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All Journal Jurnal Ilmu keperawatan Journal of the Medical Sciences (Berkala Ilmu Kedokteran) MEDISAINS Gadjah Mada Journal of Psychology Unnes Journal of Public Health
Carla R. Marchira
Bagian Psikiatri, FK UGM, Yogyakarta
Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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The influence of stigma and depression on quality of life of leprosy patients Agnes S. Siswati, Jenny MC Siagian, Carla R Marchira
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 41, No 01 (2009)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

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Abstract

Background: Stigma attached to leprosy-affected individuals is one of the strongest stigma of diseases. Depression is often occurred to many lepers. Stigma and depression are two factors which affect the quality of life of the lepers. Objective: To determine whether stigma and depression affect the quality of life of leprosy patients in Dermatovenereology outpatient clinic at RSUP Dr Sardjito Hospital. Methods: It was a quantitative and cross-sectional research. The quantitative analysis was conducted with chi-square and multiple regression methods. Result: There was no significant correlation between stigma and quality of life of leprosy patients. The factors which significantly correlated with quality of life were gender, income, and depression score (p < 0.051. Depression score significantly affected the quality of life (B 1.876; P < 0.05; CI 1.166-36.5661. Conclusion: Depression affected the quality of life more than deformity and demographic factors among leprosy patients in Dermatovenereology outpatient clinic at RSUP Dr Sardjito Yogyakarta. Key words: stigma - depression - lepro
Hubungan Kekerasan Dalam RUmah Tangga Dengan Depresi Pada Wanita Yang Melakukan Konsultasi di Rifka Annisa Womens Crisis Center Yogyakarta Vinatalia, Richa; Marchira, Carla R; Winarso, Mariyono Sedyo
Jurnal Ilmu Keperawatan Vol 4, No 1 (2009)
Publisher : School of Nursing Faculty of Medicine Universitas Gadjah Mada

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Emotional Freedom Techniques for Reducing Anxiety and Cortisol Level in Pregnant Adolescent Primiparous Mardjan, Mardjan; Prabandari, Yayi Suryo; Hakimi, Mohammad; Marchira, Carla R.
Unnes Journal of Public Health Vol 7 No 1 (2018): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (231.971 KB) | DOI: 10.15294/ujph.v7i1.19212

Abstract

ABSTRACT Anxiety during pregnancy in  primiparous mother will be a hard burden because of the immature both psycologic and reproductive organs which can increase the risk of maternal mortality, infant mortality, prolonged childbirth, LBW, postpartum depression, etc. An effort to minimize the anxiety is the implementation of EFT (Emotional Freedom Techniques) during the third trimester.  This research purposed to assess the effectiveness of EFT to decrease anxiety in facing childbirth. This research used the quasi-experimental pre-test and post-test method of treatment and control. The treatment was done during the third trimester, started and followed for 3 months ie month 7th, 8th, 9th. The EFT was implemented every month then continued independently by the mother, until before childbirth process. The research instrument used TMAS (Taylor Manifest Anxiety Scale) and cortisol blood test. The subjects were 38 respondents consisted of 19 interventions and 19 controls. Result with paired t-test, TMAS1,2,3, each stage got significant difference, pre and post blood cortisol level p = 0.0001. Linear regression analysis on TMAS p = 0.001 and R² = 0.57, whereas blood cortisol level p = 0.004 and R² = 0.43. This analysis proved EFT contributed significantly 57% to lower anxiety levels and 43% to lower blood cortisol level, indirectly affected the readiness to face childbirth process.                                                            ABSTRAK         Kecemasan selama kehamilan pada ibu primipara akan memberatkan kondisi bayi dalam kandungan karena secara psikologis kejiwaannya belum siap dan organ reproduksi belum sempurna yang dapat meningkatkan risiko dalam persalinan dan merupakan salah satu faktor penyebab kematian ibu, bayi, partus lama, BBLR, depresi postpartum, dll. Upaya meminimalisasi kecemasan ini dilakukan dengan metode EFT (Emotional Freedom Techniques) selama trimester ketiga.         Tujuan penelitian untuk mengetahui efektivitas EFT terhadap penurunan kecemasan dalam menghadapi persalinan. Penelitian ini menggunakan metode quasi eksperimen pre test dan post terhadap perlakuan dan kontrol. Perlakuan  dilakukan selama trimester III, dimulai dan diikuti selama 3 bulan yaitu  bulan ke-7, 8, 9. EFT dilakukan setiap bulan dan dilanjutkan secara mandiri oleh ibu, sampai menjelang persalinan. Instrumen penelitian menggunakan TMAS (Taylor Manifest Anexity Scale) dan pemeriksaan darah kortisol. Subyek penelitian 38 responden, terdiri atas 19 intervensi dan 19 kontrol.         Hasil penelitian  dengan uji paired t-test, TMAS1,2,3, setiap tahapannya didapatkan perbedaan bermakna yaitu kortisol darah pre dan post p=0,0001, analisa regresi liniear TMAS   p = 0,001, dan R² = 0,57; serta kortisol darah p=0,004 dan R²=0,43. Analisa ini membuktikan EFT berkontribusi 57% menurunkan tingkat kecemasan dan 43%  dalam menurunkan kortisol darah secara signifikan yang secara tidak langsung  berpengaruh terhadap kesiapan menghadapi persalinan.   
Making Meaning of Religious Values in Preventing a Fatal Suicide Act of a Bisexual Youth with Borderline Personality Disorder: A Qualitative Study Valentina, Tience Debora; Marchira, Carla R; Afiatin, Tina; Hadjam, Noor R
Jurnal Psikologi Vol 48, No 1 (2021)
Publisher : Faculty of Psychology, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpsi.56713

Abstract

Male adolescents of sexual minority groups often present mental health problems and suicidal behaviors. This qualitative study was conducted to explore how a bisexual youth with borderline personality disorder and multiple suicide attempts coped with his intention to die. Analysis was done using the Grounded Theory approach resulted in several themes. First, the pathway to suicidal behaviors; depicting the conflict between parents and the history of mother’s suicide attempts made him felt disconnected with the family. Second, the feeling of not deserving loved although having the need to be loved and to love. Third, the ambivalence of his sexual orientations as he had strong desire to be with a man yet felt happy dating a girl. Fourth, the interpretation of religious values for preventing fatal suicidal act. He perceived that his suicide attempts failed because God wants him to stay alive. The discussion addresses the aspect of religiosity that obstructs suicidal behaviors in bisexual youths
Factors affecting resilience of drug abusers at correctional facilities Warsini, Sri; Astuti, Arfiana Fani; Sari, Diana Nurlaila; Lestari, Pita Puji; Pratiwi, Sherli Damara; Masdar, Mahmasoni; Prasetyo, Nur Ajie; Indriati, Diah Fitri; Marchira, Carla R
MEDISAINS Vol 17, No 2 (2019)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v17i2.4947

Abstract

Background: Indonesia is currently facing a narcotics emergency as indicated by a drastic increase in the number of drug users and drug-related deaths. Rehabilitation does not guarantee recovery and relief from drugs. Even while undertaking rehabilitation, drug abusers may relapse. Resilience can prevent drug abusers from relapsing and help them overcome their problems. There has been a dearth of research focusing on factors affecting the resilience of drug abusers in Indonesia.Objective: The objective of this research is to identify factors affecting the resilience of drug abusers at correctional facilities in the Special Region of Yogyakarta.Methods: This is a cross-sectional design and was conducted in February 2017 at the Correctional Facility for Narcotics Cases Class IIA in Sleman and the Correctional Facility in Wirogunan. A total of 77 respondents were involved in this research by a consecutive sampling technique. The instruments used included the resilience questionnaire developed by Pertiwi based on Grotberg’s theory, Beck Depression Inventory II, Satis-faction with Life Scale and Positive Affect Negative Affect Schedule, Isundariyana’s stress instrument, Rosenberg Self-Esteem Scale (RSES), Zung Self Rating Anxiety Scale (ZSAS), General Self-Efficacy Scale, Life Orientation Test-Revised (LOT-R), and Difficulties in Emotion Regulation Scale (DERS). The data were analyzed by univariate, bivariate (Pearson and Spearman’s Rank), and multivariate (linear regression) analyses.Results: Out of the 8 factors examined (subjective well-being, optimism, self-esteem, emotion regulation, anxiety, stress, depression, and self-efficacy) and 2 demographic factors (age and occupational status), only self-efficacy (β = 1.063; p = 0.13), optimism (β = 1.51; p = 0.01), and self-esteem (β = 1.540; p = 0.009) affected resilience.Conclusions: Self-efficacy, optimism, and self-esteem are modifiable factors that can influence the resilience of drug abusers
Co-Authors Astuti, Arfiana Fani Hadjam, Noor R Indriati, Diah Fitri Lestari, Pita Puji Mardjan Mardjan Mariyono Sedyo Winarso, Mariyono Sedyo Masdar, Mahmasoni Mohammad Hakimi Prasetyo, Nur Ajie Pratiwi, Sherli Damara Richa Vinatalia, Richa Sari, Diana Nurlaila Sri Warsini Tience Debora Valentina Tina Afiatin Yayi Suryo Prabandari