THE EFFECTIVENESS OF POSITIVE SELF-TALK THERAPY IN REDUCING ANXIETY AMONG ADOLESCENTS WHO EXPERIENCE EMOTIONAL ABUSE: A LITERATURE REVIEW
DOI:
https://doi.org/10.5281/zenodo.20094941Keywords:
positive self-talk, self-talk therapy, anxiety, adolescents, emotional abuse, literature review, emotion regulationAbstract
Anxiety is one of the psychological problems commonly experienced by adolescents, particularly among those who have been exposed to emotional abuse. Emotional abuse, including insults, threats, yelling, rejection, humiliation, intimidation, and persistent invalidation, can shape negative internal schemas, reduce self-esteem, and intensify fear, insecurity, and avoidance. Recent international studies published after 2023 indicate that childhood maltreatment and emotional abuse are consistently associated with adolescent anxiety, psychopathology, impaired emotion regulation, and heightened psychological distress (Hashim et al., 2024; Baldwin et al., 2024; Chen et al., 2025). This literature review examines the potential effectiveness of positive self-talk therapy in reducing anxiety among adolescents who experience emotional abuse. The review was conducted by identifying and synthesizing scientific articles, international journals, national journals, and official reports relevant to positive self-talk, adolescent anxiety, emotional abuse, coping, cognitive restructuring, and emotion regulation. The findings suggest that positive self-talk therapy may help adolescents recognize negative internal dialogue and replace it with more rational, supportive, adaptive, and goal-oriented statements. The mechanism of change is closely related to cognitive reframing, self-compassion, affect labeling, and emotion regulation, all of which are important protective processes in adolescent mental health. Therefore, positive self-talk therapy may serve as a simple, low-cost, school- and community-based psychosocial intervention to support adolescent mental health. However, further empirical studies using stronger designs, such as randomized controlled trials or quasi-experimental designs with control groups, are needed to test its effectiveness specifically among adolescent victims of emotional abuse.
Downloads
References
Baldwin, J. R., Coleman, O., Francis, E. R., Danese, A., & colleagues. (2024). Prospective and retrospective measures of child maltreatment and their association with psychopathology: A systematic review and meta-analysis. JAMA Psychiatry, 81(8), 769–781. https://doi.org/10.1001/jamapsychiatry.2024.0818
Chen, W., Xiao, S., & colleagues. (2025). Childhood trauma and adolescent anxiety: Uncovering emotion regulation pathways through integrated machine learning and traditional statistics. Psychiatry Research. https://doi.org/10.1016/j.psychres.2025.116418
Grummitt, L., Baldwin, J. R., Lafoa’i, J., Keyes, K. M., & Barrett, E. L. (2024). Burden of mental disorders and suicide attributable to childhood maltreatment: Improved causal inference. JAMA Psychiatry, 81(8), 782–788. https://doi.org/10.1001/jamapsychiatry.2024.0804
Guo, L., Wang, W., Li, W., Zhao, M., Wu, R., & Lu, C. (2021). Childhood maltreatment predicts subsequent anxiety symptoms among Chinese adolescents: The role of the tendency of coping styles. Translational Psychiatry, 11, 340. https://doi.org/10.1038/s41398-021-01463-y
Hashim, M., Alimoradi, Z., Pakpour, A., Pfaltz, M., Ansari, S., Asif, R., & Iqbal, N. (2024). Association of childhood emotional maltreatment with adolescents’ psychopathology: A systematic review and meta-analysis. Trauma, Violence, & Abuse. https://doi.org/10.1177/15248380241233538
Hidayah, N., Maulidiyah, F. K., W., I. T., Elfina, I., & F., L. N. (2022). Efektivitas positive self-talk therapy terhadap penurunan tingkat kecemasan, stress, dan depresi remaja perempuan Desa Jipurapah. Jurnal Keperawatan Muhammadiyah, 7(4). https://doi.org/10.30651/jkm.v7i4.15464
Kementerian Pemberdayaan Perempuan dan Perlindungan Anak. (2024). Kemen PPPA rilis Survei Pengalaman Hidup Perempuan Nasional dan Survei Nasional Pengalaman Hidup Anak dan Remaja 2024. Kementerian Pemberdayaan Perempuan dan Perlindungan Anak Republik Indonesia.
Mulawarman, M., Antika, E. R., Hariyadi, S., Ilmi, A. M., Prabawa, A. F., Pautina, A. R., Chairunnisa, D., Benu, K. M., Nadhita, G., Lathifah, A. A., & Yuliana, V. (2024). Positive self-talk in adolescent: A systematic literature review. Bulletin of Counseling and Psychotherapy, 6(3). https://doi.org/10.51214/002024061034000
Nguyen, A., & colleagues. (2025). The relationship between emotion regulation, self-compassion, and mental health among adolescents. Journal of Applied Developmental Psychology.
Sari, W. (2024). Pengaruh self talk terapi terhadap penurunan tingkat kecemasan pada remaja di SMP Negeri 17 Surakarta. Universitas Kusuma Husada Surakarta.
Szota, K., & colleagues. (2025). Let’s talk about mental health! Pilot study on school-based mental health literacy interventions for adolescents in Germany. Social and Emotional Learning: Research, Practice, and Policy.
Thingbak, A., Capobianco, L., Wells, A., & O’Toole, M. S. (2024). Relationships between metacognitive beliefs and anxiety and depression in children and adolescents: A meta-analysis. Journal of Affective Disorders, 361, 36–50. https://doi.org/10.1016/j.jad.2024.05.123
UNICEF Indonesia. (2025). Indonesia adolescent health profile 2024. UNICEF Indonesia.
World Health Organization. (2025). Mental health of adolescents. World Health Organization.
Yosep, I., Fitria, N., Mardhiyah, A., & Hikmat, R. (2025). Positive self-talk journaling intervention to improve psychological well-being among child and adolescents in juvenile. Child and Adolescent Psychiatry and Mental Health, 19(1). https://doi.org/10.1186/s13034-025-00998-y
Yu, Z., & colleagues. (2024). Depression in youths with early life adversity: A systematic review and meta-analysis. Frontiers in Psychiatry, 15, 1378807. https://doi.org/10.3389/fpsyt.2024.1378807
Wu, O., Zhu, M., Yeo, K. J., Xu, W., Wu, Y., & Lu, X. (2026). Navigating emotions: The role of self-talk in preventing adolescent self-injury. Health Education & Behavior. https://doi.org/10.1177/10901981251363168

