Factors Associated with Caregiver Ability in Reducing the Recurrency in People with a History of Mental Health Disorder in Kediri, East Java


Agustin Widyowati1,2), Bhisma Murti3), Aris Sudiyanto4), Suminah2)

1)School of Health Sciences Ganesha Husada, Kediri, East Java

2)Doctoral Program in Community Development and Empowerment,

Universitas Sebelas Maret

3)Masters Program in Public Health, Universitas Sebelas Maret

4)Department of Psychiatric, Faculty of Medicine,

Universitas Sebelas Maret

ABSTRACT

Background: In Indonesia, the prevalence of people with mental health disorders remains high, reaching 7 people per 1,000 population. Relapse prevention in mental health care is important. Utilizing the strengths of families can be a valuable approach in relapse prevention. This study aimed to examine the factors associated with caregiver ability in reducing the recurrency of people with a history of mental health disorder in Kediri, East Java.

Subjects and Method: This was a cross-sectional study conducted in Kediri City, East Java, in August 2018. A sample of 76 family members of people with a history of mental disorders was selected purposively. The dependent variable was the recurrence of mental health disorders. The independent variables were caregiver’s ability in early detection of relapse, coping mechanism of caregivers, drug taking supervision, and emotional expression. The data were collected by questionnaire and analyzed by multiple logistic regression.

Results: The recurrence of people with a history of mental health disorder increased with (1) Low caregiver’s ability in early detection of relapse (OR= 39.77; 95% CI= 4.94 to 320.13; p= 0.001); (2) Lack of drug taking supervision (OR= 8.54; 95% CI= 1.20 to 60.86; p= 0.032); (3) Weak coping mechanism of caregivers (OR= 7.80; 95% CI= 1.07 to 56.72; p= 0.042); and (4) High emotional expression (OR= 6.97; 95% CI= 1.16 to 41.79; p= 0.034).

Conclusion: The risk of recurrence in people with a history of mental health disorder increases with low caregiver ability in early detection of relapse, lack of drug taking supervision, weak coping mechanism of caregivers, and high emotional expression.

Keywords: caregiver ability, recurrence, people with mental health disorder

Correspondence: Agustin Widyowati. School of Health Sciences Ganesha Husada. Jl. Budaya Cipta 2 No. 02, Sukorejo, Ngasem, Kediri, East Java. Email: agustwidy@gmail.com. Mobile: 085735399728.

DOI: https://doi.org/10.26911/AB.Promotion.ICPH.08.2021.47

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