Analysis Of Factors Affecting Recurrence People With Mental Disorders

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Insiyah Insiyah
Endang Caturini Sulistyowati


Background: Currently around 450 million people worldwide suffer from mental disorders. Patients with mental disorders one third live in developing countries. Riskesdas (2018) found that there was an increase in national psychosis/schizophrenic sufferers (7 per mil). The results of the 2019 study showed that patient relapses were still found which were generally caused by drug withdrawal factors, lack of family support, negative community stigma, and underutilization of health facilities. This study aims to analyze the factors that influence recurrence in people with mental disorders

Methods: This study uses a descriptive correlational method, namely research that seeks the relationship between variables. This study utilizes a cross-sectional methodology which is a sort of exploration that underlines the hour of estimation/perception of information on autonomous and subordinate factors at a specific time

Results: The majority of respondents were male, as many as 87 (60%), graduate from elementary and non-school, reaching 69 (48.3%). A total of 91 (63.6%) respondents were not working and as many as 89 (62.2%) were single. There was a critical negative connection between self-efficacy and relapse of people with mental disorders (Rs = - 0.414, p = 0.000). There was a positive connection between dysfunctional attitudes and relapse of people with mental disorders (Rs = 0.343, p = 0.000). There was a significant positive relationship between life satisfaction and symptoms of recurrence in patients with mental disorders (Rs = 0.346, p = 0.000). There was a significant positive relationship between social support and symptoms of mental disorder recurrence (Rs = 0.753, p = 0.000). There was a significant positive relationship between medication adherence and relapse in patients with mental disorders (Rs = 0.294, p = 0.000). Adherence to taking medication was an indicator of recurrence in patients with mental disorders with p = 0.000 and OR = 22.

Conclusion: Self-efficacy, dysfunctional attitudes, life satisfaction, social support, and medication adherence affect the relapse of people with mental disorders. Appropriate action to the main factors that influence recurrence can be taken to prevent recurrence of patients with mental problems.

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How to Cite
Insiyah, I., & Sulistyowati, E. C. (2022). Analysis Of Factors Affecting Recurrence People With Mental Disorders. (JKG) Jurnal Keperawatan Global, 84–94.


Alhadidi, M., Abdullah, K. L., Tang, L. Y., Danaee, M., & Al Hadid, L. A. R. (2021). Knowledge about schizophrenia, insight into illness, and internalized stigma and their associated factors among people diagnosed with schizophrenia in a long-term care facility. Perspectives in Psychiatric Care, 57(1), 225–234., S. H., Oktarisa, A., & Pratiwi, A. (2019). Triggered Recurrence Factors of Mental Illness Patients in an Emergency Unit in a Psychiatric Hospital. Jurnal Ners, 14(3), 21.

Arpacıoğlu, S., Yalçın, M., Türkmenoğlu, F., Ünübol, B., & Çelebi Çakıroğlu, O. (2021). Mental health and factors related to life satisfaction in nursing home and community-dwelling older adults during COVID-19 pandemic in Turkey. Psychogeriatrics, 21(6), 881–891.

Atuk, E., & Richardson, T. (2021). Relationship between dysfunctional beliefs, self-esteem, extreme appraisals, and symptoms of mania and depression over time in bipolar disorder. Psychology and Psychotherapy: Theory, Research and Practice, 94(S2), 212–222.

Badan Penelitian & Pengembangan Kesehatan. (2018). Hasil Utama Riset Kesehata Dasar (RISKESDAS). 44(8), 1–200.

Barnes, T. R. E., & Haddad, P. M. (2020). Working with People with Mental Health Difficulties to Improve Adherence to Medication. The Wiley Handbook of Healthcare Treatment Engagement, 430–454.

Chan, S. Y. Y., Ho, G. W. K., & Bressington, D. (2019). Experiences of self-stigmatization and parenting in Chinese mothers with severe mental illness. International Journal of Mental Health Nursing, 28(2), 527–537.

Chang, B. H., Chen, B. W., Beckstead, J. W., & Yang, C. Y. (2018). Effects of a music-creation programme on the anxiety, self-esteem, and quality of life of people with severe mental illness: A quasi-experimental design. International Journal of Mental Health Nursing, 27(3), 1066–1076.

Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The Satisfaction with Life Scale. Journal of Personality Assessment, 49, 71-75.

Ezawa, I. D., Forand, N. R., & Strunk, D. R. (2020). An examination of dysfunctional attitudes and extreme response styles as predictors of relapse in guided internet-based cognitive behavioral therapy for depression. Journal of Clinical Psychology, 76(6), 1047–1059.

Feder, K. A., Heatherington, L., Mojtabai, R., & Eaton, W. W. (2019). Perceived Marital Support and Incident Mental Illness: Evidence from the National Comorbidity Survey. Journal of Marital and Family Therapy, 45(4), 668–683.

Fitryasari, R., Nursalam, N., Yusuf, A., Hargono, R., Lin, E. C. L., & Tristiana, R. D. (2020). Development of a family resiliency model to care of patients with schizophrenia. Scandinavian Journal of Caring Sciences, (9).

Gentil, L., Grenier, G., & Fleury, M. J. (2021). Factors Related to 30-day Readmission following Hospitalization for Any Medical Reason among Patients with Mental Disorders: Facteurs liés à la réhospitalisation à 30 jours suivant une hospitalisation pour une raison médicale chez des patients souffrant d. Canadian Journal of Psychiatry, 66(1), 43–55.

Hautzinger, M., Luka, U., & Trautmann, R. D. (1985). Skala dysfunktionaler Einstellungen—Eine deutsche Version der Dysfunctional Attitude Scale [Dysfunctional Attitude Scale: A German version of the Dysfunctional Attitude Scale]. Diagnostica, 31(4), 312–323.

Kane, J., Kissling, W., Lambert, T., & Parellada, E. (2008). Adherence rating scales. Cerp, 10. Retrieved from

Kaysen, D. L. (2019). Medication treatment response reduced after relapse in patients with schizophrenia. The Brown University Psychopharmacology Update, 30(4), 4–5.

Lukat, J., Becker, E. S., Lavallee, K. L., van der Veld, W. M., & Margraf, J. (2017). Predictors of Incidence, Remission and Relapse of Axis I Mental Disorders in Young Women: A Transdiagnostic Approach. Clinical Psychology and Psychotherapy, 24(2), 322–331.

M Dasril Samura, T. (2019). GANGGUAN JIWA DENGAN MODEL STRES ADAPTASI STUART OBAT SEMBADA MEDAN Drug Dependency 2019 . This research is quantitative with a cross sectional. 1(2), 63–69.

Mubin, M. F., Riwanto, I., Soewadi, Sakti, H., & Erawati, E. (2020). Psychoeducational therapy with families of paranoid schizophrenia patients. Enfermeria Clinica, 30(5), 326–332.

Pothimas, N., Tungpunkom, P., Chanprasit, C., & Kitsumban, V. (2020). A cross-sectional study of factors predicting relapse in people with schizophrenia. Pacific Rim International Journal of Nursing Research, 24(4), 448–459.

Procidano, M. E., & Heller, K. (1983). Measures of perceived social support from friends and from family: Three validation studies. American Journal of Community Psychology, 11(1), 1–24.

Rathod, S., Kingdon, D., Pinninti, N., Turkington, D., & Phiri, P. (2015). Recovery, Relapse Prevention, and Finishing Therapy. Cultural Adaptation of CBT for Serious Mental Illness, 273–292.

Rayan, A., Mahroum, M. H., & Khasawneh, A. (2018). The correlates of stigma toward mental illness among Jordanian patients with major depressive disorder. Perspectives in Psychiatric Care, 54(2), 192–197.

Renwick, L., Drennan, J., Sheridan, A., Owens, L., Lyne, J., O’Donoghue, B., … Clarke, M. (2017). Subjective and objective quality of life at first presentation with psychosis. Early Intervention in Psychiatry, 11(5), 401–410.

Sajatovic, M., Levin, J. B., Sams, J., Cassidy, K. A., Akagi, K., Aebi, M. E., … Tatsuoka, C. (2015). Symptom severity, self-reported adherence, and electronic pill monitoring in poorly adherent patients with bipolar disorder. Bipolar Disorders, 17(6), 653–661.

Schanche, E., Vøllestad, J., Visted, E., Lillebostad Svendsen, J., Binder, P. E., Osnes, B., … Sørensen, L. (2021). Self-criticism and self-reassurance in individuals with recurrent depression: Effects of Mindfulness-Based Cognitive Therapy and relationship to relapse. Counselling and Psychotherapy Research, (December 2020), 1–12.

Schwarzer, R., & Jerusalem, M. (1995). Generalized Self-Efficacy scale. In J. Weinman, S. Wright, & M. Johnston, Measures in health psychology: A user’s portfolio. Causal and control beliefs (pp. 35-37). Windsor, UK: NFER-NELSON.

Studart-Bottó, P., Bezerra-Filho, S., Sarmento, S., & Miranda-Scippa, Â. (2021). Social support in patients with bipolar disorder and differing ages at onset. Clinical Psychology and Psychotherapy, (February), 1–9.

Trang, A. (2018). Continuity of care for patients with schizophrenia in communities with limited resources. Mental Illness, 10(1), 7585.

van Doornik, S. F. W., Ostafin, B. D., Jonker, N. C., Glashouwer, K. A., & de Jong, P. J. (2021). Low satisfaction with normative life domains in adolescents with anorexia nervosa. Clinical Psychology and Psychotherapy, 28(5), 1266–1274.

Velligan, D., Carpenter, W., Waters, H. C., Gerlanc, N. M., Legacy, S. N., & Ruetsch, C. (2018). Relapse risk assessment for schizophrenia patients (RASP): A new self-report screening tool. Clinical Schizophrenia and Related Psychoses, 11(4), 224–235.

Vuong, T., Ritter, A., Shanahan, M., Ali, R., Nguyen, N., & Minh, K. P. (2021). Quality of life as a predictor of time to heroin relapse among male residents following release from compulsory rehabilitation centres in Vietnam. Drug and Alcohol Review, 40(2), 296–306.

Xiao, J., Mi, W., Li, L., Shi, Y., & Zhang, H. (2015). High relapse rate and poor medication adherence in the chinese population with schizophrenia: Results from an observational survey in the people’s Republic of China. Neuropsychiatric Disease and Treatment, 11, 1161–1167.

Yang, F., Hong, X., Tao, J., Chen, Y., Zhang, Y., & Xiao, H. (2021). Hair cortisol, social support, personality traits, and clinical course: differences in schizophrenia and bipolar disorder. Brain and Behavior, (September), 1–13.

Yildirim, T., & Kavak Budak, F. (2020). The relationship between internalized stigma and loneliness in patients with schizophrenia. Perspectives in Psychiatric Care, 56(1), 168–174.

Zavorotnyy, M., Ehrlich, F., & Nenadic, I. (2020). Health-related Internet use and treatment adherence: A transdiagnostic comparison of outpatients with major depressive disorder and schizophrenia. PsyCh Journal, 9(2), 174–184.