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Journal : Jurnal Psikiatri Surabaya (Surabaya Psychiatry Journal)

Relationship Between Personality and Relapse of Breast Cancer Patients at The Oncology Polyclinic Dr. Soetomo Academic General Hospital Surabaya Adiwibawa, Danang Nur; Konginan, Agustina; Purwanto, Heru
Jurnal Psikiatri Surabaya Vol. 13 No. 1 (2024): May
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jps.v13i1.27854

Abstract

Introductions: Breast cancer is a major health problem that affects the lives of millions of women. Some patients have tried treatment, but cancer recurrence is still present. It is suspected that growth factors play a role in the occurrence of relapse. However, until now, it has been controversial. Finding out whether there is a relation between personality and the incidence of relapse in breast cancer and comparing the personalities of patients with relapsed breast cancer with those with non-relapsed breast cancer. Methods: Analytical research is an observational case-control study. The number of respondents is 56 patients who meet the criteria. It consists of 28 relapsed patients and 28 non-relapsed patients. The research was conducted at the Oncology Polyclinic of Dr. Soetomo General Hospital. Using an instrument to measure personality types that have been validated, namely the OCEAN”Big Five Questionnaire Inventory 44 and Demographic Questionnaire. Results: There is no relationship between personality and the incidence of relapse in breast cancer (p > 0.05). The type of personality in relapse with the most neuroticism (29%) and non-relapse with the most openness (32%), extraversion (36%). Conclusions: The incidence of relapse in breast cancer is not only caused by personality factors; it is possible that other factors play a role. However, the personality of neuroticism is quite prominent in relapse patients.
Ketamine Usage Effectivity on Treatment-Resistant Depression Diagnosed Patients: a Scoping Review Nugroho, Satrio Wahyu; Agustina Konginan; Gadis Meinar Sari; Erikavitri Yulianti
Jurnal Psikiatri Surabaya Vol. 13 No. 1 (2024): May
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jps.v13i1.34068

Abstract

Introductions: In Indonesia, a median of 6.1% of people diagnosed with depression disorder are people over 15 years old. Only 9% of that amount underwent medical treatment, while the rest, 91%, did not undergo treatment for their depressive conditions. Inadequate and inappropriate treatment of depression will lead to Treatment-Resistant Depression (TRD). Using ketamine as a pharmacotherapy opens up new possibilities for TRD treatments. Methods: This study uses a retrospective observational study design with a systematic review approach, in which all variable data were collected from previous studies aimed at measuring the effectiveness of ketamine pharmacological therapy in patients diagnosed with treatment-resistant depression (TRD) using placebo as a benchmark of the effectiveness of ketamine in reduced clinical symptoms of TRD using secondary data in the form of study results and analyzes from published studies of the effectiveness of ketamine therapy. Results: Administration of ketamine at doses of 0.4 mg/kg and 0.5 mg/kg is more effective as an antidepressant compared to placebo in adults and is effective in the elderly at doses above 0.2 mg/kg with a maximal effect at 24 hours post-administration and disappeared by about 7 days post-administration. Conclusions: The administration of ketamine therapy is more effective at reducing depressive symptoms in diagnosed patients (TRD) than the use of placebo and repeated administration of ketamine can increase the likelihood that TRD sufferers respond to therapy and experience remission.
Improved Communication Skills Assisting Cancer Patients Through Counseling Training Palliative Volunteers in Surabaya Putra, Patria Yudha; Febria Rike Erliana; Novelita Mesah; Feytie Magda Mawey; Lia Jessica; Christopher Aditya Purba; Pemilda Dian Catur Ayu Wisnu Putri; Eden; Deviyana Soetjipto; Konginan, Agustina; Erikavitri Yulianti; Soetjipto; Marlina S. Mahajuddin
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.v11i2.34378

Abstract

Introduction: The prevalence of tumors/cancer in Indonesia is increasing. Many cases of cancer at an advanced stage experience severe symptoms and cause suffering that has not been handled properly. Palliative care helps a cancer survivor and his or her family to live a more comfortable life to have a better quality of life. Methods: For this reason, a team that works in an integrated manner includes both medical and non-medical personnel, including volunteers. The role of volunteers in palliative care teams varies according to need and can be involved in hospital care, or at home, expected to bridge between health care institutions and patients. Psychiatrists at Dr. Soetomo General Hospital Surabaya and their residents try to give four sessions of volunteer training to raise awareness, provide health education, or even provide some simple type of medical care and work as counselors. Results: After giving four training sessions every week, the ability of palliative teams had increased. They have the capability to communicate more effectively and efficiently, which is therapeutic, so it is necessary to provide them with counseling skills to listen to, understand, and respond positively when communicating with cancer patients and their families.
Addressing Loneliness in Dementia Patient’s Caregiver Through Spiritual Aspect Christophorus Aditya Pawitan; Agustina Konginan
Jurnal Psikiatri Surabaya Vol. 13 No. S1 (2024): Special Issue (More About Loneliness Towards Mental Health)
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jps.v13iS1.62653

Abstract

Introduction: In this brief case report, we aim to focus on the spiritual aspect and how it may benefit in addressing loneliness. Case: The case is a female 62 years old, diagnosed with generalized anxiety disorder with a psychosocial stressor of perceived isolation (loneliness), treatment approach consists of medication and spiritual-integrated cognitive behavioral therapy focused on her loneliness. Discussion: According to the definition spirituality is related to a transcendental being (vertical) and relation with others, the environment, and oneself (horizontal). In loneliness, the psychosocial symptom of perceived social isolation might be caused by the falling apart of a spiritual relation, either vertical or horizontal. Conclusion: Loneliness might be prolonged by a change in spiritual value and addressing loneliness through a spiritual aspect is an area that needs to be explored in future studies. Keywords: Spirituality, Loneliness, Spiritual Intervention, Caregiver, Mental Health
Loneliness and Back Pain Suksmi Yitnamurti; Agustina Konginan
Jurnal Psikiatri Surabaya Vol. 13 No. S1 (2024): Special Issue (More About Loneliness Towards Mental Health)
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jps.v13iS1.62662

Abstract

Introduction: Back pain is a common reason for being absent from work and seeking medical treatment. It can result from injury, activity, and some medical conditions. Back pain consists of lower back pain and upper back pain. Back pain does have a physical cause, but it can also be triggered by precipitating factors, namely loneliness. To explain the mechanism that associates back pain with loneliness. Methods: Literature review. Results: Loneliness is divided into 2 types, namely social loneliness and emotional loneliness. Social loneliness is associated with the absence of a social network from the same circle, with which they can share the same activities or interests. Emotional loneliness can arise due to the absence of close emotional attachment. Whether or not back pain persists depends on whether the individual chooses problem-solving or problem avoidance. Loneliness in several studies increases the morbidity rate of physical and mental illness and also the mortality rate. Early detection of somatic symptoms and loneliness requires a self-measurement scale. Therapeutic interventions aimed at increasing social connection hold merit in reducing the impact of pain on engagement with activities. The treatments are usually Cognitive Behavioral Therapy (CBT) and Antidepressants. If necessary, consulting a psychiatrist is recommended. The cooperation of orthopedists, rheumatologists, and physical therapists with psychiatrists can be useful in improving the condition of patients. Conclusions: Recommendations for management are needed both in terms of general and specific strategies, as well as loneliness interventions. Keywords: Loneliness, Back Pain, Good Health and Wellbeing