nguyen QA, Roettger C, Dixon K, Offenbächer M, Kohls N, et al. Effectiveness of Progressive Muscle Relaxation, Deep Breathing, and Guided Imagery in Promoting Psychological and Physiological States of Relaxation. Taylor-Piliae R, editor. Evidence-Based Complement Altern Med. 2021 Jul 2;2021(5924040):1–8. Doi: 10.1155/2021/5924040
  46. AI-yyan A, ELayan AA, Saleh M. The Effectiveness of Using Progressive Muscle Relaxation Techniques on Quality of Life, Stress, And Anxiety Among Acute Myocardial Infarction: A Systematic Review. OBM Neurobiol. 2024 Jun 16;08(02):1–22. Doi: 10.21926/obm.neurobiol.2402226
  47. Bakker GM. In defence of thought stopping. Clin Psychol. 2009 Jul 1;13(2):59–68. Doi: 10.1080/13284200902810452
  48. Hardayati YA, Mustikasari, Panjaitan RU. The effects of thought stopping on anxiety levels in adolescents living in earthquake-prone areas. Enfermería Clínica. 2021 Apr;31:S395–9. Doi: 10.1016/j.enfcli.2021.01.001
  49. Fernández-Marcos, T., Calero-Elvira A. Effects of thought stopping and cognitive defusion on discomfort and the ability to deal with negative thoughts. Behav Psychol Psicol Conduct. 2015;23(1):107–26.
  50. Piper WE, Ogrodniczuk JS. Group Therapies. In: Handbook of Interpersonal Psychology. Wiley; 2010. p. 565–77.
  51. Kivlighan DM, Ali RW, Garrison YL. Is there an optimal level of positive and negative feedback in group therapy? A response surface analysis. Psychotherapy. 2020 Jun;57(2):174–83. Doi: 10.1037/pst0000244
  52. Schoenholtz-Read J, Josselson R. Interpersonal Group Psychotherapy Conducted Online. In: The Virtual Group Therapy Circle. New York: Routledge; 2023. p. 112–23.
  53. Pulungan ZSA, Hamid, AYS, Susanti H, Dewi SY. Perspectives on Mental Health Challenges and Needs: A Qualitative Study of Adolescents in Incarceration. Salud, Ciencia y Tecnologia, 2025; 5: 1447. Doi: 10.56294/saludcyt20251447
  54. Pulungan ZSA, Hamid, AYS, Susanti H, Dewi SY. Strengthening Promotive and Preventive Program: A Policy Review on Adolescent Mental Health in Prisons. Journal of the Liaquat University of Medical and Health Sciences. 2025; special issue: 61-67. Doi: 10.22442/jlumhs.2025.01259
Published
2025-10-02
How to Cite
Pulungan, Z. S. A., Edi Purnomo, & Hamid, A. Y. S. (2025). The Impact of Stress Management Training on Reducing Stress Levels in Adolescents at the Mamuju Detention Center. Journal of Public Health and Pharmacy, 5(3), 455-463. https://doi.org/10.56338/jphp.v5i3.6379
Issue
Vol. 5 No. 3 (2025)
Section
Articles

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