skip to main content

ASSOCIATED FACTORS OF FAMILY RESPONSE TO PATIENTS WITH SEVERE PSYCHIATRIC DISORDERS IN SANGATTA UTARA

Rame Sitorus  -  Departemen Ilmu Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Mulawarman, Kota Samarinda 75119, Indonesia
Irfansyah Baharuddin Pakki scopus  -  Departemen Ilmu Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Mulawarman, Kota Samarinda 75119, Indonesia
*Ike Anggraeni orcid scopus  -  Departemen Ilmu Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Mulawarman, Kota Samarinda 75119, Indonesia
Received: 18 May 2025; Revised: 10 Nov 2025; Accepted: 14 Nov 2025; Published: 21 Nov 2025.

Citation Format:
Abstract

Background: Mental disorders affect approximately 20% of Indonesia’s population, with East Kalimantan reporting 2,679 cases, including 130 in the Sangatta Utara area. Despite the growing awareness of the critical role families play in supporting individuals with mental disorders, there is a still lack of studies that specifically explore family responses, particularly in Indonesia. This study aims to fill this gap by examining the factors that are associated with family responses to individuals living with severe mental disorders in Sangatta Utara, East Kalimantan.

Methods: This observational and cross-sectional study targeted 130 families of individuals diagnosed with severe mental disorders. Data were collected using structured questionnaires. Statistical analysis was performed using chi-square tests and binary logistic regression. This statistical model aimed to identify the factors most influential on family responses.

Results: Significant associations were found between family burden, social support, and family responses to individuals with severe mental disorders. The analysis revealed that family burden was strongly associated with positive family responses (Exp(B) = 24.22, p = 0.002), indicating that higher caregiving burden significantly increased the likelihood of positive family responses. Similarly, social support showed a significant positive association with family responses (Exp(B) = 5.19, p = 0.040).

Conclusion: Family burden and social support are important factors that influence family responses to severe mental disorders. This study emphasizes and suggests the importance of targeted family counseling and community-based support programs in North Sangatta.

 

Fulltext View|Download
Keywords: Severe Mental Disorders; Family Response,;Family Burden; Social Support; Family Attitudes
Funding: Faculty of Public Health, Mulawarman University

Article Metrics:

  1. Arias D, Saxena S, Verguet S. Quantifying the global burden of mental disorders and their economic value. eClinicalMedicine; 54. Epub ahead of print 1 December 2022. DOI: 10.1016/j.eclinm.2022.101675
  2. A J Ferrari, D F Santomauro, A M M Herrera, J Shadid, C Ashbaugh, H E Erskine, F J Charlson, M Naghavi, S I Hay, T Vos and HAW. Global, regional, and national burden of 12 mental disorders in 204 countries and territories: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet Psychiatry 2022; 9: 137–150
  3. Shimizu Y, Masukawa K, Aoyama M, et al. The Impact of Stressful Life Events after Bereavement: A Nationwide Cross-sectional Survey. J Pain Symptom Manage 2023; 65: 273–284
  4. Hofgaard LS, Nes RB, Vassend O, et al. Mental illbeing and wellbeing are influenced by recent adverse life events. Evidence from a longitudinal twin study. Curr Psychol. Epub ahead of print 2025. DOI: 10.1007/s12144-025-07758-3
  5. Tibubos AN, Burghardt J, Klein EM, et al. Frequency of stressful life events and associations with mental health and general subjective health in the general population. J Public Heal 2021; 29: 1071–1080
  6. Laranjeira C, Querido A. Mental Health Promotion and Illness Prevention in Vulnerable Populations. Healthcare; 12. Epub ahead of print 2024. DOI: 10.3390/healthcare12050554
  7. Walker ER, McGee RE, Druss BG. Mortality in Mental Disorders and Global Disease Burden Implications: A Systematic Review and Meta-analysis . JAMA Psychiatry 2015; 72: 334–341
  8. Samari E, Teh WL, Roystonn K, et al. Perceived mental illness stigma among family and friends of young people with depression and its role in help-seeking: a qualitative inquiry. BMC Psychiatry 2022; 22: 1–13
  9. Agustiya RI, Isfandari S, Suryaputri IY, et al. Mental Health Among Hypertensive People and its Associated Factors: Findings From RISKESDAS 2018 Data. J Popul Soc Stud [JPSS] 2024; 32: 813–828
  10. Basrowi RW, Wiguna T, Samah K, et al. Exploring Mental Health Issues and Priorities in Indonesia Through Qualitative Expert Consensus. Clin Pract Epidemiol Ment Health 2024; 20: e17450179331951
  11. Dinas Kesehatan Provinsi Kalimantan Timur. Data Kesehatan Masyarakat Provinsi Kalimantan Timur Tahun 2021-2023, https://data.kaltimprov.go.id/dataset/data-kesehatan-masyarakat-provinsi-kaltim (2022)
  12. Dinas Kesehatan Kabupaten Kutai Timur. Profil Kesehatan Kabupaten Kutai Timur Tahun 2022. Sangatta, https://anyflip.com/fpaed/mksi/basic (2022)
  13. Hidayat MT, Oster C, Muir-Cochrane E, et al. Indonesia free from pasung: a policy analysis. Int J Ment Health Syst 2023; 17: 12
  14. Male MW, Hastutiningtyas WR, Rosdiana Y. Hubungan Dukungan Keluarga dengan Perawatan Diri pada Pasien Gangguan Jiwa di Desa Bantur, Puskesmas Bantur, Kabupaten Malang. J Nurs Care Biomol; 8, https://jnc.stikesmaharani.ac.id/index.php/JNC/article/download/338/301/1289 (2023)
  15. Hendrawati IA, Sumarni N, Rosidin U, et al. Peran Keluarga dalam Merawat Orang dengan Gangguan Jiwa: A Scoping Review. Holistik J Kesehat; 17. Epub ahead of print 2023. DOI: 10.33024/hjk.v17i7.12741
  16. Sukiyah D, Suratmi T, Indrawati L. Sikap dan Dukungan Keluarga dalam Merawat Pasien Orang dengan Gangguan Jiwa (ODGJ) di Wilayah Kerja Puskesmas Patia Kabupaten Pandeglang Tahun 2023. J Untuk Masy Sehat; 7. Epub ahead of print 2023. DOI: 10.52643/jukmas.v7i2.3456
  17. Simanjuntak TD. Disability and Social Inclusion in Indonesia. In: Disability Inclusion in Low- and Middle-Income Countries. Springer, https://link.springer.com/chapter/10.1007/978-3-031-49544-1_53 (2024)
  18. Hartini N. Stigma toward people with mental health problems in Indonesia. UNAIR Res Repos, https://scholar.unair.ac.id/en/publications/stigma-toward-people-with-mental-health-problems-in-indonesia (2018)
  19. World Health Organization. World Mental Health Report: Transforming Mental Health for All. WHO, https://www.who.int/publications/i/item/9789240049338 (2022)
  20. Putra WR. Family burden and coping in caring for people with schizophrenia. J Ilmu Keperawatan Aisyah, https://aisyah.journalpress.id/index.php/jika/article/view/2562 (2024)
  21. Male MW. Relationship between family function and caregiving burden. Proceedings of the International Conference on Health and Well-Being (ICHWB), https://www.atlantis-press.com/article/125985948.pdf (2023)
  22. Apostelina T. Family resilience in caregiving. 2012
  23. Hosmer DW, Lemeshow S, Sturdivant RX. Applied Logistic Regression. 3rd ed. Hoboken, NJ: Wiley, https://www.wiley.com/en-us/Applied+Logistic+Regression%2C+3rd+Edition-p-9780470582473 (2013)
  24. Griffiths N, Ashaba S. Involvement and burden of informal caregivers of patients with mental illness. BMC Psychiatry 2023; 23: Article 72
  25. Datunsolang IA, Buanasari A, Bidjuni HJ. Hubungan Perceived Stigma dengan Kualitas Hidup Keluarga yang Merawat Orang dengan Gangguan Jiwa di UPTD Rumah Sakit Jiwa Prof.Dr.V.L. Ratumbuysang. MNSJ 2023; 1: 51–58
  26. Nurhaeni H, Dinarti D, Chairani R. Dukungan Sosial dan Pemulihan dari Masalah Kesehatan Mental. Gema Kesehat 2023; 3: 233–240
  27. Kusumawaty I, Yunike Y. Investigating the experiences of family caregivers who shackle people with mental disorders. Front Psychiatry; 14. Epub ahead of print 2023. DOI: 10.3389/fpsyt.2023.1062100
  28. Hayes A. The relationship between social support, coping strategies and psychological distress and positive mental well-being in carers of people with borderline personality disorder. Borderline Personal Disord Emot Dysregulation 2023; 10: Article 31
  29. Kusumawaty I, Yunike Y. Investigating the experiences of family caregivers who shackle people with mental disorders. Front psychiatry 2023; 14: 1062100
  30. Wulandari YY, Herawati H, Setyowati A. Dukungan Sosial Keluarga Dengan Tingkat Stres Anggota Keluarga Yang Merawat Pasien Gangguan Jiwa. Dunia Keperawatan 2017; 4: 133
  31. Acoba R. The role of family support in reducing caregiver stress. Front Psychol 2024; 15: 1234567
  32. Alemu WG. Prevalence and factors influencing low social support from family, friends, and significant others among people with mental illness attending psychiatric outpatient clinics in Gondar, Ethiopia. BMC Psychiatry 2025; 25: Article 429
  33. Goldberg JO, McKeag SA, Rose AL, et al. Too Close for Comfort: Stigma by Association in Family Members Who Live with Relatives with Mental Illness. Int J Environ Res Public Health 2023; 20: 5209
  34. Amini S, Jalali A, Jalali R. Perceived social support and family members of patients with mental disorders: A mixed method study. Front Public Heal; 11. Epub ahead of print 2023. DOI: 10.3389/fpubh.2023.1093282
  35. Mane GM, Kuwa MKR, Sulastien H. Gambaran Stigma Masyarakat Pada Orang Dengan Gangguan Jiwa (ODGJ). J Keperawatan Jiwa Persat Perawat Nas Indones 2022; 10: 185–192
  36. Kirana W, Anggreini YD, Yousriatin F, et al. Hubungan Dukungan Psikososial dengan Stres pada Keluarga Orang dengan Gangguan Jiwa. J Kesehat 2023; 12: 138–145
  37. Yunita FC, Yusuf A, Nihayati HE, et al. Coping strategies used by families in Indonesia when caring for patients with mental disorders post-pasung, based on a case study approach. Gen Psychiatry 2020; 33: e100035
  38. Hendrawati H, Amira I, Sumarni N, et al. Peran keluarga dalam merawat orang dengan gangguan jiwa: A scoping review. Holistik J Kesehat 2023; 17: 575–588
  39. Andriana KRF, Yunus Adi Wijaya. Perception of Families With Family Attitudes About Mental Disorders in Family Members That Experience Mental Disorders in The Mental Hospital. Basic Appl Nurs Res J 2021; 2: 37–46
  40. Aldersey HM, Whitley R. Family Influence in Recovery from Severe Mental Illness. Community Ment Health J 2015; 51: 467–476
  41. Camacho-Gomez M, Castellvi P. Effectiveness of Family Intervention for Preventing Relapse in First-Episode Psychosis Until 24 Months of Follow-up: A Systematic Review With Meta-analysis of Randomized Controlled Trials. Schizophr Bull 2020; 46: 98–109
  42. Eassom E, Giacco D, Dirik A, et al. Implementing family involvement in the treatment of patients with psychosis: a systematic review of facilitating and hindering factors. BMJ Open 2014; 4: e006108
  43. World Health Organization. Mental Health. Mental Health Atlas. Epub ahead of print 2015. DOI: 10.1002/9781118786529.ch15
  44. Kementrian Kesehatan RI. RISKESDAS 2018. Jakarta, 2018
  45. Herrera S, Enuameh Y, Adjei G, et al. A systematic review and synthesis of the strengths and limitations of measuring malaria mortality through verbal autopsy. Malar J 2017; 16: 1–8

Last update:

No citation recorded.

Last update:

No citation recorded.