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All Journal Saintika Medika: Jurnal Ilmu Kesehatan dan Kedokteran Keluarga. Medicor : Journal of Health Informatics and Health Policy
Marintik Ilahi
Department Of Psychiatry, Hospital Of University Of Muhammadiyah Malang
Health Professions Medicine & Pharmacology Public Health

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Correlation Between Knowledge Level On Anxiety Level Post-Coronavac Vaccine at The Clinic of dr. Irma Marintik Ilahi; Yusrin Aulia
Saintika Medika Vol. 17 No. 2 (2021): December 2021
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/sm.Vol17.SMUMM2.18300

Abstract

Vaccination is the government's effort to prevent the spread of the COVID-19 pandemic. Lack of knowledge about the Coronavac vaccine gives rise to various kinds of speculation, resulting in anxiety. This study attempts to analyze evaluate the correlation between knowledge level of public officers about the effects of Coronavac vaccine on anxiety level post-Coronavac vaccine at the dr. Irma Clinic.The study was an analytic observational study with a cross-sectional design, conducted on March 22, 2021. 62 public officers who received the Coronavac vaccine at the dr. Irma Clinic was enrolled. The sampling technique used was total sampling. The data analysis used was the Mann-Whitney test.The result showed that 39 (62.9%) respondents had a good level of knowledge. 42 (67.7%) respondents showed no sign of anxiety. There was a tendency that the better the level of knowledge, the less anxious, and vice versa, the less knowledge, the more respondents experience both mild and moderate anxiety. From the Mann Whitney test results, the p-value was 0.000 (sig < 0.05).There was significant correlation between knowledge level of public officers about the effects of Coronavac vaccine on anxiety level post-Coronavac vaccine at the dr. Irma Clinic.
Prolonged Grief Disorder and Early Onset Depression in Children Basuki, ⁠Shinta Maulydiyah; Prisnidiawati, Ajeng; Karida, Rika Nur; Rasyid, Rezza Dwi Ar; Ridlo, Fairuz; Ilahi, Marintik; Algristian, Hafid
Medicor : Journal of Health Informatics and Health Policy Vol. 3 No. 3 (2025): July 2025
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v3i3.536

Abstract

Children who experience the death of a significant attachment figure, such as a parent or grandparent, are particularly vulnerable to Prolonged Grief Disorder (PGD) and early-onset depression. Unlike adults, children may manifest grief through somatic symptoms, irritability, or behavioral disturbances rather than overt sadness. The grief process in childhood, if not properly addressed, can disrupt emotional regulation, cognitive development, and psychosocial functioning. This case report discusses a 10-year-old boy who developed depressive symptoms following the loss of his grandfather, with whom he had a strong emotional bond. His symptoms included persistent sadness, social withdrawal, emotional dysregulation, and somatic complaints. These were compounded by environmental stressors such as parental divorce, an emotionally invalidating caregiving environment, and exposure to an aggressive alcoholic family member. Assessment involved clinical interviews, psychiatric evaluations, and a comprehensive review of literature addressing grief and child mental health. The patient met the diagnostic criteria for PGD and showed comorbid early-onset depression, highlighting the interconnected nature of grief and affective disorders in children. Neurobiological factors, particularly dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis, were considered in the etiology. The case underscores the importance of early recognition, family-centered psychosocial interventions, and integrative therapeutic approaches including cognitive-behavioral therapy (CBT), expressive arts, and complementary methods such as aromatherapy. This report emphasizes the urgent need for culturally sensitive, trauma-informed strategies to help bereaved children navigate loss and prevent chronic psychiatric outcomes. Early intervention plays a critical role in promoting resilience and long-term mental well-being in grieving children.
Dyspepsia as a Trigger for Sleep Disorders: A Case Study of Gut–Brain Axis Interaction Friska Febrian Damayanti; Algristian, Hafid; Ilahi, Marintik
Medicor : Journal of Health Informatics and Health Policy Vol. 4 No. 1 (2026): January 2026
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v4i1.1139

Abstract

Functional dyspepsia is an upper gastrointestinal complaint without organic abnormalities that may interact with sleep through gut–brain axis mechanisms. We report the case of a 49-year-old woman with persistent insomnia occurring concurrently with epigastric pain for approximately one year. The patient relied on hypnotic medication and experienced early-morning awakenings. Psychiatric, somatic, and psychosocial evaluations indicated that the sleep disturbance was related to dyspeptic complaints. Management included psychoeducation, supportive psychotherapy, and Cognitive Behavioral Therapy for Insomnia (CBT-I), along with dyspepsia therapy (sucralfate and omeprazole) and a spiritual approach according to the patient’s preferences. Following integrated therapy, sleep patterns improved and the Insomnia Severity Index score decreased in parallel with the resolution of dyspepsia symptoms. This case demonstrates that dyspepsia can trigger sleep disturbances through gut–brain axis mechanisms and highlights the importance of a multidisciplinary approach in managing insomnia with gastrointestinal comorbidity. The report also emphasizes the clinical relevance of addressing biopsychosocial factors and incorporating culturally sensitive, patient-centered care to enhance therapeutic outcomes and prevent symptom recurrence.
Co-Authors Algristian, Hafid Basuki, ⁠Shinta Maulydiyah Friska Febrian Damayanti Karida, Rika Nur Prisnidiawati, Ajeng Rasyid, Rezza Dwi Ar Ridlo, Fairuz Yusrin Aulia