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Delivering Reality Therapy through Online Psychological Assistance for Healthcare workers during COVID-19 Pandemics A.S, Nur Azizah; Algristian, Hafid; Khamida, Khamida; Ayu, Friska; Khairul Bariyah, Khadijah
Jurnal Medis Islam Internasional Vol 7 No 2 (2025): December
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/iimj.v7i2.6504

Abstract

Introduction: Indonesia faces a critical situation with 8% of its COVID-19 deaths being healthcare workers (HCWs). These workers are highly susceptible to the virus due to contact with infected patients. Approximately 35.5% of HCWs treating COVID-19 patients develop symptoms within 14 days, and 7% test positive via PCR. Alarmingly, 36% of HCWs are asymptomatic, posing a significant risk of unknowingly spreading the virus. The pandemic has induced fear of death, infection, and transmitting the virus to family members among HCWs, necessitating psychological support to prevent burnout and maintain a functional healthcare system. Objective: This study aims to analyze the effectiveness of online psychological assistance for HCWs at the forefront of the COVID-19 battle. Methods: One of the psychological assistance methods offered is through social media applications. This type of psychological assistance can be considered the most practical and safe method because it prevents transmission between medical personnel. Results: The increasing number of COVID-19 patients has increased fatigue and infection rates among HCWs. They face uncertainty and feelings of loneliness during the pandemic. However, social support is crucial for psychological first aid and recovery. Misconceptions about COVID-19 being a conspiracy hinder HCWs' efforts. Promoting healthy behaviors such as hygiene practices and mask usage can mitigate the severity of the virus and improve survival rates. Conclusions: In 2020, the surge in COVID-19 cases has forced HCWs to adapt. Nonetheless, conspiracy theories about COVID-19 complicate their duties. Implementing an online psychological assistance application is essential to provide HCWs with the psychological support needed to adapt more effectively to the pandemic's challenges.
SPECIAL CHILDREN’S FESTIVAL: IMPLEMENTING BEHAVIORAL THERAPY THROUGH INTRODUCING JAPANESE CULTURE FOR CHILDREN WITH SPECIAL NEEDS Algristian, Hafid; Khoirul Fitriyah, Fifi; Khamida, Khamida; Zuhdi, Ubaidillah; March Nur Huda, Salsadilla; Bagus Heryarudra Sundoro, Aditya; Khairul Bariyah, Khadijah
Community Service Journal of Indonesia Vol. 7 No. 2 (2025): Community Service Journal of Indonesia
Publisher : Institute for Research and Community Service, Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/csji.v7i2.850

Abstract

Children with Special Needs (CSN) in Surabaya still face limitations in conventional therapy services that tend to focus on symptom management, necessitating a more inclusive and enjoyable alternative approach. The Special Children Festival program presents an innovation through implementing Japanese culture-based behavioral therapy to improve children's emotional regulation, focus, and fine motor skills. The novelty of this activity lies in integrating cultural elements into behavioral therapy and strengthening collaboration between hospitals, universities, and the community. The activity was held on June 28, 2025, at Campus B UNUSA, involving 14 CSN and their parents, three therapists from RSI Jemursari Surabaya, one Japan Corner facilitator, and six UNUSA Medical Faculty students. The implementation method included participatory observation and feedback analysis. The intervention consisted of onigiri-making and Japanese calligraphy (shodo) sessions, preceded by education for parents about culture-based behavioral therapy. Evaluation was conducted by assessing children’s engagement, responses during the activities, and parents’ perceptions of the program’s usefulness. This activity increased CSN participation and had a positive impact on focus, emotional regulation, and fine motor skills. Promotion strategies through parent communities and digital media proved effective in participant recruitment. Service standardization through training and certification of support staff enhanced service quality and sustainability, making this program a replicable model for culture-based behavioral therapy for CSN.
Faith and Mental Health: Reconstructing the Religious Narrative in Suicide Prevention Efforts in Indonesia (A Narrative Review) Algristian, Hafid; Azizah, Nur; Khairunnisa; Rusnalasari, Zulidiyana; Bestari, Damba
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 10 No 01 (2026): Qanun Medika Vol 10 No 01 January 2026
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v10i01.28936

Abstract

Suicide remains a largely hidden public health concern in Indonesia, shaped by pervasive underreporting and religion-based stigma that frequently frames psychological suffering as a manifestation of weak faith. This narrative review critically examines the dual role of religion in suicide prevention, acknowledging its capacity to function both as a protective resource and, under certain interpretive conditions, as a factor that may exacerbate risk through stigma and social exclusion. Rather than aggregating empirical evidence, this review adopts an interpretive and theory-building approach, synthesizing interdisciplinary literature from public health, psychiatry, neurobiology, and Islamic theology to develop a conceptual framework for narrative reconstruction. The analysis highlights that religious teachings can foster hope, meaning, and social belonging, while rigid or judgmental interpretations may intensify shame and hinder help-seeking. Building on this synthesis, the article proposes a normative framework that integrates scientific understandings of psychological pain and neurobiological vulnerability with compassionate theological concepts, such as divine mercy and hope, and with the reinterpretation of ikhtiar and tawakal as supportive of professional mental health care. As a practical illustration, a culturally resonant psychological first aid model—Ask, Listen, Accompany (ALA)—is presented as a community-oriented approach aligned with established global principles, without claiming empirical validation. The framework is intended as a heuristic guide rather than an evidentiary model, and its applicability will vary across Indonesia’s diverse socioreligious contexts. By repositioning religion as complementary to clinical care, this review aims to inform dialogue, guide future empirical research, and support culturally sensitive suicide prevention efforts.
A Case Report: Post-Traumatic Stress Disorder (PTSD) with Thyrotoxicosis and Psychosocial Stress Maharani, Masyita Kusuma; Algristian, Hafid; Ariyani Sri Suwarti
Sinergi International Journal of Psychology Vol. 4 No. 1 (2026): February 2026
Publisher : Yayasan Sinergi Kawula Muda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61194/psychology.v4i1.872

Abstract

Post-Traumatic Stress Disorder (PTSD) is a psychiatric condition triggered by trauma, often exacerbated by medical comorbidities like thyrotoxicosis. This report aims to illustrate the complex interaction between PTSD, endocrine dysfunction, and psychosocial stress, highlighting the need for an integrated treatment approach. This case report is based on a clinical case of a 31-year-old female with PTSD and comorbid thyrotoxicosis treated at a hospital in Indonesia. Data were collected through clinical history, physical and psychiatric examinations, and a review of relevant literature. The patient developed PTSD symptoms following a motorcycle accident, including nightmares, hyperarousal, insomnia, and avoidance behavior. Her pre-existing thyrotoxicosis amplified anxiety and physiological arousal, while psychosocial stressors such as legal issues and unemployment perpetuated her symptoms. A combined treatment of Sertraline 50 mg/day, short-term Alprazolam, trauma-focused therapy, and spiritual coping strategies resulted in initial improvement in anxiety and emotional regulation. Managing PTSD with comorbid thyrotoxicosis and psychosocial stress requires a biopsychosocial-endocrine approach. Coordinated pharmacological, psychotherapeutic, and psychosocial interventions are essential for symptom control and functional recovery. This case underscores the importance of multidisciplinary collaboration in complex PTSD presentations.
Anxiolytic and Antidepressant Properties of Alprazolam in Generalized Anxiety Disorder: A Systematic Literature Review Wijaya , Afira Febriani Surya; Algristian, Hafid; Suwarti , Ariyani Sri
Medicor : Journal of Health Informatics and Health Policy Vol. 4 No. 2 (2026): April 2026
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v4i2.1174

Abstract

Generalized Anxiety Disorder (GAD) is a highly persistent condition characterized by excessive worry, impaired functioning, and frequent comorbidity with depressive symptoms. Although first-line treatments such as SSRIs and SNRIs are effective, their delayed therapeutic onset and early-treatment anxiogenic effects often lead to poor adherence and treatment discontinuation. This systematic review evaluates the short-term efficacy, safety, and neurobiological mechanisms of alprazolam as a rapid-acting therapeutic option for adults with GAD. Eight studies published between 2011 and 2024—comprising randomized trials, systematic reviews, cohort studies, and neuroimaging investigations—met inclusion criteria. Across clinical trials, alprazolam demonstrated consistent and clinically meaningful reductions in anxiety symptoms within days of initiation, supporting its role as a fast-onset anxiolytic agent. Neurobiological findings showed decreased amygdala hyper reactivity and enhanced prefrontal regulatory activity following alprazolam administration, suggesting mechanisms that align with its rapid clinical effects and potential secondary mood benefits. Adverse events were generally mild, including sedation and psychomotor slowing, and withdrawal symptoms were uncommon when alprazolam was prescribed short-term with supervised tapering. However, the evidence base remains limited by short follow-up periods, small mechanistic samples, and a lack of robust long-term comparative studies. Overall, the findings indicate that alprazolam may serve as a useful short-term adjunct during periods requiring rapid symptom stabilization, particularly when initiating antidepressant therapy. Further research is needed to clarify its long-term safety, functional outcomes, and optimal integration into contemporary treatment pathways.
Longitudinal Diagnostic Reassessment of Schizoaffective Disorder in Chronic Psychosis: A Case Report Putra, Tegar Narindra; Algristian, Hafid; Huda, Miftakhul
Medicor : Journal of Health Informatics and Health Policy Vol. 4 No. 2 (2026): April 2026
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v4i2.1364

Abstract

Differentiating schizophrenia from schizoaffective disorder remains a significant diagnostic challenge due to substantial symptom overlap and reliance on cross-sectional assessment. This case illustrates how systematic longitudinal reconstruction of mood symptom trajectories supported diagnostic revision after prolonged treatment under an initial schizophrenia diagnosis. A descriptive clinical case approach was employed, involving comprehensive patient interview, collateral family interview, longitudinal symptom mapping, and reassessment based on DSM-5-TR criteria. The patient was a 33-year-old woman with a 13-year history of chronic psychosis initially diagnosed as paranoid schizophrenia. Retrospective reconstruction identified five recurrent major depressive episodes lasting approximately 6–12 months each, accounting for an estimated 6–7 years of the illness course. In addition, at least one documented period of persistent psychosis lasting more than two weeks occurred in the absence of mood symptoms, fulfilling DSM-5-TR criteria for schizoaffective disorder, depressive type. Following diagnostic revision, antidepressant augmentation and structured psychosocial intervention were initiated. At three-month follow-up, depressive symptoms decreased, passive suicidal ideation resolved, and functional status improved as measured by the Personal and Social Performance (PSP) scale (from 40 to 60), with no rehospitalization. This case underscores the importance of longitudinal assessment in chronic psychosis and highlights its implications for diagnostic accuracy and treatment planning.
Holistic Management of Depressive-Type Schizoaffective Disorder: A Case Illustration Fadhlurahman, Muh Azka Aldani; Algristian, Hafid; Mumpuni, Yekti
Psychosocia : Journal of Applied Psychology and Social Psychology Vol. 4 No. 2 (2026): April 2026
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/psychosocia.v4i2.1359

Abstract

Schizoaffective disorder is a complex psychiatric condition characterized by the coexistence of psychotic and mood symptoms, often requiring comprehensive and long-term management. Achieving sustained clinical stability in depressive-type schizoaffective disorder remains challenging, particularly when psychosocial stressors and limited support systems are present. This case illustration describes a holistic management approach integrating pharmacological treatment, structured family involvement, and patient-centered spiritual coping within an Indonesian cultural context. We present the case of a 44-year-old female diagnosed with depressive-type schizoaffective disorder based on the Indonesian Guidelines for the Classification and Diagnosis of Mental Disorders, corresponding to international diagnostic principles. Clinical data were obtained through psychiatric interviews, longitudinal clinical observation, and review of medical records. The intervention consisted of combined antipsychotic and antidepressant pharmacotherapy, accompanied by structured family support and ethically integrated spiritual coping strategies aligned with the patient’s preferences. Over the course of follow-up, the patient demonstrated a reduction in psychotic symptoms (notably ideas of reference) and depressive features, alongside improvements in sleep patterns, self-care, treatment adherence, and emotional regulation. Functional gains were observed in daily activities and engagement with meaningful roles, with no acute relapse reported during the observed follow-up period. Family involvement contributed to adherence monitoring and stress reduction, while spiritual coping functioned as an internal resource for meaning-making and resilience rather than as a standalone intervention. This case illustrates that a holistic management strategy addressing biological, psychosocial, and spiritual dimensions may support clinical stabilization and functional recovery in depressive-type schizoaffective disorder. While findings from a single case cannot be generalized, this report highlights the potential clinical value of integrating family support and patient-centered spirituality into routine psychiatric care within culturally relevant settings.
The Role of Rumination as a Maladaptive Coping Mechanism in Cases of Comprehensive Anxiety Disorder Firlani, Osya Azifa; Algristian, Hafid; Cahyono, Budi
Psychosocia : Journal of Applied Psychology and Social Psychology Vol. 4 No. 2 (2026): April 2026
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/psychosocia.v4i2.1376

Abstract

Generalized Anxiety Disorder (GAD) is characterized by excessive and persistent worry accompanied by somatic and cognitive symptoms that impair daily functioning. Although rumination has been widely discussed as a form of repetitive negative thinking, its role as a maladaptive coping mechanism sustaining GAD relapse in the context of occupational stress and shift work remains underexplored. This study presents an analytical descriptive case study integrated with a narrative literature review to examine how rumination contributes to symptom maintenance and relapse in GAD. The case involves a 43-year-old female outpatient evaluated at a psychiatric clinic in Surabaya in 2025. The recurrence of anxiety symptoms was precipitated by an early-retirement offer and rotating shift work, which triggered persistent rumination about financial uncertainty. This cognitive process led to insomnia, concentration difficulties, and inconsistent medication adherence, ultimately resulting in symptom relapse. Literature-based interpretation suggests that intolerance of uncertainty (IU) increases vulnerability to rumination, which sustains autonomic hyperarousal and sleep disturbance, while shift work disrupts circadian rhythms and contributes to inconsistent dosing and fluctuating plasma levels of pharmacotherapy. This case highlights a clinically relevant pathway linking occupational uncertainty, rumination, insomnia, and nonadherence in GAD relapse. Comprehensive management should integrate pharmacotherapy, rumination-focused psychotherapy (e.g., CBT or MCT), adherence education, and consideration of workplace-related stressors to reduce recurrence risk.
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 Ar Rasyid, Reza Dwi Ariyani Sri Suwarti AS, Nur Azizah Asikah Ayu, Friska Bagus Heryarudra Sundoro, Aditya 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 Damba Bestari Difran Nobel Bistara Egy Atthahirah Septina Ersalina Nidianti Fadhlurahman, Muh Azka Aldani Fasya, Abdul Hakim Zakkiy Fatwa, Ahmad Misbahul Ulum Ferdiantoro, Andik Fifi Khoirul Fitriyah Firdaus Firdaus Firlani, Osya Azifa 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 Maharani, Masyita Kusuma Makka, Isna Meirilla Zahara Al March Nur Huda, Salsadilla Marintik Ilahi Maylia, Mira Lovita Merilla, Isna Miftakhul Huda Muhammad Ikhsan Muhammad, Akbar Reza Mumpuni, Yekti Nihazzatuzzain Nindhita, Pinastikasari Noventi, Iis Nur Azizah Nurhayati , Endi Pramesta, Linda Ramadhanty Prawidya, Syahrul Gusnaldi Prisnidiawati, Ajeng Putra, Tegar Narindra Putri, Rahmadaniar Aditya Quddus Salam Rahmadaniar Aditya Putri Rasyid, Rezza Dwi Ar Ridlo, Fairuz Rohmawati, Riska Roosyidah Rusnalasari, Zulidiyana 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 Suwarti, Ariyani Sri Syadza, Lailatus Taufiqurrahman, Affan Tsaqif Tegar, Muhamad Afif Tiwik Koesdiningsih Ubaidillah Zuhdi Warda Elmaida Rusdi Widyantari, Maya Wijaya , Afira Febriani Surya Winaryani Winaryani, Winaryani Wulan, Tri Deviasari Yuniati, Dyah Yusmadewi, Aaliyah