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Insomnia as a Contributor to Hypertension and Somatic Distress: A Case Report Nihazzatuzzain; Algristian, Hafid; Cahyono, Budi
Psychosocia : Journal of Applied Psychology and Social Psychology Vol. 3 No. 4 (2025): October 2025
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/psychosocia.v3i4.1138

Abstract

Insomnia is increasingly recognized as a systemic disorder involving persistent hyperarousal with broad psychiatric and cardiovascular consequences. This case report describes a 49-year-old woman who developed functional dyspepsia after taking an analgesic, which led to chronic insomnia and, subsequently, essential hypertension (blood pressure reaching 173/93 mmHg) accompanied by generalized somatic distress. Her sleep pattern became non-restorative, with reduced sleep drive and dependence on hypnotics. Psychiatric evaluation revealed Nonorganic Insomnia, a Moderate Depressive Episode, and Somatization Disorder, with an Insomnia Severity Index score of 16. Her clinical course illustrates a psychophysiological cascade. Gastrointestinal distress disrupted sleep architecture, sustained sympathetic nervous system activation, and dysregulated the hypothalamic–pituitary–adrenal axis, thereby contributing to hypertension and somatic amplification. This case highlights the need to view insomnia as a systemic condition rather than an isolated symptom. Early recognition and non-pharmacological interventions—particularly Cognitive Behavioral Therapy for Insomnia (CBT-I)—may prevent long-term cardiovascular and psychiatric complications.
Parental Influence in Early-Onset Childhood Depression: A Case-Based Perspective Prisnidiawati, Ajeng; Basuki, Shinta Maulydiyah; Karida, Rika Nur; Rasyid, Rezza Dwi Ar; Ridlo, Fairuz; Kasiani, Tutik Nur; Algristian, Hafid
Medicor : Journal of Health Informatics and Health Policy Vol. 3 No. 4 (2025): October 2025
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v3i4.538

Abstract

Childhood depression often stems from early-life stressors such as peer bullying and negative parenting. Early- onset depression can have long-term impacts on a child’s emotional and cognitive development. Nevertheless, parental awareness of their crucial role in supporting children’s mental health remains limited. This case report describes the clinical manifestation of depression in a 10-year-old boy, triggered by prolonged bullying and insufficient family support, and explores how parental psychoeducation can facilitate recovery. This research employs a descriptive qualitative case study method, in which data were collected through in-depth clinical interviews with the patient and his parents, as well as direct observation. The initial screening used the Strengths and Difficulties Questionnaire (SDQ) to identify emotional and behavioral concerns. Additionally, semi structured interviews were conducted to explore psychosocial history, school experiences, and parenting style over a four week outpatient period. The child presented with persistent sadness, social withdrawal, hallucinations, and academic pressure, particularly from his grandmother, with clear behavioral changes following continuous bullying at school. Through targeted psychoeducation, the mother adopted a more responsive and non-judgmental parenting approach, leading to gradual emotional improvement in the child, as seen by reduced social isolation and improved emotional expression. This case highlights the critical role of family support and parental psychoeducation as non-pharmacological interventions in early- onset childhood depression, emphasizing the importance of early detection of depressive symptoms and involving families in emotional support strategies to strengthen children’s mental resilience.
Addressing Self-Harm in Paranoid Schizophrenia: The Role of Supportive Psychotherapy in Primary Health Care Abdillah, Diaz Syafrie; Mumpuni, Yekti; Algristian, Hafid; Azizah, Nur; Khairunnisa
Medicor : Journal of Health Informatics and Health Policy Vol. 3 No. 4 (2025): October 2025
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v3i4.923

Abstract

Self-harm represents a serious psychiatric emergency frequently observed in individuals with schizophrenia, especially the paranoid subtype, where hallucinations, delusions, and comorbid depression play crucial roles. Although antipsychotic medications remain the cornerstone of treatment for symptom stabilization, they are often insufficient to address underlying psychosocial vulnerabilities that heighten self-harm risk. Supportive psychotherapy (SPT) has emerged as a cost-effective adjunctive intervention that can be integrated within primary health care to complement pharmacological treatment. This literature review synthesizes studies published between 2011 and 2025, retrieved from PubMed, ScienceDirect, and Google Scholar using the keywords paranoid schizophrenia, supportive psychotherapy, and self-harm. Findings reveal that SPT, when implemented after acute psychotic symptoms have subsided, enables patients to express emotions, receive reassurance, and modify maladaptive thoughts through supportive persuasion. Evidence indicates that SPT effectively reduces suicidal ideation and self-harm severity, commonly assessed using the Suicidal Intention Rating Scale (SIRS). Additionally, involving families and providing psychoeducation improve treatment adherence, reduce relapse rates, and create a more supportive home environment. Compared to structured psychotherapies such as cognitive behavioral therapy (CBT) or family-focused therapy (FFT), SPT is simpler, more flexible, and feasible in low-resource settings since it can be delivered by general practitioners with basic training. Overall, this review concludes that SPT offers significant potential to mitigate psychiatric emergencies and enhance the quality of life in paranoid schizophrenia patients at risk of self-harm. It recommends training primary care providers in SPT, integrating family psychoeducation, and implementing a stepped-care model that positions SPT as an initial stabilization phase before advancing to structured therapies.
Vitamin B6, B9, and B12 Supplementation in Antipsychotic-Induced Akathisia: A Case Report and Comprehensive Review Quddus Salam; Tiwik Koesdiningsih; Widyantari, Maya; Algristian, Hafid
Medicor : Journal of Health Informatics and Health Policy Vol. 3 No. 4 (2025): October 2025
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v3i4.983

Abstract

Schizophrenia and related psychotic disorders pose a substantial global health burden, with treatment often complicated by antipsychotic-induced extrapyramidal side effects. Akathisia, characterized by profound inner restlessness and repetitive movements, is particularly distressing and frequently leads to medication non-adherence and relapse. This case report and comprehensive review details the management of a 30-year-old woman with schizoaffective disorder who developed severe akathisia following three months of risperidone therapy, resulting in treatment discontinuation. Upon readmission, a multimodal therapeutic strategy was implemented: risperidone was switched to aripiprazole, and adjunctive therapy included clobazam, trihexyphenidyl, folic acid (B9), and mecobalamin (B12). The clinical rationale extended beyond conventional management to incorporate targeted nutritional support, based on evidence that vitamin B6 modulates dopaminergic, serotonergic, and GABAergic pathways, while folate and B12 are crucial for one-carbon metabolism, homocysteine regulation, and neuroprotection. Following this integrated intervention, the patient's akathisia resolved, daily functioning stabilized, and treatment adherence was restored. This report provides an in-depth discussion of the synergistic neurobiological mechanisms through which B vitamins may alleviate akathisia, situates the findings within the broader context of nutritional psychiatry, and highlights the socio-economic relevance of this low-cost, low-risk adjunctive strategy for resource-limited settings. While current evidence remains preliminary, this case underscores the importance of early akathisia recognition and supports the integration of nutritional assessment and B-vitamin supplementation into personalized treatment plans for patients intolerant to standard therapies. Further randomized controlled trials are warranted to establish standardized dosing and identify patient subgroups most likely to benefit.
Dyspepsia as a Trigger for Sleep Disorders: A Case Study of Gut–Brain Axis Interaction Friska Febrian Damayanti; Algristian, Hafid; Ilahi, Marintik
Medicor : Journal of Health Informatics and Health Policy Vol. 4 No. 1 (2026): January 2026
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v4i1.1139

Abstract

Functional dyspepsia is an upper gastrointestinal complaint without organic abnormalities that may interact with sleep through gut–brain axis mechanisms. We report the case of a 49-year-old woman with persistent insomnia occurring concurrently with epigastric pain for approximately one year. The patient relied on hypnotic medication and experienced early-morning awakenings. Psychiatric, somatic, and psychosocial evaluations indicated that the sleep disturbance was related to dyspeptic complaints. Management included psychoeducation, supportive psychotherapy, and Cognitive Behavioral Therapy for Insomnia (CBT-I), along with dyspepsia therapy (sucralfate and omeprazole) and a spiritual approach according to the patient’s preferences. Following integrated therapy, sleep patterns improved and the Insomnia Severity Index score decreased in parallel with the resolution of dyspepsia symptoms. This case demonstrates that dyspepsia can trigger sleep disturbances through gut–brain axis mechanisms and highlights the importance of a multidisciplinary approach in managing insomnia with gastrointestinal comorbidity. The report also emphasizes the clinical relevance of addressing biopsychosocial factors and incorporating culturally sensitive, patient-centered care to enhance therapeutic outcomes and prevent symptom recurrence.
Pemberdayaan Kemaja Melalui Program “Healthy Youth Corner” Putri, Rahmadaniar Aditya; Kamariyah, Nurul; Firdaus, Firdaus; Noventi, Iis; Hasina, Siti Nur; Santy, Wesiana Heris; Algristian, Hafid; Rohmawati, Riska
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 6 (2025): Volume 8 No 6 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i6.17067

Abstract

ABSTRAK Remaja akan menghadapi berbagai masalah yang kompleks terkait dengan perubahan fisik, kecukupan gizi, perkembangan psikososial, emosi dan kecerdasan yang akhirnya menimbulkan konflik dalam dirinya dan akan mempengaruhi kesehatannya. Kegiatan pengabdian pada Masyarakat ini berupa program “Healthy Youth Corner” yang bertujuan untuk meningkatkan pengetahuan dan keterampilan pada remaja, orang tua, serta kader terhadap kesehatan diri. Metode yang digunakan dalam kegiatan pengabdian masyarakat ini adalah dengan memberikan pelatihan, penyuluhan, dan sosialisasi. Kegiatan ini dilaksanakan selama satu bulan dan diikuti oleh 42 remaja, orang tua, dan kader. Sebelum dilakukan kegiatan pengabdian, Sebagian besar (64%) responden memiliki pengetahuan danketerampilan kurang dan setelah mengikuti kegiatan pengabdian ini sebagian besar (69%) memiliki pengetahuan danketerampilan baik. Program Healthy Youth Corner dapat meningkatkan pengetahuan dan keterampilan remaja terhadap diri. Rencana tindak lanjut yang dapat dilakukan adalah dengan pendampingan serta peningkatan keterampilan berkelanjutan bagi kesehatan remaja. Kata Kunci: Kesehatan, Pemberdayaan Remaja, Program Healthy Youth Corner  ABSTRACT Adolescents will face various complex problems related to physical changes, nutritional adequacy, psychosocial development, emotions, and intelligence which ultimately give rise to conflicts within themselves and will affect their health. This community service activity is the "Healthy Youth Corner" program which aims to increase the knowledge and skills of teenagers, parents, and cadres regarding personal health. The method used in this community service activity is to provide training, counseling, and outreach. This activity was carried out for one month and was attended by 42 teenagers, parents, and cadres. Before carrying out service activities, the majority (64%) of respondents had poor knowledge and skills and after participating in this service activity the majority (69%)had good knowledge and skills. The Healthy Youth Corner program can increase teenagers' knowledge and skills regarding themselves. The follow-up plan that can be carried out is with assistance and continuous improvement ofskills for adolescent health. Keywords: Health, Youth Empowerment, Healthy Youth Corner Program
EDUKASI KESEHATAN TENTANG MASALAH GIZI DAN STRES DI PESANTREN BURHANUL HIDAYAH SIDOARJO Zamzam, Maki; Herdiani, Novera; Algristian, Hafid; Anggraeni, Yulia; Ramadhani, Maulani Putri; Radiani, Qilmi Faradila; Wardani, Amelia Citra
Community Development Journal : Jurnal Pengabdian Masyarakat Vol. 5 No. 6 (2024): Vol. 5 No. 6 Tahun 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/cdj.v5i6.37411

Abstract

Pondok pesantren Burhanul Hidayah memiliki hampir 700 santri aktif dari tingkat SD, SMP, dan SMA yang tinggal di asrama. Santri menghadapi berbagai stressor karena latar belakang yang berbeda dari lingkungan sekolah lain. Status gizi santri dipengaruhi oleh kecukupan asupan gizi harian. Program pengabdian masyarakat ini bertujuan meningkatkan pengetahuan dan kesadaran santri tentang masalah gizi dan stres melalui penyuluhan kesehatan. Kegiatan dilaksanakan pada bulan Agustus 2024 dengan peserta santri putra dan putri. Hasilnya menunjukkan peningkatan signifikan dalam pemahaman masalah gizi dan stres pada santri. Kesimpulannya, pendidikan kesehatan berdampak positif dalam meningkatkan kesejahteraan dan pengetahuan kesehatan santri. Penyuluhan kesehatan harus rutin dilakukan untuk menjaga kesehatan para santri.
INISIASI PROGRAM REHABILITASI PSIKOSOSIAL BERBASIS RUMAH SAKIT UNTUK ORANG DENGAN GANGGUAN JIWA DAN ANAK BERKEBUTUHAN KHUSUS DI SURABAYA Algristian, Hafid; Delina, Lini; Fitriyah, Fifi Khoirul; Khamida, Khamida; S, Nur Azizah A.; Brylyani, Diyani Shafira; Chambali, Zafira Aliya Shafwa Putri; Rihhadatulays, Khuzaimah Nur Juhanifah; Bariyah, Khadijah Khairul
Community Development Journal : Jurnal Pengabdian Masyarakat Vol. 5 No. 6 (2024): Vol. 5 No. 6 Tahun 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/cdj.v5i6.38790

Abstract

Orang dengan gangguan jiwa dan anak berkebutuhan khusus (ABK) membutuhkan perhatian khusus dalam penanganan psikososial. Keterbatasan fasilitas dan layanan khusus di rumah sakit mendorong perlunya inisiasi program rehabilitasi berbasis rumah sakit khususnya di Surabaya. Program ini bertujuan untuk memperkenalkan terapi perilaku sebagai bagian dari layanan untuk ABK dan gangguan jiwa di RSI Surabaya Jemursari—yang mana di tahun ini akan dimulai berfokus pada peyuluhan Terapi Perilaku untuk ABK. Program ini bertujuan untuk memulai kerjasama antara lembaga kesehatan dan komunitas dalam menyediakan layanan terapi perilaku bagi ABK, serta merekrut pasien melalui promosi sosial media dan webinar. Tahapan pelaksanaan dimulai dengan FGD antar tim pelaksana dan mitra seperti RSI Surabaya Jemursari. Dilanjutkan dengan penyuluhan terapi perilaku yang melibatkan masyarakat awam, guru, dan tenaga kesehatan. Seminar daring diadakan dengan Yayasan Peduli Kasih ABK dan AMSA UNAIR untuk audiensi masyarakat, dan seminar bagi tenaga kesehatan di RSI Jemursari untuk mengenalkan layanan terapi perilaku untuk ABK. Penyuluhan dan seminar berhasil diadakan, melibatkan berbagai pihak untuk mendukung program ini. Rekrutmen tenaga kesehatan seperti psikolog klinis dan terapis perilaku telah dimulai. Upaya untuk merekrut pasien dilakukan melalui promosi di media sosial dan webinar. Sehingga disimpulkan inisiasi program telah berjalan dengan baik. Keberlanjutan program inisiasi Terapi Perilaku untuk ABK akan difokuskan pada promosi di komunitas dan sekolah, serta standardisasi layanan melalui pembuatan SOP, pelatihan, dan sertifikasi terapis perilaku.
Post-Traumatic Stress Disorder as a Systemic Cascade: A Psychoneuroimmunological Systematic Review Tegar, Muhamad Afif; Algristian, Hafid; Mumpuni, Yekti
Psychosocia : Journal of Applied Psychology and Social Psychology Vol. 3 No. 4 (2025): October 2025
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/psychosocia.v3i4.1137

Abstract

Post-Traumatic Stress Disorder (PTSD) has traditionally been viewed as a psychiatric condition; however, emerging evidence from psychoneuroimmunology (PNI) demonstrates that PTSD involves systemic physiological dysregulation extending across neural, endocrine, cardiovascular, gastrointestinal, and immune domains. This systematic review synthesizes recent findings from studies published between 2004 and 2025 to conceptualize PTSD as a psychoneuroimmunological cascade. Literature retrieved from PubMed, Scopus, and Web of Science was analyzed thematically to identify converging mechanisms of neuroendocrine, immune, and metabolic alterations associated with PTSD. The review reveals consistent patterns of  hypothalamic pituitary adrenal (HPA) axis dysfunction, autonomic overactivation, chronic inflammation, gut–microbiota imbalance, and endocrine–immune cross-talk. These interconnected processes form self-perpetuating feedback loops that translate psychological trauma into systemic disease. PTSD should therefore be reframed as a multisystem disorder sustained by psychoneuroimmunological dysregulation rather than as a purely psychological condition. Integrative, multidisciplinary interventions—combining pharmacotherapy, mind–body therapies, and lifestyle modulation—are essential to restore systemic homeostasis and improve long-term outcomes. This reconceptualization expands theoretical understanding of PTSD, bridges psychiatry with internal medicine, and informs trauma-informed clinical and policy practices.
Effectiveness of a Multimodal Therapeutic Approach for Disorganization Symptoms in Hebephrenic Schizophrenia: A Case Report Taufiqurrahman, Affan Tsaqif; Winaryani, Winaryani; Algristian, Hafid
Psychosocia : Journal of Applied Psychology and Social Psychology Vol. 4 No. 1 (2026): January 2026
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/psychosocia.v4i1.1160

Abstract

Hebephrenic schizophrenia, or disorganized-type schizophrenia, represents one of the most disabling and treatment-resistant subtypes of psychotic disorders, marked by disorganized thinking, affect, and behavior. These symptoms often persist despite standard pharmacological treatment and are associated with poor cognitive and social functioning. This case report explores the effectiveness of an integrated multimodal therapeutic approach that combines pharmacological, cognitive-behavioral, and metabolic strategies in managing a young woman with chronic hebephrenic schizophrenia. The patient, a 23-year-old female with a six-year illness duration and history of medication nonadherence, was treated with aripiprazole 15 mg/day (dopamine D2 partial agonist), trifluoperazine 5 mg/day (full D2 antagonist), folic acid 1 mg/day, and vitamin B6 100 mg/day. Cognitive Behavioral Therapy (CBT) and family psychoeducation were conducted twice weekly for three weeks. After treatment, she demonstrated measurable improvement, including a 1-point reduction in conceptual disorganization and a 2-point improvement in blunted affect (PANSS-R), alongside qualitative gains in coping with auditory hallucinations and affective responsiveness. These results suggest that synergistic modulation of dopaminergic circuits, cognitive restructuring, and metabolic support may yield short-term benefits for patients with treatment-resistant disorganization symptoms. Further longitudinal studies are warranted to evaluate long-term outcomes and neurobiological mechanisms.
Co-Authors A.S, Nur Azizah Abdillah, Diaz Syafrie Abdillah, Yahya Nur Ahadiah, Hayyunah Rohmatul Al Hajiri, Aufar Zimamuz Zaman Aldi, Danya Rania Amsori, Anabela Amoret Amsori, Anabela Amoreth Andik Ferdiantoro Anggraeni, Yulia Ar Rasyid, Reza Dwi AS, Nur Azizah Asikah Ayu, Friska Baihaqi, Muhammad Azhari Bambang Edi Suwito Bariyah, Khadijah Khairul Basuki, Shinta Maulydiyah Basuki, ⁠Shinta Maulydiyah Billah, Illa Brylyani, Diyani Shafira budi Cahyono Chambali, Zafira Aliya Shafwa Putri Chatarina Umbul Wahyuni Delina, Lini Difran Nobel Bistara Egy Atthahirah Septina Ersalina Nidianti Fasya, Abdul Hakim Zakkiy Fatwa, Ahmad Misbahul Ulum Ferdiantoro, Andik Fifi Khoirul Fitriyah Firdaus Firdaus Fitriasari, Andikawati Friska Febrian Damayanti Heris Santy, Wesiana Hermanto, Syalsabila Yumnaningtyas Hidaayah, Nur Imron, Muhammad Istio Hadi Al Irmawan Farindra ISKANDAR Ismail, Zainul Hadi Wildan Jannah, Ken Putri Raudhatul Kamariyah, Nurul Kamila, Putri Faradisa Karida, Rika Nur Kasiani, Tutik Nur Khairul Bariyah, Khadijah Khairunnisa Khamida, Khamida Kumalaratih, Embun Kurniasari, Diyan Wahyu Laila, Firda Nur Lisnawati, Diana Arum Maat, Suprapto Maki Zamzam Makka, Isna Meirilla Zahara Al Marintik Ilahi Maylia, Mira Lovita Merilla, Isna Miftakhul Huda Muhammad Ikhsan Muhammad, Akbar Reza Mumpuni, Yekti Nihazzatuzzain Nindhita, Pinastikasari Noventi, Iis Novera Herdiani, Novera Nur Azizah Nurhayati , Endi Pramesta, Linda Ramadhanty Prawidya, Syahrul Gusnaldi Prisnidiawati, Ajeng Putri, Rahmadaniar Aditya Quddus Salam Radiani, Qilmi Faradila Rahmadaniar Aditya Putri Ramadhani, Maulani Putri Rasyid, Rezza Dwi Ar Ridlo, Fairuz Rihhadatulays, Khuzaimah Nur Juhanifah Rohmawati, Riska Roosyidah S, Nur Azizah A. Sakdyah, Halimatus Septina, Egy Atthahirah Setyorini, Dian Shafira , Alsa Shafira, Alsa Shafly, Moch Syafirul Nur Shafly, Moch. Syafirul Nur Siti Nur Hasina Sitorus, Anwar T Soleha, Umdatus Solihah, Iradatus Subagyo, Novanthy Nur Rohmadhani Suwarti, Ariyani Sri Syadza, Lailatus Taufiqurrahman, Affan Tsaqif Tegar, Muhamad Afif Tiwik Koesdiningsih Warda Elmaida Rusdi Wardani, Amelia Citra Widyantari, Maya Winaryani Winaryani, Winaryani Wulan, Tri Deviasari Yuniati, Dyah Yusmadewi, Aaliyah