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All Journal Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Care : Jurnal Ilmiah Ilmu Kesehatan JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga ANIMA Indonesian Psychological Journal JURNAL PENELITIAN PERAWAT PROFESIONAL Indonesian Journal of Anesthesiology and Reanimation (IJAR) Jurnal Psikiatri Surabaya (Surabaya Psychiatry Journal) CURRENT INTERNAL MEDICINE RESEARCH AND PRACTICE SURABAYA JOURNAL Indian Journal of Forensic Medicine & Toxicology International Journal of Health, Economics, and Social Sciences (IJHESS)
Yulianti, Erikavitri
Department Of Psychiatry, Faculty Of Medicine, Universitas Airlangga, Surabaya, Indonesia; Dr. Soetomo General Hospital, Surabaya, Indonesia
Biochemistry, Genetics & Molecular Biology Economics, Econometrics & Finance Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary

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Knee Pain and Quality of Life among the Elderly Melati, Akilla Nathania; Nugraheni, Nuniek; Djuari, Lilik; Yulianti, Erikavitri; Romadhon, Pradana Zaky
Current Internal Medicine Research and Practice Surabaya Journal Vol. 5 No. 2 (2024): CURRENT INTERNAL MEDICINE RESEARCH AND PRACTICE SURABAYA JOURNAL
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cimrj.v5i2.50751

Abstract

Introduction: The aging process can lead to knee pain in the elderly, which negatively impacts their quality of life by decreasing their physical functioning and potentially affecting their psychological well-being over time. This study aimed to determine the association between knee pain and the quality of life of the elderly. Methods: This analytical study involved elderly patients aged 60 years and over who presented with complaints of knee pain at the Geriatric Outpatient Clinic of Universitas Airlangga Hospital, Surabaya, Indonesia, from September 2022 to March 2023. The participants were selected by consecutive sampling until a total of 50 samples were collected using the interview method. The independent variable was knee pain, while the dependent variable was quality of life. The instruments used were the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) to measure knee pain and the Barthel Index for Activities of Daily Living (ADL) to assess the quality of life. The data were analyzed using Spearman's rho, with p<0.01 indicating a significant correlation. Results: The majority of the elderly were female (54%) and fell within the age group of 66–70 years. The most prevalent complaint was mild knee pain (52%). A total of 50% of the elderly had an independent quality of life. A strong correlation was found between the degree of knee pain and quality of life in the elderly (p=0.000). The correlation coefficient indicated an inverse relationship between the degree of knee pain and quality of life in the elderly. Conclusion: The findings suggest that the higher the pain degree suffered by the elderly, the lower their quality of life.   Highlights: 1. This study evaluated the factors that influence the quality of life of elderly individuals with knee pain, an issue that has been relatively overlooked in Indonesia. 2. The results of this study will hopefully assist scholars and stakeholders, enabling them to optimize the quality of life for elderly individuals experiencing knee discomfort.
Effect of Depression in The Elderly on Glaucoma and Pharmacotherapy Options Anwar, Syaiful; Yulia Fatima Bessing; Erikavitri Yulianti
Jurnal Psikiatri Surabaya Vol. 13 No. 2 (2024): November
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jps.v13i2.42501

Abstract

Introduction: Depression in the elderly is often not detected because elderly people who are depressed show more somatic or cognitive complaints than affective complaints. The relationship between depression and the progression of glaucoma has been studied and taken into consideration in the selection of therapy to be given. Methods: This report is a case report from a patient who has been given an explanation and received consent regarding a psychiatric interview, physical examination and support, interventions, case discussion presentations, and the confidentiality of all patient personal information. Case: Education was carried out on a 72-year-old patient with a Major Depressive Episode without psychotic symptoms who also had glaucoma a few months after complaining of depression. The education provided includes knowledge about depression and its relationship to glaucoma, a management plan in the form of advice for hospitalization in a hospital that has a psychiatrist and an ophthalmologist. Conclusion: Depression in the elderly can affect the progression of glaucoma. The choice of psychopharmacological therapy needs to be adjusted by considering its side effects on the possibility of glaucoma or the risk of aggravating the progression of glaucoma.
Very Late Onset Schizophrenia Like Psychosis: A Case Report Victoria, Vini; Bessing, Yulia Fatima; Yulianti, Erikavitri; Salma Nur Fadhilah
Jurnal Psikiatri Surabaya Vol. 14 No. 1 (2025): May
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jps.v14i1.47755

Abstract

Introduction: With the growth of the aging population, we need to ensure that elderly people can live the rest of their lives with a satisfactory quality of life. However, the occurrence of psychosis in the elderly, especially at a later age, is a risk for decreased quality of life and a high risk of morbidity and mortality. The first episode of psychosis in age 60 or over is called very late-onset schizophrenia-like psychosis (VLOSLP) and needs to be distinguished from secondary psychosis such as Alzheimer’s Disease (AD) with psychotic symptoms. Case: A 77-year-old woman was brought by her family to the geriatric psychiatry clinic due to strange behavior such as hearing voices and obeying the voices’ commands since the last 6 months that worsened in the last month. In the last month, the patient also had sleeping difficulty, pacing at night, and accusing family of trying to harm her. After one month of therapy with Risperidone, the patient was showing improvement in the reduction of the voices. Discussion: The patient was assessed as VLOSLP with the first episode of psychosis with schizophrenia spectrum core symptoms such as paranoid delusion and auditory-verbal hallucination.  Conclusion: In this case, clinicians work with insufficient additional examination data, and that could also apply to clinicians in the remote area with no access to more comprehensive modalities to differentiate early stages of AD with psychosis and VLOSLP from clinical symptoms. However, more data is needed to establish clinical criteria regarding VLOSLP.
Cognitive Impairment Associated with Schizophrenia: A Case Report Jessica, Lia; Bessing, Yulia Fatima; Yulianti, Erikavitri; Salma Nur Fadhilah
Jurnal Psikiatri Surabaya Vol. 14 No. 1 (2025): May
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jps.v14i1.49488

Abstract

Introduction: First-generation antipsychotics could reduce the positive symptoms of schizophrenia but also impair cognitive function. Cognitive and negative symptoms in schizophrenia could be a significant burden experienced both by the patients and caregivers. Thus the treatment of cognitive impairment associated with schizophrenia should be addressed properly. The purpose of writing this article is to increase awareness in administering antipsychotics to elderly patients with schizophrenia, especially in the cognitive aspect and how to overcome possible cognitive decline. Case: An outpatient female schizophrenic patient who was on first-generation antipsychotic treatment complained of forgetfulness. The complaint started 5 years after she received her treatment. While she could still perform her activities of daily living independently, her instrumental activities of daily living were impaired. Her food got burnt while she was cooking, and she also took her medicine excessively because she forgot about it. Both of those events could be very dangerous for her. Discussion: Antipsychotics are the first-line pharmacotherapy for the treatment of schizophrenia but could also cause cognitive impairment. Management of cognitive impairment associated with schizophrenia could be performed both non-pharmacologically, by giving cognitive remediation therapy or physical exercise, and pharmacologically, by giving cholinergic agents such as donepezil. Conclusions: Cognitive impairment associated with schizophrenia should be managed as well as psychotic symptoms.
Determinants of Mental Health Status in Indonesian Pre-elderly and Elderly with Comorbidities during COVID-19 Rahman, Beny Aji Ifaudi; Hasanatuludhhiyah, Nurina; Atika; Brihastami Sawitri; Erikavitri Yulianti; Anastasia K. Sikora
Jurnal Psikiatri Surabaya Vol. 14 No. 1 (2025): May
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jps.v14i1.56640

Abstract

Introduction: The pre-elderly and elderly populations with comorbidities are among the vulnerable groups to having mental health issues during COVID-19. This study aimed to examine the mental health status of this population in Indonesia and analyze the associated factors. Methods: This cross-sectional study enrolled 105 pre-elderly and older adults residing in Java Island, Indonesia, in September–October 2021. Mental health status was measured using the Depression, Anxiety, and Stress Scale-21 (DASS-21). Sociodemographic factors, hospital visits, and medication during the pandemic were also asked. Comparison of DASS-21 scores across these factors was analyzed with the Mann-Whitney U test. Results: More than half of the respondents were within a normal range of DASS scores. About 14% of respondents reported depression, and 17% reported stress symptoms, while about 41% were experiencing anxiety. There were gender differences in anxiety and stress scores and education differences in depression. DASS-21 scores were also varied by marital status (p < .05). No significant between-group differences in mental health status according to routine hospital visits and medication during the COVID-19 pandemic. Conclusion: Comorbidities are a risk factor for mental health problems in the pre-elderly and elderly. Women, low economic level, and unmarried individuals were among the vulnerable groups to develop mental health issues during the COVID-19 outbreak.
Sexual Dysfunction in Schizophenia Patients Yustika Izziyatu Anindita; Erikavitri Yulianti
International Journal of Health, Economics, and Social Sciences (IJHESS) Vol. 7 No. 3: July 2025
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/ijhess.v7i3.8210

Abstract

Sexual dysfunction (SD) is a significant but often overlooked complication among patients with schizophrenia, with a global prevalence of 56.4%—55.7% in men and 60.0% in women. SD in this population is generally caused by both the symptoms of schizophrenia and the side effects of antipsychotic treatment, leading to diminished motivation for intimacy and potential disruption of marital relationships. Despite its impact on quality of life, SD remains underdiagnosed and stigmatized in clinical practice. This literature review aims to explore the general aspects of sexual dysfunction, its various types in patients with schizophrenia, and potential treatment strategies based on current clinical guidelines and considerations. The review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) method. Findings show that the global incidence of sexual dysfunction among schizophrenia patients increased by over 65% between 1990 and 2019, affecting an estimated 941,000 to 1.3 million individuals, primarily due to antipsychotic use. Management strategies include reducing antipsychotic dosages or switching to prolactin-sparing medications, with aripiprazole being the most frequently recommended option.
Early Onset Dementia and Non Pharmalogical Treatment: A Case Report Kusuma, Susana anggar; Bessing, Yulia Fatima; Yulianti, Erikavitri
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.v14i2.44374

Abstract

Introduction: Early-onset dementia (EOD), defined as dementia occurring before the age of 65, leads to progressive cognitive and functional decline that disrupts patients’ productivity, family roles, and social well-being. With limited pharmacological efficacy, non-pharmacological approaches are increasingly recognized as essential to improve patients’ quality of life. Methods: This report describes a 59-year-old female presenting with severe cognitive impairment and daily functional decline. Clinical evaluation involved psychiatric interviews, physical examinations, and standardized cognitive assessments, including the Mini-Mental State Examination (MMSE), Clinical Dementia Rating (CDR), and Barthel Index. Written consent was obtained from the family. Results: The patient displayed severe memory loss, disorientation, and inability to perform basic activities. Cognitive testing confirmed MMSE: 0, CDR: 18, and Barthel Index: 40, indicating severe dementia with high dependence. No prior psychiatric or neurological illness was reported. Non-pharmacological interventions, such as cognitive rehabilitation, stimulation, and training, were identified as effective in maintaining residual abilities, delaying progression, and improving well-being. Conclusion: EOD requires early recognition and comprehensive management due to its profound personal and social impact. Although curative options are unavailable, non-pharmacological therapies offer meaningful benefits by enhancing cognitive function, supporting independence, and improving quality of life for patients and families.
Comparing Alteration of MMSE (Mini-Mental State Examination) Scores as Cognitive Function Test in Geriatrics After General and Regional Anesthesia Budianto, Ferrie; Setiawan, Philia; Hamzah, Hamzah; Yulianti, Erikavitri
Indonesian Journal of Anesthesiology and Reanimation Vol. 2 No. 2 (2020): Indonesian Journal of Anesthesiology and Reanimation (IJAR)
Publisher : Faculty of Medicine-Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (526.621 KB) | DOI: 10.20473/ijar.V2I22020.47-52

Abstract

Introduction: An alteration of cognitive function in geriatrics often occurred after a surgery procedure. To do a surgery, patients would go through the process with anesthesia, whether it is  general or regional anesthesia. We aimed to identify the effect of general and regional anesthesia in increasing the risk of alteration in cognitive function from geriatrics who underwent elective surgery followed by other risks. Methods: This observational analytic study has a total sample of 60 patients who aged 60 years or more, and half of the total sample underwent an elective surgery with general anesthesia, whereas the other half with regional anesthesia at Gedung Bedah Pusat Terpadu Dr. Soetomo General Hospital in a range of October – November 2016. The cognitive function of patients was assessed with MMSE which is done in approximately 10 – 15 minutes. Results: There was a statistically significant correlation between age and both preoperative MMSE score also the alteration of MMSE score after 3 days in patients with regional anesthesia (P-value = 0.032; 0.044). Also, the correlation between educational status and preoperative MMSE score (P-value = 0.001). There was also a statistically significant difference in alteration of the MMSE score after 3 days between patients with general and regional anesthesia which went through the hypotension phase (P-value = 0.022; 0.003). We identified that both general and regional anesthesia could lead to alteration of MMSE score (P-value = 0.001; 0.02) and there was a statistically significant difference between both of them (P-value = 0.001). Conclusion: Both general and regional anesthesia could lower the cognitive function of geriatrics, especially general anesthesia which happened to have a higher risk to occur. Other factors such as age, educational status, and hemodynamic condition during surgery, had their impacts toward lowering cognitive function in geriatrics.
ANALISIS POLA ASUH ORANG TUA TERHADAP GANGGUAN INTERNALISASI, EKSTERNALISASI DAN ATENSI PADA REMAJA Wairooy, Nabilah Azzah Putri; irwanto, Irwanto; Yulianti, Erikavitri; Febriyana, Nining
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 9, No 2 (2021): EDITION JULY 2021
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v9i2.1392

Abstract

Data regarding emotional and behavioral disorders experienced by children is increasing every year. If this problem is not resolved properly, it will have a bad impact on the development of the teenager in the future, especially on character maturation. This study aims to analyze the relationship between parenting and adolescent behavior and emotions. This research is in the form of observational analytic with a cross-sectional method. The total sample consisted of 542 students from seven junior high schools in Surabaya which were taken by total sampling. The instruments used were KPAA to assess the type of parenting style and PSC-17 to assess the type of disorder indication. The data were analyzed univariately to determine the demographic distribution of the sample, and the bivariate test used the chi-square test to determine the relationship between parenting patterns and behavioral and emotional disorders in adolescents. The highest parenting is permissive (81.5%), authoritarian (8.7%), democratic (8.5%), inconsistent (1.7%). Meanwhile, for the assessment of adolescent emotions and behavior, it was found that adolescents without indication of disorder (58.3%), internalization disorder (24.2%), externalization (5.7%), attention (1.7%), and more than 1 disorder (10.1%). The results of the chi-square test were p=0.436 (p0.05). There is no significant relationship between parenting patterns on adolescent behavior and emotions
Co-Authors Afrina Zulaikah Anastasia K. Sikora atika Bessing, Yulia Fatima Budianto, Ferrie Christopher Aditya Purba Deviyana Soetjipto Diana Caesaria Eden Fatimah Bahanan Febria Rike Erliana Febriyana, Nining Feytie Magda Mawey Hamzah Hamzah Hendy Muagiri Margono Ifa Tunisya Irwanto Irwanto Jessica, Lia Karimah, Azimatul Konginan, Agustina Kusuma, Susana Anggar Lia Jessica Lilik Djuari Margarita Maramis, Margarita Marlina S. Mahajuddin Maura Tuzzahrah Melati, Akilla Nathania Novelita Mesah Nugroho, Satrio Wahyu Nuniek Nugraheni Nurina Hasanatuludhhiyah Pemilda Dian Catur Ayu Wisnu Putri Prabowo, Gwenny Ichsan Putra, Patria Yudha Rahman, Beny Aji Ifaudi Retno Handajani Rina Krismiati Gani Risza Subiantoro Romadhon, Pradana Zaky Salma Nur Fadhilah Sari, Gadis Meinar Sawitri, Brihastami Setiawan, Philia SOETJIPTO Sri Umijati Syaiful Anwar Victoria, Vini Wairooy, Nabilah Azzah Putri Yulia F. Bessing Yulia Fatima Bessing Yustika Izziyatu Anindita Zain Budi Syulthoni Zaphiria Loka Pramesthi