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Prolonged Grief Disorder and Early Onset Depression in Children Basuki, ⁠Shinta Maulydiyah; Prisnidiawati, Ajeng; Karida, Rika Nur; Rasyid, Rezza Dwi Ar; Ridlo, Fairuz; Ilahi, Marintik; Algristian, Hafid
Medicor : Journal of Health Informatics and Health Policy Vol. 3 No. 3 (2025): July 2025
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v3i3.536

Abstract

Children who experience the death of a significant attachment figure, such as a parent or grandparent, are particularly vulnerable to Prolonged Grief Disorder (PGD) and early-onset depression. Unlike adults, children may manifest grief through somatic symptoms, irritability, or behavioral disturbances rather than overt sadness. The grief process in childhood, if not properly addressed, can disrupt emotional regulation, cognitive development, and psychosocial functioning. This case report discusses a 10-year-old boy who developed depressive symptoms following the loss of his grandfather, with whom he had a strong emotional bond. His symptoms included persistent sadness, social withdrawal, emotional dysregulation, and somatic complaints. These were compounded by environmental stressors such as parental divorce, an emotionally invalidating caregiving environment, and exposure to an aggressive alcoholic family member. Assessment involved clinical interviews, psychiatric evaluations, and a comprehensive review of literature addressing grief and child mental health. The patient met the diagnostic criteria for PGD and showed comorbid early-onset depression, highlighting the interconnected nature of grief and affective disorders in children. Neurobiological factors, particularly dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis, were considered in the etiology. The case underscores the importance of early recognition, family-centered psychosocial interventions, and integrative therapeutic approaches including cognitive-behavioral therapy (CBT), expressive arts, and complementary methods such as aromatherapy. This report emphasizes the urgent need for culturally sensitive, trauma-informed strategies to help bereaved children navigate loss and prevent chronic psychiatric outcomes. Early intervention plays a critical role in promoting resilience and long-term mental well-being in grieving children.
Antipsychotic Switching in Bipolar Disorder with Metabolic Comorbidities: A Case Report Syadza, Lailatus; Ahadiah, Hayyunah Rohmatul; Shafly, Moch. Syafirul Nur; Algristian, Hafid; Huda, Miftakhul
Sinergi International Journal of Psychology Vol. 3 No. 3 (2025): August 2025
Publisher : Yayasan Sinergi Kawula Muda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61194/psychology.v3i3.782

Abstract

Bipolar disorder is a chronic psychiatric condition marked by alternating episodes of mania, hypomania, and depression, often with psychotic features. Treatment resistance and adverse metabolic effects from long-term antipsychotic use pose significant challenges. This case report presents a 31-year-old male in Indonesia with bipolar disorder and metabolic comorbidities, including type 2 diabetes mellitus and dyslipidemia. Initially treated with clozapine, the patient experienced metabolic decompensation, prompting an urgent switch to quetiapine. Post-switch, he exhibited improved mood stability and remission of psychotic symptoms, though residual depressive symptoms persisted. Lithium and sertraline were introduced to address these, with careful monitoring. The case highlights the importance of individualized switching strategies in bipolar disorder, particularly in patients with metabolic risks. Antipsychotic selection should consider both psychiatric efficacy and metabolic safety. Despite pharmacological improvement, functional recovery was incomplete, emphasizing the role of psychosocial interventions and culturally informed care. The integration of religious values and family support proved essential in this context. Although effective in symptom stabilization, the switch strategy remains limited by the lack of long-term follow-up and generalizability. This report underscores the need for structured protocols for antipsychotic switching and holistic treatment models, especially in resource-limited settings. Future research should explore integrative approaches that address both psychiatric and physical health dimensions, ensuring continuity of care beyond pharmacological intervention.
The Relationship Between Low Socioeconomic and Depressive Symptoms: A Case Report Ridlo, Fairuz; Rasyid, Rezza Dwi Ar; Karida, Rika Nur; Prisnidiawati, Ajeng; Basuki, Shinta Maulydiyah; Kasiani, Tutik Nur; Algristian, Hafid
Medicor : Journal of Health Informatics and Health Policy Vol. 3 No. 2 (2025): April 2025
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v3i2.534

Abstract

Depression is a prevalent mental health disorder that significantly impacts both individual well-being and broader societal functioning. Socioeconomic disadvantage manifested through low income, limited educational attainment, and reduced access to mental health care has consistently emerged as a key risk factor for the development and persistence of depressive symptoms. In Indonesia, the mental health burden among low income populations remains under recognized and under treated. This case report details the clinical presentation of a 35-year-old woman diagnosed with major depressive disorder, originating from a low socioeconomic background. The patient experienced chronic psychological distress linked to financial instability, family rejection, and social stigma related to her informal digital employment. Data were collected through comprehensive psychiatric evaluation, including structured interviews, mental status examination, and physical assessment, in accordance with DSM-5 diagnostic criteria. The patient's symptoms marked by insomnia, anhedonia, anxiety, suicidal ideation, and psychosomatic complaints highlight the complex interplay between environmental hardship and mental health. Her case exemplifies how economic precarity and insufficient social support contribute to both emotional and physical deterioration. This report not only contributes to a deeper understanding of depression among socioeconomically marginalized individuals in Indonesia but also emphasizes the importance of culturally contextualized mental health strategies. It advocates for community based, low barrier interventions that incorporate psychosocial and economic dimensions. Ultimately, addressing mental health within low SES populations requires holistic approaches that extend beyond clinical treatment and include policy reforms focused on employment protection, social welfare, and anti-stigma efforts.
A Case Report on Moderate Depression as a Precipitating Factor for Chronic Gastritis Rasyid, Rezza Dwi Ar; Ridlo, Fairuz; Karida, Rika Nur; Prisnidiawati, Ajeng; Basuki, Shinta Maulydiyah; Kasiani, Tutik Nur; Algristian, Hafid
Medicor : Journal of Health Informatics and Health Policy Vol. 3 No. 3 (2025): July 2025
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v3i3.535

Abstract

Depression is increasingly acknowledged as a key contributor to gastrointestinal dysfunction, primarily through neuroendocrine mechanisms such as activation of the hypothalamic–pituitary–adrenal (HPA) axis. Elevated cortisol in depressive states may trigger increased gastric acid secretion, altered gut motility, and intestinal barrier disruption, which contribute to inflammation and recurrent gastritis. While chronic gastritis is often treated pharmacologically, the psychological dimension is frequently overlooked. This case report investigates the role of moderate depression as a triggering factor for chronic gastritis through HPA axis dysregulation. A 33-year-old woman diagnosed with both conditions was followed for six months. Data were obtained via DSM-5-based psychiatric assessments, medical records, and follow-up interviews. The patient was treated with sertraline (50 mg/day) and standard gastritis therapy. Notable improvements in depressive symptoms were observed, along with a marked reduction in gastritis recurrence. This outcome supports existing evidence that psychological stress can impact gastrointestinal health via neuroinflammatory responses, immune dysfunction, and microbiota alteration. The case highlights the importance of an integrated treatment model that addresses both psychological and physical aspects. Routine mental health screening in patients with persistent gastrointestinal symptoms may enhance treatment efficacy and reduce recurrence. A biopsychosomatic approach involving collaboration between psychiatry and gastroenterology is recommended for comprehensive and effective care.
Unveiling Bullying Dynamics in Islamic Boarding Schools for Adolescent Mental Health Promotion Khamida, Khamida; Fitriyah, Fifi Khoirul; Hidaayah, Nur; Fitriasari, Andikawati; Algristian, Hafid; Soleha, Umdatus; Iskandar
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 13 No. SI2 (2025): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V13.ISI2.2025.8-13

Abstract

Background: Islamic boarding schools as educational institutions that teach religious morals as a basis for behavior should be a safe and comfortable place of education for students. There should be no more violence occurring in Islamic boarding schools, but in fact, recently there has been a lot of news about incidents of violence or bullying occurring in Islamic boarding schools. Islamic boarding schools are expected to provide a safe environment for students while fostering religious and moral values. However, incidents of bullying continue to occur within these institutions, highlighting a gap between expected and actual student experiences. Objective: This study aimed to analyze the factors that influence bullying incidents in an Islamic boarding school environment. Methods: A cross-sectional study was conducted at Al-Hidayah Islamic Boarding School, Sidoarjo, involving 109 students selected through simple random sampling (10% of the population). Independent variables included age, gender, school level, length of stay, and peer perception, while the dependent variable was bullying incidence. Data were collected using a validated and reliable questionnaire and analyzed using multiple linear regression at a significance level of 0.05. Results: The results indicated that 68.8% of respondents were in early adolescence (12–16 years), 60.6% were male, and 52.3% had stayed at the boarding school for over 35 months. Additionally, 68.8% of respondents had negative perceptions of their peers. The regression analysis yielded a significance value of 0.004 (p < 0.05) with an R-square of 15.4%, indicating that all independent variables jointly influenced bullying incidents. Conclusion: Age, gender, school level, length of stay in the boarding school, and peer perceptions collectively influence bullying behavior among students. These findings highlight the need for boarding school administrators to implement policies and interventions that address these contributing factors to reduce bullying prevalence.
Rapid Cycling Bipolar and Trauma-Related Personality Traits: Bridging the Gap Between Affective Dysregulation and Early-Life Adversity Septina, Egy Atthahirah; Halimatus Sakdyah; Pramesta, Linda Ramadhanty; Muhammad Ikhsan; Alsa Shafira; Budi Cahyono; Hafid Algristian
Medicor : Journal of Health Informatics and Health Policy Vol. 3 No. 1 (2025): January 2025
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v3i1.740

Abstract

Rapid cycling bipolar disorder (RCBD) represents a severe and treatment-resistant subtype of bipolar disorder in which patients experience at least four mood episodes within a year, often accompanied by greater psychiatric comorbidity, functional impairment, and suicide risk compared to non-rapid cycling cases. Childhood trauma and early-life adversity have been identified as critical contributors to emotional dysregulation, impulsivity, and treatment resistance, yet their role is frequently underrecognized in clinical practice. This case report describes a 30-year-old woman diagnosed with RCBD and a history of emotional and physical abuse in childhood, aiming to illustrate the complex interaction between trauma and affective instability while integrating neurobiological, psychological, and clinical perspectives. The patient underwent four weeks of inpatient evaluation that included structured interviews, collateral history from caregivers, psychometric assessments using the Young Mania Rating Scale (YMRS), Hamilton Depression Rating Scale (HAM-D), and Difficulties in Emotion Regulation Scale (DERS), as well as daily multidisciplinary observation. Over the past year, she experienced six distinct mood episodes with severe deficits in emotional clarity and impulse control, elevated DERS scores, and only partial response to pharmacological treatment with valproate and quetiapine. Clinical patterns and supporting literature suggest that trauma-induced dysregulation, involving amygdala hyperactivation and hypothalamic–pituitary–adrenal (HPA) axis disruption, played a central role. Improvement was achieved only after trauma-focused psychotherapy and psychosocial support were incorporated into her care. This case highlights the necessity of early trauma screening and integrative, trauma-informed management to improve diagnostic accuracy, treatment engagement, and long-term outcomes in complex bipolar presentations.
Toward Equitable Digital Mental Health: Integrating AI and Telepsychiatry in Global Practice Algristian, Hafid; Sitorus, Anwar T
Digitus : Journal of Computer Science Applications Vol. 2 No. 2 (2024): April 2024
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/digitus.v2i2.834

Abstract

In response to the growing mental health crisis and the expansion of digital healthcare, this narrative review explores the application of telepsychiatry and artificial intelligence (AI) in mental health services. The study aims to synthesize recent developments, challenges, and future directions in digital mental health innovation. A systematic literature search was conducted across PubMed, Scopus, and Web of Science databases, focusing on studies published between 2016 and 2023. Keywords such as "telepsychiatry," "mental health," "artificial intelligence," and "technology adoption" were used to identify relevant empirical and theoretical works. Inclusion criteria emphasized real-world applications and stakeholder perspectives. The results reveal substantial variability in the understanding and implementation of telepsychiatry across different regions and populations. Socioeconomic factors, digital literacy, and cultural perceptions significantly influence the acceptance and success of digital interventions. While AI-driven tools improve diagnostic efficiency and reduce treatment delays, systemic barriers such as regulatory limitations, institutional resistance, and data privacy concerns impede widespread adoption. Comparative analysis highlights a more favorable reception in high-income countries, though underserved populations in both developed and developing nations continue to face accessibility challenges. These findings underscore the urgent need for inclusive policies, capacity-building initiatives, and ethical AI governance frameworks. Addressing these factors can bridge existing gaps and ensure more equitable mental healthcare. The study concludes by emphasizing the importance of sustained interdisciplinary research to refine telepsychiatric models and promote socially responsible technology integration.
Suicide Ideas as Dissociative Symptoms in Patients with Severe Depression: A Case report Makka, Isna Meirilla Zahara Al; Yusmadewi, Aaliyah; Fatwa, Ahmad Misbahul Ulum; Billah, Illa; Imron, Muhammad Istio Hadi Al; Suwarti, Ariyani Sri; Algristian, Hafid
Psychosocia : Journal of Applied Psychology and Social Psychology Vol. 3 No. 1 (2025): January 2025
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/psychosocia.v3i1.755

Abstract

Dissociative symptoms such as depersonalization, derealization, and amnesia frequently occur in patients with severe depression and significantly heighten suicide risk, particularly when childhood trauma is present. This case report presents a 20-year-old woman with major depressive disorder and dissociative symptoms including unintentional self-harm, hallucinations, and nightmares related to past abuse. Clinical data were collected via structured clinical interviews, direct observation, and patient self-report, with diagnostic confirmation using DSM-5 criteria. The case illustrates how dissociation, trauma, and disrupted emotional regulation interact to intensify hopelessness and impulsivity. Comprehensive treatment, including trauma-focused cognitive behavioral therapy (CBT), pharmacotherapy, and emotional expression techniques such as journaling, led to gradual symptom relief. This case highlights the importance of early identification of dissociative symptoms in depressed individuals with trauma history to reduce suicide risk.
Hallucinations in Bipolar Disorder: A Spectrum Between Psychotic Features and Affective Intensification Pramesta, Linda Ramadhanty; Sakdyah, Halimatus; Egy Atthahirah Septina; Ikhsan, Muhammad; Shafira, Alsa; Winaryani; Algristian, Hafid
Psychosocia : Journal of Applied Psychology and Social Psychology Vol. 3 No. 1 (2025): January 2025
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/psychosocia.v3i1.757

Abstract

Hallucinations, while traditionally associated with schizophrenia spectrum disorders, are increasingly recognized in individuals with bipolar disorder, particularly in rapid cycling forms. Such manifestations complicate diagnosis and, if overlooked, may lead to poorer prognoses. This case report describes the clinical course and management of a 30-year-old female with bipolar I disorder, rapid cycling subtype (≥6 episodes/year), presenting with impulsivity, emotional instability, and mild auditory hallucinations. Her history included childhood emotional and physical abuse. Assessments involved DSM-5 structured interviews, the Young Mania Rating Scale (YMRS), Hamilton Depression Rating Scale (HAM-D), and Difficulties in Emotion Regulation Scale (DERS). Findings indicated pronounced affective lability, trauma-related personality traits overlapping with borderline personality disorder, and partial resistance to prior pharmacological treatment. During inpatient care, she was treated with valproate and low-dose quetiapine, complemented by psychoeducation and trauma-focused psychotherapy, producing notable improvement despite residual mood instability. This case underscores the interaction between trauma, affective dysregulation, and psychotic-like features in rapid cycling bipolar disorder (RCBD). Hallucinations here may reflect affective intensification rather than primary psychosis, stressing the need for careful differential diagnosis and trauma screening. The implications advocate routine trauma-informed assessments in bipolar disorder and highlight the efficacy of multimodal strategies combining pharmacological stabilization with targeted psychotherapy. Integrating trauma-focused care with mood management can enhance long-term outcomes in RCBD, particularly where conventional treatment shows partial resistance.
Fantasy, Dissociation, or Hallucination? Clinical Challenges in the Assessment of Childhood Psychopathology: A Case Report Fatwa, Ahmad Misbahul Ulum; Merilla, Isna; Yusmadewi, Aaliyah; Imron, Muhammad Istio Hadi Al; Billah, Illa; Suwarti, Ariyani Sri; Algristian, Hafid
Psychosocia : Journal of Applied Psychology and Social Psychology Vol. 3 No. 2 (2025): April 2025
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/psychosocia.v3i2.758

Abstract

Childhood trauma is increasingly recognized as a major contributor to psychopathological outcomes such as hallucinations, dissociative symptoms, and maladaptive fantasy use. This case report explores a 20-year-old female patient with a history of recurrent trauma since early childhood, who developed auditory hallucinations commanding self-harm, dissociative episodes, and persistent escapist fantasy as coping mechanisms. Using a case study approach supported by literature review, we examined the clinical trajectory, psychological symptoms, and coping strategies used by the patient. Findings suggest that early and prolonged trauma may distort reality monitoring and identity integration, with dissociation and fantasy serving as maladaptive emotional regulation tools. This case adds to the understanding of how childhood trauma can produce overlapping features of dissociative and psychotic-like symptoms. The report emphasizes the importance of early screening for dissociation and fantasy-based coping in trauma-exposed adolescents, particularly when hallucinations are present. Early interventions, including trauma-informed psychotherapy and family support, may prevent progression to chronic psychiatric disorders.
Co-Authors A.S, Nur Azizah Abdillah, Diaz Syafrie Abdillah, Yahya Nur Abdul Hakim Fasya Abdul Jabbar Ridlo Affan Tsaqif Taufiqurrahman Afira Febriani Surya Wijaya Ahadiah, Hayyunah Rohmatul Akbar Reza Muhammad Akhmad Vauwaz Z H Al Hajiri, Aufar Zimamuz Zaman Aldi, Danya Rania Aldillah Esa Fitri Alsa Shafira Alsa Shafira Amalia Tauziah Amelia Citra Wardani Anabela Amoret Amsori Anabela Amoreth Amsori Andik Ferdiantoro Andikawati Fitriasari Anna Purnamasari Sugijanti Anna Purnamasari Sugijanti Ar Rasyid, Reza Dwi Arif Helmi Setiawan Ariyani Sri Suwarti Ariyani Sri Suwarti AS, Nur Azizah Asikah Asikah Ayu, Friska Ayuni Melinda Azizah AS, Nur Bagus Heryarudra Sundoro, Aditya Bambang Edi Suwito Bariyah, Khadijah Khairul Basuki, Shinta Maulydiyah Basuki, ⁠Shinta Maulydiyah Billah, Illa Brylyani, Diyani Shafira Budi Cahyono Budi Cahyono Budi Cahyono Chambali, Zafira Aliya Shafwa Putri Chatarina Umbul Wahyuni Chilyatiz Zahroh Choirotussanijjah Chuma Mohamed Muhibu Damba Bestari Dayu Satriya Wibawa Devy Yahya Dian Dakwatul Choiriya Dian Setyorini Dian Setyorini Diana Arum Lisnawati Diaz Syafrie Abdillah Difran Nobel Bistara Diyan Wahyu Kurniasari Diyani Shafira Brylyani Dyah Yuniati Egy Atthahirah Septina Egy Atthahirah Septina Eksalanti Aulia Nashira Embun Kumalaratih Endi Nurhayati Erla Syah Dilla Ailany Ersalina Nidianti Faisal, Muhammad Rais Fasya, Abdul Hakim Zakkiy Fasya, Abdul Hakim Zakkiy Fatwa, Ahmad Misbahul Ulum Ferdiantoro, Andik Fifi Khoiru Fithriyah Fifi Khoirul Fitriyah Firdaus Firdaus Firdaus Firdaus Fitriasari, Andikawati Friska Febrian Damayanti Hafizh Auliyan Sodali Halimatus Sakdyah Halimatus Sakdyah Hanafi Muljohardjono Handayani Handayani Hayyunah Rohmatul Ahadiah Heris Santy, Wesiana Hermanto, Syalsabila Yumnaningtyas Hidaayah, Nur Hotimah Masdan Salim Imron, Muhammad Istio Hadi Al Irmawan Farindra ISKANDAR Iskandar Kamariyah, Nurul Kamila, Putri Faradisa Karida, Rika Nur Kasiani, Tutik Nur Ken Putri Raudhatul Jannah Khadijah Khairul Bariyah Khairul Bariyah, Khadijah Khairunnisa Khairunnisa Khamida Khamida Khamida Khamida, Khamida Khuzaimah Nur Juhanifah Rihhadatulays Kunti Fatimah Azzahro Laila, Firda Nur Lailatus Syadza Leo Dewa Lucky Pratama Linda Ramadhanty Pramesta Lini Delina Lysa Veterini M. Djali Yusup Iskandar Muda M. Idham Cholid Maat, Suprapto Maki Zamzam Makka, Isna Meirilla Zahara Al March Nur Huda, Salsadilla Marintik Ilahi Marintik Ilahi Marselli Widya Lestari Masyita Kusuma Maharani Maulani Putri Ramadhani Maulidatul Jinani Firdausyah Maylia, Mira Lovita Mega Astri Merilla, Isna Miftakhul Huda Miftakhul Huda Misbakhul Munir Moch Syafirul Nur Shafly Moch. Sahri Mufidah Sheena Andani Prastini Muh Azka Aldani Fadhlurahman Muhammad Azhari Baihaqi Muhammad Ikhsan Muhammad Ikhsan Muhammad Luthfi Muhammad Suro Madani Muhammad, Akbar Reza Muljohardjono, Hanafi Mulyadi Mumpuni, Yekti Mustika Chasanatusy S Nihazzatuzzain Nindhita, Pinastikasari Novanthy Nur Rohmadhani Subagyo Noventi, Iis Novera Herdiani Nur Aida Nur Azizah Nur Azizah Nur Azizah Nur Azizah A. S Nur Azizah AS Nur Hidayah Nurjanah, Siti - Osya Azifa Firlani Pramesta, Linda Ramadhanty Prisnidiawati, Ajeng Putri Faradisa Kamila Putri, Rahmadaniar Aditya Qilmi Faradila Radiani Quddus Salam Rahmadaniar Aditya Putri Rasyid, Rezza Dwi Ar Ridlo, Fairuz Rika Hardiyanti Hanifa Rohmawati, Riska Roosyidah Sakdyah, Halimatus Salvia Adzania Widya Azzuhri Septina, Egy Atthahirah Shafira, Alsa Shafly, Moch Syafirul Nur Shafly, Moch. Syafirul Nur Silaban, Rusdiana Siti Nur Hasina Sitorus, Anwar T Soleha, Umdatus Solihah, Iradatus Susanti Susanti Suwarti, Ariyani Sri Syadza, Lailatus Syahrul Gusnaldi Prawidya Tegar Narindra Putra Tegar, Muhamad Afif Tiwik Koesdiningsih Tri Deviasari Wulan Tutik Nur Kasiani Ubaidillah Zuhdi Umi Hanik Warda Elmaida Rusdi Widyantari, Maya Winaryani Winaryani Winaryani Wiwik Winarningsih Yekti Mumpuni Yulia Anggraeni Yusmadewi, Aaliyah Zafira Aliya Shafwa Putri Chambali Zainul Hadi Wildan Ismail Zulidiyana Rusnalasari