Bangun, Susi Rutmalem
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Prenatal, Perinatal, and Other Risk Factors of Attention-Deficit Hyperactivity Disorder in Soerojo Hospital Sutanto, Doddy BL; Sevriana, Ery Surya; Pangestuti, Rayi Citra Ayu; Hanifa, Yumna Nur Millati; Bangun, Susi Rutmalem
Journal of Maternal and Child Health Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.03.08

Abstract

Background: Long-term negative effects on academic ability and social activities can persist into adulthood in children with neurodevelopmental disorders characterized by inattention, hype­r­activity, and impulsivity (Attention Deficit Hyperactivity Disorder/ ADHD). Genetic, neurotrans­mitter, neurological, environmental, psychosocial, brain trauma, and addictive factors are some of the predisposing factors for ADHD. But theoretically, maternal risk factors  often contribute to neuropsychiatric disorders, because of their potential influence on child brain development. This study aimed to assess the proportion of maternal risk factors consisting of prenatal, perinatal, and other factors of ADHD in Soerojo Hospital. Subjects and Method: A descriptive-analytic study with a retrospective approach was conducted on April-June 2022 at Soerojo Hospital. A total of 90 subjects pediatric patients diagnosed with ADHD selected by purposive sampling. The data were collected using questionnaires. The data were described in frequency (n) and percent (%). Results: The proportion of prenatal risk factors are mother’s age at pregnancy (19%), maternal disease history (8%), hormonal contraception pre-pregnancy (24%), maternal psychopathology (34%), maternal excess weight (49%); the proportion of perinatal risk factors are premature birth (12%), operative abdominal and vaginal delivery (49%), low birth weight (13%), neonatal emer­gencies (34%); while other factors are hereditary factors (13%), exposure to cigarettes (47%), and marital conditions (23%). Conclusion: The most common maternal risk factors were maternal excess weight, operative abdominal and vaginal delivery, exposure to cigarettes, maternal psychopathology, and neonatal emergencies. Keywords: ADHD, maternal risk factor, prenatal, perinatal. Correspondence: Doddy Sutanto, Department of Obstetric and Gynecology, Soerojo Hospital, Magelang, Indonesia, Jl. Ahmad Yani No. 169, Magelang 56115, Central Java. Email: doddysutanto.soerojo­hospital@­gmail.­com.
The Effectiveness of Group Psychotherapy on Reducing Anxiety and Depression Symptoms in Adolescents Bangun, Susi Rutmalem
Jurnal Psikiatri Surabaya Vol. 11 No. 2 (2022): November
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jps.v11i2.35989

Abstract

Background: Adolescents suffering from depression often have difficulty adjusting to their social environment, even after they have recovered. Group psychotherapy is a method to prepare adolescents to be able to return to the social environment. Aims: The study aimed to investigate the effectiveness of group psychotherapy in reducing symptoms in adolescent patients with anxiety and depressive disorders. Methods: This research is quasi experimental design with a pretest posttest one group included 19 children and adolescent patients with anxiety and depression aged 12-19 years which was divided into three groups. The data obtained from Strength and Difficulties Questionnaire (SDQ), Children's Depression Inventory (CDI) dan The 7-item Generalized Anxiety Disorder Scale (GAD-7) reported pre-intervention, 1 month post-intervention and 3 months post-intervention scores on anxiety and depression measures for participants assigned to group psychotherapy. Data were analyzed using the Wilcoxon test. Results: All 19 participants who completed group psychotherapy experienced a significant decrease in SDQ, CDI and GAD-7 after the intervention. Group psychotherapy is effective in lowering SDQ scores, particularly on the emotional problem subscale. Group psychotherapy also resulted in a reduction CDI and GAD-7 scores one month and three months after group psychotherapy; however, it was slightly unstable. The decrease in CDI scores was primarily in terms of negative self-esteem and negative mood scales. Conclusion: Group psychotherapy is effective in reducing symptoms in adolescent patients with anxiety and depressive disorders. Keywords: Group psychotherapy, Anxiety and Depressive disorders, Adolescent