Therapeutic Communication and PTSD Symptoms among Children Affected by Flood Disasters in Aceh Tamiang

Authors

  • Rahma Yurliani Universitas Sumatera Utara
  • Humaizi Universitas Sumatera Utara
  • Dewi Kurniawati Universitas Sumatera Utara
  • Raras Sutatminingsih Universitas Sumatera Utara

Abstract

This study examined therapeutic communication and PTSD symptoms in children and adolescents affected by flooding in Aceh Tamiang. Flooding not only caused physical damage but also had a significant impact on children’s mental and emotional health, especially for those who had to live in emergency shelters. This study used a quantitative method with a cross-sectional survey framework. The study participants included children aged 6 to 18 years who had experienced flooding in Aceh Tamiang. Data were collected using a PTSD symptom questionnaire to assess PTSD symptoms in children and a therapeutic communication survey adapted from various stages of therapeutic relationships, including the pre-orientation, orientation, working phase, and termination. For data analysis, descriptive statistics were applied to describe the respondents, analyze therapeutic communication patterns, and analyze the distribution of PTSD symptoms in children. The findings showed that children exhibited varying levels of PTSD symptoms after the disaster, with intrusion experiences and avoidance being the most prominent aspects. Reports of therapeutic communication experiences varied in intensity across different stages of interaction. These results indicated that therapeutic communication played a crucial role in providing interpersonal support for children’s psychological experiences after a flood disaster.

Keywords : therapeutic communication; PTSD symptoms; disaster affected children; flood disaster; crisis communication;

REFERENCES

Abel, M. R., Hambrick, E. P., & Vernberg, E. M. (2021). Talking with children about natural disasters : Maternal acknowledgment, child emotion talk , and child posttraumatic stress symptoms. Child & Youth Care Forum, 50(5), 947–968. https://doi.org/10.1007/s10566-021-09605-5

Abraham, S. A., Nsatimba, F., Agyare, D. F., Agyeiwaa, J., Opoku-Danso, R., Ninnoni, J. P., Doe, P. F., Kuffour, B. O., Anumel, B. K., Berchie, G. O., Boso, C. M., Druye, A. A., Okantey, C., Owusu, G., Obeng, P., Amoadu, M., & Commey, I. T. (2024). Barriers and outcomes of therapeutic communication between nurses and patients in Africa: a scoping review. BMC Nursing, 23(362), 1–11. https://doi.org/10.1186/s12912-024-02038-0

Amanda, T. G., Pohan, S., & Mazdalifah, M. (2021). Therapeutic communication theraphy to improving social interaction of autism children (case study in SLB Negeri Autis Medan). Budapest International Research and Critics Institute-Journal(BIRCI-Journal), 4(4), 8479–8491. https://doi.org/10.33258/birci.v4i4.2788

Foa, E. B., Asnaani, A., Zang, Y., Capaldi, S., & Yeh, R. (2018). Psychometrics of the child PTSD symptom scale for DSM-5 for trauma-exposed children and adolescents. Journal of Clinical Child & Adolescent Psychology, 47(1), 38–46. https://doi.org/10.1080/15374416.2017.1350962

Fuseini, M. S., Boateng, J. A., Osekre, E. A., & Braimoh, J. J. (2022). Enhancing mental health outcomes for adolescent and older veterans through conflict management and therapeutic communication strategies in trauma-informed care. Social Science and Humanities Journal, 06(04), 2687–2705.

Gamez, G. G., Ruiz, I. M. S., Hernandez, V. V. M., Garcia, M. C. R., Manrique, G. A., Juan, M. L. C., & Puertas, L. G. (2022). Development and validation of the questionnaire to analyze the communication of nurses in nurse-patient therapeutic communication. Patient Education and Counseling, 145–150.

Hasanah, F., & Destrity, N. A. (2024). From awareness to risk prevention: Developing messages for crisis communication during pandemics and infodemics. Jurnal Komunikasi, 19(1), 1–22. https://doi.org/10.20885/komunikasi.vol19.iss1.art1

Nirman, S., & Sari, M. (2021). Resiliensi anak pasca bencana: Literature review. Jurnal Sahabat Keperawatan, 3(1), 35–40.

Raccanello, D., Burro, R., & Hall, R. (2017). Children ’ s emotional experience two years after an earthquake : An exploration of knowledge of earthquakes and associated emotions. PLoS ONE, 12(12), 1–21. https://doi.org/https://doi.org/10.1371/journal.pone.0189633

Rahmadian, A. A., Furqon, L.N, S. Y., & Rusmana, N. (2016). Prevalensi PTSD dan karakteristik gejala stres pascatrauma pada anak dan remaja korban bencana alam. Edusentris, Jurnal Ilmu Pendidikan Dan Pengajaran, 3(1), 1–17.

Reynolds, B., & Seeger, M. W. (2005). Crisis and emergency risk communication as an integrative model crisis and emergency risk communication as an integrative model. Journal of Health Communication, 10, 43–55. https://doi.org/10.1080/10810730590904571

Salamor, A. M., Salamor, Y. B., & Ubwarin, E. (2020). Trauma healing dan edukasi perlindungan anak pasca gempa bagi anak-anak di Desa Waai. Community Developmet Journal, 1(3), 317–321.

Sulastri, Rohayati, & Febriaty, S. (2021). Playing pop-up books as a therapy for mental emotional problems after the tsunami disaster. Jurnal Kesehatan, 12(3), 404–410.

UNICEF. (2023). Including children with disabilities in humanitarian action: General guidance. https://www.unicef.org/media/152436/file/Including Children with Disabilities in Humanitarian Action%3A General guidance EN.pdf

Wati, N. L., Sukmayanti, N. M. N., & Kartikasari, R. (2019). The relationship between therapeutic communication and level of anxiety among hospitalized preschool children. KnE Life Sciences, 2019, 870–879. https://doi.org/10.18502/kls.v4i13.5346

WHO. (2017). Communicating risk in public health emergencies: a WHO guideline for emergency risk communication (ERC) policy and practice. https://iris.who.int/server/api/core/bitstreams/27ef4bb6-61ab-4870-b609-c09b2710633a/content

WHO. (2024). Risk communication and community engagement. World Health Organization. https://www.who.int/emergencies/risk-communications

Witt, A., Sachser, C., & Fegert, J. M. (2024). Scoping review on trauma and recovery in youth after natural disasters : what Europe can learn from natural disasters around the world. European Child & Adolescent Psychiatry, 33(3), 651–665. https://doi.org/10.1007/s00787-022-01983-y

Yilmazer, E. (2024). Emotional regulation in adolescence: A comprehensive review. Journal of Social Sciences, 2(12), 403–424. https://doi.org/10.52122/nisantasisbd.1457804

Yudarwati, G. A., Putranto, I. A., & Delmo, K. M. (2021). Examining the Indonesian government ’ s social media use for disaster risk communication. Asian Journal of Communication, 32(1), 1–20. https://doi.org/10.1080/01292986.2021.2007274

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2026-04-11

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