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All Journal Journal of Nutrition and Health Jurnal Kedokteran Diponegoro Journal of Biomedicine and Translational Research Mutiara Medika: Jurnal Kedokteran dan Kesehatan Media Medika Muda Medica Hospitalia Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Scientia Psychiatrica Journal of Community Empowerment for Health Jurnal Psikiatri Surabaya (Surabaya Psychiatry Journal) Diponegoro International Medical Journal (DIMJ) Acta Odontologica Indonesia

Natalia Dewi Wardani

Diponegoro University

Author-ID : 2958324

Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health

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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.

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

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

HUBUNGAN GANGGUAN MENTAL EMOSIONAL DENGAN KECANDUAN MEDIA SOSIAL PADA MAHASISWA SEMESTER 1 TAHUN AJARAN 2019 DAN SEMESTER 3 TAHUN AJARAN 2018 DI UNIVERSITAS DIPONEGORO SEMARANG Mahardhika, Alain Stephano; Fitrikasari, Alifiati; Wardani, Natalia Dewi; Hadiati, Titis; Sutaty, Witrie; Julianti, Hari Peni
Medica Hospitalia : Journal of Clinical Medicine Vol. 9 No. 1 (2022): Med Hosp
Publisher : RSUP Dr. Kariadi

Background: Currently the level of addiction to social media tends to increase, especially among students. 75% of individuals who experience internet addiction are caused by problems in their relationships with other people. One of the related factors is emotional mental disorder. Objective: To determine the relationship between mental emotional disorders and social media addiction in students in the 1st semester of the 2019 academic year and the 3rd semester of the 2018 academic year at Diponegoro University, Semarang. Methods: Research with cross sectional design. The research sample is Diponegoro University Semarang students in 1st semester of the 2019 academic year and 3rd of the 2018 academic year. The independent variable is mental emotional disorder, while the dependent variable is social media addiction. The research instrument used a sociodemographic questionnaire, the Bergen Social Media Addiction Scale (BSMAS) and the Self Reporting Questionnaire 20 (SRQ20). Research variables were analyzed by chi square test. Results: The majority of research subjects had normal emotional mental disorders as many as 140 (82.8%) and 29 (17.2%) indicated experiencing emotional disorders. The majority of social media addiction levels were normal as many as 113 (66.9%), while alerts were 56 (33.1%), There was a relationship between emotional mental disorders and social media addiction (p=0.019, PR=2.587 95%CI=1.146 – 5,840). Conclusion: There is a significant relationship between mental emotional disorders and social media addiction. Diponegoro University Semarang students in 1st semester of the 2019 academic year and 3rd semester of the 2018 academic year.

Strategi Koping dan Skor DASS pada Perawat yang Bertugas di Ruang Isolasi COVID-19: Sebuah studi cross-sectional Adinoto, Septo Pero; Fitrikasari, Alifiati; Wardani, Natalia Dewi; Noerhidajati, Elly
Medica Hospitalia : Journal of Clinical Medicine Vol. 10 No. 2 (2023): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v10i2.875

BACKGROUNDS: Nurses are at risk for mental health problems while caring for Corona Virus Disease 2019 (COVID-19) patients. The COVID-19 pandemic had impacted not only on emotions but also nurses' coping strategies. The difference between this study and previous research in this study adds up the total DASS 42 (Depression Anxiety Stress Scale) scores as parameter to assess mental health problems of the subjects. OBJECTIVE: To determine the association between coping strategies and the DASS score among nurses on duty in the COVID-19 isolation room of Dr Kariadi Hospital. METHODS: This cross-sectional study involved nurses who treated patients in the COVID-19 isolation ward, the COVID-19 intensive room, and the COVID-19 emergency room. All participants were involved by the consecutive sampling method. The research instrument used a sociodemographic questionnaire, the Brief COPE, and the DASS 42. Inclusion criteria included nurses who served in the COVID-19 isolation room and aged 22-60 years. Higher DASS score indicates that the subject is experiencing general psychological distress compared to subjects with a lower score. RESULTS: Most of the respondents in this study (n=112 subjects) had problem-focused coping strategies. The mean DASS score on the subjects is 14.29 ± 13.25. There was an association between coping strategies (p=0.048), sex (p < 0.001), place of work (p = 0.041), and DASS score. CONCLUSION: There was a relationship between coping strategies and the DASS score of nurses on duty in the COVID-19-19 isolation room. Further research needs to explore environmental factors and social support, also examine physical illnesses in more detail.

Correlation of Duration of Antipsychotic Therapy with Hemoglobin Levels in People with Schizophrenia Siregar, Jessica Anggun Cristine; Jusup, Innawati; Jaeri, Santoso; Wardani, Natalia Dewi
Medica Hospitalia : Journal of Clinical Medicine Vol. 11 No. 1 (2024): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v11i1.908

Background: Schizophrenia is a serious mental disorder with various unknown causes accompanied by a collection of positive symptoms, negative symptoms, disorganization in thinking, speaking or movement and cognitive dysfunction. The therapeutic modality used to treat these symptoms is antipsychotic therapy. Over a certain period of time, the use of antipsychotics can cause hematological syndrome which affects the process of red blood cell formation and hemoglobin levels. Low hemoglobin levels can worsen neuronal function in the brain, thereby aggravating symptoms in schizophrenia. Aim: Analyzing the relationship between duration of antipsychotic therapy <2 years and ≥2 years with hemoglobin levels in schizophrenia patients. Method: This research is an analytical observational study with a cross-sectional approach in which research subjects were obtained using a consecutive sampling method from medical records of patients with schizophrenia (ODS) at RSJD Dr. Amino Gondohutomo Semarang (n=68) divided into 2 groups consisting of patients with a duration of therapy <2 years and a duration of therapy ≥2 years. The relationship between duration of antipsychotic therapy and hemoglobin levels was analyzed using unpaired t-test. Result: The mean hemoglobin value for people with schizophrenia in the group with a duration of therapy <2 years is 14.09, while that in the group with a duration of therapy ≥2 years is 14.06 with a p value = 0.928. Conclusion: There was no relationship between hemoglobin levels in people with schizophrenia and duration of therapy both <2 years and ≥2 years.

The Effect of Benson’s Relaxation Therapy on Stress Levels Among Medical Students Diponegoro University Who Were Working on a Thesis Kesuma, Erlangga Hadi; Purwoko, Yosef; Muniroh, Muflihatul; Wardani, Natalia Dewi
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 13, No 3 (2024): 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.v13i3.42108

Background: The prevalence of stress in final-year students who were working on a thesis was still quite high. Unmanaged stress could bring a negative impact on the students themselves. Benson’s relaxation therapy was a relaxation that combined deep breathing techniques with faith factor and had been known to reduce stress levels. This relaxation was easy to do, safe, and didn’t require a lot of time and money. Research related to the effect of Benson's relaxation on student stress levels was also still limited. Objective: To analyze the effect of Benson’s relaxation on stress levels in students of the Faculty of Medicine Diponegoro University who were working on a thesis. Methods: Quasi-experimental study with pre-test and post-test design. This research involved 64 final-year medical students and divided into two groups. A consecutive sampling technique was performed. The experimental group (n=32) were instructed to do Benson’s relaxation therapy for 14 days, each day 2 session for 10 minutes, and the control group were instructed to not do any exercise and other relaxation. The stress levels was measured with the Perceived Stress Scale (PSS). Data’s significance was analyzed with paired sample T-test and independent sample T-test. Results: A significant decrease (p<0,001) in stress level before and after Benson relaxation, from 16,34 ± 6,91 to 11,31 ± 4,79. The post-test stress level of the experimental group (11,31 ± 4,79) was significantly (p=0,001) lower than the control group (16,09 ± 5,79). Meanwhile, there were no significant differences on the pre-test stress level between two groups (p=0,781). Conclusion: Benson’s relaxation reduced stress levels in students of the Faculty of Medicine Diponegoro University who were working on a thesis.

The Level of Depression in Third Trimester Pregnancy, With and Without Anemia Primada, Lyla Fitrania; Wardani, Natalia Dewi; Pramono, M. Besari Adi
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 24, No 1 (2024): January
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v24i1.18655

Anemia is a health problem worldwide, especially in pregnancy, as it can cause depression. Antenatal depression can cause impaired fetal growth and development, bleeding and abortion, prematurity, low birth weight babies, and postpartum depression. This research aims to determine the difference in levels of depression between anemia and non-anemia in the third trimester of pregnancy. It is an observational study with a cross-sectional design. The samples were 75 last-trimester pregnant women who did antenatal care in Diponegoro National and Amino Gondohutomo Hospital, and also Halmahera and Ngesrep Health Center in Semarang and willling to be respondents selected using a purposive sampling method. Data collection used a validated Edinburgh Postnatal Depression Scale (EPDS) questionnaire with a Content Validity Index (CVI) of 1.00 and a reliability of 0.706. Mann Whitney and Kruskal Wallis were utilized to analyze data. There were 38 respondents with anemia and 37 respondents without anemia. The 12 respondents (31.6%) with anemia had a risk of depression, and 13 respondents (35.1%) without anemia had a risk of depression. There was no significant difference in the level of depression in the third trimester of pregnancy with and without anemia (P0,05).

The Effect of Folic Acid Adjuvant on Cognitive Function on Patients with Chronic Schizophrenia Sofa, Yulia Ratna; Wardani, Natalia Dewi; sari, Linda Kartika; Hadiati, Titis; Muflihatunnaimah, Muflihatunnaimah
Diponegoro International Medical Journal Vol 3, No 2 (2022): December 2022
Publisher : Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dimj.v3i2.15219

ABSTRACT Background: Schizophrenia is a severe mental disorder that associated with daily life and social function deterioration and could be accompanied with cognitive deficits. Meanwhile, hyperhomocysteinemia (HHcy) is the increasing homocysteine (Hcy) level which might be the one of biological factor in schizophrenia. In recent study with healthy subjects, it was known that there was a correlation between total Hcy level and cognitive function. Folic acid is part of water-soluble vitamin B and expected to have important role in oxidative stress by preventing hyperhomocysteinemia.Objective: This study aimed to elaborate the effect of folic acid adjuvant to improve cognitive function in chronic schizophrenia patients.Methods: This was a double-blinded randomized controlled trial with pre and post-test clinical trial design. This study included 32 patients in control group and 32 patients in treatment group. MOCA-INA score was examined in all subjects on the first day. Then, all subjects were given standard antipsychotic treatment plus folic acid adjuvant / placebo during 3 week of hospitalized treatment and 1 week of outpatient treatment. When the 4-week treatment finished, the subjects were followed by MOCA-INA post-test.Results: In this study, we had the significant difference of pre and post-test MOCA-INA score in the control group (p<0.001), significant difference of pre and post-test MOCA-INA score in the treatment group (p<0.001), and significant difference of post-test MOCA-INA score between the control and treatment group (p<0.001).Conclusion: Folic acid adjuvants significantly improved cognitive function in chronic schizophrenic patients.

Praktik Psikoterapi Mengenai Pelatihan Keterampilan Terapi Kelompok Perilaku Dialektika di Indonesia: Pengembangan Modul dalam Bahasa Indonesia Wardani, Natalia Dewi; Widiastuti, Maria Immaculata; Sudiyanto, Aris; Hardian, Hardian; Subagio, Hertanto Wahyu; Tugasworo, Dodik; Maharatih, Gusti Ayu; Lukman, Petrin Redayani; Septiawan, Debree; Suprapti, Rini; Susilo, Kezia Natalia Daniast; Atmaja, Diana; Dewi, Amalia Andansari
Majalah Kedokteran Indonesia Vol 73 No 5 (2023): 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.73.5-2023-1126

Introduction: There is an increasing number of suicides in Indonesia. A high risk of suicide is often associated with borderline personality disorder (BPD). To address this issue, dialectical behavior therapy (DBT) has been specifically designed for patients with frequent suicidal behavior and BPD. This study aims to develop DBT skills modules in Indonesian language for groups therapy and implement in clinical practice.Methods: This research was conducted in three stages. Stage 1 involved preparing the DBT skills module for 13 weeks, including the adding of TIPP (Temperature, Intense exercise, Paced Breathing, Paired Muscle Relaxation) distress tolerance skills and chain analysis. Stage 2 focused on module validation using face validity and content validity assessment conducted by two psychotherapy consultants. Stage 3 involved modules trials, both of whom had completed DBT training, practicing the prepared modules with two groups of 10 patients.Result: The face validity scores from the two experts for the DBT module on BPD in Indonesian was 3.188, indicating a high level of correctness. The content validity results from the two experts for the DBT module on BPD in Indonesian language were 84.06, indicating that almost everything was done correctly. After practicing DBT group skills training, two psychotherapists achieved a very good interrater score of 0.969 (p=0.003; 95% CI 0.746-0.997).Conclusion: Based on the face validity and content validity scores by the two experts, it was concluded that the DBT module for BPD in Indonesian language is suitable for use in clinical services.

Co-Authors Adhie Nur Radityo Suswihardhyono Adinoto, Septo Pero Alifiati Fitrikasari Alifiati Fitrikasari Anang, Zhavira Dwiyanti Ari Budi Himawan Aris Sudiyanto Atmaja, Diana Aulia Rosma Pramudani Avina Anin Nasia, Avina Anin Ayu Welly Jovita Dewi Sartika Dewi, Amalia Andansari Dodik Tugasworo Elly Noerhidajati Fajriyanti, Nur Isnaeni Fathur Nur Kholis Hang G Asikin Hang Gunawan Asikin Hardian Hardian Hardian Hardian Hardian, Hardian - Hari Peni Julianti Hertanto Wahyu Subagio Husen, Kamelia Innawati Jusup Innawati Jusup Jaeri, Santoso Kesuma, Erlangga Hadi Linda Kartika Sari Lukman, Petrin Redayani M. Besari Adi Pramono, M. Besari Adi Made Agung Tirta Permata Sari Maharatih, Gusti Ayu Mahardhika, Alain Stephano Maria Belladona Mohammad Sulchan Muflihatunnaimah Muflihatunnaimah, Muflihatunnaimah Muniroh, Muflihatul Nisrina Darin Nahda Nurhasanah Nurhasanah Nurwijayanti Oedijani Santoso Pranoto, Ivena Celia Eileen Primada, Lyla Fitrania Puspitasari, Vannya Dewi Rasyad, Ula Faza Nayli Rilla Fiftina Hadi Rohedy Adlina Mizani Jodisaputra Saekhol Bakri, Saekhol Septiawan, Debree Septiawan, Debree - Setyaningsih, Nur Shahumi Anun Petronowati Shania Puspasari Siregar, Jessica Anggun Cristine Sitiayu Anisa Gultom Sofa, Yulia Ratna Stefani Pramudita Jaya Sudiyanto, Aris - Sulistiyowati, Linda Suprapti, Rini Susilo, Kezia Natalia Daniast Sutaty, Witrie Tanjung Ayu Sumekar Titis Hadiati Titis Hadiati, Titis Uminah Uminah, Uminah - Widiastuti, M I Widiastuti, Maria Immaculata Widodo Sarjana AS, Widodo Witrie Sutaty Miliawati Rahayu Yanuar Iman Santosa Yethie Hillda Pranata Yosef Purwoko

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