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Objective Adolescent cyberbullying and high-risk behaviour outcomes has been a major concern in the last few years. Gender discrepancy is an important component that predicts the outcomes. This study aimed to elaborate and identify the association between cyberbullying experience and high-risk behaviour outcomes based on gender differences among adolescents in Indonesia. Method: A cross sectional study that involved junior and senior high schools in Jakarta. There were 2917 adolescents who took part in this study. The cyberbullying questionnaire was used to identify the cyberbullying experienced. High-risk behaviour included in this study was tobacco smoking, alcohol consumption, and self-harm behaviour. Chi-Square test and odds ratio analysis were applied through SPSS for Mac. Results: The highest proportion in this study was composed of adolescents of both genders who acted as victim/perpetrator (52.25%). Adolescent males who indulged in cyberbullying showed an increased risk for cigarette smoking (OR = 2.97); male adolescents who were victims and victim/perpetrator of cyberbullying had a higher risk to consume alcohol (OR = 2.96 & OR = 6.93). Meanwhile, the risk of self-hurting behaviour increased for both female and male with cyberbullying victimization (OR = 3.68 & OR = 2.97). Female adolescents who acted as victim/perpetrator had a higher risk of suicidal thoughts and attempting suicide (OR = 1.90 & OR = 2.11); and they were also at risk of consuming alcohol (OR = 2.84). Conclusion: Cyberbullying returned negative impacts on both genders of adolescents. Boys showed a greater tendency to externalize while girls showed a greater tendency to internalize. Mental health promotion that is designed specifically for both genders might address the adolescents’ needs.

Introduction Several studies showed that DAT1 polymorphism closed related with ADHD although the results were not consistently found. Studies in China, South Korea, Japan revealed that 10-repeat allele gave a risk for ADHD. Based on that understanding, this study tried to identify whether the similar polymorphism of DAT1 was also apparent in Indonesian children with ADHD. Method This was a case – control study. Case was 50 Indonesian origin children with ADHD and without any other mental disorders and metal retardation. Control is Indonesian origin children without ADHD, other mental disorders and mental retardation. ADHD diagnosis was taken after doing the psychiatric interview and observation based on the DSM-IV TR diagnostic criteria for ADHD at the Child and Adolescent Psychiatry Out-patient Clinic, Dr. Cipto Mangunkusumo National Referral Hospital – Faculty of Medicine Universitas Indonesia. DNA isolation, DNA purity and concentration were measured. PCR was done by using a primer based on Homo sapiens solute carrier family 6 (neurotransmitter transporter), member 3 (SLC6A3), RefSeq Gene on chromosome 5 with accession number NG_015885.1. To identify the serial of repeated allele, we used the sequencing technique. Results There were 47 children with ADHD and 48 children without ADHD that involved in the final analysis. The mean of age amongst ADHD group was 9.18 (2.42) and 8.10 (2.46) years old in non-ADHD group. The 10-repeated allele of DAT1 was the highest proportion in both. Conclusion This finding was apparently similar with other studies on DAT1 polymorphism across Asian.

Collaboration between community and healthcare professionals plays an essential role in ADHD care. Therefore, this study aims to identify the level of knowledge/understanding, perception and attitude among community members, primary school teachers, medical students, general practitioners, pediatricians and psychologists in Indonesia regarding ADHD and its association with several related factors.A cross-sectional study utilizing valid questionnaires to assess the level of knowledge/understanding, perception and attitude regarding ADHD among each respondent group was employed. 1,536 subjects participated in this study. Data was gathered and analyzed using the SPSS version 20.0 for Mac. A chi-square test was used to establish the associations. The value of p0.05 was considered statistically significant in this study.Most of the participants showed poor to very poor levels of knowledge/understanding (community members = 56.8%, teachers = 58.9%, medical students = 60.4%, general practitioners = 54.9%, pediatricians = 65.6%, psychologists = 52.1%). The similar results were also found for perception and attitude levels. Several associations were found between practice experience and the level of knowledge/understanding, perception and attitude towards ADHD among general practitioners and psychologists (p0.05); educational level and level of attitude among community members and medical students (p0.05); practice experience and the knowledge/understanding level in the teachers group (p0.05); practice experience and the perception level among pediatricians (p0.05).Further education regarding ADHD should be considered either through online media or formal education in order to achieve a better management of ADHD.

Mother-infant bonding scale (MIBS) is a questionnaire that can be used to elaborate the quality dyad between mother and infant; however it is not validated in Indonesian language optimally. This study aimed to identify the validity and reliability of the MIBS-Indonesian (MIBS-I) version based on Japanese MIBS (MIBS-J) that could be used in general population and hospital setting. Design of the study was cross sectional and involving 150 mother-infant dyads recruited from Growth and Developmental Clinic dr. Cipto Mangunkusumo General Hospital-Jakarta and Beji Volunteer-Staffed Integrated Health Service (Posyandu)-Depok/West Java. Infant was categorized as children from 0-36 months old. Mother with at least junior high-school background fulfilled MIBS-Indonesian version and also demographic data. SPSS version 21 for Mac and Lisrel 8.8 program for Windows was applied to analyze the data. Results of the study demonstrated that the content validity was good with I-CVI=0.9875 and S-CVI=0.99; and EFA results of 3 components total variance was 57.90% and CFA results showed three factors structure out of eight items and it fullfiled an adequate goodness of fit with each factor CR >0.7; factor 1:'desire to love and denial', factor 2: 'hate and being closed', and factor 3: 'rejection feeling'. Cronbach's alpha for the eight items of MIBS-I was 0.535. To be concluded, MIBS-I was a multidimentional scale with three-factor model and it was confirmed valid and reliable to be implemented in Indonesian children from 0-36 months old.

Poor mental health is a leading contributor to the burden of disease experienced by adolescents, including in resource constrained settings. However, little is known about how adolescents in these countries conceptualise mental health and its determinants which is essential to informing effective responses. This study aimed to explore how adolescents in Indonesia (a populous and rapidly developing country) conceptualise mental health and what they identify as important determinants. Eight focus group discussions (FGDs) were conducted with 86 Indonesian adolescents (aged 16-18 years), sampled from schools and community settings from Jakarta and South Sulawesi. FGDs were recorded, transcribed, translated and thematically analysed. Mental health was recognised as a significant concern by adolescents in Indonesia. Good mental health was conceptualised as emotional wellbeing and happiness. By contrast, poor mental health was predominantly described in terms of substantial mental illness manifesting as behavioural and physical disturbance. Further, poor mental health only happened to 'other' people, with stigmatising views prevalent. Absent from the discussions were common symptoms of poor mental health (stress, loneliness, poor sleep) and common mental disorders (e.g. depression, anxiety) or a conceptualisation that reflected poor mental health to be a normal human experience. Discussions around determinants of poor mental health suggested that family connections (particularly with parents), school pressures, and adverse exposures on social media were important drivers of poor mental health, with religion also surfacing as an important determinant. In highlighting mental health as an important issue for Indonesian adolescents, this study provides a foundation for targeted responses.

Background and aim Psychosis is a mental disorder resulting in high disability impacts. Many studies show that early detection of prodromal symptoms may improve prognosis. Psychotic prodromal symptoms may mimic other mental health conditions such as depression, anxiety or learning difficulties. The aim of this study was to analyze validity, reliability, sensitivity and specificity of the Prodromal Questionnaire Brief Version (PQ-B) Indonesian version to detect psychotic prodromal symptoms. Method The PQ-B was translated into Indonesian then back-translated into English. Subjects included in this study were 50 children and adolescent psychiatric patients from Cipto Mangunkusumo National Hospital, aged 10–18 years old. Validity measurement was performed by comparing the total score and distress score of PQ-B with the categorical scale of Structured Interview for Prodromal Symptoms (SIPS) as the gold standard using Spearman correlation. Total scale and subscale reliability were examined using the Cronbach’s Alpha. Results Analysis with Spearman correlation showed significant results of both PQ-B total score with diagnosis of SIPS (r = 0.374 and p = 0.007); and PQ-B distress score with diagnosis of SIPS (r = 0.400 and p = 0.004). Cronbach Alpha coefficient was equal to 0.853 for all scales. The sensitivity of the PQ-B in the Indonesian language is 70%, and the specificity is 72%, whereas, in the original language (English), the sensitivity and specificity is 88% and 68%. Conclusion This study provides evidence of good validity, reliability, sensitivity, and specificity of PQ-B Indonesian language to detect prodromal symptoms of those who seek help in the psychiatric outpatient clinic.

Indonesian culture puts a high value on family bonding. Therefore, support and encouragement for each family member is high that any problems are the responsibility of the whole family. This paper explores the implications of the phenomena whether is a schizophrenic child in the family affected the parental relationship in Indonesian family and trying to find out the implication of parental relationship on medication adherence. This was a cross-sectional study which involved 180 parents of children with schizophrenia and parents with aged matched non-schizophrenic children as a control group; consisting of 45 parents of children with schizophrenia and 135 parents of non-schizophrenic children. The parental relationship was examined by using the Indonesian version of Family Adaptability and Cohesion Evaluation Scale IV (Indonesian version of FACES IV). Our study revealed that 75.6% parents of children with schizophrenia experienced a healthy parental relationship compared to 94.80% in the parents of non-schizophrenic children group. The most prevalent of unhealthy relationship among parents of children with schizophrenia was chaotic disengagement. Parental adherence to give medication for their child with schizophrenia was better if they had a healthy parental relationship. In conclusion, a small number of Indonesian parents with schizophrenic children experienced an unhealthy parental relationship. Therefore, psycho-education and supportive psychotherapy still needed to facilitate those families to express their emotion adapt and cope.