Articles
Inflammation in Depression
Novi Agung Rahmawati;
Azimatul Karimah;
Mustafa M Amin
Jurnal Psikiatri Surabaya Vol. 10 No. 2 (2021): November
Publisher : Faculty of Medicine, Universitas Airlangga
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DOI: 10.20473/jps.v10i2.22045
Depression is a chronic condition that imposes a substantial burden of disability globally. Three principal neurotransmitters (norepinephrine (NE), dopamine (DA), and serotonin (5-HT)) implicated the pathophysiology and treatment of depression. Clinical studies have found a significant association between numerous pro-inflammatory cytokines with depressive symptoms, endocrine, and neurotransmitter systems. Here, we detail our current understanding about the role of inflammation in depression, the mechanisms that are involved, and show how it is possible to innovate and develop new therapeutics of depression in the field of neuroinflammation.
Application of Transference Focused Psychotherapy in Borderline Personality Disorders
Ina Dewi Ardiyani;
Azimatul Karimah
Jurnal Psikiatri Surabaya Vol. 10 No. 2 (2021): November
Publisher : Faculty of Medicine, Universitas Airlangga
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DOI: 10.20473/jps.v10i2.22396
Borderline Personality Disorder (BPD) is a condition that is currently commonly found in daily psychiatric practice, and causes serious psychiatric disorders because it has an impact on the emergence of various other comorbid psychiatric disorders. The management of BPD is a challenge, because it is quite difficult and complex. Psychotherapy is an effective first-line therapy for BPD. Transference Focused Psychotherapy (TFP) is psychodynamic based psychotherapy that is specifically designed for BPD and is considered effective based on the specific psychopathology of BPD, namely the lack of identity integration. TFP focuses on the relationship between patient and therapist in sessions which have the aim of facilitating better behavioral control and increasing reflection and influencing regulation so as to produce identity integration that leads to a more coherent identity, better regulatory abilities, less self-destructive behavior. forming a more balanced and constant relationship, and increasing overall functioning.Keywords : Borderline Personality Disorder, Psychodynamic Psychotherapy, Transference Focused Psychotherapy.
Correlation between depression level and headache severity: A study among medical students during the COVID-19 pandemic
Dika C. Bintari;
Devi A. Sudibyo;
Azimatul Karimah
Narra J Vol. 1 No. 3 (2021): December 2021
Publisher : Narra Sains Indonesia
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DOI: 10.52225/narra.v1i3.64
Headache is the most prevailing disorder and the third leading cause of disability worldwide. The prevalence of primary headaches has been reported to increase by 2-4 times in patients with psychiatric comorbidities, including depression. This study sought to assess the correlation between depression level and headache severity among medical students. To the best of our knowledge, this is the first study to evaluate the correlation between depression level and headache severity in Indonesia. A cross-sectional study was conducted among students of Airlangga University in 2021. To evaluate the level of depression and the severity of headache, Depression Anxiety Stress Scales (DASS-42) and Headache Impact Test 6 (HIT-6) were used, respectively. A set of validated questionnaires were used to assess students’ demographic characteristics. A total of 82 medical students were included in this study and most of them were female (86.6%). The third-semester students represented the highest proportion (45.2%) of subjects. The mean age and body mass index (BMI) were 19.88 ± 1.03 and 22.55±4.44, respectively. The average DASS-42 score was 10.98±11.47 which indicated a mild depression level. The average HIT-6 score was 45.74±6.130 which revealed a mild impact. The data of Spearman correlation suggested that headache severity was significantly correlated with depression level (r=0.396, p<0.001). This study provides insights on the importance of stress management and depression prevention to decrease the risk of headache, and vice versa.
Are Indonesian new pictorial health warnings more effective than the old ones?
Jovian Philip Swatan;
Firas Farisi Alkaff;
William Putera Sukmajaya;
Sulistiawati Sulistiawati;
Azimatul Karimah
International Journal of Public Health Science (IJPHS) Vol 11, No 3: September 2022
Publisher : Intelektual Pustaka Media Utama
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DOI: 10.11591/ijphs.v11i3.21543
Smoking remains as a nation-wide health problem in Indonesia. Several measures had been conducted to motivate smoking cessation, among those is the use of pictorial health warnings (PHWs). PHWs have been implemented since 2014, and some of the pictures were revised in 2018. However, there was no evaluation regarding the effectivity to this date. This study compared the effectivity of the old and new versions of PHWs in promoting smoking cessation. This was a cross-sectional study conducted in one of the sub-districts in East Java, Indonesia, in February 2020. Study population were local villagers aged at least 18 years who visited the sub-district’s primary healthcare during the study period. Consecutive sampling was used as the sampling method. Respondents were interviewed using a pre-determined questionnaire. The old and new versions of PHWs were printed and showed to the respondent during the interview. Comparison between groups was analyzed using McNemar test. A total of 103 respondents participated in this study. More respondents agreed that the old version of PHWs was considered more effective to motivate smoking cessation as compared to the newer version (71.84% vs 64.08%), although the significance was marginal (p=0.077). Our study showed that both versions of PHWs were considered effective to promote smoking cessation. However, more respondents agreed that the old version of PHWs were more effective than the new PHWs. We recommend policymaker to conduct a field study to test the effectivity of the proposed PHWs before revising the legal regulation in the future.
Pengaruh Suplementasi Vitamin C Terhadap Tingkat Stres Mahasiswa Fakultas Kedokteran Angkatan 2016 Universitas Ciputra
Alvionita Muntholib;
Azimatul Karimah;
Minarni Wartiningsih
CoMPHI Journal: Community Medicine and Public Health of Indonesia Journal Vol. 2 No. 2 (2021): Oktober
Publisher : Perhimpunan Dokter Kedokteran Komunitas dan Kesehatan Masyarakat Indonesia (PDK3MI)
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DOI: 10.37148/comphijournal.v2i2.52
Introduction: Stress is an event that places a strain or demand on a person, disrupting the body's balance and physical and psychological conditions. Students often experience stress due to the numerous orders placed on them regarding learning and extracurricular activities on campus. Because medical students are prone to stress due to academic factors and the pressure they face, additional treatment is required to ensure that it does not have a long-term impact. Objective: This study aims to show that vitamin C supplementation can help medical students at Ciputra University feel less stressed. Method: A pre-and post-experimental study and the total sampling technique were used, and the respondents were divided into two groups: treatment and control. The DASS (Depression Anxiety Stress Scale) questionnaire was used in this study as the instrument. After that, the paired t-test was used to examine the data. The findings revealed that 66.6 percent of students in the pre-intervention experimental group experienced mild stress. In comparison, 29.16 percent of students in the pre-intervention control group had a normal pre-experimental score of 17.96. With an average result of 11.58, 95.8% of the participants in the post-intervention experimental group or after vitamin C supplementation were classified as usual. In a comparative test, the average stress score before and after supplementation differed significantly (p = 0.05). It can be concluded that supplementing with vitamin C can help students cope with stress.
The Effect of Online Teaching and Learning Activities During the Covid-19 Pandemic on Stress Among Students of The Faculty of Medicine Ciputra University
I Made Irham Muhammad;
imelda ritunga;
Azimatul Karimah;
Hebert Adrianto
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 5, No 2 (2022): July
Publisher : Faculty of Medicine, Public Health, and Nursing
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DOI: 10.22146/rpcpe.75879
Background: The World Health Organization has declared that COVID-19 is a global pandemic. To prevent its spread, academic activities in Indonesia have been shifted to distance learning methods. This change resulted in students having to adapt to these new methods and deal with the additional stress. The inability of students to adapt contributed to the new conditions causing the additional stress. Objectives: This study aimed to analyze the effect of online teaching and learning activities during the COVID-19 pandemic on stress at the Faculty of Medicine, Ciputra University, Surabaya Indonesia. Methods: The quantitative method used was in the form of analytical observations with a cross-sectional approach. The respondents consisted of 63 people, selected using simple random sampling. Data analysis used linear regression tests to determine the effect of the second variable. Results: The results showed that there was no significant effect (p= 0.052) between Online Teaching and Learning Activities During the COVID-19 Pandemic Period on Stress in the Medical Faculty Students, Ciputra University, Surabaya, Indonesia. Students have started to become accustomed to the strategies to deal with the additional stress and its effects. Other supporting factors in the implementation of online learning are flexibility, time efficiency, low learning costs, and learning materials which can be accessed at any time with technological applications, using simple storage of learning materials. Conclusions: There was no significant influence found from the online learning on student stress.
HUBUNGAN TINGKAT KECEMASAN IBU HAMIL TRIMESTER III DENGAN KESIAPAN MENGHADAPI PERSALINAN DI MASA PANDEMI COVID-19
Mustika Anajah;
Reni I'tishom;
Azimatul Karimah
JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG, Online ISSN 2579-8103 Vol 14 No 2 (2022): Jurnal Riset Kesehatan Poltekkes Depkes Bandung
Publisher : Poltekkes Kemenkes Bandung
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DOI: 10.34011/juriskesbdg.v14i2.2003
Penyebaran virus Covid-19 yang sangat cepat di seluruh dunia termasuk Indonesia dan penetapan statusnya sebagai pandemi oleh WHO adalah salah satu faktor risiko yang menyebabkan terjadinya peningkatan kecemasan pada ibu hamil terutama pada trimester III yang dapat berpengaruh terhadap kesiapan ibu dalam menghadapi persalinan. Penelitian ini bertujuan untuk menganalisis hubungan tingkat kecemasan ibu hamil trimester III dengan kesiapan menghadapi persalinan di masa pandemi Covid-19. Metode penelitian ini adalah analitik observasional dengan rancangan penelitian cross sectional. Jumlah sampel sebanyak 49 ibu hamil trimester III dengan teknik pengambilan sampel menggunakan purposive sampling. Variabel bebas adalah tingkat kecemasan ibu hamil yang diukur menggunakan kuesioner tingkat kecemasan ZRAS (Zung Self-Rating Anxiety Scale). Variabel terikatnya adalah kesiapan menghadapi persalinan di masa Pandemi Covid-19 yang diukur menggunakan kuesioner kesiapan persalinan. Analisis data menggunakan uji spearman. Hasil penelitian menunjukkan bahwa mayoritas responden tidak ada kecemasan dan 6% kecemasan sedang. Pada variabel kesiapan persalinan mayoritas memiliki kesiapan baik dan 4% kurang. Hasil uji statistik dengan uji spearman didapatkan nilai P = 0,001 (P<0,05). Kesimpulan penelitian ini terdapat hubungan yang signifikan antara tingkat kecemasan ibu hamil trimester III dengan kesiapan menghadapi persalinan di masa pandemi Covid-19. Hal tersebut disebabkan oleh berbagai faktor dan diperparah dengan keadaan pandemi.
INISIASI MANAJEMEN KESEHATAN MENTAL PADA SEKOLAH BERBASIS PESANTREN
Nuzulul Kusuma Putri;
Khuliyah Candraning Diyanah;
Azimatul Karimah;
Izzuki Muhashonah;
Namira Kholifatul Pramudinta
JMM (Jurnal Masyarakat Mandiri) Vol 7, No 1 (2023): Februari
Publisher : Universitas Muhammadiyah Mataram
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DOI: 10.31764/jmm.v7i1.11711
Abstrak: Kesehatan mental pada remaja semakin membutuhkan perhatian selama pandemi COVID-19. Sekolah didorong juga berperan dalam mengawasi kesehatan mental remaja. Sayangnya, Poskestren sebagai upaya kesehatan berbasis sekolah masih dominan berorientasi pada upaya kuratif kesehatan fisik. Pengabdian kepada masyarakat ini dilakukan untuk menginisiasi kapabilitas sekolah dalam mengelola pelayanan kesehatan jiwa di Poskestren Al Amin sekaligus meningkatkan kesadaran siswa tentang perilaku di sekolah yang dapat memicu masalah kesehatan mental. Menggunakan konsep pendampingan dimana tim pengabdian masyarakat membantu mitra untuk dapat secara mandiri mengidentifikasi masalah kesehatan mental yang ada dan menentukan bentuk intervensi yang paling tepat. Hasilnya, dalam pengabdian masyarakat ini Poskestren mampu mengelola kesehatan mental secara mandiri melalui proses di setiap pengabdian masyarakat. Capaian keberhasilannya adalah 100% pada setiap langkah dan melebihi target hingga 145% pada langkah deliver. Instrumen yang digunakan dalam pendampingan juga membantu Poskestren dalam menilai dan mengidentifikasi kesehatan mental. Pengabdian kepada masyarakat telah berhasil merumuskan penyesuaian yang diperlukan untuk menginisiasi manajemen kesehatan jiwa sekolah berbasis pesantren. Abstract: Mental health among teenagers is gaining more attention todays. Schools are encouraged to be able provide monitoring function for this issue. However, Poskestren as school based health effort is still curative physical health oriented. This community service is carried out to initiate school’s capability in managing mental health services at the Al Amin Poskestren and at the same time increase students’ awareness on daily behaviour which could triggering mental health problems. It used the concept of mentoring where the community service team helps partners to be able to independently identify existing mental health problems and determine the most appropriate form of intervention. As the results, in this community service, Poskestren was able to manage mental health independently through the process in every community service. We achieved 100% target in each steps and exceeded 145% on deliver step’s target. The instruments used in mentoring also assist Poskestren in assessing and identifying mental health. Community service has succeeded in formulating the adjustments needed to initiate the mental health management of pesantren-based schools.
Relationships between History of COVID-19 Disease, Anxiety, and Symptoms of Obsessive Compulsive Disorder (OCD) in Adolescents Age 20-24 Years
Christanti, Ayu Novia;
Ningyas, Woro Setia;
Karimah, Azimatul;
Lestari, Pudji
Journal of Maternal and Child Health Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia
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DOI: 10.26911/thejmch.2023.08.02.12
Background: The COVID-19 pandemic triggers anxiety and worry in society. Active cases have continued to grow since the government announced the first patient of COVID-19 in Indonesia. In the midst of the pandemic, adolescent is a dominant groups in society infected with COVID-19. This situation can affect the psychological condition of adolescents. This study aims to analyze the relationship between the history of COVID-19 and anxiety and symptoms of Obsessive Compulsive Disorder (OCD) in adolescents aged 20-24 years in Surabaya. Subjects and Method: A cross-sectional study was conducted in Surabaya City from October to November 2022. As many as 100 youth aged 20-24 years in Surabaya were the subjects of this study. The dependent variable is anxiety and obsessive compulsive disorder (OCD) symptoms. The independent variable is adolescents aged 20-24 years with a history of COVID-19. The instruments used were questionnaires and PCR swab evidence collection. Research data were analyzed using Pearson's correlation. Results: The results showed that 74 subjects (74%) had mild anxiety. Meanwhile, there were 16 subjects (16%) who had symptoms of OCD. Analysis of the chi-square correlation test between history of COVID-19 disease and anxiety showed that there was no relationship between the two variables with a p value = 0.704. Analysis of the chi-square correlation test between history of COVID-19 disease and OCD symptoms showed that there was no relationship between the two variables with a p value = 0.086. Conclusion: There is no relationship between history of COVID-19 disease and anxiety in adolescents aged 20-24 years in Surabaya and there is no relationship between history of COVID-19 disease and symptoms of OCD in adolescents aged 20-24 years in Surabaya. Keywords: COVID-19, anxiety, Obsessive Compulsive Disorder (OCD) symptoms. Correspondence: Ayu Novia Christanti. Study Program of Midwifery, Faculty of Medicine, Universitas Airlangga, Indonesia. Jl. Mayjen Prof. Dr. Moestopo 47, Pacar Kembang, Tambaksari, Surabaya, East Java 60132. Email: ayu.novia.christanti-2019@fk.unair.ac.id. Mobile: +6283849353637.
CORRELATION BETWEEN SERUM VITAMIN D LEVELS AND SEVERITY OF SCHIZOPHRENIA PATIENTS IN THE DR. SOETOMO HOSPITAL
Adil Dinata Simangunsong;
Aryati Aryati;
Azimatul Karimah;
Ferdy Royland Marpaung
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol. 25 No. 3 (2019)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory
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DOI: 10.24293/ijcpml.v25i3.1361
Vitamin D deficiency is a common health problem that occurs in various countries. Vitamin D deficiency is linked to various diseases such as kidney failure, liver damage, atherosclerosis, obesity and psychiatric disorders such as depression and schizophrenia. This study aimed to analyze the correlation between serum vitamin D levels and schizophrenia severity. Schizophrenia patients who visited the Inpatient and Outpatient Clinic Department of Psychiatry of the Dr. Soetomo Hospital Surabaya. This was a cross-sectional observational study, conducted in December 2017 - April 2018 . The subjects consisted of 53 schizophrenia patients, vitamin D levels < 30 ng /mL (35 (66.04%); > 30 ng/mL (18 (33.96%). Serum vitamin D levels test by enzyme linked fluorescent assay (ELFA) method using Vidas. The severity of schizophrenia was measured using a positive and negative syndrome scale (PANSS) score. Mean serum vitamin D levels in schizophrenia were 23.45 ± 9.16 ng / mL, serum vitamin D levels in males were 24.36 ± 9.80 ng / ml and females 21.96 ± 7.98 ng / ml. The mean serum vitamin D level and PANSS scores of positive symptoms was 16.42 ± 8.50. The mean serum vitamin D level and PANSS scores of negative symptoms was 15.60 ± 6.12. The mean serum vitamin D level and PANSS scores of general psychopathology symptoms was 29.51 ± 10.29. The statistical results showed no association between vitamin D levels and PANSS scores. The results of this study indicated low serum vitamin D levels in schizophrenia. There was no association between serum vitamin D levels and the severity of schizophrenia using PANSS scores.