Khairina Khairina
Departemen/ SMF Ilmu Kedokteran Jiwa Fakultas Kedokteran Universitas Airlangga/ RSUD Dr. Soetomo Surabaya

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The Dominant Personality Type in Hemiparetic Patients Andika Darmawan Wahono; Abdurachman Abdurachman; Khairina Khairina; Sita Setyowatie
Health Notions Vol 6, No 01 (2022): January
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn60106

Abstract

McCrae and Costa proposed the big five personality which includes neuroticism, extraversion, openness, agreeableness, and conscientiousness. Certain personalities appear to be dominant in terms of the relevant disease. The aim of this study was to investigate the dominant personality according to the Big Five personality in hemiparetic patients. A descriptive cross-sectional with a survey-based questionnaire design involving 72 hemiparetic patient from outpatient department of Neurology Dr.Soetomo General Hospital hemiparesis in January 2020 to June 2021 was employed. The big five questionnaire was administered online or sent by courier. There were 27 female and 45 male in total with mean age of 53.89 years (SD 12.53). Majority of the hemiparese patiets had a agreeableness dominant personality (N=55). In addition, it was found that 1 hemiparese patient had an openess dominant personality, 3 hemiparese patients had a conscientious dominant personality, 6 hemiparese patients had an extraversion dominant personality, 4 hemiparese patients had a neuroticism dominant personality, and the remaining 3 had a mixed dominant personality. The dominant personality type in hemiparesis patient is agreeableness.Keywords: dominant; hemiparese; personality
Profile of Chronic Mental Disorder Patients with or without Suicide Ideation in the Psychiatric Ward of Dr. Soetomo General Hospital, Surabaya Khoirun Nada Salsabila; Khairina Khairina; Lilik Djuari
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 12 No. 2 (2021): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V12I22021.48-53

Abstract

Introduction: Risk factors for suicide ideation or suicide are the history of mental illness, family history with suicide or depression, and having suicide attempts. This study aimed to determine patients with mental disorder profiles that had suicide ideation and never had suicide ideation. This study also aimed to identify the intensity of suicide idea and history of suicide attempts at a subject that had suicide ideation.Methods: This was a descriptive observational study. This study was conducted using C-SSRS questionnaires and some additional interviews with chronic mental disorder patients in the Psychiatric Ward, Dr. Soetomo General Hospital, Surabaya.Results: Total patients that had suicide ideation were 11 patients, consisted of 8 patients with schizophrenia, and 2 patients with bipolar disorder. The mean length of illness was 16.55 years, GAF Scale when suicide ideation appeared was at range 40-31 until 60-51. GAF Scale got better in range 60-51 until 80-71, mostly in teenagers and adults when suicide ideation appeared, primarily women. Many of them were unemployed, had lower income, did not have income, and were non-college graduates. The total subjects that never had suicidal ideation were 23 patients, 2 of them with depression, mean age of illness onset was 12.04 years old, the balance between women and men, some of them were sellers and worked in a private field, with income range between 2 until 5-6 million, and few of them were college graduates.Conclusion: Suicide ideation was mostly found in some subjects with younger age, had longer length of illness, had lower GAF Scale, primarily women, unemployed, had lower income, and had lower education.
Schizophrenia Patient’s Need Assessment Windy Tiandini; dr. Khairina
Jurnal Psikiatri Surabaya Vol. 9 No. 1 (2020): May
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (228.766 KB) | DOI: 10.20473/jps.v9i1.15026

Abstract

Schizophrenia is a chronic mental illness and cause dysfunction in the social, work and family environment. The main goal of the treatment of schizophrenia is recovery that is either physically or mentally completed from loss of symptoms, work function, independent life, and relationships that require the role of the patient and caregiver. Planning therapy for schizophrenic patients is not just medical approval or treatment, but the discussion of basic needs is very important in order to reduce dysfunction in schizophrenic patients and improve their quality of life. The Camberwell Assessment of Need (CAN) is an instrument developed to support several aspects of life and mental well-being and to provide an overview of the needs of schizophrenic patients. 
Negative Symptoms Management in Schizophrenia Maria Francisca Intan Primasiwi Lolobua; Khairina Khairina; Ida Aju Kusuma Wardani; Angelina M. Mirna Santoso
Jurnal Psikiatri Surabaya Vol. 10 No. 1 (2021): May
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jps.v10i1.20607

Abstract

Clinicians often overlook the presence of negative symptoms in treating schizophrenia. The burden borne by patients, families, and society is quite heavy. These symptoms not only have high costs, but also affect the functional prognosis in independence and socializing. There is a need for adequate therapy of negative symptoms of schizophrenia which can improve the patient’s quality of life. Negative symptoms are characterized by blunt affect, alogia, avolition, anhedonia, and asociality. Knowing the difference between the primary and secondary types of negative symptoms of schizophrenia can bring big impact on the therapy. The primary type of negative symptoms is an integral part of schizophrenia, while the secondary one is caused by external conditions of schizophrenia, such as depression. Management of negative symptoms of schizophrenia includes psychopharmaceuticals and non-psychopharmaceuticals. Atypical antipsychotics remain the drug of choice due to their affinity not only to D2 receptor, but also to serotonin, glutamate, histamine, α adrenergic, and muscarinic receptors. In addition, the higher dissociation rate of D2 receptors of atypical antipsychotics allow for minimal motor side effect. Cariprazine has been approved by The Food and Drug Associaton and The European Medicines Agency to treat primary and persistent negative symptoms due to its minimal side effect. Non-pharmacological therapies such as Cognitive Behavioral Therapy (CBT) and Motivation and Engagement Training (MOVE) can optimize the treatment efficacy. These therapies will enhance the cognitive improvement, adaptation, and social skill development of the patients.
Family Role on Schizoaffective Type Patients Treatment Triningsih Setiawati; Khairina khairina; Syarifah Aini
Jurnal Psikiatri Surabaya Vol. 10 No. 2 (2021): November
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jps.v10i2.22857

Abstract

              Schizoaffective disorder is a mental disorder accompanied by schizophrenic and affective symptoms that both stand out at one time. Affective symptoms that appear are manic, depressive or both. The prevalence of patients with schizoaffective disorder is about 0.3% of the general population. Women suffer more from schizoaffective disorder and usually suffer from depressive type schizoaffective disorder. The case that will be discussed here is a young adult woman who first suffered from a schizoaffective mixed type disorder. The difficulty faced in handling this case is to provide an understanding of the patient and family about schizoaffective disorders and how patients take medication regularly for a long time. Therefore, a biopsychosocial approach is considered the most suitable to overcome the difficulties in handling this case.
Association Between Residence And Disease Incidences In The Dr. Soetomo Hospital Psychiatric Clinic Firda Fauziah Hidayat; Khairina Khairina; Budi Utomo
Jurnal Psikiatri Surabaya Vol. 10 No. 2 (2021): November
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jps.v10i2.22945

Abstract

Background; The increasing mental disorders prevalence adds countries’ burdens. One of the mental disorder’s risks is residence. There is no research about the relationship between residence and ten most psychiatric diseases in Surabaya. Objective; This research aims to study the relationship between residence and ten most diseases in Dr. Soetomo hospital psychiatric clinic. Methods; This research method using observational-analytic design with a cross-sectional approach in Dr. Soetomo hospital psychiatric clinic. Data were taken from medical records based on inclusion and exclusion criteria. The research used a chi-square test with 95%CI. Results: The dominant districts where research subjects lived were education-related psychiatric examinations in Semampir, paranoid schizophrenia in Sawahan, mental disorders due to brain damage in Sawahan, moderate depressive episodes in Gubeng, MMR in Kenjeran, activity and behavior disorders in Sawahan, hebefrenic schizophrenia in Tambaksari, family-related psychiatric examinations in Tambaksari, atypical autism in Sukomanunggal and Semampir, MADD in Tambaksari. Distribution of patients’ residence based on five regions of Surabaya was East Surabaya as the dominant residence of paranoid schizophrenia, moderate depressive episodes, hebefrenic schizophrenia, atypical autism, MADD; North Surabaya as the dominaNt residence of education-related psychiatric examinations, MMR; South Surabaya as the dominant residence of paranoid schizophrenia, mental disorders due to brain damage, activity and behavior disorders, family-related psychiatric examinations. Chi-square test showed a significant relationship between residence and ten most diseases. Conclusion; There is a significant (goodness of fit) relationship between residence and ten most diseases in Dr. Soetomo hospital psychiatric clinic. Keywords: Mental disorders, Residence, Surabaya City