Published: 2017-01-26

The effect of peer education to anxiety of teenagers in post menarche in sub district Kasihan Bantul, Indonesia

Dwi Yati, Irwan T. Rachman, Wahyu Ikka


Background: Menarche is an important event in puberty of teenagers. The coming of menarche often causes negative reactions and anxiety. Most teenagers get information about menarche from her friend so that the information obtained is not necessarily true and accurate. In order to reduce anxiety it should be given the right information with various methods and media. These raised our interest to determine the effect of peer education on adolescent anxiety post-menarche.

Methods: A quasi experimental equivalent pre-post test control group design was used in this study with quantitative and qualitative approaches. Time of data retrieval was August-September 2014. Subject were classified into two groups that were treatment group was located in SMP Muhammadiyah and control group was located in SMP Mataram Kasihan region, district Bantul. The division of the group is done by raffle. Intervention for the treatment group of peer education and booklet. The total sample in this study was 86 adolescents post menarche taken by purposive sampling in accordance with the inclusion and exclusion criteria. The anxiety instrument being used TMAS (Taylor Manifest Anxiety Scale). Analysis data: univariate, bivariate and qualitative analysis to strengthen the result of the study with indepth interview for 5 participants. Statistical test using chi square.

Results: The result showed that percentage of respondents who experience anxiety when pre-test 43 (100%) and post-test was 34 (79.1%) versus 3 (7.0%). The result of chi square test with p value 0.000 (p<0.05) means that there was significant differences in anxiety reduction before and after a given peer education. The results of the qualitative analysis among teenagers after attending peer education told that they feeling happy, peer education reduced anxiety, confusion and fear because of peer education increased knowledge, provide an overview and motivation of the problems, means discussion, sharing stories and experiences.

Conclusions: Peer education and booklet could reduce anxiety post menarche of teenagers.



Peer education, Menarche, Adolescent, Anxiety

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Suryani E, Widyasih H. Psikologi Ibu dan Anak, Yogyakarta, Fitramaya. 2008

Golchin NA, Hamzehggardeshi Z, Fakhri M, Hamzehggardeshi L. The Experience of Puberty in Iranian Adolescent Girls: a Qualitative Content Analysis. BMC Public Health. 2012;12:698.

Sommer M. Where the Education System and Women's Bodies Collide: The Social and Health Impact of Girls' Experiences of Menstruation and Schooling in Tanzania. J Adolesc. 2010;33:521-9.

Natsuaki MN, Leve LD, Mendle J. Going Through the Rites of Passage: Timing and Transition of Menarche, Childhood Sexual Abuse, and Anxiety Symptoms in Girls. J Youth Adolesc. 2011;40:1357-70.

Gumanga SK, Kwame-Aryee RA. Menstrual Characteristics in Some Adolescent Girls in Accra, Ghana. Ghana Medical Journal. 2012:46.

Abreu-Villaca Y, Cavina CC, Ribeiro-Carvalho A, Correa-Santosa M, Naiff VF, Filgueiras CC, et al. Combined Exposure to Tobacco Smoke and Ethanol During Adolescence Lead to Short and Long Term Modulation of Anxiety Like Behavior. Drug and Alcohol Dependence. 2013;133:52-60.

Deng F, Tao F, Wan Y, Hao J, Su P, CaoY. Early Menarche and Psychopathological Symptoms in Young Chinese Women. Journal of Women's Health. 2011:20.

Zehe J, Colder CR, Read JP, Weiczorek WF, Lengua LJ. Social and Generalized Anxiety Symptoms and Alcohol and Cigarette Use in Early Adolescence: The Moderating Role pof Perceived Peer Norms. Addictive Behaviours. 2103;38:1931-9.

Tji SA, Jeremia M, Yenny S, Sumijatun. Konsep Dasar Keperawatan Kesehatan Jiwa. Jakarta: EGC, 2005.

John WS. Remaja: Kawan-kawan Sebaya, ed. 11, Jakarta, Erlangga. 2007.

Ozdemir F, Nazik E, Pasinlioglu T. Determination of the Motherly Reaction to Adolescents' Experience of Menarche. J Pediatr Adolesc Gynecol. 2010;23:153-7.

Albayrak S, Yildiz A, Erol S. The Effect of Peer Bullying Education on Adolescents' Knowledge, Attitudes and Behaviours Towards Bullying. Procedia-Social and Behavioural Sciences. 2012;46:4620-5.

Kwan T, Tam K, Lee P, WH Chan, K KL, Ngan HYS. The Effect of School-Based Cervical Cancer Education on Perceptions towards Human Papillomavirus Vaccination among Hong Kong Chinese Adolescent Girls. Patient Education and Counseling. 2011;84:118-22.

You S. Peer Influence and Adolescents' School Engagement. Procedia-Social and Behavioural Science. 2011;29:829-35.

Cox AE, Ullric-French S, Madonia J, Witty K. Social Physique Anxiety in Physical Education: Social Contextual Factors and Links to Motivation and Behaviour. Psychology of Sport and Exercise. 2011;12:555-62.

Nelson CB, Abraham KM, Walters H, Pfeiffer PN, Valenstein. Integration of Peer Support and Computer-Based CBT for Veterans. Computer in Human Behaviour. 2014;31:57-64.

Stallard P, Simpson N, Anderson S, Hibbert S, Osborn C. The Friends Emotional Health Programme: Initial Findings from a School-Based Project. Child and Adolescent Mental Health. 2007;12:32-7.

Moeliono L. Facilitator Manual; Active Learning Process Adolescent Reproductive Health; Materials Handbook To Facilitate Active Learning Activities For Children and Adolescents Age 10-14 Years, Jakarta, BKKBN, 2004.

Ananto P, Astuti R, Arini. Guidelines and Life Skills Education modules for HIV and AIDS Prevention for Teachers SMP,Jakarta, Departemen Pendidikan Nasional Pusat Pengembangan Kualitas Jasmani, 2007.

Mead M (n.d). Module 1; Peer Education. accesed: 22 Februari.

NACO. n.d. Training Module for Peer Educators, National AIDS Control Organisation Ministry of Health and Family Welfare Government of India, www. Accessed 12 Juni 2014.

Alliance. Training Module; Peer Education: Outreach, Communication & Negotiation. In: The International HIV/AIDS Alliance, India, Frontiers Preventiont Project, 2006.

Kim JS. Experiences in Healthy Dieting of Male College Students with Obesity in Korea. Osong Public Health Res Perspcet. 2015;6(1):59-63.

Lee TY, Landy CK, Wahoush O, Khanlou N, Liu YC, Li CC. A Descriptive Phenomenology Study of Newcomers' Experience of Maternity Care Services: Chinese Women's Perspectives. BMC Health Services Research. 2014;14:114.

Tehran HA, Tashi S, Mehran N, Eskandari N, Tehrani TD. Emotional Experiences in Surrogate Mothers: A Qualitative Study. Iran J Reprod Med. 2014;12.(7):471-80.

Pitangui AC, Gomes MR, Lima AS, Schwingel PA, Albuquerque AP, Araujo RC. Menstruation Disturbances; Prevalence, Characteristics, and Effects on the Activities on Daily Living among Adolescent Girls from Brazil. J Pediatr Adolesc Gynecol. 2012;26:148-52.

Gagua T, Tkeshelashvili B, Gagua D, Mchedlishvili N. Assessment of Anxiety and Depression in Adolescents with Primary Dysmenorrhea: A Case-Control Study. J Pediatr Adolesc Gynecol. 2013;26:350-4.

Notoatmodjo S. Promosi Kesehatan dan Perilaku Kesehatan, Jakarta, Rineka Cipta, 2012.

Coudeyre E, Tubach M, Rannou F, Baron G, Coriat F, Brin S, et al. Effect of a Simple Information Booklet on Pain Persistence after an Acute Episode of Low Back Pain: A Non Randomized Trial in a Primary Care Setting. Plos one. 2007;8.

O'Brien L, McKeough C, Abbasi R. Pre-Surgery Education for Elective Cardiag Surgery Patients: A Survey from the Patient's Perspective. J Australian Occupational Therapy. 2013;60:404-9.

Vardanjani SAE, Fanisaberi L, Shahraki FA, Khalilzadeh A, Vardanjani AT, Dehkordi FG. The Effect of Face to Face Educational and Educational Booklet on Health Indexes of the Hospitalized Patients with Myocardial Infractiron, Nursing Research and Practice. 2013:8.

Nillni YI, Rohan KJ, Mahon JN, Peneles SL, Zvolensky MJ. The Role of Anxiety Sensitivity In The Experience Of Menstrual Related Symptoms Reported Via Daily Diary. Psychiatry Research. 2010;564-9.

Fakhri M, Hamzehgardeshi Z, Golchin NAH, Komili A. Promoting Menstrual Health Among Persian Adolescent Girls From Low Socioeconomic Backgrounds: A Quasi-Experimental Study. BMC Public Health. 2012;12:193.