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Association between Stress, Depression and Anxiety with Body Fat Percentage among Medical Students of Faculty of Medicine and Health Sciences of Atma Jaya Catholic University Dewi, Sheilla; Tenggara, Riki; Hasan, Surilena
Public Health and Preventive Medicine Archive Vol. 9 No. 1 (2021)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (653.245 KB) | DOI: 10.53638/phpma.2021.v9.i1.p07

Abstract

Background and purpose: Medical students have higher rate of stress, depression and anxiety compared to the general population of the same age and are at risk of having high level of body fat percentage. The objective of this study is to determine the association between stress, depression and anxiety with body fat percentage among medical students. Methods: This is a cross sectional study carried out among 90 undergraduate medical students of Faculty of Medicine and Health Sciences of Atma Jaya Catholic University, North Jakarta, from January to March 2019. Sampling was performed by using the stratified proportional random sampling method. Stress, depression and anxiety were measured with Depression Anxiety Stress Scale 42 and body fat percentage was measured with Bioelectrical Impedance Analysis. Data analysis was performed by using Spearman correlation. Results: Based on sociodemographic characteristics, the respondents were mostly 19 years old, female and 1st year students. This study shows that 34.4% of respondents had stress, 22.2% had depression and 48.9% had anxiety. This study shows that 62.1% of the male respondents and 32.8% of the female respondents had high body fat percentage. Spearman analysis showed moderate positive correlation between stress (r=0.505), depression (r=0,403) and anxiety (r=0,485) with body fat percentage among the respondents. Conclusion: There is a significant association between stress, depression and anxiety with body fat percentage among medical students. This study intends to be an input for educational institutions to screen for mental health problems (stress, depression and anxiety) as well as body fat percentage in students that may affect their well-being and learning process so that they can be diagnosed and intervened as early as possible.
Factors Influencing Quality of Life of Parents with Children Affected by Acute Lymphoblastic Leukemia: A Study at Childhood Cancer International Foundation, Jakarta Trisya, Michelle; Tjhay, Francisca; Hasan, Surilena; Widjaja, Nelly Tina
Indonesian Journal of Cancer Vol 17, No 4 (2023): December
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v17i4.1005

Abstract

Background: The diagnosis and management of chronic diseases, such as Acute Lymphoblastic Leukemia (ALL), are significant for the quality of life of parents. In addition, several factors contribute to the quality of life of parents whose children battle ALL, including characteristics, duration of childcare, mental health, and family functioning. Therefore, this study aims to identify factors influencing the quality of life of parents whose children have ALL at the Childhood Cancer International Foundation in Jakarta. Methods: This cross-sectional study recruited 109 parents at the Childhood Cancer International Foundation as respondents. The assessment tools used included a Characteristics questionnaire, Self-Rating Questionnaire-20, APGAR Questionnaire, and WHOQOL-BREF questionnaire. Additionally, collected data were subjected to univariate, bivariate, and multivariate analysis. Results: Among the 109 respondents with an average age of 38 years and mean childcare duration of 28 months, 66.1% were females, 100% believed in God, 73.4% had partners, 47.7% possessed higher education, 83.5% earned below the regional minimum wage, 66.1% experienced mental health problems, and 11.9% had family dysfunction. Bivariate analysis showed a significant relationship between gender, mental health, and quality of life (p0.05). Multivariate analysis showed that marital status, education, economic status, and family functioning significantly correlated with quality of life. Conclusions: In conclusion, gender, marital status, education, economic status, mental health, and family functioning were found to exert a significant influence on the quality of life of parents raising children with ALL.
Masalah perilaku dan emosi tidak memengaruhi tingkat kehadiran dan prestasi akademik anak sekolah dasar Tanoto, Agnes Margareta; Hasan, Surilena; Gustiawan, Erfen
Bahasa Indonesia Vol 21 No 2 (2022): Damianus Journal of Medicine
Publisher : Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/djm.v21i2.1924

Abstract

Pendahuluan: Masalah perilaku dan emosi anak dapat memengaruhi aktivitas anak sehari-hari termasuk proses belajar dan menimbulkan masalah sekolah yang dapat berkontribusi terhadap rendahnya tingkat kehadiran di sekolah dan prestasi akademik. Metode: Penelitian ini adalah penelitian potong lintang pada 515 siswa SD di Kecamatan Penjaringan Jakarta Utara. Alat ukur yang digunakan adalah Strength and Difficulties Questionnaire (SDQ) yang langsung diisi oleh siswa, buku absensi siswa, dan nilai Ujian Tengah Semester yang merupakan data sekunder. Analisis data dilakukan secara deskriptif dan bivariate (chi-square). Hasil: Terdapat 32% responden dengan masalah perilaku dan emosi, 2,9% dengan tingkat kehadiran yang rendah, dan 49,1% dengan prestasi akademik yang kurang. Terdapat 3,0% responden dengan masalah perilaku dan emosi yang memiliki tingkat kehadiran rendah. Sedangkan terdapat 52,1% responden dengan masalah perilaku dan emosi yang memiliki prestasi akademik yang kurang.  Analisis bivariat menunjukkan tidak ada hubungan bermakna antara masalah perilaku dan emosi terhadap tingkat kehadiran (p>0,05; 95% CI=0,316-2,799; OR=0,941) dan prestasi akademik (p>0,05; 95% CI=0,824-1,728; OR=1,193). Simpulan: Masalah perilaku dan emosi pada anak tidak menentukan tingkat kehadiran dan prestasi akademik anak SD.
Hubungan Depresi Dan Kualitas Tidur Pada Pasien Di Puskesmas Kecamatan Penjaringan Jakarta Utara: Studi Cross-Sectional Felicia Handoko; Surilena Hasan; Erfen Gustiawan; Nelly Tina Widjaja
Majalah Kedokteran Indonesia Vol 70 No 10 (2020): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, V
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.70.10-2020-247

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Introduction: Depression is the most common mental disorder. Depression of outpatients in primary health care is frequently unrecognized. It might affect sleep quality, which is associated with worse quality of life, poor medication adherence, higher morbidity, and mortality. The study aimed to determine the association between depression and sleep quality of outpatients in Penjaringan Primary Health Care, Jakarta. Method: This research was observational analytic using a cross-sectional approach involving 434 outpatients in Penjaringan Primary Health Care, Jakarta. The study was conducted from August until September 2019. Instruments used in this research were the demographic questionnaire, the Zung Self-Rating Depression (SDS) questionnaire, and the Pittsburgh Sleep Quality Index (PSQI) questionnaire. Data analytics were bivariate. Results: There were 19.1% of respondents had depression, including 12.2% mild depression, 5.8% moderate depression, and 1.2% severe depression. There were 53.5% of respondents had poor sleep quality. There was a significant relationship (p less than 0.001, OR=7.814) between depression and sleep quality in outpatients. The results also showed that depression scores were moderately correlated with sleep disturbances (r=0.434). Conclusion: This study showed a high prevalence of depression and poor sleep quality among outpatients. Depression was associated with a 7.8 times higher risk of having poor sleep quality and also correlated with the components of sleep quality especially sleep disturbance.
Association of Comorbidities and Levels of Depression among Pre-elderly with HIV in DKI Jakarta Suta, Ni Wayan Mutiara Suasti; Surilena, Surilena; Agus, Dharmady; Suryani, Eva
Jurnal Promosi Kesehatan Indonesia Vol 20 No 1: January 2025
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.20.1.66-70

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Background: The presence of comorbidities in pre-elderly with HIV can worsen the disease symptoms, and disabilities, and lead to the emergence of depressive symptoms. Depression in the pre-elderly can cause a decrease in quality of life and failure to achieve successful aging. This study aims to determine the association between comorbidities and the level of depression among pre-elderly with HIV. Method: This is an observational analytic study with a cross-sectional method using a characteristic questionnaire (age, gender, education level, occupation, economic status, and marital status), comorbidities questionnaire, and PHQ-9 questionnaire. This study used convenience sampling and obtained 161 pre-elderly respondents (45—59 years) with HIV among pre-elderly with HIV in DKI Jakarta. The data analysis was done using the Fisher Exact test using STATA. Result: There were 161 pre-elderly with HIV, 74,16% were men, 55,28% were in Senior High School, 72,67% were working, 76,4% had low economic status, and 44,72% were not married. A total of 59,85% have one comorbid condition. There were 81,37% with physical comorbidities, including 40,82% arthritis, 38,27% hypertension, 6,63% diabetes mellitus, and 51,55% with depression including 27,95% mild depression, 16,15% moderate depression, 5,59% moderate severe depression, and 1,86% severe depression. No significant association was found between comorbidities and the levels of depression among pre-elderly with HIV (p=0,341). The presence of physical comorbidities in pre-elderly with HIV can affect the disease progression and its treatment. However, in this study, There is no significant association between comorbidities and the levels of depression among pre-elderly with HIV in DKI Jakarta.  It is recommended that further research be conducted using in-depth interviews to explore the relationship between physical comorbidities and depression in pre-elderly with HIV.
Sleep Quality Affects Humoral Response in Recipients of Two-Dose Sinovac Vaccines Hananta, Linawati; Larasati, Victoria; Surilena, Surilena
Jurnal Kesehatan Masyarakat Vol 18, No 4 (2023)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v18i4.41950

Abstract

To curb the COVID-19 pandemic, the government distributed Sinovac vaccines. Sleep mediates immune function, including post-vaccination antibody response. This study aimed to analyze whether there was a difference in post-vaccination antibody levels in Sinovac vaccine recipients with poor and good sleep quality. This study used analytical observations of recipients of the two-dose Sinovac vaccine in 2021. Primary data included age, sex, the Pittsburgh Sleep Quality Index (PSQI) questionnaire, and post-vaccination IgG-SARS-CoV-2 antibody levels. The PSQI and IgG SARS-CoV-2 antibody levels were measured a month after the second vaccination. Participants with non-reactive antibody levels before the first vaccination were included, and participants with incomplete data were excluded. The Mann-Whitney test was used to look for associations between sleep quality and post-vaccination IgG SARS-CoV-2 levels. Univariate analysis showed that of 54 participants, 37 (68.5%) were male, and 28 (51.9%) had poor sleep quality. 15 participants (27.78%) were in the 36-45 age group, and median antibody levels in participants who received the second Sinovac Vaccine was 223.5 (199.01) units/mL. Post-vaccination IgG SARS-CoV-2 antibody levels were significantly associated with sleep quality (p=0.036).
Stigma and Quality of Life Among Pre-elderly with HIV in Jakarta, Indonesia Pakpahan, Evanina Alice; Surilena, Surilena; Hardi, Nicholas
Althea Medical Journal Vol 12, No 2 (2025)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v12n2.3913

Abstract

Background: The quality of life (QoL) of people living with HIV (PLWHIV) is affected by physical, psychological, social, and spiritual aspects. During the pre-elderly period (ages 45–59 years), these aspects become major challenges. Stigma is one of the social aspects that may be related to QoL among PLWHIV. This study aimed to examine the correlation between stigma and QoL among pre-elderly with HIV.Method: This was an analytical observational study with a cross-sectional design, conducted from July 2022 to August 2023 in health services and online-based HIV communities in Jakarta, Indonesia. Sampling was performed using convenience sampling, including 120 pre-elderly living with HIV. Data were collected online using Google Forms. Stigma was assessed using the Berger HIV Stigma Scale, while QoL was measured using the WHOQOL-HIV BREF questionnaire. Data were analyzed using Spearman’s rank correlation test in SPSS.Results: Most participants were male (62.5%). The highest median scores in stigma domains were public attitudes (41) and personalized stigma (36). For QoL, the highest median scores were in the physical and spiritual domains (both 15). Personalized stigma and disclosure concerns were negatively correlated with the physical, psychological, independence, and spiritual QoL domains (p<0.05). Negative self-image demonstrated negative correlations with all QoL domains (p<0.05).Conclusions: Stigma is negatively correlated with the quality of life among pre-elderly with HIV in Jakarta. The greater the stigma experienced, the lower their quality of life. Further research using qualitative methods such as in-depth interviews, is recommended to explore the correlation of each stigma domain with the quality of life.  
Correlation Between Family Support and Depression Among Pre-Elderly Individuals with HIV in Jakarta Tanjaya, Gracella; Surilena, Surilena; Hardi, Nicholas; Suryani, Eva
Jurnal Keperawatan Indonesia Vol 28 No 2 (2025): July
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v28i2.1362

Abstract

Depression among pre-elderly with human immunodeficiency virus (HIV) can significantly impact their quality of life. Family is often the primary source of support for this demographic and is recognized as a protective factor against depression. Therefore, identifying protective factors against depression is essential for promoting healthy aging among pre-elderly with HIV. This study aimed to determine the correlation between family support and depression among pre-elderly with HIV in Jakarta. A total of 120 pre-elderly with HIV from the Indonesia AIDS Coalition who were receiving HIV care at health centers across Jakarta participated in this cross-sectional study. The participants were recruited using convenience sampling. Data collection involved demographic questions, a family support questionnaire, and the Depression Anxiety Stress Scales 21 (DASS-21). The analysis comprised univariate and bivariate analyses. The univariate analysis described the characteristics, family support, and depression levels, while the bivariate analysis assessed the correlation between the variables using the Spearman test. The results indicated that pre-elderly with HIV primarily received support from siblings and spouses. The participants reported low family support (median 25.00) and mild depressive symptoms (median 8.00). A significant moderate negative correlation was found between family support and depression in this population (r = -0.344). This study suggests that enhancing family support for pre-elderly with HIV can help reduce depression. Consequently, there is a critical need for healthcare providers to engage families in the treatment of pre-elderly with HIV to mitigate depression and promote healthier aging. Keywords: depression, family support, HIV, pre-elderly   Abstrak Korelasi antara Dukungan Keluarga dan Depresi: Sebuah Studi pada Pra-lansia dengan HIV di Jakarta. Depresi pada pra-lansia dengan HIV dapat memengaruhi kualitas hidupnya. Keluarga dapat menjadi sumber dukungan utama bagi pra-lansia dan diketahui merupakan faktor protektif terhadap depresi. Maka dari itu, perlu dilakukan identifikasi terkait faktor protektif terhadap depresi agar pra-lansia dengan HIV dapat menua dengan baik. Penelitian ini bertujuan untuk melihat korelasi antara dukungan keluarga dengan depresi pada pra-lansia dengan HIV di Jakarta. Penelitian cross-sectional ini diikuti oleh 120 pra-lansia dengan HIV yang tergabung di Indonesia AIDS Coalition dan menerima pengobatan HIV di layanan kesehatan Jakarta dengan metode convenience sampling. Digunakan kuesioner karakteristik, kuesioner dukungan keluarga, dan DASS-21. Analisis data terdiri atas analisis univariat untuk melihat gambaran karakteristik, dukungan keluarga, dan depresi, sedangkan analisis bivariat untuk menguji korelasi menggunakan Spearman test. Pra-lansia dengan HIV menerima dukungan keluarga utamanya dari saudara kandung dan pasangan. Didapatkan bahwa partisipan mendapatkan dukungan keluarga yang relatif rendah (median 25,00) dan tingkat depresi yang ringan (median 8,00). Terdapat korelasi negatif yang signifikan dengan tingkat sedang antara dukungan keluarga dengan depresi pada pra-lansia dengan HIV di Jakarta (r = -0,344). Studi ini menunjukkan bahwa peningkatan dukungan keluarga pada pra-lansia dengan HIV dapat membantu menurunkan depresi. Dengan demikian, menjadi penting bagi tenaga kesehatan untuk melibatkan peran keluarga dalam tatalaksana pra-lansia dengan HIV. Melibatkan keluarga dalam perawatan pra-lansia dengan HIV perlu mendapat perhatian khusus untuk mengurangi depresi dan mendukung proses penuaan yang lebih sehat. Kata Kunci: depresi, dukungan keluarga, HIV, pra-lansia