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Unveiling Bullying Dynamics in Islamic Boarding Schools for Adolescent Mental Health Promotion Khamida, Khamida; Fitriyah, Fifi Khoirul; Hidaayah, Nur; Fitriasari, Andikawati; Algristian, Hafid; Soleha, Umdatus; Iskandar
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 13 No. SI2 (2025): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V13.ISI2.2025.8-13

Abstract

Background: Islamic boarding schools as educational institutions that teach religious morals as a basis for behavior should be a safe and comfortable place of education for students. There should be no more violence occurring in Islamic boarding schools, but in fact, recently there has been a lot of news about incidents of violence or bullying occurring in Islamic boarding schools. Islamic boarding schools are expected to provide a safe environment for students while fostering religious and moral values. However, incidents of bullying continue to occur within these institutions, highlighting a gap between expected and actual student experiences. Objective: This study aimed to analyze the factors that influence bullying incidents in an Islamic boarding school environment. Methods: A cross-sectional study was conducted at Al-Hidayah Islamic Boarding School, Sidoarjo, involving 109 students selected through simple random sampling (10% of the population). Independent variables included age, gender, school level, length of stay, and peer perception, while the dependent variable was bullying incidence. Data were collected using a validated and reliable questionnaire and analyzed using multiple linear regression at a significance level of 0.05. Results: The results indicated that 68.8% of respondents were in early adolescence (12–16 years), 60.6% were male, and 52.3% had stayed at the boarding school for over 35 months. Additionally, 68.8% of respondents had negative perceptions of their peers. The regression analysis yielded a significance value of 0.004 (p < 0.05) with an R-square of 15.4%, indicating that all independent variables jointly influenced bullying incidents. Conclusion: Age, gender, school level, length of stay in the boarding school, and peer perceptions collectively influence bullying behavior among students. These findings highlight the need for boarding school administrators to implement policies and interventions that address these contributing factors to reduce bullying prevalence.
Delirium in Bipolar Disorder as a Triggering Factor to Cognitive Decline: A Case Report and Neuroprogression Insight Ahadiah, Hayyunah Rohmatul; Syadza, Lailatus; Shafly, Moch Syafirul Nur; Asikah; Algristian, Hafid
Sinergi International Journal of Psychology Vol. 3 No. 4 (2025): November 2025
Publisher : Yayasan Sinergi Kawula Muda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61194/psychology.v3i4.784

Abstract

Bipolar disorder is a major contributor to global disability, affecting not only mood regulation but also cognitive function, and its impact is often exacerbated by metabolic comorbidities such as type 2 diabetes mellitus, hypertension, and dyslipidemia. These comorbid conditions can lead to poorer clinical outcomes and increase the risk of neuropsychiatric complications such as delirium and cognitive impairment, which are frequently overlooked in clinical practice. This article aims to describe and analyze the case of a 31-year-old male with a history of bipolar disorder who presented with a hyperglycemic crisis and pneumonia, followed by the onset of acute delirium and subsequent cognitive decline. Through a descriptive clinical approach, the patient’s medical and psychiatric history, laboratory findings, and treatment course are reviewed to explore the complex interaction between mood disorders and metabolic dysfunction. The analysis reveals a strong link between metabolic dysregulation and worsening neuropsychiatric outcomes. This case underscores the importance of early detection and an integrated, multidisciplinary management approach to prevent long-term cognitive deterioration in patients with psychiatric disorders accompanied by metabolic conditions, offering important implications for future clinical practice.
Hormonal Influence on Mood Dysregulation: A Case of Bipolar Disorder with Endometriosis Sakdyah, Halimatus; Septina, Egy Atthahirah; Pramesta, Linda Ramadhanty; Ikhsan, Muhammad; Shafira , Alsa; Nurhayati , Endi; Algristian, Hafid
Sinergi International Journal of Psychology Vol. 3 No. 4 (2025): November 2025
Publisher : Yayasan Sinergi Kawula Muda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61194/psychology.v3i4.829

Abstract

Bipolar disorder often coexists with gynecological conditions such as endometriosis, presenting clinical challenges due to overlapping hormonal and neuropsychiatric influences. The impact of hormonal therapy on mood stability in women with affective disorders remains underexplored. We report the case of a 30-year-old woman with bipolar II disorder, stable for nearly two years on lamotrigine, who developed mood destabilization after initiating hormonal treatment for stage III endometriosis. Sequential regimens—dienogest, norethisterone, and ethinylestradiol–levonorgestrel—were temporally associated with new or worsening mixed affective symptoms, including agitation, insomnia, irritability, and emotional lability, despite adherence to mood stabilizers. Her Hamilton Depression Rating Scale score increased from 9 to 21 within three months, with laboratory evaluation showing elevated estradiol and suppressed luteinizing hormone, supporting a hormone-related mechanism. A structured literature review (PubMed, Scopus, Google Scholar, 2000–2024) identified limited but consistent evidence that synthetic progestins may exacerbate psychiatric symptoms in mood-vulnerable populations through neuroendocrine and neurotransmitter modulation. This case underscores the importance of recognizing hormonally induced mood dysregulation in women with pre-existing psychiatric disorders and highlights the need for proactive management strategies. We recommend pre-treatment psychiatric screening, structured and longitudinal mood monitoring throughout hormonal therapy, and close interdisciplinary collaboration between gynecology and psychiatry to optimize outcomes. Integrated care approaches may reduce the risk of mood destabilization, enhance safety, and improve quality of life for women facing the dual burden of bipolar disorder and endometriosis.
Toward Equitable Digital Mental Health: Integrating AI and Telepsychiatry in Global Practice Algristian, Hafid; Sitorus, Anwar T
Digitus : Journal of Computer Science Applications Vol. 2 No. 2 (2024): April 2024
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/digitus.v2i2.834

Abstract

In response to the growing mental health crisis and the expansion of digital healthcare, this narrative review explores the application of telepsychiatry and artificial intelligence (AI) in mental health services. The study aims to synthesize recent developments, challenges, and future directions in digital mental health innovation. A systematic literature search was conducted across PubMed, Scopus, and Web of Science databases, focusing on studies published between 2016 and 2023. Keywords such as "telepsychiatry," "mental health," "artificial intelligence," and "technology adoption" were used to identify relevant empirical and theoretical works. Inclusion criteria emphasized real-world applications and stakeholder perspectives. The results reveal substantial variability in the understanding and implementation of telepsychiatry across different regions and populations. Socioeconomic factors, digital literacy, and cultural perceptions significantly influence the acceptance and success of digital interventions. While AI-driven tools improve diagnostic efficiency and reduce treatment delays, systemic barriers such as regulatory limitations, institutional resistance, and data privacy concerns impede widespread adoption. Comparative analysis highlights a more favorable reception in high-income countries, though underserved populations in both developed and developing nations continue to face accessibility challenges. These findings underscore the urgent need for inclusive policies, capacity-building initiatives, and ethical AI governance frameworks. Addressing these factors can bridge existing gaps and ensure more equitable mental healthcare. The study concludes by emphasizing the importance of sustained interdisciplinary research to refine telepsychiatric models and promote socially responsible technology integration.
Suicide Ideas as Dissociative Symptoms in Patients with Severe Depression: A Case report Makka, Isna Meirilla Zahara Al; Yusmadewi, Aaliyah; Fatwa, Ahmad Misbahul Ulum; Billah, Illa; Imron, Muhammad Istio Hadi Al; Suwarti, Ariyani Sri; Algristian, Hafid
Psychosocia : Journal of Applied Psychology and Social Psychology Vol. 3 No. 1 (2025): January 2025
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/psychosocia.v3i1.755

Abstract

Dissociative symptoms such as depersonalization, derealization, and amnesia frequently occur in patients with severe depression and significantly heighten suicide risk, particularly when childhood trauma is present. This case report presents a 20-year-old woman with major depressive disorder and dissociative symptoms including unintentional self-harm, hallucinations, and nightmares related to past abuse. Clinical data were collected via structured clinical interviews, direct observation, and patient self-report, with diagnostic confirmation using DSM-5 criteria. The case illustrates how dissociation, trauma, and disrupted emotional regulation interact to intensify hopelessness and impulsivity. Comprehensive treatment, including trauma-focused cognitive behavioral therapy (CBT), pharmacotherapy, and emotional expression techniques such as journaling, led to gradual symptom relief. This case highlights the importance of early identification of dissociative symptoms in depressed individuals with trauma history to reduce suicide risk.
Hallucinations in Bipolar Disorder: A Spectrum Between Psychotic Features and Affective Intensification Pramesta, Linda Ramadhanty; Sakdyah, Halimatus; Egy Atthahirah Septina; Ikhsan, Muhammad; Shafira, Alsa; Winaryani; Algristian, Hafid
Psychosocia : Journal of Applied Psychology and Social Psychology Vol. 3 No. 1 (2025): January 2025
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/psychosocia.v3i1.757

Abstract

Hallucinations, while traditionally associated with schizophrenia spectrum disorders, are increasingly recognized in individuals with bipolar disorder, particularly in rapid cycling forms. Such manifestations complicate diagnosis and, if overlooked, may lead to poorer prognoses. This case report describes the clinical course and management of a 30-year-old female with bipolar I disorder, rapid cycling subtype (≥6 episodes/year), presenting with impulsivity, emotional instability, and mild auditory hallucinations. Her history included childhood emotional and physical abuse. Assessments involved DSM-5 structured interviews, the Young Mania Rating Scale (YMRS), Hamilton Depression Rating Scale (HAM-D), and Difficulties in Emotion Regulation Scale (DERS). Findings indicated pronounced affective lability, trauma-related personality traits overlapping with borderline personality disorder, and partial resistance to prior pharmacological treatment. During inpatient care, she was treated with valproate and low-dose quetiapine, complemented by psychoeducation and trauma-focused psychotherapy, producing notable improvement despite residual mood instability. This case underscores the interaction between trauma, affective dysregulation, and psychotic-like features in rapid cycling bipolar disorder (RCBD). Hallucinations here may reflect affective intensification rather than primary psychosis, stressing the need for careful differential diagnosis and trauma screening. The implications advocate routine trauma-informed assessments in bipolar disorder and highlight the efficacy of multimodal strategies combining pharmacological stabilization with targeted psychotherapy. Integrating trauma-focused care with mood management can enhance long-term outcomes in RCBD, particularly where conventional treatment shows partial resistance.
Fantasy, Dissociation, or Hallucination? Clinical Challenges in the Assessment of Childhood Psychopathology: A Case Report Fatwa, Ahmad Misbahul Ulum; Merilla, Isna; Yusmadewi, Aaliyah; Imron, Muhammad Istio Hadi Al; Billah, Illa; Suwarti, Ariyani Sri; Algristian, Hafid
Psychosocia : Journal of Applied Psychology and Social Psychology Vol. 3 No. 2 (2025): April 2025
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/psychosocia.v3i2.758

Abstract

Childhood trauma is increasingly recognized as a major contributor to psychopathological outcomes such as hallucinations, dissociative symptoms, and maladaptive fantasy use. This case report explores a 20-year-old female patient with a history of recurrent trauma since early childhood, who developed auditory hallucinations commanding self-harm, dissociative episodes, and persistent escapist fantasy as coping mechanisms. Using a case study approach supported by literature review, we examined the clinical trajectory, psychological symptoms, and coping strategies used by the patient. Findings suggest that early and prolonged trauma may distort reality monitoring and identity integration, with dissociation and fantasy serving as maladaptive emotional regulation tools. This case adds to the understanding of how childhood trauma can produce overlapping features of dissociative and psychotic-like symptoms. The report emphasizes the importance of early screening for dissociation and fantasy-based coping in trauma-exposed adolescents, particularly when hallucinations are present. Early interventions, including trauma-informed psychotherapy and family support, may prevent progression to chronic psychiatric disorders.
Dissociative and Hallucination as Main Symptoms of Borderline Personality Disorders: A Case report Yusmadewi, Aaliyah; Fatwa, Ahmad Misbahul Ulum; Makka, Isna Meirilla Zahara Al; Billah, Illa; Imron, Muhammad Istio Hadi Al; Suwarti, Ariyani Sri; Algristian, Hafid
Psychosocia : Journal of Applied Psychology and Social Psychology Vol. 3 No. 2 (2025): April 2025
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/psychosocia.v3i2.759

Abstract

Borderline Personality Disorder (BPD) is a complex psychiatric condition often accompanied by dissociative symptoms and hallucinations. These symptoms are not merely comorbid features but appear to be integral aspects of the disorder's pathology. This case report presents a 20-year-old female patient with a history of childhood trauma and persistent emotional distress, who exhibited dissociation and auditory hallucinations as primary clinical features. Approximately 75–80% of individuals with BPD experience dissociation, while 30–50% report hallucinations, particularly under emotional stress. In this case, dissociative states such as depersonalization and amnesia preceded hallucinatory experiences, suggesting a causal link. The patient demonstrated episodes of memory loss, out-of-conscious behavior, and auditory command hallucinations, which significantly impaired her functioning. These symptoms were exacerbated by academic pressure and unresolved trauma. The interplay between dissociation and hallucination highlights the importance of trauma-informed, emotion-regulation-focused interventions. Clinicians should assess these symptoms systematically, as their presence may indicate a more severe clinical profile and the need for integrative therapeutic strategies.
Alexithymia and The Complexity of Divorce Karida, Rika Nur; Ar Rasyid, Reza Dwi; Ridlo, Fairuz; Prisnidiawati, Ajeng; Basuki, Shinta Maulydiyah; Nindhita, Pinastikasari; Algristian, Hafid
Psychosocia : Journal of Applied Psychology and Social Psychology Vol. 3 No. 3 (2025): July 2025
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/psychosocia.v3i3.842

Abstract

Divorce is a major psychosocial stressor, particularly for women, and is strongly associated with depression, anxiety, and insomnia. Alexithymia—a personality construct characterized by difficulties in identifying and expressing emotions—may complicate emotional adjustment following divorce. This case report presents a 35-year-old Javanese woman who developed depression, anxiety, and insomnia after divorce, accompanied by alexithymia traits. Data were obtained through psychiatric evaluation, semi-structured interviews, and corroborative information from her psychosocial environment. The patient showed persistent mood swings, sleep disturbance, limited emotional expression, and an externally oriented cognitive style. Her difficulties in emotional processing, combined with sociocultural pressures as a divorced woman, contributed to her psychological burden. This report highlights the need for early screening of alexithymia in divorced women and emphasizes targeted interventions such as emotional awareness training, expressive therapies, and culturally sensitive psychosocial support. Recognition of alexithymia may prevent chronic depression and improve resilience in post-divorce care.
Understanding Biometric Identification for Indonesian Immigrant Families in Sanggar Belajar Sentul, Kuala Lumpur, Malaysia Syarifah, Mustika Chasanatusy; Suwito, Bambang Edi; Algristian, Hafid; Wulan, Tri Deviasari; Lisnawati, Diana Arum; Jannah, Ken Putri Raudhatul; Ismail, Zainul Hadi Wildan
Communautaire: Journal of Community Service Vol. 4 No. 2 (2025)
Publisher : Al-Qalam Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61987/communautaire.v4i2.1213

Abstract

The primary objective of this community service activity is to provide Indonesian Immigrant Workers (IIWs) with a fundamental understanding of biometric data. This study is significant due to the growing reliance on biometric systems across sectors and the vulnerability of IIWs, who often lack awareness of data security risks. Limited digital literacy and inadequate access to legal protections heighten their susceptibility to data misuse and breaches. The research employs a Community-Based Participatory Research (CBPR) approach, ensuring the involvement of stakeholders from Sanggar Belajar Sentul to design the activities, making them contextually relevant and addressing the specific needs of the target community. The community service successfully educated 23 Indonesian Immigrant Workers, increasing their awareness of the types of biometric data and the associated risks, particularly data leakage. The findings emphasise the importance of such educational initiatives in empowering vulnerable populations to safeguard their personal information. It is recommended that similar programs be expanded to other immigrant communities, integrating hands-on training and leveraging digital platforms for broader outreach. The contributions of this research include the effectiveness of community-based education in improving biometric data literacy and data protection awareness among immigrant workers, which can serve as a model for future educational interventions aimed at strengthening digital literacy in marginalised communities.
Co-Authors Abdillah, Yahya Nur Ahadiah, Hayyunah Rohmatul Al Hajiri, Aufar Zimamuz Zaman Aldi, Danya Rania Andik Ferdiantoro Ar Rasyid, Reza Dwi AS, Nur Azizah Asikah Bariyah, Khadijah Khairul Basuki, Shinta Maulydiyah Basuki, ⁠Shinta Maulydiyah Billah, Illa Brylyani, Diyani Shafira budi Cahyono Chambali, Zafira Aliya Shafwa Putri Difran Nobel Bistara Egy Atthahirah Septina Ersalina Nidianti Fasya, Abdul Hakim Zakkiy Fatwa, Ahmad Misbahul Ulum Ferdiantoro, Andik Fifi Khoirul Fitriyah Fitriasari, Andikawati Hermanto, Syalsabila Yumnaningtyas Hidaayah, Nur Imron, Muhammad Istio Hadi Al Irmawan Farindra ISKANDAR Ismail, Zainul Hadi Wildan Jannah, Ken Putri Raudhatul Kamila, Putri Faradisa Karida, Rika Nur Kasiani, Tutik Nur Khamida, Khamida Kurniasari, Diyan Wahyu Laila, Firda Nur Lisnawati, Diana Arum Maat, Suprapto Makka, Isna Meirilla Zahara Al Marintik Ilahi Maylia, Mira Lovita Merilla, Isna Miftakhul Huda Muhammad Ikhsan Muhammad, Akbar Reza Mutmainnah Nihazzatuzzain Nindhita, Pinastikasari Nur Azizah Nurhayati , Endi Pramesta, Linda Ramadhanty Prisnidiawati, Ajeng Putri, Rahmadaniar Aditya Rasyid, Rezza Dwi Ar Ridlo, Fairuz Sakdyah, Halimatus Septina, Egy Atthahirah Setyorini, Dian Shafira , Alsa Shafira, Alsa Shafly, Moch Syafirul Nur Shafly, Moch. Syafirul Nur Sitorus, Anwar T Soleha, Umdatus Solihah, Iradatus Suwarti, Ariyani Sri Suwito, Bambang Edi Syadza, Lailatus Syarifah, Mustika Chasanatusy Warda Elmaida Rusdi Winaryani Wulan, Tri Deviasari Yuniati, Dyah Yusmadewi, Aaliyah