Rohmaningtyas Hidayah Setyaningrum
Bagian Psikiatri Fakultas Kedokteran, Universitas Sebelas Maret

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Pengaruh Pendampingan Deteksi Dini Gangguan Psikologis Terhadap Kemampuan Regulasi Emosi Pada Caregiver Lansia Di Kelurahan Gonilan, Sukoharjo setyowati, rini; Saniatuzzulfa, Rahmah; Setyaningrum, Rohmaningtyas Hidayah
INSIGHT: JURNAL PEMIKIRAN DAN PENELITIAN PSIKOLOGI Vol 15, No 1 (2019): Insight : Jurnal Pemikiran dan Penelitian Psikologi
Publisher : Universitas Muhammadiyah Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (195.49 KB) | DOI: 10.32528/ins.v15i1.1595

Abstract

Penelitian  ini bertujuan  untuk  mengetahui pengaruh pendampingan deteksi dini gangguan psikologis terhadap kemampuan regulasi emosi pada  caregiver  lansia.  Penelitian   ini  mempergunakan  desain  non randomized one group pretest-post test design. Subjek dalam penelitian  ini adalah 16 orang caregiver lansia berjenis perempuan yang berasal dari posyandu lansia di Kelurahan Gonilan,  berusia  39-57 tahun.  Subjekyang tergabung menjadi satu kelompok menerima perlakuan berupa pendampingan deteksi dini gangguan psikologis.   Perlakuan  terdiri  dari  2  pertemuan diberikan  selama  2 minggu dengan  durasi antara 150 menit hingga 180 menit setiap pertemuan. Alat ukur yang digunakan adalah skala kemampuan regulasi emosi ( r=0,915), wawancara, observasi, evaluasi proses dan hasil.  Pretest disajikan  sebelum  perlakuan dan posttest  disajikan  setelah  perlakuan. Hasil  analisis uji beda menggunakan wilcoxon t (Zhitung=-2.463 dan p=0,0085<0,05) menunjukkan perbedaan signifikan antara sebelum dan setelah pemberian perlakuan.  Dengan   demikian   dapat disimpulkan  bahwa  pendampingan deteksi dini gangguan psikologis berpengaruh terhadap kemampuan regulasi emosi pada caregiver lansia.
Pengaruh Pendampingan Deteksi Dini Gangguan Psikologis Terhadap Kemampuan Regulasi Emosi Pada Caregiver Lansia Di Kelurahan Gonilan, Sukoharjo rini setyowati; Rahmah Saniatuzzulfa; Rohmaningtyas Hidayah Setyaningrum
INSIGHT: JURNAL PEMIKIRAN DAN PENELITIAN PSIKOLOGI Vol 15, No 1 (2019): Insight : Jurnal Pemikiran dan Penelitian Psikologi
Publisher : Universitas Muhammadiyah Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32528/ins.v15i1.1595

Abstract

Penelitian  ini bertujuan  untuk  mengetahui pengaruh pendampingan deteksi dini gangguan psikologis terhadap kemampuan regulasi emosi pada  caregiver  lansia.  Penelitian   ini  mempergunakan  desain  non randomized one group pretest-post test design. Subjek dalam penelitian  ini adalah 16 orang caregiver lansia berjenis perempuan yang berasal dari posyandu lansia di Kelurahan Gonilan,  berusia  39-57 tahun.  Subjekyang tergabung menjadi satu kelompok menerima perlakuan berupa pendampingan deteksi dini gangguan psikologis.   Perlakuan  terdiri  dari  2  pertemuan diberikan  selama  2 minggu dengan  durasi antara 150 menit hingga 180 menit setiap pertemuan. Alat ukur yang digunakan adalah skala kemampuan regulasi emosi ( r=0,915), wawancara, observasi, evaluasi proses dan hasil.  Pretest disajikan  sebelum  perlakuan dan posttest  disajikan  setelah  perlakuan. Hasil  analisis uji beda menggunakan wilcoxon t (Zhitung=-2.463 dan p=0,00850,05) menunjukkan perbedaan signifikan antara sebelum dan setelah pemberian perlakuan.  Dengan   demikian   dapat disimpulkan  bahwa  pendampingan deteksi dini gangguan psikologis berpengaruh terhadap kemampuan regulasi emosi pada caregiver lansia.
PENGARUH COGNITIVE BEHAVIOUR THERAPY TERHADAP DERAJAT DEPRESI DAN AKTIVITAS PERAWATAN DIRI PADA PASIEN DIABETES MELLITUS (DM) TIPE 2 Rohmaningtyas Hidayah Setyaningrum; Aris Sudiyanto; Nanang Wiyono; Muhammad Fanani
Mandala Of Health Vol 11 No 1 (2018): Mandala Of Health
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (490.217 KB) | DOI: 10.20884/1.mandala.2018.11.1.569

Abstract

Pemberian psikoterapi telah terbukti berhasil untuk pasien depresi yang menderita penyakit medis kronik. Psikoterapi kognitif perilaku didasarkan atas konsep bahwa perubahan dalam struktur kognitif akan mengubah kondisi emosi serta perilaku pasien. Sehingga diharapkan dengan membaiknya depresi maka akan memperbaiki perilaku pasien dalam hal ini aktivitas perawatan diri diabetesnya. Penelitian ini untuk mengetahui keefektifan Cognitive Behaviour Therapy (CBT) dalam menurunkan derajat depresi dan meningkatkan aktivitas perawatan diri pada pasien Diabetes Mellitus tipe-2 di Rumah Sakit Dr. Moewardi Surakarta. Penelitian ini menggunakan metode eksperimental dengan rancangan randomized controlled trial pre and post design. Jumlah subjek 34 pasien, dibagi dua kelompok yaitu perlakuan dan kontrol. Subjek adalah pasien 34 pasien Diabetes Mellitus tipe-2 di Poli Penyakit Dalam Rumah Sakit Dr. Moewardi Surakarta dengan kadar GDP ≥ 100 mg/dL, GD2PP ≥ 140 mg/dL, umur 18 – 60 tahun, pendidikan minimal SMP, skor BDI ≥ 10, dan kriteria eksklusi apabila mengalami komplikasi dan atau menderita penyakit fisik medis yang berat, gangguan mental berat (psikotik), retardasi mental, atau demensia, gangguan berat dalam berkomunikasi (kesulitan bahasa, tuli), gangguan kognitif yang berat atau ketidakmampuan intelektual, yang ditunjukkan dari penilaian MMSE < 25, dan skor L-MMPI ≤ 1. Depresi dievaluasi menggunakan Beck Depression Inventory, aktivitas perawatan diri diabetes menggunakan The Summary of Diabetes Self-Care Activities. Uji statistik menggunakan uji t tidak berpasangan dan uji Mann Whitney, dipakai untuk signifikansi perbedaan variabel dengan tingkat kemaknaan 5%. Subjek yang mendapat CBT secara signifikan (p<0,05) didapatkan penurunan skor depresi (5,76 ± 3,58) dibandingkan kelompok yang tidak mendapat CBT (2,76 ± 1,56) sedangkan subjek yang mendapat CBT secara sangat signifikan (p<0,01) mengalami peningkatan aktivitas perawatan diri diabetes (15,35±7,78) dibandingkan kelompok yang tidak mendapat CBT (3,00±2,78), sehingga disimpulkan CBT efektif menurunkan derajat depresi dan meningkatkan aktivitas perawatan diri pada pasien diabetes mellitus tipe-2. Cognitive behavior therapy had sucesfully referred as an effective method for reducing depression, particularly in individual with a chronic disease. Cognitive behavior psychotherapy is based on the concept that changes in cognitive structure will change patient's emotional state and behavior. The decreasing depression in patient with diabetes will improve diabetes self-care activities. The aim was to determine the effectiveness of Cognitive Behavior Therapy (CBT) adjuvant therapy in decreasing and improving the degree of diabetes self-care activities of patients with type-2 Diabetes Mellitus in Dr. Moewardi Hospital Surakarta. This study was an experimental design of randomized controlled trial with pre and post-test design. In total, 34 patients were enrolled in the mg/dl, Blood sugar level test post pandrial 140 mg/dL aged between 18-60 years old with junior high school as minimum education, BDI score > 10, the exclusion criteria is when experiencing complication with or suffering from physical illness, psychotic, mental retardation or dementia , severe interference in communication ( language difficulties and deafness), severe cognitive impairment, intellectual impairment, MMSE score < 25, L MMPI score < 1, The total 34 subjects devided into two groups, treatment and control. Statistical test using unpaired T-test and Mann Whitney, with level of 5%. Depression was evaluated by using the Beck Depression Inventory and diabetes self-care activities using the Summary of Diabetes Self-Care Activities. Subjects who received CBT significantly decrease (p <0,05) scores of depression compared with that of the group without CBT and increase in diabetes self-care activities (p<0,01). It is concluded that CBT is effective to decrease degree of depression and improve diabetes self-care activities of patients with type 2 diabetes mellitus.
Hubungan koping religius dengan tingkat depresi pada mahasiswa kedokteran tahun pertama Wulandari, Putri; Kusuma, Wijaya; Setyaningrum, Rohmaningtyas Hidayah
Holistik Jurnal Kesehatan Vol. 19 No. 7 (2025): Volume 19 Nomor 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i7.1059

Abstract

Background: First-year medical students face various stressors that make them vulnerable to depression. Individuals can use various coping strategies, one of which is religious coping, this approach involves utilizing religious beliefs to overcome life's difficulties and manage stress. Purpose: To explore the relationship between religious coping and depression among first-year medical students. Method: This quantitative study used a cross-sectional method and was conducted in March 2023 at the Faculty of Medicine, Sebelas Maret University. The sampling technique used total sampling with a sample size of 199 respondents. The independent variable in this study was religious coping, while the dependent variable was the level of depression. The data analysis used univariate in the form of frequency distribution and bivariate using Spearman's rank correlation. Results: The results of the analysis show that there is no significant relationship between positive religious coping and depression (p = 0.352; r = -0.066), while negative religious coping is significantly related to depression (p = 0.000; r = 0.333). The higher the level of negative religious coping, the higher the level of depression. Conclusion: No significant relationship was found between positive religious coping and depression, possibly influenced by other factors that affect individual religiosity, and there was a significant relationship between negative religious coping and depression.   Keywords: Depression; Medical Students; Religious Coping.   Pendahuluan: Mahasiswa kedokteran tahun pertama menghadapi berbagai stresor yang membuat mereka rentan mengalami depresi. Individu dapat menggunakan berbagai strategi koping, salah satunya adalah koping religius , pendekatan ini melibatkan pemanfaatan keyakinan agama untuk menghadapi kesulitan hidup dan mengelola stres. Tujuan: Untuk mengeksplorasi hubungan antara koping religius  dan depresi di kalangan mahasiswa kedokteran tahun pertama. Metode: Penelitian kuantitatif menggunakan metode cross sectional, dilaksanakan pada bulan Maret 2023 di Fakultas Kedokteran Universitas Sebelas Maret. Teknik pengambilan sampel menggunakan total sampling dengan jumlah sampel yang digunakan sebanyak 199 responden. Variabel independen dalam penelitian ini adalah koping religius, sedangkan variabel dependen adalah tingkat depresi. Analisis data yang digunakan univariate dalam bentuk distribusi frekuensi dan bivariate menggunakan spearman rank. Hasil: Hasil analisis menunjukkan bahwa tidak terdapat hubungan signifikan antara koping religius positif dengan depresi (p = 0.352; r = -0.066), sedangkan pada koping religius negatif ditemukan hubungan yang signifikan dengan depresi (p = 0.000; r = 0.333). Semakin tinggi tingkat koping religius negatif, semakin tinggi pula tingkat depresi. Simpulan: Tidak ditemukan hubungan signifikan antara koping religius positif dan depresi, kemungkinan dipengaruhi oleh faktor lain yang memengaruhi religiusitas individu dan terdapat hubungan signifikan antara koping religius negatif dan depresi.   Kata Kunci: Depresi; Koping Religius; Mahasiswa Kedokteran.
The Relationship of Anxiety and Depression with the Frequency of Seizure Awakening in Epileptic Patients at Dr. Moewardi Hospital Surakarta Trisnanti Dewi Islami; Mulia Sari; Rhomadon Apdani; Rozaq Noor Hakim; Wijaya Kusuma; Rohmaningtyas Hidayah Setyaningrum; Debree Septiawan
Jurnal Psikiatri Surabaya Vol. 14 No. 2 (2025): November
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jps.v14i2.57002

Abstract

Introduction: Epilepsy is the most frequent neurological disorder worldwide. Epilepsy is a disease associated with stress and anxiety, not only as a result of the disease process but also as a cause of disease recurrence. Anxiety and depression also involve stress management and often overlap with epilepsy. Determine the relationship between anxiety and depression and the frequency of seizure awakening in epilepsy patients at Dr. Moewardi Hospital, Surakarta. Methods: observational using a cross-sectional design with a quantitative approach and descriptive data processing. The purposive sampling method selected the 34 study subjects. Selected subjects meet the inclusion criteria and are willing to provide informed consent. The research was conducted at Dr. Moewardi Hospital. A normality test was performed with the Spearman correlation test. Results: The analysis of the variables indicated a significant relationship between anxiety and the frequency of seizure awakenings, as evidenced by a p-value of 0.000, which is less than 0.05. A correlation coefficient value of 0.745 indicates a strong and positive relationship category. The relationship between depression and the frequency of seizure awakening was significant because the p-value was 0.000 < 0.05. The correlation coefficient value of 0.642 indicates moderate and positive relationship categories. Conclusion: There is a significant relationship between anxiety and depression and the frequency of seizure awakening in epilepsy patients at Dr. Moewardi Hospital. Anxiety and depression increase the incidence of seizure awakening in epilepsy patients at Dr. Moewardi Hospital.
Sexual Abuse and Neglect during Childhood are Associated with an Increased Prevalence of Mental Health Problems among University Students in Surakarta, Indonesia Putu Dian Apriandary, Ni; Muthmainah,; Setyaningrum, Rohmaningtyas Hidayah; Septiawan, Debree
Folia Medica Indonesiana Vol. 60, No. 3
Publisher : Folia Medica Indonesiana

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Highlights:1. This study reiterates the long-term negative impact of childhood trauma on young adults' mental health.2. This study contributes to the prevention of mental disorders through the identification of risk factors associated with mental health problems. AbstractThe prevalence of mental health problems is a global public health concern. Young adults, such as university students, are highly vulnerable to the onset of mental health problems due to biological, psychological, and social factors. In particular, abusive and traumatic experiences during childhood may increase the risk of developing mental health problems during adulthood. The prevalence of child abuse cases in Indonesia is concerning. This abuse includes physical, emotional, and sexual abuse, in addition to neglect. This study aimed to assess the relationship between the occurrence of mental disorder symptoms during young adulthood and the preceding child abuse. A total of 191 undergraduate students in Surakarta, Indonesia, participated in this study. The participants completed the Child Abuse and Trauma Scale (CATS) for the evaluation of maltreatment experienced during childhood and adolescence as well as the Self-Reporting Questionnaire-20 (SRQ-20) for the measurement of mental health problem symptoms. The association of the degree of child abuse and trauma with mental health problems was analyzed using a logistic regression test, which was selected because the dependent variable (mental health problems) had binary outcomes. The level of statistical significance was set at p<0.05. We found that 33% of the participants reported mental health problems. In addition, sexual abuse and neglect were found to be associated with mental health problems. The analysis of the sexual abuse variable revealed a statistically significant value of p=0.03, an odds ratio (OR) of 1.39, and a 95% confidence interval (CI) of 1.03-1.88. Additionally, the analysis of the neglect variable yielded comparable results with values of p=0.03, OR=1.26, and 95% CI=1.02-1.55. Our findings suggest that child abuse, particularly sexual abuse and neglect, may have a long-term deleterious impact on an individual’s mental health.
INFLUENCE OF BIOPSYCHOSOCIAL FACTORS ON ADAPTIVE COPING STRATEGIES AMONG COVID-19 SURVIVORS IN SURAKARTA Pramulawati, Devi Anggraeni; Fanani, Mohammad; Setyaningrum, Rohmaningtyas Hidayah
Medika Kartika : Jurnal Kedokteran dan Kesehatan Vol 8 No 4 (2025): Medika Kartika : Jurnal Kedokteran dan Kesehatan
Publisher : Fakultas Kedokteran Universitas Jenderal Achmad Yani

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The COVID-19 pandemic has unleashed a profound psychological crisis, markedly increasing rates of depression, anxiety, loneliness, and PTSD, especially among young adults, women, racialized communities, and individuals with lower education and income. Effective coping strategies like positive reframing, humor, and acceptance have been linked to improved mental health outcomes, while maladaptive coping correlates with worsening psychosocial symptoms. This study explores the biopsychosocial factors that shape adaptive coping mechanisms in COVID-19 survivors. Using a cross-sectional design and quantitative approach, data were analyzed using logistic regression analysis. The study involved 378 COVID-19 survivors from Surakarta, who completed both online (via Telegram and WhatsApp) and offline questionnaires between November 2022 and January 2023. The sample predominantly consisted of women (73%, n=276) aged 18-40 years (89.7%, n=339), with a high prevalence of adaptive coping mechanisms (97.1%, n=367). Results revealed that gender (p=0.029, B=-1.497), history of mental disorders (p=0.039, B=-2.002), and alcohol/substance use (p=0.027, B=-2.572) had a significant influence on adaptive coping. These findings suggest that gender, mental health history, and substance use as crucial factors influencing adaptive coping among COVID-19 survivors. Keywords: adaptive coping, biopsychosocial factors, COVID-19 survivors DOI :10.35990/mk.v8n4.p378-388
Psikoneuroimunologi Depresi pada Polycystic Ovary Syndrome (PCOS) Yuliadha, Asti; Setyaningrum, Rohmaningtyas Hidayah
Smart Medical Journal Vol 5, No 1 (2022): Smart Medical Journal
Publisher : Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13057/smj.v5i1.43238

Abstract

Introduction: Polycystic ovary syndrome (PCOS) is heterogeneous, complex endocrine disorder with unknown etiology, affecting 4%−18% of reproductive age women and associated with reproductive, metabolic and psychological dysfunction. Along with physical disorders, many mental disorders are also associated with PCOS, about 40% of women with PCOS have depression. This literature review aims to explore how PCOS can lead to depression in term of psychoneuroimmunology aspects.Method: Literature review was conducted through search engine from Google Scholar and Clinical Key with keywords “Polycystic ovary syndrome”, “depression”, “psychoneuroimmunology”, “distress”, and “inflammation” from 2015-2020.Result: The important role of the HPG axis in the pathophysiology of mood disorder has concluded that high comorbidity between depression and PCOS are caused by hyperandrogenism and insulin resistance mediated by low grade chronic inflammation. The activation of HPA by stress exerts an inhibitory effect on the female reproductive system. CRH can inhibit GnRH secretion from the hypothalamus. The anti-reproductive action of CRH in the ovaries of women with high psychosocial stress lead to early ovarian failure. In addition, the pathophysiology of depression and mental stress in PCOS is associated with various changes including high activity of pro-inflammation markers and the body's immune system during stress, it has also been linked to increased cortisol levels, increased sympathetic activity and decreased serotonin levels in the central nervous system.Result: There’s close relationship between PCOS and depression in terms of psychoneuroimmunology aspects, by HPG axis role. Comprehensive management of depression is improving outcome strategy in women with PCOS by involving CLP.Keywords: Polycystic ovary syndrome (PCOS), Depression, Psychoneuroimmunology, HPG axis