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All Journal JURNAL PROMOSI KESEHATAN INDONESIA Jurnal Kesehatan Masyarakat
Dharmady Agus
Department of Psychiatry and Behavioral Sciences, School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia
Education Public Health

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Identification and Treatment for Depressive Disorder: Descriptive Study from Indonesia Dharmady Agus; Nicholas Hardi; Fransisca Theresia; Aila Johanna; Rima Sisca Fanuela; Ika Suswanti
Jurnal Kesehatan Masyarakat Vol. 21 No. 1 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v21i1.14298

Abstract

Access to professional mental health services was low worldwide, especially in lower-middle-income countries. Indonesia encounters several challenges in providing adequate mental health care. Poor detection could reduce the treatment coverage. This study aimed to determine how many individuals with depression recognize their condition or receive an appropriate diagnosis, as well as the types of treatments they receive. We analyzed secondary data from the Indonesian Family Life Survey 5th edition (IFLS-5), which included socio-demographic data, levels of well-being, subjective experiences of mental health issues, and treatment information. We found that 6,645 respondents (22.8%) exhibited significant depressive symptoms, yet only 15 respondents (0.1%) reported having a lifetime psychiatric disorder that met the criteria for depression. Most lifetime psychiatric diagnoses (LPD) were made by doctors (93.3%). A significant portion of respondents with a history of psychiatric disorders did not receive any treatment (70.5%), and among those who did, medication was the most common approach. There was considerable gap between the identified significant depressive symptoms and LPD, warranting further exploration. Low detection rates and stigma, potentially linked to Indonesian culture and perceptions of mental health, may underlie these issues. A variety of treatment options must be available and accepted to be beneficial for patients.
Association of Comorbidities and Levels of Depression among Pre-elderly with HIV in DKI Jakarta Ni Wayan Mutiara Suasti Suta; Surilena Surilena; Dharmady Agus; Eva Suryani
Jurnal Promosi Kesehatan Indonesia Vol 20 No 1: January 2025
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.20.1.66-70

Abstract

Background: The presence of comorbidities in pre-elderly with HIV can worsen the disease symptoms, and disabilities, and lead to the emergence of depressive symptoms. Depression in the pre-elderly can cause a decrease in quality of life and failure to achieve successful aging. This study aims to determine the association between comorbidities and the level of depression among pre-elderly with HIV. Method: This is an observational analytic study with a cross-sectional method using a characteristic questionnaire (age, gender, education level, occupation, economic status, and marital status), comorbidities questionnaire, and PHQ-9 questionnaire. This study used convenience sampling and obtained 161 pre-elderly respondents (45—59 years) with HIV among pre-elderly with HIV in DKI Jakarta. The data analysis was done using the Fisher Exact test using STATA. Result: There were 161 pre-elderly with HIV, 74,16% were men, 55,28% were in Senior High School, 72,67% were working, 76,4% had low economic status, and 44,72% were not married. A total of 59,85% have one comorbid condition. There were 81,37% with physical comorbidities, including 40,82% arthritis, 38,27% hypertension, 6,63% diabetes mellitus, and 51,55% with depression including 27,95% mild depression, 16,15% moderate depression, 5,59% moderate severe depression, and 1,86% severe depression. No significant association was found between comorbidities and the levels of depression among pre-elderly with HIV (p=0,341). The presence of physical comorbidities in pre-elderly with HIV can affect the disease progression and its treatment. However, in this study, There is no significant association between comorbidities and the levels of depression among pre-elderly with HIV in DKI Jakarta.  It is recommended that further research be conducted using in-depth interviews to explore the relationship between physical comorbidities and depression in pre-elderly with HIV.
Co-Authors Aila Johanna Eva Suryani Fransisca Theresia Ika Suswanti Ni Wayan Mutiara Suasti Suta Nicholas Hardi Rima Sisca Fanuela Surilena Surilena