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Kasus Depresi Berulang pada Anak Usia Sekolah dengan Penolakan Bersekolah Puspitosari, Warih Andan; Pratiti, Budi
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 7, No 2 (2007)
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v7i2.1677

Depression in children is often under-recognized because not all children complain of sad feeling. The incidence of depression in prepuberty and adolescence is estimated 1.5-2.5% and 4-5% respectively. The clinical appearance is influenced by the childâ€™s age and psychological experience such as irritability, decrease of school achievement, withdrawal from social or leisure activity, and feeling more of inward signs like depressed, guilty or useless feeling and suicidal ideation. The aim of this paper is to report a case of recurrent child depression with refusal of going to school with method depth-interview towards the child and his family. Result of this report case of recurrent depression in a school-aged child with refusal to go to school was reported. A 10-year old boy who was in 5th grade of elementary school refused to go to school for 3 months. Clinical appearance showed sad looking, withdrawal, irritability, difficulty to sleep, depressed feeling, and decreased school achievement. The psychosocial stressor was bullying done by his schoolmates. Two years prior to the condition when he was in the 3th grade, the child showed the same clinical appearance with a stressor of mistreatment from his teacher. He was given pharmacotherapy and behavioral therapy.Berbeda dengan Depresi pada orang dewasa, kasus depresi pada anak sering tidak terdiagnosis (uunderrecognised), karena tidak semua penderita Depresi pada anak mengeluh sedih. Insiden anak prapubertas diperkirakan 1,5-2,5% dan menjadi 4-5% pada masa remaja. Gambaran klinis yang tampak pada anak dipengaruhi oleh usia dan pengalaman psikologis anak, seperti lekas marah (iirritable), prestasi sekolah menurun, menyingkir dari kegiatan sosial atau aktivitas yang menyenangkan dan anak merasa murung (inward sign) seperti perasaan yang tertekan, rasa bersalah, rasa tak berharga, dan pikiran bunuh diri, tujuannya adalah melaporkan 1 kasus depresi berulang pada anak dengan masalah penolakan bersekolah, metoda yang digunakan wawancara mendalam terhadap penderita dan keluarga penderita. Dilaporkan 1 kasus depresi berulang pada anak usia sekolah dengan masalah penolakan sekolah. Seorang anak laki-laki berusia 10 tahun, klas 5 SD, tidak mau sekolah selama 3 bulan. Gejala klinis yang ada adalah tampak sedih, tidak mau keluar rumah untuk berinteraksi dengan teman-temannya, mudah marah (irritabel), sulit tidur, merasa tertekan, prestasi belajar menurun, menyakiti diri sendiri. Stressor psikososial adalah perlakuan nakal dari teman-temannya dalam bentuk ejekan dan perilaku kasar yang menyakitkan. Dua tahun sebelumnya pada saat duduk di kelas 3, anak pernah mengalami hal serupa dengan stressor perlakuan gurunya yang tidak baik. Diberikan farmakoterapi dan terapi perilaku pada penderita.

Effectiveness of Social Skills Training to Improve Social Functioning Scores in Schizophrenia Patients at X Lawang Mental Hospital Ratna, Dwi; Supriyanto, Irwan; Pratiti, Budi
Jurnal Kedokteran Brawijaya Vol. 33 No. 2 (2024)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2024.033.02.10

Disability can cause social dysfunctions that affect daily activities, social interaction, and work, which has a significant impact on the quality of life of schizophrenics so that they depend on other people. The use of pharmacotherapy alone is not enough; psychosocial interventions such as social skills training (SST) is needed to improve social functioning in schizophrenic patients. Incorporating social skills training (SST) into a multifaceted treatment and rehabilitation program is deemed significant. The study aimed to determine the effect of social skills training to improve social functions in schizophrenia patients in X Lawang Mental Health. This study used a pre-experimental design with one group pre-test and post-test. Of 40 patients with schizophrenia who were admitted to X Lawang Mental Health fulfilled the inclusion and exclusion requirements. Social function scores were measured using the Personal and Social Performance (PSP) instrument before and after the social skills training intervention. The level of significance of statistical tests is stated at p<0.05. Data analysis used the Wilcoxon test and linear regression. There was significant difference in social functioning scores between before and after social skills training with a value of p=0.000 (p<0.05). The results of the multivariate linear regression test showed that social skills training had a statistically significant effect to improve social function scores with a value of p=0.000. Social skills training has a significant effect to improve social functioning scores in schizophrenics at X Lawang Mental Health.

Effectiveness of Social Skills Training to Improve Social Functioning Scores in Schizophrenia Patients at X Lawang Mental Hospital Ratna, Dwi; Supriyanto, Irwan; Pratiti, Budi
Jurnal Kedokteran Brawijaya Vol. 33 No. 2 (2024)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2024.033.02.10

Disability can cause social dysfunctions that affect daily activities, social interaction, and work, which has a significant impact on the quality of life of schizophrenics so that they depend on other people. The use of pharmacotherapy alone is not enough; psychosocial interventions such as social skills training (SST) is needed to improve social functioning in schizophrenic patients. Incorporating social skills training (SST) into a multifaceted treatment and rehabilitation program is deemed significant. The study aimed to determine the effect of social skills training to improve social functions in schizophrenia patients in X Lawang Mental Health. This study used a pre-experimental design with one group pre-test and post-test. Of 40 patients with schizophrenia who were admitted to X Lawang Mental Health fulfilled the inclusion and exclusion requirements. Social function scores were measured using the Personal and Social Performance (PSP) instrument before and after the social skills training intervention. The level of significance of statistical tests is stated at p<0.05. Data analysis used the Wilcoxon test and linear regression. There was significant difference in social functioning scores between before and after social skills training with a value of p=0.000 (p<0.05). The results of the multivariate linear regression test showed that social skills training had a statistically significant effect to improve social function scores with a value of p=0.000. Social skills training has a significant effect to improve social functioning scores in schizophrenics at X Lawang Mental Health.

Empowerment of posyandu lansia cadres in overcoming depression and violence among elderly women after the COVID-19 pandemic in Dukuh Panggungan Yudani, Alfi Fatima; Pratiti, Budi; DW, Sumarni; Probosuseno, Probosuseno; Purwanta, Purwanta
Journal of Community Empowerment for Health Vol 7, No 2 (2024)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.89230

Introduction: The COVID-19 pandemic has significantly impacted the mental health and safety of the elderly, particularly affecting elderly women. Research indicates a rise in anxiety and depression among older adults, with pre-existing elevated depressive symptoms exacerbating their resilience during this period. Increased isolation, financial strain, and restricted access to support services have led to a surge in elder abuse cases, disproportionately affecting women. Effective strategies, such as raising awareness and ensuring timely provision of resources, are crucial to safeguarding the mental well-being of the elderly. Indonesia's commitment to sustainable development and health equity, exemplified through initiatives like the Sustainable Development Goals, must address the specific challenges faced by elderly women in communities like Panggungan Village. The demographic shift towards an aging population, coupled with the pandemic's effects, further magnifies vulnerabilities. Empowering community-based resources can provide holistic support to elderly women, contributing to sustainable health development and social equity. Methods: The approach targets 15 Posyandu Lansia cadres and 20 elderly women in Panggungan Village through an offline community service program adhering to health protocols. Tools used in this study were the Mental Health Improvement Module, Geriatric Depression Scale questionnaire, and knowledge/skills assessment for Posyandu Lansia cadres. A combined quantitative and qualitative analysis was applied. Results: Results showed that 55% prevalence of verbal violence, 45% neglect, and 35% exploitation violence among elderly women. Post-training, these figures improved to 25% for verbal violence, 10% for exploitation violence, and 15% for neglect violence. Depression tendencies witnessed a 25% shift. Cadres’ knowledge increased from 58.2 to 82.1, and skills improved from 63.5 to 79.2. Conclusion: Elevated violence and depression tendencies that were quite high, negatively impact elderly women's mental health in Panggungan Village. Cadre’s training significantly enhances residents' well-being and mental health, offering a meaningful solution.

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