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Factors Influencing Distress and Coping Strategies Among Patients with Metastatic Spinal Tumor at Cipto Mangunkusumo General Hospital Agiananda, Feranindhya; Nugraeni, Tiara; Diatri, Hervita; Aninditha, Tiara; Kusumaningrum, Profitasari
Indonesian Journal of Cancer Vol 17, No 4 (2023): December
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v17i4.994

Abstract

Background: Patients with metastatic spinal tumor are experiencing various symptoms, including neurological deficits that cause distress and affects their quality of life. The vulnerability to distress is influenced by coping strategies. Therefore, this study aimed to investigate factors associated with distress and coping strategies in patients with metastatic spinal tumors at Cipto Mangunkusumo General Hospital. Methods: In a cross-sectional study conducted at Cipto Mangunkusumo General Hospital from September 2021 to May 2022, factors associated with distress and coping strategies in patients with metastatic spinal tumors were investigated. The analysis included a total of 104 subjects from both outpatient and inpatient settings. Distress levels and areas of concern were assessed using the Distress Thermometer (DT) questionnaire while coping strategies were evaluated through the Coping Orientation to the Problem Experienced (COPE) instrument. Bivariate and multivariable analyses were carried out to assess the relationship between sociodemographic factors, spinal tumor characteristics, specific areas of concern, coping strategies, and distress.Results: The results showed that 57.7% of metastatic spinal tumor patients experienced distress. In the 18-59 age group, motor disorders, sensory disturbances, autonomic disorders, treatment status, problem-focused coping (PFC), emotion-focused coping (EFC), and avoidance coping had significant associations with distress. However, the multivariable analysis showed that EFC (OR = 1.156, 95% CI: 1.024–1.304, p=0.019), avoidance coping (OR = 1.154, 95% CI: 1.005–1.326, p=0.042), and sensory disturbance (OR = 16.001, 95% CI: 1.472–173.960, p=0.023) were identified as risk factors for distress.Conclusions: Patients with metastatic spinal tumors who used emotion-focused coping, avoidance coping, and sensory disturbance faced significant risk factors for distress
Hubungan Antara Gangguan Depresi dengan Kualitas Hidup, Stresor Psikososial, dan Tingkat Kontrol Asma pada Pasien Asma di RSUPN Dr. Cipto Mangunkusumo Putro, Agung W; Kusumadewi, Irmia; Rengganis, Iris; Agiananda, Feranindhya
Majalah Kedokteran Indonesia Vol 68 No 8 (2018): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.68.8-2018-44

Abstract

Introduction : Poor asthma control level and the presence of comorbid disorders such as depression and psychosocial stress will affect the quality of life and increase the economic burden of asthmatic patients and their family. We investigated the correlation between depressive disorders, quality of life, psychosocial stressors, and level of asthma control in asthmatic patients. Methods : The study was cross-sectional descriptive-analytic in 37 asthmatic patients with depressive disorder and 37 asthmatic patients without depressive disorder in the Allergy and Immunology Clinic RSUPN Dr. Cipto Mangunkusumo using SCID-1, WHOQOL-BREF, Holmes and Rahepsychosocial stressors, and ACT questionnaires. Results : There is a relation between the presence of depressive disorders and lower quality of life scores based on physical health (p less-than 0,001), psychological health (p less than 0,001), social relations (p=0.023), environment (p=0.022), psychosocial stressors (OR 3.85; p=0.005), and the level of asthma control (p=0.001) in asthmatic patients. Conclusion: Asthmatic patients with depressive disorders tend to have lower quality of life score in all domains (physical health, psychological health, social relationships, and environment) and lower level of asthma control scores than asthmatic patients without depressive disorders. Asthmatic patients who have psychosocial stressors have 3.8 times higher risk to have depressive disorders.
Associations of Chronotype and Job Stressors with Anxiety, Depression, and Stress among Shift Workers in Oil and Gas Company Nurbaeti, Fitria; Agiananda, Feranindhya; Khoe, Levina Chandra; Soemarko , Dewi Sumaryani; Khazim, Imron
The Indonesian Journal of Community and Occupational Medicine Vol. 5 No. 1 (2025): ijcom
Publisher : ILUNI MKK FKUI and PRODI MKK FKUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53773/ijcom.v5i1.155.1-10

Abstract

Background: Oil and gas companies often require employees to work abnormal working hours, namely long shift hours and changing work environment conditions. Understanding how chronotypes, which refer to an individual’s biological preferences for choosing sleep and wake times (starting activities) and job stressors impact anxiety, depression, and distress levels among shift workers in oil and gas companies can aid in developing more effective risk management, health, and wellness programs for the workforce.Objective: This study aims to determine the relationship between chronotype and work stress with anxiety, depression, and stress in oil and gas companies.Methods: A cross-sectional study was conducted in an oil and gas company in Indonesia. Data was collected in 2024 using online questionnaires and interviews. Chronotype was measured using the Morningness Eveningness Questionnaire (MEQ) in Indonesian Version, job stressors were identified using the Stress Diagnostic Survey (SDS), and distress levels were obtained from the Depression Anxiety Stress Scale 21 (DASS 21). Results: Based on the results of data analysis, it was found that the chronotype type for workers in oil and gas companies is morning type as much as 57.4% and midnight type as much as 42.6%. From the results of the analysis, no relationship was found between chronotype and work stressors with stress levels. Chronotype type and work stressors are not related to the level of anxiety, depression and stress in the worker population in this study. The level of anxiety, depression and stress in workers was 20.5% and the prevalence of work stressors in workers experiencing moderate stress levels in the form of role inequality 54.9%, role conflict 52.5%, qualitative overload 52.5%, career development 50%, and responsibility for others 54.1%. While the most quantitative overload stressors were at the mild stress level 54.9%.Conclusion: The majority of respondents were morning type, and their job stressors were at moderate levels. The chronotype and job stressors did not have relationships with the level of distress. Other factors related to the incidence of anxiety, depression and stress levels in this study were age, length of service and type of work.
Emotional Impact of In Vitro Fertilization (IVF): Anxiety, Depression, and Their Relationship with Pregnancy Outcomes Agiananda, Feranindhya; Natadisastra, Raden Muharram; Amir, Nurmiati; Irwanto; Aninditha, Tiara; Wibisono, Sasanto; Wahmurti, Tuti; Kekalih, Aria; Karnasih, Artasya; Samjunanto, Achmad; Puspaseruni, Putri Air; Velyani, Dyani Pitra; Prayangga, Regina
Indonesian Journal of Obstetrics and Gynecology Volume 13. No. 3 July 2025
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v13i3.2626

Abstract

Objectives: Infertility can significantly impact women's physical and psychological health. Numerous treatment options are commonly pursued, with IVF often considered the last resort for infertile couples. However, IVF is associated with increased stress at every stage, potentially influencing women's perceptions and experiences throughout the procedure. This research examines anxiety and depression faced by women at different stages of IVF and analyzes their association with pregnancy outcomes. Methods: This cohort study was conducted at Dr. Cipto Mangunkusumo General Hospital and Dr. Sander B. Daya Medika Clinic from May 2018 to March 2023. Data were collected using questionnaires and assessments during IVF, focusing on the evaluation of anxiety, depression, and pregnancy outcomes. Chi-square and Fisher’s exact test was used to assess associations between variables, while Friedman ANOVA was used for longitudinal analysis of anxiety and depression scores during IVF. Results: The final analysis comprised 61 participants. The study revealed significant changes in anxiety and depression throughout IVF. Both anxiety (p < 0.001, Kendall’s w = 0.19) and depression levels (p = 0.001, Kendall’s w = 0.121) showed a significant rise across the IVF timeline. There is no statistically significant association between anxiety and depression scores and pregnancy outcomes across three measurement points during IVF (p > 0.05). Conclusion: Anxiety and depression significantly increase during IVF but do not affect clinical pregnancy rates. These findings highlight the importance of mental health screening and psychiatric support during IVF to ensure women’s comfort and enable them to navigate IVF more effectively. Keywords: Anxiety, Depression, Pregnancy Outcomes, Women, In Vitro Fertilization (IVF)