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Wangke, Lydia
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Health Professions Medicine & Pharmacology

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Mental health problems in children with chronic disease at the pediatric inpatient ward of Dr. Cipto Mangunkusumo Hospital Wangke, Lydia; Medise, Bernie Endyarni; Wirahmadi, Angga; Sekartini, Rini; Gunardi, Hartono; Soedjatmiko, Soedjatmiko
Paediatrica Indonesiana Vol. 65 No. 1 (2025): January 2025
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi65.1.2025.37-41

Abstract

Background Since the survival of a patient with chronic physical illness has improved, major concerns arise about their quality of life and functioning. Childhood and adolescence are critical periods for promoting mental health because more than half of mental health problems begin at this stage, and many of those mental health problems will persist into adult life. Objective To analyze the risk of mental health problems among children hospitalized with chronic disease. Method An analytic observational study with a cross-sectional design was conducted using secondary data of 754 children aged 4-18 years admitted to the pediatric inpatient ward of Cipto Mangunkusumo Hospital, Jakarta between June 2021 and August 2022. We collected the results of subjects’ mental health screening conducted by the Growth, Development, and Social Pediatrics Division, Department of Child Health, Cipto Mangunkusumo Hospital during the subjects’ admission. Mental health problems evaluated in this study included psychosocial dysfunction screened using the Pediatric Symptom Checklist 17 (PSC-17) and depression screened using the Children’s Depression Inventory (CDI). Results Of the 754 subjects included, 520 (69.0%) were classified as having a chronic disease. The prevalence of psychosocial dysfunction and depression in children with chronic diseases was 19.6% and 6.3%, respectively. Gender, nutritional status, and height had no significant association with psychosocial dysfunction and depression in children. Children with chronic disease were more likely to develop psychosocial dysfunction (OR 2.13; 95%CI 1.31 to 3.59; P<0.001) and depression (OR 2.57; 95%CI 1.04 to 7.62; P<0.03) compared with those who did not have chronic disease. Conclusion Children with chronic disease were more likely to develop psychosocial dysfunction and depression compared to those without a chronic disease. These results highlight the importance of mental health support in pediatric patients with chronic disease.
Durasi Penggunaan Gawai Sebelum Tidur sebagai Prediktor Kualitas Tidur Buruk pada Remaja di Manado Claresta, Claresta; Lestari, Hesti; Wangke, Lydia; Manoppo, Jeanette; Waworuntu, David; Wuisantono, Dennis; Andika, Andika
Sari Pediatri Vol 27, No 3 (2025)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp27.3.2025.148-52

Abstract

Latar belakang. Dalam beberapa dekade terakhir, penggunaan gawai sebelum tidur di kalangan remaja meningkat pesat yang dapat memengaruhi sleep hygiene dan kualitas tidur. Tujuan. Penelitian ini bertujuan untuk mengetahui durasi penggunaan gawai sebelum tidur yang dapat memengaruhi kualitas tidur pada remaja.Metode. Penelitian observasional analitik dengan pendekatan cross-sectional yang dilakukan pada bulan Februari sampai Juli 2023 di dua Sekolah Menengah Pertama dan tiga Sekolah Menengah Atas di Manado. Kualitas tidur dinilai menggunakan kuesioner Pittsburgh Sleep Quality Index. Data dianalisis menggunakan analisis regresi logistik.Hasil. Sebanyak 308 responden berusia 12-17 tahun dilibatkan dalam penelitian ini. Separuh responden (50,6%) memiliki durasi penggunaan gawai >1 jam sebelum tidur dan 83,3% di antaranya memiliki kualitas tidur yang buruk. Durasi penggunaan gawai sebelum tidur yang lebih lama merupakan prediktor terhadap kualitas tidur yang buruk, dimana responden dengan durasi penggunaan gawai >1 jam memiliki risiko 6,57 kali (OR=6,57; IK95% :2,66;16,25) dan 30-60 menit memiliki risiko 2,61 kali (OR=2,61; IK95% 0,96; 7,01) lebih tinggi untuk mengalami kualitas tidur buruk.Kesimpulan. Durasi penggunaan gawai lebih dari satu jam meningkatkan risiko tidur buruk secara signifikan, sementara durasi 30-60 menit menunjukkan tren peningkatan risiko meskipun tidak signifikan. Semakin lama durasi penggunaan gawai sebelum tidur, maka semakin tinggi pula risiko penurunan kualitas tidur.
Co-Authors Andika Andika Bernie Endyarni Medise Claresta, Claresta Hartono Gunardi Hesti Lestari Manoppo, Jeanette Rini Sekartini Soedjatmiko Soedjatmiko Waworuntu, David Wirahmadi, Angga Wuisantono, Dennis