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All Journal Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Jurnal Plastik Rekonstruksi Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia PAEDAGOGY : Jurnal Ilmu Pendidikan dan Psikologi Journal of Psychiatry Psychology and Behavioral Research (JPPBR)
Raharjanti, Natalia Widiasih
Departemen Ilmu Kesehatan Jiwa (Psikiatri), Fakultas Kedokteran Universitas Indonesia/ Rumah Sakit Umum Pusat Dr.Cipto Mangunkusumo,Jakarta.
Humanities Biochemistry, Genetics & Molecular Biology Civil Engineering, Building, Construction & Architecture Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences Other

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HUBUNGAN PSIKOPATOLOGI DENGAN MEKANISME KOPING PADA PEREMPUAN DENGAN HIV/AIDS DI RSCM TAHUN 2016 Tambunan, Yunita; Redayani, Petrin; Siste, Kristiana; Widiasih, Natalia
Majalah Kedokteran Indonesia Vol 68 No 2 (2018): Journal of the Indonesian Medical Association Majalah Kedokteran Indonesia Volum
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

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Abstract

Pendahuluan: Perempuan dengan HIV/AIDS memiliki risiko mengalami psikopatologi yang lebih tinggi dibanding laki-laki, meskipun data pendukung mengenai hal ini sangat minim. Untuk mengatasi stresor yang dialami, penderita HIV/AIDS membangun berbagai bentuk mekanisme koping, dan seringkali menggunakan mekanisme koping yang maladaptif. Tujuan penelitian ini adalah mengetahui adanya hubungan antara psikopatologi dan mekanisme koping pada perempuan dengan HIV/AIDS. Metode: Penelitian ini menggunakan desain potong lintang dengan menilai psikopatologi (kuesioner SCL-90), dan mekanisme koping (kuesioner Brief COPE) pada perempuan dengan HIV/AIDS di Pokdisus RS Cipto Mangunkusumo. Hasil: Dari 116 responden sejumlah 37,1% memiliki psikopatologi, dan diantaranya psikopatologi terbanyak adalah depresi (44,2%). Mekanisme koping yang tersering digunakan oleh seluruh responden adalah religion (46,6%). Korelasi psikopatologi dengan mekanisme koping adalah r= 0,292 dan p=0,001. Kesimpulan. Didapatkan hubungan bermakna dengan korelasi positif dan kekuatan lemah antara psikopatologi dan mekanisme koping. Mekanisme koping religion lebih banyak digunakan oleh responden tanpa psikopatologi. Responden dengan psikopatologi yang menggunakan koping religion sering disertai dengan penggunaan koping self blame. Manajemen tatalaksana perempuan dengan HIV/AIDS yang komprehensif dapat dilakukan dengan deteksi dini psikopatologi dan mekanisme koping.
PENGGUNAAN ANTIPSIKOTIK PADA LANSIA DAN EFEK KARDIOVASKULAR: EVIDENCE BASED CASE REPORT Kasmianto Abadi; Natalia Widiasih; Profitasari Kusumaningrum; Martina W.Nasrun
Majalah Kedokteran Indonesia Vol 68 No 12 (2018): Journal of The Indonesian Medical Association Majalah Kedokteran Indonesia Volu
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.1234/jinma.v68i12.207

Abstract

Latar Belakang Penggunaan Antipsikotik pada lanjut usia (lansia) berhubungan dengan efek samping kardiovaskular. Beberapa efek samping kardiovaskular dapat terjadi pada lansia baik ringan hingga dapat menyebabkan kematian mendadak. Jenis antipsikotik yang digunakan diduga berhubungan dengan kejadian mortalitas sistem kardiovaskular.Metode: Pencarian terstruktur dilakukan di Pubmed, EBSCO, dan Science Direct menggunakan kata kunci berdasarkan konsep Boolean operators yang sesuai dengan pertanyaan klinis. Populasi target yaitu pasien lanjut usia yang menggunakan antipsikotik dan efek terhadap sistem kardiovaskular.Hasil: Setelah menyaring 68 judul dan abstrak dengan menggunakan kriteria inklusi dan eksklusi, didapatkan 2 artikel. Selanjutnya dilakukan telaah kritis berdasarkan kesahihan, kepentingan hasil, dan aplikasi. Kedua artikel memperlihatkan adanya hubungan yang signifikan antara penggunaan antipsikotik dan kejadian mortalitas kardiovaskular.Kesimpulan: Penggunaan antipsikotik pada lansia dapat menyebabkan risiko mortalitas kardiovaskular, perlu untuk menilai profil keuntungan dan risiko penggunaan obat antipsikotik serta penyesuaian dosis dan evaluasi efek samping.
Validity and Reliability od Postgraduate Hospital Educational Environment Measure - Bahasa Indonesia Version Natalia Widiasih Raharjanti; Adhitya Sigit Ramadianto
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 5, No 3 (2016): NOVEMBER
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (232.761 KB) | DOI: 10.22146/jpki.25375

Abstract

Background: Educational environment is an essential factor influencing performance of medical residents, and unsupportive educational environment is associated with considerable harmful impacts. The Postgraduate Hospital Educational Environment Measure (PHEEM) is a self-administered questionnaire designed to measure residents’ perception of their educational environment. This study aims to establish the validity and reliability of PHEEM - Bahasa Indonesia version. Methods: The original PHEEM is translated and modified through an expert panel discussion. Construct validity is measured by corrected item-total correlation. Internal consistency reliability is measured by Cronbach’s alpha. Sample was taken from neurology and radiology residents. Results: The first validation trial was done on 44 neurology residents while the second trial was done in 35 radiology residents. Almost all item scores are correlated with the total score with r > 0,3. Cronbach’s alpha of PHEEM is 0,89 and 0,91 in the first and second trial, respectively.Conclusion: This is the first PHEEM validation study in Indonesia; changes to the instrument were made to maintain face and content validity. While the sample size is small and not selected randomly, PHEEM - Bahasa Indonesia version has acceptable validity and reliability to be used in research and evaluation of residency programs.
Hubungan Psikopatologi dengan Mekanisme Koping pada Perempuan dengan HIV/AIDS di RSCM Tahun 2016 Yunita Tambunan; Petrin Redayani; Kristiana Siste; Natalia Widiasih
Majalah Kedokteran Indonesia Vol 68 No 2 (2018): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.68.2-2018-86

Abstract

Introduction : Women with HIV/AIDS have greater risk than men in having psychopathology although the data about this is still scarce. To resolve stress, patients with HIV/AIDS build many coping mechanism, often the maladaptive ones. This study aims to assess the relationship between psychopathology and coping mechanism in women with HIV/AIDS. Method : A cross-sectional study was conducted to determine psychopathology (using SCL-90 questionnaire), and coping mechanism (using Brief COPE questionnaire) among women with HIV/AIDS at Pokdisus of Cipto Mangunkusumo Hospital. Results : Among 116 subjects, 37,1% had psychopathology with depression as the most common psychopatology (44.2%). Most respondents used religion as their coping mechanism (46,6%). The coefficient correlation between psychopathology and mechanism of coping was r=0,292 and p=0,001. Conclusion : There was a significant difference with positive correlation between psychopathology and mechanism of coping. Respondents without psychopathology usually used religion coping mechanism whereas respondents with psychopathology often used religion and self blame coping. A comprehensive management in female with HIV/AIDS can be done by early detection of their psychopathology and coping mechanism.
Penggunaan Antipsikotik pada Lansia dan Efek Kardiovaskular: Evidence Based Case Report Kasmianto Abadi; Natalia Widiasih; Profitasari Kusumaningrum; Martina W.Nasrun
Majalah Kedokteran Indonesia Vol 68 No 12 (2018): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, V
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.68.12-2018-207

Abstract

Background: Effects of antipsychotics in the elderly (elderly) is associated with cardiovascular side effects. Some cardiovascular side effects can occur in the elderly and can cause sudden death. The type of antipsychotics used is thought to be related to the incidence of cardiovascular mortality.Methods: A structured search was conducted at Pubmed, EBSCO, and Science Direct using keywords based on the Boolean operators concept that was suitable for clinical questions. The target population is elderly patients who use antipsychotics and effects on the cardiovascular system.Results: After filtering 68 titles and abstracts using inclusion and exclusion criteria, 2 articles were obtained. Furthermore, a critical review is based on validity, importance of results, and application. Both articles showed a significant association between the use of antipsychotics and the incidence of cardiovascular mortalityConclusions: The use of antipsychotics in the elderly can lead to cardiovascular mortality risk, it is necessary to assess the profile of the benefits and risks of using antipsychotic drugs as well as dose adjustments and evaluation of side effects.
The Association Between Psychopathology Ans Quality Of Life In Burn Patients At Dr. Cipto Mangunkusumo Hospital, Jakarta Winanda, Rizki Aniza; Kusumadewi, Irmia; Wardhana, Aditya; Wiguna, Tjhin; Raharjanti, Natalia Widiasih
Jurnal Plastik Rekonstruksi Vol. 4 No. 2 (2017): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (286.638 KB) | DOI: 10.14228/jpr.v4i2.235

Abstract

Background : Burns result in severe injuries that cause damage or loss of tissue due to contact with sources of heat resulting in injuries to all body systems. Injuries of the skin, which functions as a barrier to protect internal organs, may cause patients to experience damage to one's physical appearance and body image causing negative feelings that may lead to other problems such as psychopathology and symptoms of mental illness. Method : A cross sectional study with consecutive sampling method of burn patients who were treated at the Plastic Surgery Outpatient Clinic and Burn Unit of RSCM was conducted between April-May 2017. Subjects were asked to fill in self-report questionnaires including patient identity form, SRQ-20 (cutoff point ?6) for presence of psychopathology, and WHOQoL-BREF to obtain mean scores of quality of life that include four domains of physical, psychological, social, and environment assessment. Data collected was analyzed using correlation analysis. Result : 56 burn patients were included in the study. 30.4% did not work and 48.2% had very low income per month. 67.9% patients experienced burns due to fire and 44.6% had burns 10-30% of the TBSA with a majority of patients (80.4%) experiencing a combination of second & third degree burns. Based on the analysis, 57.1% of patients had a form of psychopathology and low mean scores of quality life (physical domain 48.1, psychological domain 51.5). Significant negative correlations (p ? 0.05) were obtained between the psychological domain and symptoms of depression, anxiety, low energy; physical domain and low energy; and social domain with anxiety. Conclusion: This study obtained significant results to identify the correlation between psychopathology and various domains of quality of life affected.
TERAPI KOGNITIF PERILAKU PADA KASUS TRIKOTILOMANIA DAN GANGGUAN PENYESUAIAN DENGAN REAKSI DEPRESI BERKEPANJANGAN: SEBUAH LAPORAN KASUS Widyarini, I Gusti Agung Ayu; Raharjanti, Natalia Widiasih; Kusumawardhani, Anak Agung Ayu Agung
PAEDAGOGY : Jurnal Ilmu Pendidikan dan Psikologi Vol. 5 No. 2 (2025)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia (P4I)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/paedagogy.v5i2.5868

Abstract

ABSTRACT Trichotillomania and adjustment disorder with prolonged depressive reactions are comorbidities that cause significant distress and severe impairment in social, occupational, and other important areas of daily functioning. As an evidence-based psychotherapeutic intervention, Cognitive Behavior Therapy (CBT) has been shown to be effective in treating disorders rooted in cognitive distortions and maladaptive behaviors. This case report aims to illustrate in detail the therapeutic process and outcomes of a CBT intervention given to a female patient with this dual diagnosis. The main intervention stages involved structured CBT sessions that were specifically integrated with Habit Reversal Therapy (HRT) techniques to target hair pulling behavior, and graded exposure techniques to address social anxiety. Evaluation results during and after therapy showed significant clinical improvement in the patient. Key findings included a dramatic decrease in the frequency, duration, and amount of hair pulling, as well as a reduction in the level of tension when relating to others. This report concludes that a structured combination of CBT, HRT, and graded exposure is a comprehensive and effective intervention strategy in treating a complex case of trichotillomania with adjustment disorder. ABSTRAK Trikotilomania dan gangguan penyesuaian dengan reaksi depresi berkepanjangan merupakan komorbiditas yang menimbulkan penderitaan (distress) signifikan dan hendaya berat pada fungsi sosial, pekerjaan, serta area penting lainnya dalam kehidupan sehari-hari. Sebagai intervensi psikoterapi berbasis bukti, Terapi Perilaku Kognitif (Cognitive Behavior Therapy/CBT) terbukti efektif untuk mengatasi gangguan yang berakar pada distorsi kognitif dan perilaku maladaptif. Laporan kasus ini bertujuan untuk mengilustrasikan secara rinci proses dan luaran terapeutik dari intervensi CBT yang diberikan kepada seorang pasien perempuan dengan diagnosis ganda tersebut. Tahapan intervensi utama melibatkan sesi CBT terstruktur yang diintegrasikan secara khusus dengan teknik Habit Reversal Therapy (HRT) untuk menargetkan perilaku mencabut rambut, serta teknik graded exposure untuk mengatasi kecemasan sosial. Hasil evaluasi selama dan sesudah terapi menunjukkan perbaikan klinis yang signifikan pada pasien. Temuan utama meliputi penurunan drastis pada frekuensi, durasi, dan jumlah rambut yang dicabut, serta berkurangnya tingkat ketegangan saat berelasi dengan orang lain. Laporan ini menyimpulkan bahwa kombinasi terstruktur antara CBT, HRT, dan graded exposure merupakan strategi intervensi yang komprehensif dan efektif dalam menangani kasus kompleks trikotilomania dengan gangguan penyesuaian.
FORENSIC PSYCHIATRY PERSPECTIVE ON FIT-TO-WORK EXAMINATION PROCEDURE: A SYSTEMATIC REVIEW Lestari, Ni Kadek Duti Ardi Suarjani Putri; Raharjanti, Natalia Widiasih; Riana, Henny
Journal of Psychiatry Psychology and Behavioral Research Vol. 6 No. 2 (2025): Mental Health Framework from a Multidisciplinary Perspective
Publisher : Departemen Psikiatri Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jppbr.2025.006.02.9

Abstract

Introduction: Currently, there is a trend of increasing requests for fit-to-work examinations from several institutions regarding their mental health of employees, which are expected to provide some input for actions or decisions, such as termination due to their mental disorder, temporary permit leave, or other forms of assistance. This phenomenon was observed at Professor Dr. Soerojo Mental Health Hospital, Magelang, and Dr. Cipto Mangunkusumo General Hospital, Jakarta, as two hospitals that represent the work situations of the authors. This study aimed to search for a standardized FFD evaluation to release an accurate and objective forensic psychiatry report and minimize the risk of legal conflict and dispute. Methods: This qualitative systematic review used the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) method. The clinical question was formulated with the PICO model, which focuses on the fit-to-work examination procedure from a forensic psychiatry perspective. The search was conducted in PubMed, Scopus, ProQuest, PsycInfo, and Cochrane databases. Results: The search yielded 5 matched articles, which were then analyzed and compared to each other afterwards. The analysis included the steps of the fitness for duty examination procedure and the formulation of opinions based on the examination. Discuss: The stages involved in a psychiatrist's assessment of fitness for work include the examination stage and the formulation of examination results to form an opinion regarding fitness for work to produce an objective forensic psychiatric report. Conclusion: Clinician or forensic psychiatry team must take note of clear and concise examination in forensic psychiatry and give specific recommendations and advice to the referrer if therapy is required, including an explanation of the type and frequency of therapy needed and how recovery will occur. This will help the referrer understand exactly how an individual who is currently unfit for work can become fit for work in the future, as well as explain how symptoms of mental disorders can arise in the work environment and describe the early signs of recurrence.
Co-Authors Adhitya Sigit Ramadianto Aditya Wardhana Ardi Findyartini Irmia Kusumadewi Kasmianto Abadi Kasmianto Abadi Kristiana Siste Kusumawardhani, Anak Agung Ayu Agung Lestari, Ni Kadek Duti Ardi Suarjani Putri Martina W.Nasrun Martina W.Nasrun Mona Marlina Petrin Redayani Profitasari Kusumaningrum Profitasari Kusumaningrum Redayani, Petrin Riana, Henny Siste, Kristiana Tambunan, Yunita Tjhin Wiguna Widyarini, I Gusti Agung Ayu Winanda, Rizki Aniza Yunita Tambunan