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Profile of Schizophrenia Aggressiveness with the Risk of Suicide based on the Personality and Social Performance Score Mochammad Choirul Waro; Alifiati Fitrikasari
Scientia Psychiatrica Vol. 2 No. 1 (2021): Scientia Psychiatrica
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/scipsy.v2i1.27

Abstract

Introduction: The risk of schizophrenia for suicide is 10%, of which 10% -15% of people with schizophrenia die of suicide at 20 years of follow-up. Aggressiveness is a factor to be watched out. Other factors are hallucinations, suicide, early-onset, history of schizophrenia, surveillance, age, gender, education, genetics, and the effect of depression. This study aimed to describe the sociodemographic profile, aggressiveness, and hallucinations of suicide in schizophrenic patients. Methods: The design of this study is descriptive research. The number of samples in this study was 49 schizophrenic patients at risk of suicide. The risk of aggressiveness is measured by the Personality and Social Performance Score. Results. Of the 49 patients, it was found that the proportion of male patients was 31 people (63.3%) and 18 women (36.7%). Aggressive behavior based on PSP score was divided into modest aggressiveness of 22 people (44.9%), severe 20 people (40.8%), and very severe in two people (4.1%). Suicidal hallucinations were also found in 11 patients (22.4%). Conclusion: There are markedly aggressive behavior and hallucinations of suicide in the majority of schizophrenic patients.
Efektivitas Mindfulness-Based Cognitive Therapy (MBCT) untuk Mengurangi Gangguan Kecemasan dan Depresi pada Orang Dewasa Mery Mirna Leni; Meidiana Dwidiyanti; Alifiati Fitrikasari
Journal of Telenursing (JOTING) Vol 5 No 1 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i1.5611

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This study aims to analyze the effectiveness of Mindfulness-Based Cognitive Therapy (MBCT) in reducing anxiety and depression disorders in adults. The method used is a systematic review. The results of this study indicate that the MBCT intervention can reduce symptoms of anxiety and depression in adult patients. Effective MBCT intervention is carried out once a week for eight sessions, and each session is carried out for 2 hours under the guidance of a therapist. MBCT interventions consist of providing patients health education about anxiety symptoms, mindfulness training and meditation exercises by therapists, and independent activities at home for 15-30 minutes according to guidelines. This study concludes that Mindfulness-Based Cognitive Therapy (MBCT) has been proven effective in reducing anxiety and depression disorders in adults. Therefore, giving non-pharmacological therapy such as MBCT also has benefits besides pharmacological treatment. Keywords: Depression, Anxiety Disorders, Adult Patients, Mindfulness-Based Cognitive Therapy.
The Distinction in Level of Stress, Anxiety, and Depression between Efavirenz with Nevirapine Therapies (Study on HIV/AIDS-infected patients at VCT-CST clinic Dr.Kariadi Hospital Semarang) Muflihatunnaimah, Muflihatunnaimah; Fitrikasari, Alifiati; Sofro, Muchlis Achsan Udji
Jurnal Penyakit Dalam Indonesia Vol. 5, No. 2
Publisher : UI Scholars Hub

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Abstract

The Differences of Marital Satisfaction of ODHA Couples with and without Depression Symptoms Salahudin, Muhammad Ismail; Fitrikasari, Alifiati; Sofro, Muchlis Achsan Udji; Julianti, Hari Peni
Jurnal Penyakit Dalam Indonesia Vol. 5, No. 3
Publisher : UI Scholars Hub

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Abstract

Introduction. HIV/AIDS disease has caused physical, social, and emotional problems to infected individuals and their spouses. ODHA couples have a prevalence of depression symptoms with physical complaints, which amounted to 12.7%. There is a relationship between love, communication, and physical intimacy to satisfaction in marriage. Depression in ODHA couples is correlated with marital satisfaction. This study aimed to analyze the differences of marital satisfaction of ODHA HIV negative couples who experience depression symptoms with ODHA who do not experience depression symptoms Methods. The research design was cross-sectional. The samples were 52 official couples of ODHA aged 18-60 years who had outpatient treatment in Poly of Infection Tropical RSUP. Dr. Kariadi Semarang and met the criteria of research inclusion. Sampling technique was conducted with consecutive sampling method. Depression status was measured by the beck depression inventory (BDI) instrument and marital satisfaction was measured by ENRICH marital satisfaction scale (EMS). Processing and data analysis using SPSS program. The relationship analysis test using chi-square test. Results. Subjects who did not experience depression 78.8% and those with depression 21.2% consisted of mild 9.6%, moderate 11.6%, and severe 0%. No subjects were found to be unsatisfied with their marriage, 55.8% were very satisfied and 44.2% were satisfied. There was no significant difference between marital satisfaction of ODHA HIV negative couples with depression symptoms and without depression symptoms (p = 0,595). There was a significant difference between the marital satisfaction of ODHA HIV negative couples with depression symptoms and without depression symptoms in communication (p = 0.021), conflict resolution (p = 0.025), use of leisure activities (p = 0.025), and sexual activities (p = 0.007) Conclusion. There was no difference between the marital satisfaction of ODHA HIV negative couples with depression symptoms and without depression symptoms. There was a significant difference between the marital satisfaction of ODHA HIV negative couples with depression symptoms and without depression symptoms in communication, conflict resolution, the use of leisure activities, and sex activities.
Association between Stigma, ARV Therapy and Complications ofPsychiatric Disorders iIn HIV / AIDS Patients Wicaksono, Yamaji Adi; Fitrikasari, Alifiati; Sofro, Muchlis Achsan Udji; Peni, Hari
Jurnal Penyakit Dalam Indonesia Vol. 5, No. 1
Publisher : UI Scholars Hub

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Abstract

Introduction. Stigma and discrimination among HIV/AIDS patients cause varrious problems such as physical, psychological, and social. Therefore, its management requires comprehensive intervention. Antiretroviral therapy improves the patient’s clinical course, but may lead to neuropsychiatric complications especially anxiety disorders, depression, and psychotic disorders. This study aimed to know the associationbetween stigma,ARV therapy and complications of psychiatric disorders of HIV patients. Methods. A cross-sectional study was conducted among HIV/AIDS patients undergoing antiretroviral therapy in VCT-CST RSUP dr. Kariadi and RSUD RAA Soewondo Pati. Subjects were recruited using consecutive sampling method. Asessment of disorders and stigma was conducted using Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) and Questionnaire scale perception of PLWHA on community HIV/AIDS stigma. Analysis was performed using SPSS program. Correlation test analyzed with chi square test. Results. Total of 102 subjects were included in this study. The majority of subjects was male (51%) and the age mean value was 35.88 (SD 8.24) years. The most common type of antiretroviral drugs bas lamividine+zidovudine) + nevirapine (52.9%). The highest stigma scale of PLHIV was 95.1% positive stigma. Characteristics of psychiatric disorders consisted of 89.2% experienced psychiatric disorders, most depression 30.4%, and 6.9% psychotic disorders. Analysis showed that there was a statistically significant association between type of ARV therapy and psychiatric disorder. There was no statistically significant association between stigma and psychiatric disorders. Conclusions. There is an association between type of ARV therapy andpsychiatric disorders, but no association found between stigma and psychiatric disorders
Bibliometric analysis of publication trends of bullying interventions in preschool age children Hidayati, Eni; Fitrikasari, Alifiati; Sakti, Hastaning; Dewi, Setiawati
South East Asia Nursing Research Vol 6, No 2 (2024)
Publisher : University of Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/seanr.6.2.2024.84-93

Abstract

Research on bullying in preschool children is a topic that is often carried out by researchers which is presented in bibliometric results using the Publish or Perish and VOSviewer applications. This study aims to find research on bullying interventions for preschool children. This research uses a bibliometric application using data from Google Scholar and Crossref to produce articles about bullying against young children from 2019-2023. This research shows that from 994 papers published from 2019 to 2023, 5 clusters were found with 35 items that appeared in almost the same terms related to bullying interventions in preschool children. Further recommendations from the results of this research analyze the development of bullying interventions in preventive programs for preschool-aged children that can work together with schools, families and interactions between children, especially in Indonesia.
The Effect of Folic Acid Supplementation on the Liver Function in Chronic Schizophrenia Patients Fitrikasari, Alifiati; Asady, Julianata; Jusup, Innawati; Asikin, Hang Gunawan
Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan Vol 17 No 2 (2023): Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan
Publisher : Fakultas Kedokteran UPN Veteran Jakarta Kerja Sama KNPT

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33533/jpm.v17i2.5941

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Oxidative stress caused by free radicals and long-term antipsychotic use in chronic schizophrenic patients may result in liver cell damage and impaired liver function. Folic acid is an exogenous antioxidant that can boost the antioxidant defense mechanism (Glutathione Reductase), lowering free radicals and improving liver function. Determine the correlation between adjuvant folic acid and liver function in chronic schizophrenic patients. This was a placebo-controlled, double-blinded randomized control trial. The study sample included 36 patients in the control group and 36 patients in the treatment group. Subjects were patients who had suffered from schizophrenia for at least 2 years and received antipsychotics. Research subjects in the treatment group received folic acid supplementation. The intervention was conducted for 21 days during hospitalization. The level of AST (U/L) and ALT (U/L) was measured before and after supplementation. Following folic acid supplementation, AST levels were significantly improved (26.950 U/L compared to prior to treatment 33.09 U/L, p= <0.001). ALT levels after treatment were increased but there was no significant difference observed (p= 0.835). Folic acid supplementation improves AST levels significantly.
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

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
Overview of Psychiatric Emergencies in Primary Health Care Centers Pragholapati, Andria; Fitrikasari, Alifiati; Handayani, Fitria
Proceedings of the International Conference on Nursing and Health Sciences Vol 5 No 1 (2024): January-June 2024
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/picnhs.v5i1.2784

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This research aims to provide an overview of psychiatric emergencies in Primary Health Care Centers (Puskesmas), focusing on the identification of psychiatric emergency cases, initial interventions provided by healthcare professionals at Puskesmas, and the collaboration between Puskesmas and the nearest hospital's psychiatric unit. The research utilized a descriptive approach, collecting data through interviews with healthcare personnel at Puskesmas, direct observations, and analysis of medical records. Results of the research reveal that psychiatric emergencies at Puskesmas encompass various conditions such as acute mental disorders, severe anxiety, and the risk of harmful behaviors. Initial interventions by healthcare professionals at Puskesmas include clinical evaluations, temporary medical interventions, and referrals to the hospital's psychiatric unit if necessary. Collaboration between Puskesmas and the nearest hospital's psychiatric unit was found to be crucial in ensuring the smooth referral process and effective management of psychiatric emergency cases. These findings offer a comprehensive insight into the challenges and opportunities faced in dealing with psychiatric emergencies at the primary care level. The implications of this research can serve as a foundation for enhancing the availability of human resources, facilities, and coordination between Puskesmas and hospital psychiatric units to improve the quality of services for individuals experiencing psychiatric emergencies at the primary care level.
Pengaruh Pemberian Aromaterapi Lemon terhadap Skor Kecemasan Mahasiswi Fakultas Kedokteran Universitas Diponegoro Fitrikasari, Alifiati; Fajriyanti, Nur Isnaeni; Wardani, Natalia Dewi; Jusup, Innawati
Medica Hospitalia : Journal of Clinical Medicine Vol. 7 No. 2 (2020): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (252.522 KB) | DOI: 10.36408/mhjcm.v7i2.408

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Background: Based by Riskesdas in 2013, 6% of Indonesia’s population the age of 15 years old and more had emotional disorders which shown by symptoms of anxiety and depression. In university students, the study found that 25% of them had light anxiety, 60% had moderate anxiety, and 15% had severe anxiety. The mean of medical student who had anxiety symptoms around the world are 12-69%. Relaxation therapy able to decrease anxiety level, which by giving aromatherapy, it able to stimulates the brain to relax. Lemon is one of the aromatherapies that found effectively able to decrease anxiety symptoms by its refreshingly sharp smell and lifting the mood, which strengthening its user’s psyche. To measure the anxiety score, the author used the Zung Self-rating Anxiety Scale (ZSAS). The objective of this study aimed to investigate the effect of inhaling lemon aromatherapy on anxiety in female students of Medical Faculty of Diponegoro University Methods: This study used experimental pre and post-test without control design. Zung Self-rating Anxiety Scale was used to investigate the anxiety level of the samples. 32 persons volunteered as participants by 1 of them dropped out. The group inhaled lemon aromatherapy for 2 weeks. At the end of week 2, the participants’ anxiety was measured, and the results were statistically analysed. Saphiro-Wilk Test was used as the normality test while the results of the measured anxiety were tested by Wilcoxon Test. Results: There was a significant decreased anxiety score of the participants after inhaling lemon aromatherapy for two weeks. Based by pre and post-test result, the mean of anxiety score decreased from 37.32 to 31.84 (p=0.000). Conclusions: Lemon aromatherapy essential oil is able to significantly decrease the anxiety score of female students of Faculty of Medicine Diponegoro University. Keywords: Lemon aromatherapy, anxiety, medical student