Andrian Fajar Kusumadewi
Departemen Psikiatri, Fakultas Kedokteran, Kesehatan Masyarakat, Dan Keperawatan, Universitas Gadjah Mada, Yogyakarta, Indonesia

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Successful Management of Schizoaffective Disorder (Manic Type) in a Pregnant Woman with Electroconvulsive Therapy: A Case Report Kusumadewi, Andrian Fajar; Anindita Fabiola Rahma; Dyah Utami Nugraheni; Karina Safira Gozali; Kevin Thenedi; Milleninda Pasca Yushinta; Nabilah El Husna; Noka Yogahutama
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 1 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i1.1181

Abstract

Background: Schizoaffective disorder is a chronic mental health condition characterized by the presence of both psychotic and mood symptoms. Managing schizoaffective disorder during pregnancy presents unique challenges due to the potential risks of pharmacotherapy to the developing fetus. This case report describes the successful management of a pregnant woman with schizoaffective disorder (manic type) using electroconvulsive therapy (ECT). Case presentation: A 31-year-old woman, G2P1A0 with a gestational age of 26 weeks, was admitted to the psychiatric ward with symptoms of mania and psychosis, including disorganized behavior, threats of violence, suspicious delusions, auditory hallucinations, and visual illusions. Her symptoms had worsened after discontinuation of her antipsychotic medication due to pregnancy. She was diagnosed with schizoaffective disorder, manic type. Due to the potential risks of antipsychotic medication to the fetus, ECT was initiated. The patient responded well to ECT, with a significant reduction in her manic and psychotic symptoms. She was able to continue her pregnancy safely, and delivered a healthy baby at term. Conclusion: This case report highlights the effectiveness and safety of ECT in managing schizoaffective disorder during pregnancy. ECT can be considered a valuable treatment option for pregnant women with severe mental illness when the risks of pharmacotherapy outweigh the benefits.
The Link Between Parenting Styles and The Risk of Conduct Disorders : A Cross-Sectional Study Basuki Adi, Winengku; Pratiti, Budi; Kusumadewi, Andrian Fajar
Jurnal Psikiatri Surabaya Vol. 15 No. 1 (2026): May
Publisher : Faculty of Medicine, Universitas Airlangga

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Introductions: Adolescence is a critical phase in the transition to adulthood. It is marked by several challenges for teenagers, including an increase in delinquent behavior, substance abuse, and premature engagement in sexual activity when intervention is not sought promptly. The rising incidence of behavioral issues has far-reaching epidemiological implications, with parenting practices being identified as a significant contributing factor. The aim of the study manuscript is to investigate the correlation between parenting styles and the incidence of behavioral disorders in teenagers at one of the secondary schools in Yogyakarta. Methods: This study is non-experimental research that uses a cross-sectional approach. The parent and teacher versions of the Conduct Disorder Rating Scale instrument were used to gather information. The research involved 150 students as the subjects. The data was analyzed using the chi-square test and logistic regression. The level of significance for the statistical tests was set at p < 0.05. Result: Based on this research, the probability of behavioral issues was 15.3% according to the teachers’ reports and 28% according to the parents’ reports. The study also revealed a notable connection between parenting styles and the likelihood of behavioral disorders, as reported by both parents (p= 0.010, C= 0.240) and teachers (p= 0.009, C= 0.242). Conclusion: There is a significant correlation between authoritarian parenting and the likelihood of behavioral disorders in adolescents.