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All Journal Jurnal Psikiatri Surabaya (Surabaya Psychiatry Journal)
Jessica, Lia
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Health Professions Medicine & Pharmacology

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The Role of Childhood Trauma in a Schizophrenic Patient Jessica, Lia; Sitawati, Andini Dyah; Nyoman Sumiat
Jurnal Psikiatri Surabaya Vol. 12 No. 2 (2023): November
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jps.v12i2.27764

Abstract

Introductions: Schizophrenia is a severe mental disorder. Many factors could increase someone's risk of schizophrenia, including childhood trauma. There are many kinds of childhood trauma, including abuse and neglect. This report aims to emphasize the unwanted effects of childhood trauma in a schizophrenic patient and, therefore, the importance of its screening. Case: A hospitalized male hebephrenic patient was admitted and observed in Dr. Soetomo General Hospital for almost a month. The patient came to the hospital with a chief complaint of rage and grandiose delusion. He could neither eat nor sleep for about 2 weeks. He also had a history of neglect by his parents during childhood. Discussions: The patient, in this case suffered an acute psychosis that progressed into hebephrenic schizophrenia. He had a history of childhood trauma that made him vulnerable when faced with meaningful stress in his early adulthood. He had the grandiose delusion that was quite resistant with second generation of anti-psychotics and responded better with first generation of anti-psychotics. He was discharged on the 29th day of hospitalization and continued to take his antipsychotic medication orally at home. Conclusions: Childhood trauma has a huge contribution in risk for schizophrenia. Someone with history of childhood trauma tends to have vulnerability to a stress in adulthood that could make him fall into a psychosis and even schizophrenia. Therefore a screening for history of a childhood trauma is important.
Cognitive Impairment Associated with Schizophrenia: A Case Report Jessica, Lia; Bessing, Yulia Fatima; Yulianti, Erikavitri; Salma Nur Fadhilah
Jurnal Psikiatri Surabaya Vol. 14 No. 1 (2025): May
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jps.v14i1.49488

Abstract

Introduction: First-generation antipsychotics could reduce the positive symptoms of schizophrenia but also impair cognitive function. Cognitive and negative symptoms in schizophrenia could be a significant burden experienced both by the patients and caregivers. Thus the treatment of cognitive impairment associated with schizophrenia should be addressed properly. The purpose of writing this article is to increase awareness in administering antipsychotics to elderly patients with schizophrenia, especially in the cognitive aspect and how to overcome possible cognitive decline. Case: An outpatient female schizophrenic patient who was on first-generation antipsychotic treatment complained of forgetfulness. The complaint started 5 years after she received her treatment. While she could still perform her activities of daily living independently, her instrumental activities of daily living were impaired. Her food got burnt while she was cooking, and she also took her medicine excessively because she forgot about it. Both of those events could be very dangerous for her. Discussion: Antipsychotics are the first-line pharmacotherapy for the treatment of schizophrenia but could also cause cognitive impairment. Management of cognitive impairment associated with schizophrenia could be performed both non-pharmacologically, by giving cognitive remediation therapy or physical exercise, and pharmacologically, by giving cholinergic agents such as donepezil. Conclusions: Cognitive impairment associated with schizophrenia should be managed as well as psychotic symptoms.
Co-Authors Bessing, Yulia Fatima Nyoman Sumiat Salma Nur Fadhilah Sitawati, Andini Dyah Yulianti, Erikavitri