Justina Evy Tyaswati
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HUBUNGAN LAMA MENGIDAP KUSTA DENGAN TINGKAT DEPRESI PADA PASIEN DI RUMAH SAKIT KUSTA SUMBERGLAGAH KABUPATEN MOJOKERTO Widya Ayu Putri Maharani; Ida Srisurani Wiji Astuti; Justina Evy Tyaswati
Jurnal Ilmu Kesehatan Masyarakat Vol 14 No 1 (2018)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ikesma.v14i1.10407

Abstract

Leprosy is a chronic infection disease that caused by Mycobacterium leprae and oftentimes causing negative stigma for people infected by it. The negative stigma and the life quality degradation in people with leprosy lead to the higher risk of depression than people without this disease. Depression is a period of disruption of human function associated with sadness feeling, included changes in sleep pattern and appetite, psychomotor, concentration, anhedonia, fatigue, feeling hopeless, helpless, and having suicidal thoughts. The risk of depression will increase about 2,6 times in people who have chronic illness, one of which is leprosy. This was an analytic observational study with cross sectional approach using 60 respondents chosen by purposive sampling technique. Data were obtained through interview using Hamilton Depression Rating Scale (HDRS) questionnaire and analyzed using Spearman correlation test (p<0,05). The results showed that most respondents (36,7%) suffered from leprosy for 0-14 year(s), in which 51,7% had no depression, 38,3% had mild depression, 16,7% had moderate depression, and 3,3% had severe depression. The analytic results showed the significance value of (p) 0,025 and correlation coefficient of (r) 0,290. It could be concluded that there is a correlation between the duration of leprosy and level of depression in patients at Sumberglagah Leprosy Hospital Mojokerto District with weak correlation strength and positive correlation value so it means that the longer the patient suffering from leprosy, the higher the depression level and likewise on the contrary.
Evaluation of Childhood Psychosis Negligence: Cultural Influences in Treatment Process: Case Report T, Maria; Royke Tony Kalalo; Tiwik Koesdiningsih; Justina Evy Tyaswati
Jurnal Psikiatri Surabaya Vol. 11 No. 2 (2022): November
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jps.v11i2.36307

Abstract

Background: Childhood psychosis is a rare condition. In Indonesia, strong cultural influences how people perceive mental disorders. Culture and knowledge interact dynamically in mental health in Indonesia. Lack of mental health knowledge, resulting abandonment among psychosis patients, especially in their first episode. This negligence leads to no medical treatment associated with a worse disease course. Case: 27 years old male with the third episode of psychosis. He presented with schizoaffective disorder mixed type. The earliest suspected psychosis episode was at the age of 12 years old, was not treated medically. The patient was only treated after his second episode of psychosis at the age of 26 but exhibited non-adherence to the treatment later, which caused a relapse. After discharged, the patient was currently in the stabilization phase for 5 months with oral antipsychotics and long-acting antipsychotic injections. Besides medical treatment, this patient also sought spiritual treatment from psychics and religious treatment. Discussion: The challenges related to the psychosocial aspects faced in this case are lack of knowledge, strong influences of cultural belief on the patient for the cause, and treatment-seeking for the illness, which needs regard for the treatment process. Conclusion: Negligence of psychosis during childhood, which is not medically treated, could progress to worse episodes in later periods of life, but the protective factors influenced by culture are dynamism of belief related to the illness, endorsed multiple causations for the illness including natural and supernatural attribution, local wisdom to perceive a mental disorder, including in this case cultural-psychological concept.