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All Journal Damianus Journal of Medicine Indonesian Journal of Cancer Jurnal Penyakit Dalam Indonesia Jurnal Kedokteran Meditek
Kusumaningrum, Profitasari
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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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
Faktor-Faktor yang Berhubungan dengan Gejala Depresi pada Pasien Insomnia Usia Lanjut di Rawat Jalan Pratiwi, Amalia Nur; Wahyudi, Edy Rizal; Kusumaningrum, Profitasari; Shatri, Hamzah; Rinaldi, Ikhwan; Gani, Rino Alvani; Wijaya, Ika Prasetya; Susilo, Adityo; Renaldi, Kaka
Jurnal Penyakit Dalam Indonesia
Publisher : UI Scholars Hub

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Abstract

Introduction. The elderly population is increasing globally, including in Indonesia, where 10.7% of the population in 2020 were elderly. Insomnia is a common health issue among older adults and has been identified as a predictor of depression. This study aims to identify factors associated with depressive symptoms in elderly outpatients with insomnia. Methods. This cross-sectional study was conducted in 2024 on patients aged ≥60 years at the outpatient unit of Cipto Mangunkusumo Hospital (RSCM), Jakarta, Indonesia, using consecutive sampling to select participants. Elderly patients were screened using the Pittsburgh sleep quality index (PSQI), and those with a score >5 (indicating insomnia) were included as study subjects. Data were collected through interviews, covering sociodemographic characteristics, level of loneliness, duration of insomnia, depressive symptoms [Geriatric Depression Scale–15 (GDS-15) items], functional status [Barthel Activities of Daily Living (B-ADL)], cognitive status [Mini-Mental State Examination (MMSE)], nutritional status [Mini Nutritional Assessment (MNA)], and chronic diseases [Cumulative Illness Rating Scale for Geriatrics (CIRSG) score]. Results. The study included 209 elderly subjects with insomnia, with a mean age of 72.88 (SD 6.98) years, and a depression prevalence of 6.7%. Bivariate analysis showed significant associations between dependency (PR 5.24; 95% CI 1.50 – 18.29), malnutrition (PR 11.54; 95% CI 4.77 – 27.92), and chronic disease with a CIRSG score ≥9 (PR 4.15; 95% CI 1.18 – 14.50) and depressive symptoms in elderly patients with insomnia. No significant associations were found between sociodemographic factors, loneliness, duration of insomnia, or cognitive status and depression. Multivariate logistic regression analysis revealed a statistically significant association between malnutrition and depressive symptoms (p < 0.001). Conclusions. There is a significant association between malnutrition and depressive symptoms in elderly outpatients with insomnia. Further cohort studies are recommended to explore the causal relationship between malnutrition and depression in elderly patients with insomnia.
Hubungan Psikopatologi dan Mekanisme Koping dengan Internet Gaming Disorder (IGD) pada Populasi Dewasa di Indonesia Assandi, Pratiwi; Siste, Kristiana; Tobing, Heriani; Kusumaningrum, Profitasari
Jurnal Kedokteran Meditek Vol 31 No 4 (2025): JULI
Publisher : Fakultas Kedokteran Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jkdoktmeditek.v31i4.3728

Abstract

Introduction: Psychopathology and maladaptive coping can contribute to Internet Gaming Disorder (IGD) in adults, threatening productivity and life. Purpose: This study aimed to explore the associations between psychopathology and coping mechanisms with IGD in Indonesian  adults. Methods: This cross-sectional study included 358 adults aged 18 to 59 who engaged in online gaming through consecutive sampling. Data were collected online using Symptoms Check List-90, Brief COPE, Ten-Item Internet Gaming Disorder Test, and sociodemographic questionnaire and were analyzed using chi-square, Kolmogorov Smirnov, Mann-Whitney, and logistic regression tests. Results: The IGD proportion was 16,5%. Psychopathology (somatization, obsessive-compulsive, interpersonal sensitivity, depression, anxiety, hostility, phobia, paranoia, and psychotic), coping mechanisms (active-coping, use of instrumental support, humor, use of emotional support, positive reframing, self-distraction, denial, substance use, behavioral disengagement, venting, and self-blame), age, marital status, gaming duration, and Multiplayer Online Battle Arena games were significantly associated with IGD (p<0,05). Gaming duration exceeding three hours per day (OR=3,220, CI=1,574-6,588), dysfunctional coping (OR=1,154, CI=1,067-1,248), and hostility (OR=7,231, CI=3,038-17,213) identified as risk factors, while venting (OR=0,727, CI=0,533-0,991) served as protective factor. Conclusion: Psychopathology and dysfunctional coping are associated with IGD. Education on related factors, early detection of psychopathology, and identification of coping mechanisms support comprehensive IGD management.
Gangguan Fungsi Kognitif pada Pasien HIV / AIDS di Layanan Rawat Jalan RSCM dan Faktor yang Memengaruhinya Ellenzy, Gabriela; Kurniasanti, Kristiana Siste; Kusumaningrum, Profitasari; Anindyajati, Gina
Bahasa Indonesia Vol 24 No 3 (2025): Damianus Journal of Medicine
Publisher : Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/djm.v24i3.6647

Abstract

Pendahuluan: Kemajuan teknologi medis dan akses yang lebih luas terhadap terapi antiretroviral (ART) telah meningkatkan angka harapan hidup orang dengan HIV. Namun, gangguan neurokognitif masih sering ditemukan dan dapat berdampak negatif terhadap kualitas hidup. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor yang berhubungan dengan penurunan fungsi kognitif pada pasien HIV/AIDS di Rumah Sakit Cipto Mangunkusumo (RSCM). Metode: Penelitian potong lintang dilakukan pada Mei 2022 hingga Januari 2024 di RSCM. Subjek penelitian adalah pasien HIV berusia 18–59 tahun, berbahasa Indonesia, dan sedang menjalani ART. Pasien dengan gangguan fisik atau mental berat dikecualikan. Sebanyak 121 subjek direkrut menggunakan metode pengambilan sampel acak sederhana. Data yang dikumpulkan meliputi karakteristik demografis, komorbiditas fisik, kondisi kesehatan mental, penggunaan zat, waktu inisiasi ART, durasi infeksi HIV, durasi penggunaan ART, kepatuhan pengobatan, dan dukungan sosial. Fungsi kognitif dinilai menggunakan Montreal Cognitive Assessment versi Indonesia (MoCA-INA). Analisis regresi linear dilakukan untuk mengidentifikasi faktor yang berhubungan dengan gangguan kognitif. Hasil: Rerata usia subjek adalah 40,25 ± 8,42 tahun dan mayoritas berjenis kelamin laki-laki. Prevalensi gangguan kognitif sebesar 55,4%. Pada analisis multivariat, keterlambatan inisiasi ART dan riwayat meningitis berhubungan secara signifikan dengan penurunan skor MoCA-INA. Setiap keterlambatan satu tahun inisiasi ART berhubungan dengan penurunan skor MoCA-INA sebesar 0,3 poin (p<0,05), sedangkan riwayat meningitis berhubungan dengan penurunan skor sebesar 2,63 poin (p<0,05). Simpulan: Keterlambatan inisiasi ART dan riwayat meningitis berhubungan dengan penurunan fungsi kognitif pada pasien HIV. Inisiasi ART sedini mungkin dan penapisan kognitif secara berkala perlu ditekankan untuk meningkatkan luaran jangka panjang.
Co-Authors Adityo Susilo, Adityo Agiananda, Feranindhya Aninditha, Tiara Anindyajati, Gina E. Mudjaddid A. Siswanto Deddy N.W.Achadiono Hamzah Shatri Edy Rizal Wahyudi Ellenzy, Gabriela Hervita Diatri Ika Prasetya Wijaya Ikhwan Rinaldi Kaka Renaldi Kurniasanti, Kristiana Siste Nugraeni, Tiara Pratiwi Assandi Pratiwi, Amalia Nur Rino Alvani Gani Siste, Kristiana Tobing, Heriani