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All Journal Jurnal Kesehatan Masyarakat Jurnal Kesehatan Reproduksi JKKI : Jurnal Kedokteran dan Kesehatan Indonesia
Wirasto, Ronny Tri
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Health Professions Medicine & Pharmacology Nursing Public Health

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Medical Students Vulnerability on Anxiety: Its Frequency and Associated Factors Kusumadewi, Andrian Fajar; Marchira, Carla Raymondalexas; Widyandana, Doni; Wirasto, Ronny Tri; Dwidjoyono, Bernadeta Dinda Larasati; Phillabertha, Paulin Surya
Jurnal Kesehatan Masyarakat Vol 19, No 4 (2024)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v19i4.47566

Abstract

Abstract. Medical students are vulnerable populations at risk of mental health problems, particularly anxiety. Specifically during COVID-19, prevalence of anxiety among medical students increased rapidly and several factors affected its causes. This study aimed to find out the frequency of anxiety among medical students by using the TMAS questionnaire and factors that significantly contribute to anxiety levels. This cross-sectional study used simple random sampling of undergraduate medical students. The correlation between TMAS scores and several variables was analyzed with Spearman and Kruskall-Wallis correlation test and also multiple linear regressions. Among 275 respondents, the average age is 18.81 (SD 1.18), dominated by females (62.2%), in their first year (84.4%), non-scholarship (96.7%), lived in boarding houses (57.8%), and academic problem as the dominant cause of anxiety (46.5%). Later, 40.7% were anxious, then age and the year of study were found to be negatively correlated to their anxiety. A survey regarding the preferred form of anxiety therapy by medical students showed that 27.4% of respondents chose relaxation. These results are expected to help the development of future anxiety therapy based on the specific needs of medical students.Keywords: medical students, anxiety, demographic factors, TMAS, mental health
The Neutrophil-to-Lymphocyte Ratio (NLR) and suicidal ideation: A potential inflammatory indicator in affective disorders Wirasto, Ronny Tri; Arganist, Maharani Primastuti
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 16, No 2, (2025)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol16.Iss2.art7

Abstract

Background: Inflammation is increasingly recognized as a key factor in the pathophysiology of mental disorders, including affective disorders. Evidence suggests that elevated inflammation markers may be associated with a higher risk of suicidal ideation in patients with conditions such as depression and bipolar disorder. Cost-effective and accessible biomarkers are needed to identify individuals at high risk. The Neutrophil-to-Lymphocyte Ratio (NLR) is an easily obtainable inflammatory biomarker that may serve as a predictor of suicidal ideation in this population.Objectives: To evaluate the predictive performance of NLR for suicidal ideation in patients with affective disorders. Methods: A cross-sectional, retrospective study was conducted using secondary data from medical records of inpatients at Dr. Sardjito General Hospital, Yogyakarta, between January and December 2023. Eighty patients diagnosed with affective disorders were selected through consecutive sampling based on predefined inclusion and exclusion criteria. Participants were classified into two groups: those with suicidal ideation and those without. Categorical variables were comparedusing the Chi-square test and numerical variables analyzed using the Mann–Whitney U test or independent t-test, as appropriate. Receiver Operating Characteristic (ROC) curve analysis was performed to assess the predictive performance of NLR, with the Area Under the Curve (AUC), sensitivity, specificity, and optimal cut-off values reported. Results: The mean NLR was significantly higher in patients with suicidal ideation (3.55) than in those without (2.46)(p=<0.001). ROC curve analysis yielded an AUC value of 0.783 (p=<0.001). The optimal cut-off for NLR was 2.77, with a sensitivity of 72.5%,specificity of 72.5%, and accuracy of 72.5%. An odds ratio of 6.95 (95% CI) was observed, indicating a significant association between elevated NLR and suicidal ideation.Conclusion: A relationship exists between NLR and suicidal ideation in patients with affective disorders.
The Relationship Between Stress Level During Covid-19 Pandemic with The Intensity Of Dysmenorrhea Junitha, Euginia; Ganap, Eugenius Phyowai; Wirasto, Ronny Tri; Kusumanto, Ardhanu
JURNAL KESEHATAN REPRODUKSI Vol 11, No 2 (2024)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.111116

Abstract

Background: One of the modifiable risk factors of dysmenorrhea is stress. The stress level has a bidirectional relationship with dysmenorrhea and can interfere with the student’s quality of life. Due to the COVID-19 pandemic, many abrupt changes happened in the psychosocial and socioeconomic sectors might affect the psychological well-being of students, hence exacerbating the menstrual pain.Objective: The study aims to observe whether there is a positive relationship between stress level and dysmenorrhea intensity among college students in Universitas Gadjah Mada from batch 2019-2021.Method: Descriptive study with a cross-sectional approach. The sampling was done with simple random sampling with 155 participants in total. This study uses WaLIDD score and PSS-10 questionnaire in an online questionnaire form. Data analysis is done in univariate, bivariate, and multivariate.Results and Discussion: There is a positive relationship between stress level and dysmenorrhea intensity among female UGM students with a p-value of 0.031 (<0.05).Conclusion: Higher stress levels are significantly associated with increased dysmenorrhea intensity, indicating that psychological stress during the COVID-19 pandemic may play a pivotal role in exacerbating menstrual pain among female university students.
Co-Authors Andrian Fajar Kusumadewi Ardhanu Kusumanto Arganist, Maharani Primastuti Carla Raymondalexas Marchira, Carla Raymondalexas Dwidjoyono, Bernadeta Dinda Larasati Ganap, Eugenius Phyowai Junitha, Euginia Phillabertha, Paulin Surya Widyandana Widyandana