The Effect of Assertive Communication on the Mental Health of Midwifery Students: A Communication Psychology Perspective

Authors

  • Dea Audia Elsaid Universitas Almarisah Madani
  • Nur Istiqamah Desiana Universitas Almarisah Madani
  • Jessie Alisa Rano Universitas Almarisah Madani
  • Anieq Mumthi'ah Al Kautzar Universitas Islam Negeri Alauddin Makassar

DOI:

https://doi.org/10.24252/jmw.v7i2.61160

Keywords:

assertive communication; mental health; midwifery students; communication psychology

Abstract

This study aims to analyze the influence of assertive communication on the mental health of midwifery students from the perspective of communication psychology. The background of this research was based on the high academic pressure and clinical practice experienced by midwifery students, which often leads to stress, anxiety, and depression. This situation necessitates effective communication strategies to maintain students’ psychological well-being during their studies. Assertive communication is considered one of the strategies that enable individuals to express their thoughts and feelings honestly and openly without harming others. This study employs a qualitative approach using data collection techniques including in-depth interviews, focus group discussions (FGD), participatory observation, and documentation. Participants were purposively sampled from midwifery students at UIN Alauddin Makassar who experienced various academic and clinical pressures. The collected data were analyzed thematically with validation through source triangulation and member checking to ensure the credibility and validity of the findings. The results show that students with passive communication styles tend to experience excessive anxiety and low self-confidence, while aggressive communication styles often trigger interpersonal conflicts that negatively affect psychological conditions. Conversely, students who apply assertive communication demonstrate higher resilience, better management of academic and clinical stress, healthy social relationships, and greater emotional stability. From the perspective of communication psychology, assertive communication functions as a protective mechanism that supports the mental health of midwifery students. This study recommends integrating assertive communication training into the midwifery curriculum as a strategic effort to enhance soft skills and support the psychological well-being of students.

References

Ahmad, M., and S. Wilkins. 2024. “Purposive Sampling in Qualitative Research: A Framework for the Entire Journey.” Quality & Quantity 58, no. 1: 1–20. https://doi.org/10.1007/s11135-024-02022-5

Ahmad, R., and J. Wilkins. 2024. “Qualitative Sampling Strategies in Health Research: Balancing Depth and Diversity.” Qualitative Health Research 34, no. 2: 145–59. https://doi.org/10.1177/1049732324123456

Alberti, R. and Emmons, M. (2017) Assertiveness and Equality in Your Life and Relationships. Tenth Edit. California: New Harbinger.

Bahrudin, I. G. A. R., Suprapto, and I. G. N. Sutrisna. 2022. “Komunikasi Asertif sebagai Strategi dalam Praktik Pekerjaan Sosial.” Jurnal Perspektif: Jurnal Kajian Sosiologi dan Antropologi 5, no. 2: 155–68. https://jurnal.jkp-bali.com/perspektif/article/view/410

Bhangu, S., F. Provost, C. Caduff, and N. Surawy-Stepney. 2023. “Introduction to Qualitative Research Methods: Part 2.” Perspectives in Clinical Research 14, no. 2: 95–99. https://doi.org/10.4103/picr.picr_37_23

Beck, J. s. (2011). Cognitive Behaviour Therapy.New York: The Guilford Press

Dursun, B. 2023. “A Qualitative Research Technique: Interview.” Journal of Interdisciplinary Educational Research 7, no. 14: 100–13. https://doi.org/10.57135/jier.1245193

Eslami, A., Z. Asadi, and M. Shafiei. 2022. “Effect of Assertiveness Training on Stress, Anxiety, and Depression among University Students: An Experimental Study.” BMC Psychology 10, no. 1: 1–9. https://doi.org/10.1186/s40359-022-00765-5

Eslami, A., N. Bagheri, and H. Jafari. 2022. “Assertiveness Training and Its Effects on Stress, Anxiety, and Depression among University Students: An Experimental Study.” Journal of Counseling Psychology 69, no. 3: 245–56. https://doi.org/10.1037/cou0000612

González-Hernández, E., M. D. Hidalgo, and J. Gómez. 2022. “Assertive Communication and Psychological Well-Being among Health Sciences Students.” Journal of Health Psychology 27, no. 12: 2895–2907. https://doi.org/10.1177/1359105321106821

Kusumawati, R., and D. Setiawan. 2022. “Keterampilan Komunikasi Asertif dan Kesiapan Praktik Klinik Mahasiswa Kebidanan.” Jurnal Kebidanan Indonesia 13, no. 2: 87–96. https://doi.org/10.33086/jki.v13i2.3540

Lim, W. M. 2024. “Qualitative Research Methods in Higher Education.” SAGE Open. https://doi.org/10.1177/14413582241264619

Luthfiyani, P. W., & Murhayati, S. (2024). Strategi Memastikan Keabsahan Data Dalam Penelitian Kualitatif. 8, 45315–45328.

López, A., M. Sánchez, and P. Rivera. 2022. “Communication Styles and Academic Stress in Nursing Students: A Cross-Sectional Analysis.” Nurse Education Today 112: 105335. https://doi.org/10.1016/j.nedt.2022.105335

Mahmoudi, H., M. Taheri, and M. Rahimi. 2021. “The Effect of Assertiveness Training on Self-Esteem and Social Anxiety among University Students: An Experimental Study.” Journal of Education and Health Promotion 10 (112): 1–6. https://doi.org/10.4103/jehp.jehp_873_20

Meixun Zheng, Daniel Bender, Cindy Lyon. 2021. "Online learning during COVID-19 produced equivalent or better student course performance as compared with pre-pandemic: empirical evidence from a school-wide comparative study." BMC Medical Education 21:495, 2: 2-11.

Myers, D. & Twenge, J. (2019). Social Psychology (13th ed). McGraw Hill

Nanda, F., and R. Pratama. 2023. “Peran Komunikasi Asertif terhadap Burnout Akademik pada Mahasiswa Kesehatan.” Indonesian Journal of Psychology and Health 5, no. 1: 44–56.

Perera, K. D. R. L. J. 2023. “Applying Thematic Analysis to Analyse Qualitative Data: A Researcher’s Experience.” International Journal of Research and Innovation in Social Science 7, no. 2: 1334–40.

Putri, D. R. W., & Andayani, S. (2021). Faktor yang mempengaruhi pilihan karir Mahasiswa Akuntansi di Jawa Timur dalam bidang perpajakan. Prosiding Senapan, 1(1), 470–484.

Purwaningtyastuti, Savitri, A. D., & Katkar, K. (2023). Peningkatan komunikasi asertif sebagai upaya mencegah kesalahpahaman dalam komunikasi bagi ibu-ibu pkk. To Maega : Jurnal Pengabdian Masyarakat, 6(3), 504. https://doi.org/10.35914/tomaega.v6i3.1805

Rahman, A., and P. Widodo. 2020. “Hubungan Gaya Komunikasi Asertif dengan Resiliensi Mahasiswa dalam Menghadapi Stres Akademik.” Jurnal Psikologi Pendidikan dan Konseling 6, no. 2: 98–107. https://doi.org/10.26858/jpkk.v6i2.15432

Rahman, A., D. Sari, and T. Hidayat. 2022. “Gaya Komunikasi Agresif dan Implikasinya terhadap Hubungan Interpersonal Mahasiswa.” Jurnal Komunikasi Pendidikan 6, no. 1: 50–60.

Rani, M., and H. Laksmiwati. 2024. “Komunikasi Asertif dan Hubungannya dengan Penyelesaian Konflik pada Pasangan Romantis.” Character: Jurnal Penelitian Psikologi 12, no. 1: 45–57. https://ejournal.unesa.ac.id/index.php/character/article/view/61207

Rogers, Carl. R. (1961). On Becoming A Person : A Therapist View Of Psychoteraphy. USA : Houghton Mifflin Company

Santrock, J. W. 2019. Educational Psychology. 6th ed. McGraw-Hill Education.

Sharma, R., P. Mehta, and A. Singh. 2023. “Passive Communication Style and Its Relationship with Academic Stress in University Students.” International Journal of Mental Health and Education 15, no. 4: 367–79. https://doi.org/10.1007/s12310-023-09521-8

Soltani, Z., A. Karami, and M. Rahimi. 2023. “The Role of Assertiveness in Predicting Resilience and Mental Health among Medical Students.” BMC Psychology 11: 219. https://doi.org/10.1186/s40359-023-01219-4

World Health Organization. 2020. “Mental Health: Strengthening Our Response.” WHO. https://www.who.int/news-room/fact-sheets/detail/mental-health-strengthening-our-response

Zulkarnain. (2015). Psikologi dan Komunikasi Massa. Tasamuh, 13, 52

Published

2025-09-02

How to Cite

Elsaid, D. A., Desiana, N. I., Alisa Rano, J., & Mumthi’ah Al Kautzar, A. (2025). The Effect of Assertive Communication on the Mental Health of Midwifery Students: A Communication Psychology Perspective. Jurnal Midwifery, 7(2), 184–194. https://doi.org/10.24252/jmw.v7i2.61160

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