Distorsi Kognitif dan Pola Pikir Disfungsional pada Remaja: Studi Kasus Layanan Kesehatan

Adilah Hasanah; Dyan Santi

doi:10.47134/phms.v3i2.589

Authors

Adilah Hasanah Universitas 17 Agustus 1945 Surabaya
Dyan Evita Santi Universitas 17 Agustus 1945 Surabaya

DOI:

https://doi.org/10.47134/phms.v3i2.589

Keywords:

Cognitive Distortion, Dysfunctional Thinking, Adolescent, Cognitive Behavioral Therapy, Case Study

Abstract

This study aimed to describe the dynamics of cognitive distortions and dysfunctional thinking patterns in an adolescent receiving psychological services in a healthcare setting and to examine cognitive changes following a Cognitive Behavioral Therapy (CBT) based intervention. A mixed qualitative and quantitative approach with a single case study design was employed to obtain an in depth understanding of individual psychological changes before and after intervention. The participant was a sixteen year old female adolescent presenting emotional instability rigid negative thinking patterns and difficulties in family and school relationships. Data were collected through clinical interviews behavioral observations psychological testing and the Irrational Beliefs Inventory (IBI) administered as pre test and post test measures. The CBT based intervention was delivered in seven sessions focusing on psychoeducation identification of cognitive distortions understanding relationships between thoughts emotions and behaviors cognitive restructuring homework assignments and behavioral techniques for emotional regulation. Qualitative data were analyzed descriptively to capture changes in cognitive emotional dynamics while quantitative data from the IBI were used to evaluate intervention effectiveness. Results indicated a decrease in scores across all IBI dimensions after the intervention with notable reductions in rigidity excessive worrying problem avoidance and emotional irresponsibility. The total irrational belief score decreased by thirty seven points indicating a meaningful shift toward more adaptive and rational thinking patterns. Qualitative findings supported these results showing improved cognitive flexibility emotional awareness and coping strategies. Overall the findings demonstrate that CBT based cognitive restructuring is effective in reducing dysfunctional thinking patterns and improving emotional regulation in adolescents within healthcare settings. This study supports the application of CBT as an evidence based intervention for adolescents experiencing cognitive emotional difficulties and highlights its relevance for clinical psychological services in health care contexts.

References

Aini, D. K. (2019). Penerapan cognitive behavior therapy dalam mengembangkan kepribadian remaja di panti asuhan. Jurnal Ilmu Dakwah, 39(1), 70–90. DOI: https://doi.org/10.21580/jid.v39.1.4432

Barlow, D. H., Nock, M. K., & Hersen, M. (2009). Single-case experimental designs: Strategies for studying behavior change (3rd ed.). Pearson Education.

Beck, A. T., & Haigh, E. A. P. (2014). Advances in cognitive theory and therapy: The generic cognitive model. Annual Review of Clinical Psychology, 10, 1–24. https://doi.org/10.1146/annurev-clinpsy-032813-153734 DOI: https://doi.org/10.1146/annurev-clinpsy-032813-153734

Berliana, Q. G., & Suhadianto. (2026). Efektivitas terapi kognitif perilaku dengan teknik restrukturisasi kognitif dalam meningkatkan penyesuaian diri remaja. Journal of Innovative and Creativity, 6(1), 1183–1198.

David, D., Cristea, I., & Hofmann, S. G. (2018). Why cognitive behavioral therapy is the current gold standard of psychotherapy. Frontiers in Psychiatry, 9, Article 4. https://doi.org/10.3389/fpsyt.2018.00004 DOI: https://doi.org/10.3389/fpsyt.2018.00004

Fitriani, A. R., Sari, M., & Hasanah, L. (2023). Penerapan teknik restrukturisasi kognitif untuk mengurangi kecemasan berbicara pada siswa sekolah menengah pertama. Pinisi Journal of Education, 3(3), 210–219.

Handayani, R., & Pratiwi, D. A. (2022). Restrukturisasi kognitif untuk menurunkan distorsi kognitif pada remaja. Jurnal Psikologi Insight, 6(2), 89–99.

Hasani, R. N. E. (2021). Terapi kognitif untuk menurunkan ketakutan akan evaluasi negatif pada mahasiswa dengan social anxiety disorder. Jurnal Psikologi Klinis, 13(4), 224–231. DOI: https://doi.org/10.22219/procedia.v13i4.37476

Hasbiansyah, O. (2008). Pendekatan fenomenologi: Pengantar praktik penelitian dalam ilmu sosial dan komunikasi. Mediator: Jurnal Komunikasi, 9(1), 163–180. DOI: https://doi.org/10.29313/mediator.v9i1.1146

Hidayahna, S., & Nurjannah. (2022). Teknik cognitive restructuring dalam pandangan Islam. Jurnal At-Taujah, 5(1), 45–56. DOI: https://doi.org/10.22373/taujih.v5i1.11920

Hofmann, S. G., Asnaani, A., Vonk, I. J. J., Sawyer, A. T., & Fang, A. (2012). The efficacy of cognitive behavioral therapy: A review of meta-analyses. Cognitive Therapy and Research, 36(5), 427–440. https://doi.org/10.1007/s10608-012-9476-1 DOI: https://doi.org/10.1007/s10608-012-9476-1

Kazdin, A. E. (2021). Single-case research design: Methods for clinical and applied settings (2nd ed.). Oxford University Press.

Kirkpatrick, D. L., & Kirkpatrick, J. D. (2008). Evaluating training programs: The four levels (3rd ed.). Berrett-Koehler.

Kitchens, R., & Abell, S. (2020). Ego identity versus role confusion. In V. Zeigler-Hill & T. K. Shackelford (Eds.), Encyclopedia of personality and individual differences. Springer. https://doi.org/10.1007/978-3-319-24612-3_581 DOI: https://doi.org/10.1007/978-3-319-24612-3_581

Koopmans, P. C., Sanderman, R., Timmerman, I., & Emmelkamp, P. M. G. (1994). The Irrational Beliefs Inventory (IBI): Development and psychometric evaluation. European Journal of Psychological Assessment, 10(1), 15–27. DOI: https://doi.org/10.1037/t15478-000

Mokalu, V. R., & Vita, C. (2021). Teori perkembangan Erik Erikson: Implikasinya bagi pendidikan agama Kristen di sekolah. Vox Edukasi: Jurnal Ilmiah Ilmu Pendidikan, 12(2), 180–192. DOI: https://doi.org/10.31932/ve.v12i2.1314

Putri, A. D., & Lestari, S. (2021). Distorsi kognitif dan regulasi emosi pada remaja: Tinjauan kognitif perilaku. Jurnal Psikologi Klinis Indonesia, 8(1), 45–56.

Rahmawati, N., & Hidayat, R. (2023). Efektivitas cognitive behavioral therapy dalam menurunkan kecemasan pada remaja. Jurnal Intervensi Psikologi, 15(2), 112–121.

Saputra, M. R., & Wulandari, S. (2021). Cognitive behavioral therapy dan regulasi emosi pada remaja dengan permasalahan psikologis. Jurnal Ilmiah Psikologi Terapan, 9(1), 55–65.

Sari, D. P., & Prasetyo, A. R. (2022). Penerapan cognitive behavioral therapy dalam mengubah distorsi kognitif pada remaja. Jurnal Psikologi Klinis Indonesia, 9(1), 23–34. DOI: https://doi.org/10.28926/pyschoaksara.v1i1.737

Sholekah, L. (2021). Penerapan teknik cognitive restructuring untuk meningkatkan motivasi belajar siswa. Jurnal Psikologi Pendidikan, 6(2), 98–107.

Sifiannisa, S., Rahman, F., & Utami, D. (2025). Teknik cognitive restructuring dalam konseling: Mengubah pola pikir negatif menjadi positif melalui pendekatan literatur. Conseils, 5(1), 33–42.

Solobutina, M. M. (2020). Ego identity of intellectually gifted and sport talented individuals in puberty and adolescence. Education and Self Development, 15(1), 12–22. https://doi.org/10.26907/esd15.1.02 DOI: https://doi.org/10.26907/esd15.1.02

Sulhan, N. A. A., Putri, R., & Rahman, F. (2024). Periodisasi perkembangan anak pada masa remaja: Tinjauan psikologi. Behavior: Jurnal Pendidikan Bimbingan Konseling Dan Psikologi, 1(1), 1–10.

Utami, F. N., & Nugroho, A. A. (2020). Penghindaran masalah dan strategi coping pada remaja: Perspektif cognitive behavioral therapy. Jurnal Psikologi Terapan, 6(3), 201–210.

Widodo, A., Santoso, D., & Kurniawati, E. (2022). Peran tanggung jawab emosional dalam regulasi emosi remaja. Jurnal Psikologi Dan Kesehatan Mental, 7(1), 33–42.