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All Journal Jurnal Kedokteran Jurnal Psikiatri Surabaya (Surabaya Psychiatry Journal)
Suksmi Yitnamurti
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Health Professions Medicine & Pharmacology

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Hubungan Kepribadian dengan Kontrol Glikemik Pasien Diabetes Mellitus Tipe 2 di RSUD Dr. Soetomo Surabaya Emmy Amalia; Suksmi Yitnamurti; Sony Wibisono
Jurnal Kedokteran Vol 8 No 1 (2019)
Publisher : Faculty of Medicine Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jku.v8i1.326

Abstract

Latar Belakang: Diabetes Mellitus (DM) adalah penyakit kronis yang paling umum diderita orang dewasa dengan angka kematian yang besar akibat komplikasi, sehingga penting untuk mengidentifikasi faktor-faktor yang berhubungan dengan kontrol glikemik pada pasien DM, salah satunya faktor kepribadian. Selama ini, peran kepribadian relatif diabaikan. Penelitian ini bertujuan untuk menganalisis hubungan antara unsur kepribadian dengan kontrol glikemik pasien DM tipe 2 di Unit Rawat Jalan Poli Diabetes RSUD dr. Soetomo. Metode: Penelitian analitik observasional cross sectional dengan metode consecutive sampling terhadap pasien DM tipe 2 yang berkunjung ke Unit Rawat Jalan Poli Diabetes RSUD Dr Soetomo Surabaya. Instrumen yang digunakan meliputi skala Personality Psychopathology Five (PSY-5) Tes Kesehatan Mental Indonesia (TKMI), Perceived Stress Scale (PSS), dan kadar HbA1c darah. Data disajikan dalam tabel dan grafik dengan uji regresi logistik ganda dan analisis statistik menggunakan SPSS 19.0. Hasil: Skor unsur psychoticism pasien DM tipe 2 di Poli Diabetes RSUD Dr. Soetomo Surabaya lebih tinggi dari unsur kepribadian lain (mean 57,54; median 56; skor terendah 38; skor tertinggi 93); 59,8% pasien mempunyai tingkat perceived stress sedang; 77% pasien mempunyai kadar HbA1c yang tidak terkontrol; unsur kepribadian psychoticism secara bermakna berhubungan dengan perceived stress (p 0,031; β 0,064) dan unsur kepribadian discontraint secara bermakna berhubungan negatif dengan perceived stress (p 0,018; β -0,108); didapatkan hubungan negatif antara perceived stress dengan kontrol glikemik (p 0.001; β -3,571). Kesimpulan: Kepribadian berhubungan dengan kontrol glikemik pada pasien DM tipe 2 di unit rawat jalan Poli Diabetes RSUD Dr. Soetomo Surabaya melalui perceived stress.
Acceptance and Commitment Therapy (Act) in Psychotic Patient Khairunnisa; Suksmi Yitnamurti
Jurnal Psikiatri Surabaya Vol. 13 No. 1 (2024): May
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jps.v13i1.33317

Abstract

Introductions: Psychosis is a condition of severe mental disorder characterised by the presence of disability in assessing reality. Schizophrenia is the most common psychotic disorder. It is also associated with long-term disability. ACT is one of the newest psychological interventions for psychotic patients. This paper aims to describe ACT as the newest psychotherapy intervention and its advantages for psychotic patients. Review: The management of psychosis is a combination of the use of antipsychotics, psychotherapy, and psychosocial therapy. ACT is one of the newest psychological interventions for psychotic patients that aims to increase the patient's psychological flexibility through six core processes of therapy: acceptance, cognitive defusion, being present, self as context, value, and committed action. ACT does not target symptom reduction. Therapists help patients recognise and reduce unnecessary struggles with psychological content so that patients can develop an accepting attitude and be able to move towards the values they hold. Conclusions: The use of third-wave behavioural therapy based on mindfulness and acceptance showed good results in patients with psychotic disorders. ACT aims to help individuals accept things that are beyond their control and commit to actions that can improve their lives. Research on the clinical adaptation of ACT for psychosis has shown good initial results in reducing distress due to psychotic symptoms, better regulation of emotions, and reducing relapsing rates.
Loneliness and Back Pain Suksmi Yitnamurti; Agustina Konginan
Jurnal Psikiatri Surabaya Vol. 13 No. S1 (2024): Special Issue (More About Loneliness Towards Mental Health)
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jps.v13iS1.62662

Abstract

Introduction: Back pain is a common reason for being absent from work and seeking medical treatment. It can result from injury, activity, and some medical conditions. Back pain consists of lower back pain and upper back pain. Back pain does have a physical cause, but it can also be triggered by precipitating factors, namely loneliness. To explain the mechanism that associates back pain with loneliness. Methods: Literature review. Results: Loneliness is divided into 2 types, namely social loneliness and emotional loneliness. Social loneliness is associated with the absence of a social network from the same circle, with which they can share the same activities or interests. Emotional loneliness can arise due to the absence of close emotional attachment. Whether or not back pain persists depends on whether the individual chooses problem-solving or problem avoidance. Loneliness in several studies increases the morbidity rate of physical and mental illness and also the mortality rate. Early detection of somatic symptoms and loneliness requires a self-measurement scale. Therapeutic interventions aimed at increasing social connection hold merit in reducing the impact of pain on engagement with activities. The treatments are usually Cognitive Behavioral Therapy (CBT) and Antidepressants. If necessary, consulting a psychiatrist is recommended. The cooperation of orthopedists, rheumatologists, and physical therapists with psychiatrists can be useful in improving the condition of patients. Conclusions: Recommendations for management are needed both in terms of general and specific strategies, as well as loneliness interventions. Keywords: Loneliness, Back Pain, Good Health and Wellbeing
Co-Authors Emmy Amalia Khairunnisa Konginan, Agustina Sony Wibisono