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All Journal Sari Pediatri Paediatrica Indonesiana Jurnal Psikiatri Surabaya (Surabaya Psychiatry Journal) eJournal Kedokteran Indonesia
Tjhin Wiguna
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Gambaran Masalah Psikososial pada Remaja dengan Thalassemia Mayor dan Diabetes Mellitus Tipe-1 Bernie Endyarni Medise; Naela Fadhila; Tjhin Wiguna; Zakiudin Munasir; Jose R.L Batubara; Pustika Amalia Wahidiyat; H.F. Wulandari; Rosalina Dewi Roeslani
Sari Pediatri Vol 22, No 2 (2020)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp22.2.2020.83-91

Abstract

Latar belakang. Thalassemia dan diabetes mellitus tipe-1 (DM tipe-1) merupakan penyakit kronik yang banyak didapatkan pada anak dan remaja di Indonesia. Adanya penyakit kronik pada remaja dapat berisiko meningkatkan terjadinya masalah psikososial 2-6 kali dibandingkan populasi sehat. Masalah psikososial pada remaja sulit dikenali sehingga perlu dilakukan evaluasi secara rutin. The strengths and difficulties questionnaire (SDQ) adalah instrumen yang praktis dan mudah digunakan untuk mendeteksi masalah tersebut. Tujuan. Mengetahui besaran masalah psikososial pada remaja dengan penyakit kronik di RS. Cipto Mangunkusumo, Jakarta. Metode. Desain potong lintang pada 140 remaja (100 thalassemia mayor dan 40 DM tipe-1), usia 10-18 tahun. Subyek diminta untuk mengisi kuesioner SDQ (laporan mandiri). Hasil. Prevalensi total skor abnormal pada remaja thalassemia mayor adalah 8%, dan DM tipe-1 adalah 15%. Tidak ada skor abnormal pada aspek perilaku pro-sosial kedua penyakit, dan aspek hubungan dengan teman sebaya DM tipe-1. Tidak didapatkan perbedaan bermakna antara diagnosis penyakit, jenis kelamin, dan tingkat pendidikan subyek pasien DM terhadap luaran hasil SDQ. Kesimpulan. Masalah psikososial lebih banyak didapatkan pada remaja DM tipe-1 dibandingkan thalassemia mayor.
Efektivitas Pelatihan Kecakapan Hidup Menggunakan Modul Pengelolaan Emosi pada Remaja Perempuan dengan Lupus Eritematosus Sistemik Safira A Tjandrasari; Fransiska Kaligis; Tjhin Wiguna; Raden Irawati Ismail; Dina Muktiarti
eJournal Kedokteran Indonesia Vol 9, No. 2 - Agustus 2021
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (378.18 KB) | DOI: 10.23886/ejki.9.52.80

Abstract

Lupus eritematosus sistemik (LES) merupakan penyakit kronik yang dapat menyebabkan masalah emosi pada remaja, khususnya perempuan sehingga fokus perawatan pada remaja dengan LES adalah mengatasi gangguan yang dialami secara keseluruhan. Studi ini bertujuan untuk mengetahui masalah emosi pada remaja perempuan dengan LES dan efektivitas pelatihan kecakapan hidup-modul pengelolaan emosi (PKH-MPE) dalam mengatasi masalah emosi. Studi ini menggunakan desain uji klinis teracak dalam 2 grup di RSUPN dr. Cipto Mangungkusumo pada bulan Januari hingga Desember 2019. Subjek adalah 30 remaja perempuan dengan LES yang sudah mendapat terapi dan memiliki skor Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) 0-5. Masalah emosi dinilai dengan Strength and Difficulties Questionnaire (SDQ) pada awal dan 4 minggu pasca perlakuan. Sebanyak 6/30 remaja perempuan memiliki nilai SDQ abnormal pada awal studi. PKH-MPE efektif menurunkan masalah emosi pada kelompok perlakuan dibandingkan kontrol (uji Wilcoxon, p=0,002). Pada kelompok perlakuan terdapat perbaikan total skor SDQ (p=0,001), masalah emosi (p = 0,002), masalah perilaku (p=0,027) dan perilaku hiperaktif (p=0,040) dibandingkan awal studi. PKH-MPE secara bermakna mengurangi keluhan nyeri, kecemasan dan perasaan gugup pada kelompok perlakuan. Disimpulkan PKH-MPE efektif memperbaiki masalah emosi pada remaja perempuan dengan LES, terutama keluhan nyeri, cemas, dan perasaan gugup. Kata kunci: lupus, penyakit kronis, masalah emosi, pelatihan kecakapan hidup, SDQ.   Effectiveness of Life SkillsTraining-Emotional Management Module in Female Adolescent with Systemic Lupus Erythematosus Abstract Systemic lupus erythematosus (SLE) is a chronic disease that can cause emotional problems in adolescents, predominantly female thus, the focus of care in adolescents with SLE is to treat the patients holistic. The study aims to assess the emotional problems in female adolescents with SLE and the effect of life skills training-emotional management module in female adolescents with SLE. This study is a randomized clinical trial with no blinding which located in Cipto Mangunkusumo Hospital Jakarta. Thirty female adolescents with treated SLE and had Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) score 0-5 were included. Emotional problems were assessed at the beginning of the study and four weeks after intervention. It was found that there were 6/30 subjects with abnormal SDQ at the beginning of the study. Life skills training was found effective in treating emotional problems, compared to control with (Wilcoxon test, p=0.002). Life skill straining was also found effective in improving SDQ score (p=0.001), emotional problem (p=0.002), conduct problems (p=0.027),and hyperactivity (p=0.040) in the intervention group compared to baseline. Life skill straining reduced physical pain, worries, and nervousness in the intervention group. In conclusion, the life skill straining-emotional management module was effective in improving emotional problems in a female adolescent with SLE, especially physical pain, worries, and nervousness. Keywords: SLE, chronic disease, emotional problems, life skills training, SDQ.
Validation and reliability testing of Reflective Functioning Questionnaire (RFQ) Indonesian Version Mahaputra, Mahaputra; Sylvia Detri Elvira; Petrin Redayani Lukman; Martina Wiwiek Nasrun; Tjhin Wiguna
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.v14i2.55541

Abstract

Introduction: Reflective function refers to the capacity to comprehend emotions, beliefs, and behaviors in oneself and others. Mental disorders are frequently associated with deficits in mentalizing capabilities. These deficits compromise an individual’s capacity for self-reflection and understanding of mental states, impeding one’s ability to regulate both mental states and interpersonal relationships. The Reflective Functioning Questionnaire (RFQ) is a practical tool to measure reflective function, but it has not yet been adapted into Indonesian, a crucial step toward addressing the needs of local populations. This study aimed to develop an Indonesian version of the RFQ with robust validity and reliability. Methods: The English RFQ was translated into Indonesian using standard guidelines, including forward and backward translation by certified translators. Content and face validity were assessed through expert panel reviews to ensure cultural and linguistic relevance. Construct validity was evaluated using confirmatory factor analysis (CFA), and reliability testing was conducted using Cronbach’s Alpha. A pilot study with 10 subjects was conducted to refine the instrument, followed by testing with a sample of 100 participants. Results: The final Indonesian RFQ consists of 11 items across two subscales: RFQu and RFQc. CFA indicated a good model fit (χ² = 1.16, p = 0.55, and RMSEA = 0.041). Reliability testing showed strong internal consistency, with Cronbach’s Alpha values of 0.89 for RFQc and 0.87 for RFQu. Conclusion: The modified Indonesian RFQ demonstrated excellent validity and reliability, providing a robust tool for assessing reflective function in clinical and research settings.
Prevalence and associated factors of infantile colic in infants of mothers in medical residency program Muzal Kadim; Wira Febrisandi Irsan; Tjhin Wiguna; Dina Muktiarti; Sulaiman Yusuf; Ade Rachmat Yudianto; Yusri Dianne Jurnalis; Yudith Setiati Ermaya; Wahyu Damayanti; Andy Dharma; Christy Venada
Paediatrica Indonesiana Vol. 66 No. 1 (2026): January 2026
Publisher : Indonesian Pediatric Society

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

Abstract

Background  Infantile colic, defined according to the Rome IV criteria as excessive crying in otherwise healthy infants without signs of illness or failure to thrive, could be linked to inadequate mother–infant bonding. The risk of infantile colic is increased in mothers with depression and insufficient family support. Infantile colic could lead to recurrent emergency department admissions, unnecessary treatments, and child abuse. Mothers in medical residency programs who often face long working hours, reduced bonding time with their infants, burnout, and depression, may be at an increased risk of having infants with colic. However, data on the prevalence and associated factors of infantile colic in infants of mothers in this specific population are lacking. Objective To determine the prevalence of infantile colic and its associated factors among infants of mothers participating in medical residency programs. Methods We conducted a cross-sectional study involving 67 infants of mothers in medical residency programs across seven centers in Java and Sumatra. We used the Indonesian-translated Parent Report Questionnaire for Children Aged 0-3 Years from the Rome Foundation to obtain information on infantile colic based on Rome IV criteria and the Indonesian version of the Mother-Infant Bonding Scale Questionnaire to assess the risk level of mother-infant bonding problems. An online questionnaire was distributed to subjects’ mothers via WhatsApp© application. Results  Of 67 subjects, 18 (26.8%) experienced infantile colic. High risk of mother–infant bonding problems, as indicated by elevated Mother-Infant Bonding Scale-Indonesian version (MIBS-I) scores, were significantly associated with infantile colic (OR 2.922; 95%CI 1.07 to 4.87; P=0.046). The type of nutrition, whether breast milk or a combination of formula and breast milk, did not significantly differ between infants with and without colic (OR 1.333; 95%CI 0.451 to 3.940; P=0.602). Conclusion Elevated MIBS-I scores, reflecting impaired mother–infant bonding, are ssociated with an increased risk of infantile colic in infants born to mothers in medical residency training programs.
Co-Authors Ade Rachmat Yudianto Andy Dharma Bernie Endyarni Medise Christy Venada Dina Muktiarti, Dina Fransiska Kaligis H.F. Wulandari Ismail, Raden Irawati Jose RL Batubara Mahaputra Mahaputra, Mahaputra Martina Wiwiek Nasrun Muzal Kadim Naela Fadhila Petrin Redayani Lukman Pustika Amalia Wahidiyat Rosalina Dewi Roeslani Safira A Tjandrasari Sulaiman Yusuf Sylvia Detri Elvira Wahyu Damayanti Wira Febrisandi Irsan Yudith Setiati Ermaya Yusri Dianne Jurnalis Zakiudin Munasir