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All Journal Nurse Media Journal of Nursing Jurnal Kedokteran Diponegoro Journal Of Holistic Nursing Science Medica Hospitalia Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Scientia Psychiatrica Jurnal Psikiatri Surabaya (Surabaya Psychiatry Journal) Diponegoro International Medical Journal (DIMJ) Journal of Community Mental Health and Public Policy MAHESA : Malahayati Health Student Journal Jurnal Ilmiah Kesehatan Jiwa Journal of Psychiatry Psychology and Behavioral Research (JPPBR) Journal of Mental Health

Widodo Sarjana AS, Widodo

Department Of Clinical Psychiatry, Faculty Of Medicine University Of Diponegoro, Zona Pendidikan RSUP Dr. Kariadi Jl. Dr. Sutomo No.16-18, Semarang, Central Java, Indonesia 50244

Author-ID : 2665360

Humanities Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health Other

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NURSES’ SLEEP QUALITY AND QUALITY OF LIFE DURING THE COVID-19 PANDEMIC: ANALYSIS OF CORRELATION AND DIFFERENCES IN THE RAJAWALI ISOLATION AND NON-ISOLATION WARDS Nurhasanah Nurhasanah; Hang Gunawan Asikin; Natalia Dewi Wardani; Widodo Sarjana; Witrie Sutaty Miliawati Rahayu
JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL) Vol 11, No 3 (2022): JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL)
Publisher : Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dmj.v11i3.34089

Background: Nurses are one of the first-line fighters who treat Coronavirus disease 2019 (COVID-19) patients. They are prone to stress, anxiety, and sleep disturbances that can interfere with nurses providing medical services. Although some clinical research has established sleep quality and quality of life, the comparisons of sleep quality, quality of life, and each domain of quality of life for nurses who work in isolation and non-isolation wards is not well knownObjective: This study examines the correlation between sleep quality and quality of life amongst Dr. Kariadi General Hospital nurses during the COVID-19 pandemic.Methods: This quantitative study uses a cross-sectional approach. 51 nurses who worked in the Rajawali rooms in the isolation and non-isolation wards for COVID-19 at Dr. Kariadi Semarang were included by the consecutive sampling method. The instrument used are the sociodemographic questionnaire, The PSQI, and The WHOQOL-BREF Indonesian versions. Bivariate analysis was analyzed using the Spearman testResults: There was a correlation between sleep quality and the quality of life of nurses (p=0.020,r= -0.325). There was a difference between the sleep quality of nurses who work in isolation and non-isolation wards (p=0.03). There was no difference between the quality of life of nurses who work in isolation and non-isolation wards (p = 0.698).Conclusion: There is significant correlation between nurses’ sleep quality and their quality of life. There’s bad quality of life for nurses who worked inward isolation so further examination and periodic screening are needed to optimize their care.

PERBEDAAN TINGKAT KECEMASAN DAN INSOMNIA ANTARA TAHANAN DAN NARAPIDANA DI LEMBAGA PEMASYARAKATAN KLAS IIA WANITA SEMARANG Nila Rabiastuti Meiyanti; Widodo Sarjana; Titis Hadiati
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 8, No 1 (2019): JURNAL KEDOKTERAN DIPONEGORO
Publisher : Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

Latar Belakang: Kecemasan dan insomnia dapat dialami oleh siapa saja termasuk penghuni lembaga pemasyarakatan baik dengan status narapidana maupun masih status tahanan. Banyaknya perubahan - perubahan dan permasalahan yang dialami narapidana dan tahanan akan menyebabkan mereka dalam suatu ketidaknyamanan dan berdampak pada masalah kesehatan mental seperti kecemasan yang selanjutnya bermanifestasi insomnia. Tujuan: Mengetahui perbedaan tingkat kecemasan dan insomnia antara tahanan dan narapidana. Metode: Penelitian ini merupakan penelitian observasional analitik dengan pendekatan cross sectional. Sampel adalah 57 orang yang terdiri dari 26 tahanan dan 31 narapidana yang berada di Lembaga Pemasyarakatan Klas IIA Wanita Semarang. Pengambilan sampel dengan metode simple random sampling. Responden diukur tingkat kecemasan dengan menggunakan kuesioner Zung Self-rating Anxiety Scale dan tingkat insomnia dengan menggunakan kuesioner Insomnia Severity Index. Uji yang digunakan adalah uji Chi-square. Hasil: Pada penelitian didapatkan hasil bahwa kecemasan pada tahanan 7.7%, dan narapidana 9.7%. Sedangkan insomnia pada penghuni lapas cukup tinggi dengan total 54.4% dari seluruh responden yang mengalami insomnia, dengan rincian 31.7% insomnia yang dialami tahanan dan 22.8% insomnia yang dialami oleh narapidana. Berdasarkan hasil uji statistik menunjukkan tidak terdapat perbedaan yang bermakna pada tingkat kecemasan anatara tahanan dan narapidana (p=1.00) dan terdapat perbedaan yang bermakna pada tingkat insomnia antara tahanan dan narapidana (p=0.041). Kesimpulan: tidak ada perbedaan yang bermakna dalam hal tingkat kecemasan, namun terdapat perbedaan yang bermakna dalam hal tingkat insomnia antara tahanan dan narapidana.Kata Kunci: Kecemasan, insomnia, tahanan, narapidana.

EFEK PEMBERIAN EKSTRAK KULIT MANGGIS (Garcinia mangostana L.) TERHADAP GAMBARAN MIKROSKOPIS HEPAR TIKUS YANG TERPAPAR FLUFENAZIN DEKANOAT Jessica Yolanda Hadisusanto; Hermawan Istiadi; Widodo Sarjana AS
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 5, No 4 (2016): JURNAL KEDOKTERAN DIPONEGORO
Publisher : Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

Latar Belakang : Flufenazin dekanoat merupakan antipsikotik yang masih sering digunakan untuk mengobati penyakit skizofrenia, dimana jumlah penderitanya semakin meningkat setiap tahunnya. Obat injeksi ini diberikan secara kontinu untuk mengurangi gejala-gejala skizofren sehingga dapat meningkatkan kualitas hidup penderitanya. Namun, efek buruk flufenazin terhadap hepar juga tidak dapat diabaikan mengingat obat ini dipakai dalam waktu yang relatif lama. Ekstrak kulit manggis sebagai sumber antioksidan dapat mengurangi kerusakan hepar yang terjadi akibat metabolisme flufenazin dekanoat yang berlebihan.Tujuan : Mengidentifikasi efek pemberian ekstrak kulit manggis (Garcinia mangostana L.) terhadap gambaran mikroskopis hepar tikus yang terpapar flufenazin dekanoat.Metode : Penelitian eksperimental murni dengan post test only control group design menggunakan 12 ekor tikus wistar jantan yang dibagi dalam dua kelompok, yaitu kelompok K dan P. Kelompok K diberikan injeksi flufenazin dekanoat 2mg/kgbb/minggu. Kelompok P diberikan injeksi flufenazin dekanoat 2mg/kgbb/minggu dan ekstrak kulit manggis 120mg/hari.Perlakuan dilakukan selama 50 hari, lalu tikus diterminasi dan dilakukan pengamatan gambaran mikroskopis hepar tikus dengan kriteria Manja Roenigk.Hasil : Kelompok K menunjukkan sebagian besar hepar mengalami kerusakan berat yaitu nekrosis (45.8%), degenerasi hidropik (33.3%), dan degenerasi parenkimatosa (20.8%). Kelompok P menunjukkan sebagian besar hepatosit mengalami kerusakan ringan yaitu degenerasi parenkimatosa (55%), degenerasi hidropik (25%), normal (10%), dan nekrosis (10%). Uji hipotesis menunjukkan terdapat perbedaan yang bermakna antara gambaran mikroskopis hepar tikus kelompok K dan P (p<0.05)Kesimpulan : Ekstrak kulit manggis memberikan efek protektif terhadap gambaran mikroskopis hepar tikus yang terpapar flufenazin dekanoat.

The Relationship Between Spirituality Level and The Incidence of Depression: A Study on Eleventh-Grade Students at Pondok Al-Hidayat Islamic Boarding School Krasak Demak Sulistiyowati, Linda; Fitrikasari, Alifiati; Wardani, Natalia Dewi; Sarjana, Widodo
Jurnal Psikiatri Surabaya Vol. 11 No. 1 (2022): May
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jps.v11i1.28009

ABSTRACT Background: The depression incidence around Southeast Asia in 2017 was 85.67 million cases (27%), and 7.5% of it occurred in the 15-19 years old age group. In Indonesia, the incidence of depression in 2017 was 9,162,886 cases (3.7%). Depression can be a major cause of disability and even lead to suicide, promoting many studies to find factors that can prevent depression in teenagers, one of which is related to the spirituality level. Objective: Determining the relationship between spirituality level and the incidence of depression. Methods: This study is a quantitative study with a cross-sectional study design. A total of 106 samples is included. They were eleventh-grade students who only studied Salaf and students who studied both Salaf and general sciences at the Al-Hidayat Islamic Boarding School Krasak Temuroso Guntur, Demak in the 2019-2020 school year. Data was collected using the Spirituality Orientation Inventory questionnaire and the Child Depression Inventory questionnaire, then analyzed using the Chi-square test. Results: The depression incidence among Al-Hidayat Islamic Boarding School students is 12%. Most students (93.5%) have a high spiritual level. There is a relationship between spirituality level and the incidence of depression in all eleventh-grade students, but no significant difference between spirituality level and the incidence of depression among the students who only study Salaf and the students who studied both Salaf and general sciences. Conclusion: The incidence of depression in Al-Hidayat Islamic Boarding School students is related to the spiritual level of students. Keywords: depression, teenager, students, spiritual level, Islamic boarding school

The Correlation Between Fear of Missing Out (FoMO) and Internet Addiction in Vocational High School Students Setyaningsih, Nur; Widodo Sarjana; Natalia Dewi Wardani
Jurnal Psikiatri Surabaya Vol. 12 No. 1 (2023): May
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jps.v12i1.30653

Abstracts Background: Advanced and rapid technologic development has a great impact on the Indonesian education system. Indonesia was the sixth-largest internet users in the world. The increasing number of internet users potentially may increase the number of internet addicts caused by many factors, such as fear of missing out (FoMO). Objective: To determine the correlation between FoMO and internet addiction cases in Mitra Karya Mandiri Vocational High School, Brebes. Methods: This was a quantitative study with a cross-sectional design. Subjects of this study were all 11th-grade students of Mitra Karya Mandiri Vocational High School selected using a stratified random sampling method. The instruments used in this study was the Indonesian version of the sociodemographic questionnaire, the Internet Addiction Diagnostic questionnaire (KDAI) and the Fear of Missing Out questionnaire (FoMO-scale). Results: Most subjects (68.9%) did not have an internet addiction. There was a significant correlation between internet addiction with FoMO (p=0.009). The result of the ANOVA test showed that there were no significant differences in internet addiction from three majors of Mitra Karya Mandiri Vocational High School (p=0.586) and FoMO from three majors of Mitra Karya Mandiri Vocational High School (p=0.969). Conclusion: There was a significant correlation between internet addiction and FoMO. There was a significant correlation between internet addiction with gender and peer environment. However, there were no significant differences found between internet addiction and FoMO from each major.

The Relationship between Self-Esteem and Anxiety Levels in Final-year Medical Students Adiwijaya, Janice Nathania; Felita, Fiona; Fitrikasari, Alifiati; Sarjana, Widodo; Hadiati, Titis
Diponegoro International Medical Journal Vol 5, No 1 (2024): July 2024
Publisher : Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dimj.v5i1.22515

Background: Self-esteem is an evaluation of oneself that can be positive or negative. Self-esteem affects the way individuals value and views themselves and others. Self-esteem increases gradually during young adulthood. On the other hand, anxiety disorders are also prone to occur during this time. Individuals with low self-esteem arefound to often experience symptoms of anxiety.Objective: The purpose of this study is to examine the relationship between self-esteem and anxiety levels among final year medical students, Faculty of Medicine, Diponegoro University.Methods: This research is a correlational analytic observational study with a cross-sectional design. Total sampling was used in this research involving final year medical students, Faculty of Medicine, Diponegoro University (Class of 2018). Self-esteem was assessed using the Rosenberg Self-esteem Scale (RSES), and anxiety levels were assessed using the Zung Self-rating Anxiety Scale (ZSAS) that had been tested valid and reliable. Data were analyzed using Spearman and Lambda Correlation Tests.Results: There were 226 respondents involved in this study. The majority of respondents had high self-esteem (69.5%) and a mild level of anxiety (84.1%). Gender was known to affect the level of anxiety (p=0.026) but not self-esteem. Academic achievement and residency status was known not to affect self-esteem and anxiety levels. There was a significant relationship (p=0.000) between self-esteem and anxiety levels with a moderate negative correlation (r=-0.289).Conclusion: There was a significant relationship between self-esteem and anxiety levels.

Analisis Isi Video YouTube® Berbahasa Indonesia yang Berhubungan dengan Depresi Sanjaya, Dicky; Sarjana, Widodo; Fitrikasari, Alifiati; Woroasih, Sri
Majalah Kedokteran Indonesia Vol 74 No 3 (2024): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.74.3-2024-1176

Introduction: Nowadays, mental health literacy through internet videos, such as YouTube®, plays an important role for individuals experiencing depression. However, the majority of YouTube® videos related to depression are generally in English. This study aims to provide an overview of Indonesian-language YouTube® videos related to depression.Methods: The keyword “depression” is entered into the YouTube® search engine, and based on the highest number of views, the top 100 videos are selected for analysis regarding the characteristics of the videos and various information related to depression. This includes causes of depression, symptoms of depression, prevention/therapy of depression, recovery from depression, and sources of information about depression. Each characteristic will be compared based on the number of views, likes or dislikes, and number of comments. Results: Only 10% of Indonesian-language videos with the keyword “depression” are uploaded by professional channels, and 6.57% of the videos are sourced from professionals. Most videos do not provide information about prevention or therapy (57%) and the recovery from depression (78%). The majority of the videos mention that depression is caused by life stress (49%) with symptoms of suicidal thoughts (39%) and sadness (25%). However, only 16% of the videos state that depression can be treated or prevented with professional consultation. Conclusion: Depression literacy through Indonesian-language YouTube® videos is still lacking. There is a need for YouTube® videos that provide information about depression, come from professional sources, and include encouragement to seek professional help.

SIMPLE BIOMARKER ANALYSIS OF SYSTEMIC INFLAMMATION IN AGITATION AMONG SCHIZOPHRENIA PATIENTS: CROSS-SECTIONAL STUDY Ratnawati, Tri; Kartikasari, Linda; Sarjana, Widodo
Journal of Psychiatry Psychology and Behavioral Research Vol. 6 No. 1 (2025): Mental Health Portrait and Intervention to Build a Safe and Strong Environment
Publisher : Departemen Psikiatri Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jppbr.2025.006.01.3

Introduction: Schizophrenia is a serious mental disorder characterized by reality distortion and psychomotor disorganization, with agitation as a common symptom that increases the risk of rehospitalization. Systemic inflammation, measured by biomarkers such as the neutrophil-to-lymphocyte ratio (NLR), monocyte-to-lymphocyte ratio (MLR), platelet-to-lymphocyte ratio (PLR), and systemic immune-inflammation index (SII), has been identified as being associated with the pathophysiology of schizophrenia. This study aims to investigate the relationship between agitation and inflammation, as indicated by elevated NLR, MLR, PLR, and SII values, in schizophrenia patients. Methods: A retrospective cross-sectional study was conducted involving 314 schizophrenia patients hospitalized at Dr. Amino Gondohutomo Mental Hospital, Semarang, from December 2023 to July 2024. Data was collected from medical records, including NLR, MLR, PLR, and SII values calculated from routine hematological exams, and the degree of agitation measured with the PANSS-EC scale. Results: The majority of patients (65.3%) were aged 18-37 years, with a mean age of 34.07 years. Most patients were male (52.5%) and exhibited moderate agitation (66.6%). Regression analysis showed that NLR, MLR, and SII values were significantly positively correlated with agitation levels. NLR had a regression coefficient of 0.122 (p=0.001), MLR of 0.293 (p=0.046), and SII of 0.000 (p=0.035), indicating that increases in these inflammatory biomarkers correlated with higher agitation levels in schizophrenia patients. Discuss: Hematological biomarkers such as Neutrophil-to-Lymphocyte Ratio (NLR), Monocyte-to-Lymphocyte Ratio (MLR), and Systemic Immune-Inflammation Index (SII) hold significant potential in psychiatric emergency settings as simple, cost-effective, and accessible tools for early identification and risk stratification of acute agitation in schizophrenia and other severe mental disorders. Conclusion: This study found that elevated NLR, MLR, and SII values were closely associated with increased agitation levels in schizophrenia patients, supporting the hypothesis that systemic inflammation plays a role in the pathophysiology of schizophrenia. These findings suggest the potential for using inflammatory biomarkers as predictive tools for assessing agitation severity in schizophrenia patients, which could aid in clinical management and rehospitalization prevention.

RELIGIOUS AND SPIRITUAL THERAPY IN REHABILITATIONOF PEOPLE WITH MENTAL ILLNESSIN ISLAMIC BOARDING SCHOOL: Terapi Agama Dan Spiritual Dalam Rehabilitasi Orang Penyakit Mental di Sekolah Papan Islam Sri Padma Sari; Widodo Sarjana
Journal of Community Mental Health and Public Policy Vol. 1 No. 2 (2019): APRIL
Publisher : Lembaga Penelitian dan Terapan untuk Kesehatan Jiwa (Lenterakaji)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51602/cmhp.v1i2.26

ABSTRACT Rehabilitation for people with mental disorders (PMD) plays an important role in helping the healing process. Given the limited number of mental institutions, Islamic boarding schools participate in assisting in the handling of PMD. This study aims to: (i) Identify the religious activities conducted by Islamic boarding schools in the rehabilitation of PMD, (ii) Identify the benefits of spiritual therapy and religious activities in assisting the recovery of PMD. This is a mixed-method research conducted in three boarding schools that provide rehabilitation of the PMD in Yogyakarta, namely Nurul Haromain, Al Islamy and Tetirah Dzikir in February-March 2017. Data from 84 randomly selected respondents with mental disorders were collected using Daily Spiritual Experience Scale (DSES) and PSP (Personal and Social Performance) questionnaires to see the relationship between the spiritual level with changes in personal and social functions in PMD and analyzed using spearman rank correlation test. Qualitative data is conducted by Focus Group Discussion. Results show that there was a relationship between the spiritual level and changes in the personal and social functions of the PMD (p = 0.008; r = 0.286). In addition, most of the religious activities obtained by PMD were praying, reciting the Quran and dhikr. The perceived benefits of religious activities for the PMD were feeling healed from mental illness and the heart becomes more calm. Spiritual therapy in the form of religious activities has an important role for PMD in assisting healing and providing hopes. Activities and living in Islamic boarding schools may enhance PMDâ€™s confidence and social function.

Self-Efficacy, Resilience, and Loneliness in People with Schizophrenia Wijayanti, Diyan Yuli; Sarjana, Widodo; Astuti, Halimah Wenny Yulina; Sari, Sri Padma
MAHESA : Malahayati Health Student Journal Vol 4, No 4 (2024): Volume 4 Nomor 4 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i4.14060

ABSTRACT Self-efficacy and resilience have been associated with loneliness in schizophrenia. Studies reported that people with schizophrenia have low self-efficacy, resilience, and experience a greater level of loneliness, which could lead to worsening symptoms. However, inpatient and outpatients’ differences in these variables have rarely been investigated. This study aimed to compare self-efficacy, resilience, and loneliness among people with schizophrenia from outpatients and inpatients. A total of 130 patients diagnosed with schizophrenia were included in this study. The data were collected using the socio-demographic questionnaire, the General Self-Efficacy Scale (GSE), Connor-Davidson Resilience Scale 10 (CD-RISC 10), and the University of California Los Angeles (UCLA) Loneliness Scale Version 3. The Chi-Square, Mann-Whitney, and the t-test were used for data analysis. The results indicated that inpatient has higher self-efficacy and resilience than outpatients. Interestingly, inpatient significantly has lower loneliness than outpatients. The findings support the evidence of psychological differences in schizophrenia and provide a better understanding of different settings with this diagnosis. In the clinical practice, these results suggest developing interventions to enhance resilience and self-efficacy in schizophrenia. Keywords: Loneliness, Resilience, Self-Efficacy, Schizophrenia

Co-Authors Adiwijaya, Janice Nathania Agung Kadarman Agustin, Murti Akhsanul Yasril Ihza Laksono Alifatush Shabrina Alifiati Fitrikasari Alifiati Fitrikasari Andreas Johan Hardjosoesanto Ardi, Wandria Robi Astuti, Halimah Wenny Yulina Ayu Mekar Sumila Diah Anggraini Diyan Yuli Wijayanti Dyah Ayu Palupi Elyana Hapsari Fanti Saktini Felita, Fiona Fitri Eka Wulandari Hang G. Asikin Hang Gunawan Asikin Hang Gunawan Asikin Hermawan Istiadi Innawati Jusup Jessica Yolanda Hadisusanto Kartikasari, Linda Linda Kartika Sari Locsin, Rozzano C. Margaretha, Christine Meidiana Dwidiyanti Muchlis A.U Sofro Muchlis Achsan Udji Sofro Muflihatunnaimah Natalia Dewi Wardani Nila Rabiastuti Meiyanti Nurhasanah Nurhasanah Reza Indra Wiguna Ricca Angelina Ethel Rizki Alfarizi Sandjaja, Alicia Sanjaya, Dicky Sarah Damayanti RP Marbun Setyaningsih, Nur Sisca Maria Turnip Sri Mulyasari Sri Padma Sari, Sri Padma Suharto Suharto Sulistiyowati, Linda Tanjung Ayu Sumekar Titis Hadiati Titis Hadiati, Titis Tri Ratnawati Uminah Winadi Yoyada Dwi Putra Witrie Sutaty Miliawati Rahayu Woroasih, Sri

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