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The Relationship Between Commonly Used NSAID and Insomnia: A Case Report Salvia Adzania Widya Azzuhri; Hafid Algristian; Anna Purnamasari Sugijanti
Sinergi International Journal of Psychology Vol. 4 No. 2 (2026): May 2026
Publisher : Yayasan Sinergi Kawula Muda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61194/psychology.v4i2.874

Abstract

Nonsteroidal anti-inflammatory drugs (NSAIDs) are widely used for pain and inflammation, yet their potential impact on sleep quality remains uncertain. This study aimed to examine the relationship between NSAID use and insomnia symptoms among adults in a hospital setting. A descriptive cross-sectional study was conducted at RSI Jemursari Hospital, Surabaya, using medical records and structured questionnaires to assess sleep quality among NSAID users. Participants were grouped based on drug type, duration, and frequency of use. Statistical analyses employed Pearson’s correlation and Chi-square tests. Results showed that long-term or frequent NSAID use was significantly associated with a higher prevalence of sleep disturbances, particularly difficulty initiating and maintaining sleep (r = 0.46, p = 0.02). Psychological stress and chronic pain also aggravated insomnia severity. These findings suggest a complex interaction between analgesic therapy and sleep regulation, emphasizing the need for clinicians to assess sleep health during prolonged NSAID administration. Integrating sleep evaluation into pain management protocols may help improve both therapeutic outcomes and patient well-being.
The Change of Diagnosis from Panic Disorder to Generalized Anxiety Disorder in the Elderly Eksalanti Aulia Nashira; Hafid Algristian; Tutik Nur Kasiani
Sinergi International Journal of Psychology Vol. 4 No. 2 (2026): May 2026
Publisher : Yayasan Sinergi Kawula Muda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61194/psychology.v4i2.979

Abstract

Anxiety disorders are common in older adults and often present with evolving clinical patterns that complicate diagnosis and management. This study aims to describe the diagnostic transition from panic disorder to generalized anxiety disorder in an elderly patient through a narrative literature review integrated with a single-case illustration. The literature was identified from major academic databases and synthesized narratively, while the clinical case involved a 62-year-old male with a history of panic disorder whose symptoms gradually shifted into persistent and generalized anxiety over a seven-year period. Clinical evaluation was supported by the Depression Anxiety Stress Scale-21 and the World Health Organization Quality of Life–BREF. The findings indicate predominant generalized anxiety symptoms with moderate impairment in quality of life and no clinically significant depressive features, possibly related to sustained pharmacological management and cumulative psychosocial and medical stressors. This case illustrates that anxiety disorders in later life may evolve dynamically over time and highlights the importance of longitudinal assessment, careful diagnostic reconsideration, and integrated biopsychosocial management. Further studies using larger samples and objective biomarkers are needed to clarify the mechanisms underlying diagnostic evolution in geriatric populations.
Understanding Biometric Identification for Indonesian Immigrant Families in Sanggar Belajar Sentul, Kuala Lumpur, Malaysia Mustika Chasanatusy Syarifah; Bambang Edi Suwito; Hafid Algristian; Tri Deviasari Wulan; Diana Arum Lisnawati; Ken Putri Raudhatul Jannah; Zainul Hadi Wildan Ismail
Communautaire: Journal of Community Service Vol. 4 No. 2 (2025)
Publisher : Al-Qalam Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61987/communautaire.v4i2.1213

Abstract

The primary objective of this community service activity is to provide Indonesian Immigrant Workers (IIWs) with a fundamental understanding of biometric data. This study is significant due to the growing reliance on biometric systems across sectors and the vulnerability of IIWs, who often lack awareness of data security risks. Limited digital literacy and inadequate access to legal protections heighten their susceptibility to data misuse and breaches. The research employs a Community-Based Participatory Research (CBPR) approach, ensuring the involvement of stakeholders from Sanggar Belajar Sentul to design the activities, making them contextually relevant and addressing the specific needs of the target community. The community service successfully educated 23 Indonesian Immigrant Workers, increasing their awareness of the types of biometric data and the associated risks, particularly data leakage. The findings emphasise the importance of such educational initiatives in empowering vulnerable populations to safeguard their personal information. It is recommended that similar programs be expanded to other immigrant communities, integrating hands-on training and leveraging digital platforms for broader outreach. The contributions of this research include the effectiveness of community-based education in improving biometric data literacy and data protection awareness among immigrant workers, which can serve as a model for future educational interventions aimed at strengthening digital literacy in marginalised communities.
Faith and Mental Health: Reconstructing the Religious Narrative in Suicide Prevention Efforts in Indonesia (A Narrative Review) Hafid Algristian; Nur Azizah; Khairunnisa; Zulidiyana Rusnalasari; Damba Bestari
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 10 No 01 (2026): Qanun Medika Vol 10 No 01 January 2026
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v10i01.28936

Abstract

Suicide remains a largely hidden public health concern in Indonesia, shaped by pervasive underreporting and religion-based stigma that frequently frames psychological suffering as a manifestation of weak faith. This narrative review critically examines the dual role of religion in suicide prevention, acknowledging its capacity to function both as a protective resource and, under certain interpretive conditions, as a factor that may exacerbate risk through stigma and social exclusion. Rather than aggregating empirical evidence, this review adopts an interpretive and theory-building approach, synthesizing interdisciplinary literature from public health, psychiatry, neurobiology, and Islamic theology to develop a conceptual framework for narrative reconstruction. The analysis highlights that religious teachings can foster hope, meaning, and social belonging, while rigid or judgmental interpretations may intensify shame and hinder help-seeking. Building on this synthesis, the article proposes a normative framework that integrates scientific understandings of psychological pain and neurobiological vulnerability with compassionate theological concepts, such as divine mercy and hope, and with the reinterpretation of ikhtiar and tawakal as supportive of professional mental health care. As a practical illustration, a culturally resonant psychological first aid model—Ask, Listen, Accompany (ALA)—is presented as a community-oriented approach aligned with established global principles, without claiming empirical validation. The framework is intended as a heuristic guide rather than an evidentiary model, and its applicability will vary across Indonesia’s diverse socioreligious contexts. By repositioning religion as complementary to clinical care, this review aims to inform dialogue, guide future empirical research, and support culturally sensitive suicide prevention efforts.
The Relationship Between Ovarian Cancer and Depressive Symptoms: A Case Report Syahrul Gusnaldi Prawidya; Roosyidah; Anabela Amoreth Amsori; Novanthy Nur Rohmadhani Subagyo; Muhammad Azhari Baihaqi; Embun Kumalaratih; Hafid Algristian
Medicor : Journal of Health Informatics and Health Policy Vol. 4 No. 1 (2026): January 2026
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v4i1.902

Abstract

Ovarian cancer is a malignant tumor originating from the ovaries, affecting various age groups, with multiple histological types. Depression is a common mental disorder characterized by emotional and physical symptoms. Cancer diagnosis and treatment are widely recognized as major psychological stressors that can precipitate or exacerbate mental health disturbances, particularly depressive and anxiety disorders, due to the profound emotional, social, and physiological challenges experienced by patients. This case report highlights the relationship between ovarian cancer and depressive symptoms. This case report examines the relationship between ovarian cancer and depressive symptoms, with a focus on the psychological and inflammatory pathways influencing mental health. A 44-year-old woman presented with a loss of interest in activities, beginning three weeks after her ovarian cancer diagnosis. Research indicates that factors such as advanced cancer stage, poor physical functioning, and the absence or discontinuation of chemotherapy due to disease progression or treatment intolerance may increase the susceptibility to mental health disorders among ovarian cancer patients. Cancer patients, including those diagnosed with ovarian cancer, experience heightened stress and depression compared to those with non-neoplastic diseases. Depression can arise due to both psychological stress and inflammatory processes triggered by cancer treatments.
Dyspepsia as a Trigger for Sleep Disorders: A Case Study of Gut–Brain Axis Interaction Friska Febrian Damayanti; Hafid Algristian; Marintik Ilahi
Medicor : Journal of Health Informatics and Health Policy Vol. 4 No. 1 (2026): January 2026
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v4i1.1139

Abstract

Functional dyspepsia is an upper gastrointestinal complaint without organic abnormalities that may interact with sleep through gut–brain axis mechanisms. We report the case of a 49-year-old woman with persistent insomnia occurring concurrently with epigastric pain for approximately one year. The patient relied on hypnotic medication and experienced early-morning awakenings. Psychiatric, somatic, and psychosocial evaluations indicated that the sleep disturbance was related to dyspeptic complaints. Management included psychoeducation, supportive psychotherapy, and Cognitive Behavioral Therapy for Insomnia (CBT-I), along with dyspepsia therapy (sucralfate and omeprazole) and a spiritual approach according to the patient’s preferences. Following integrated therapy, sleep patterns improved and the Insomnia Severity Index score decreased in parallel with the resolution of dyspepsia symptoms. This case demonstrates that dyspepsia can trigger sleep disturbances through gut–brain axis mechanisms and highlights the importance of a multidisciplinary approach in managing insomnia with gastrointestinal comorbidity. The report also emphasizes the clinical relevance of addressing biopsychosocial factors and incorporating culturally sensitive, patient-centered care to enhance therapeutic outcomes and prevent symptom recurrence.
Anxiolytic and Antidepressant Properties of Alprazolam in Generalized Anxiety Disorder: A Systematic Literature Review Afira Febriani Surya Wijaya; Hafid Algristian; Ariyani Sri Suwarti
Medicor : Journal of Health Informatics and Health Policy Vol. 4 No. 2 (2026): April 2026
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v4i2.1174

Abstract

Generalized Anxiety Disorder (GAD) is a highly persistent condition characterized by excessive worry, impaired functioning, and frequent comorbidity with depressive symptoms. Although first-line treatments such as SSRIs and SNRIs are effective, their delayed therapeutic onset and early-treatment anxiogenic effects often lead to poor adherence and treatment discontinuation. This systematic review evaluates the short-term efficacy, safety, and neurobiological mechanisms of alprazolam as a rapid-acting therapeutic option for adults with GAD. Eight studies published between 2011 and 2024—comprising randomized trials, systematic reviews, cohort studies, and neuroimaging investigations—met inclusion criteria. Across clinical trials, alprazolam demonstrated consistent and clinically meaningful reductions in anxiety symptoms within days of initiation, supporting its role as a fast-onset anxiolytic agent. Neurobiological findings showed decreased amygdala hyper reactivity and enhanced prefrontal regulatory activity following alprazolam administration, suggesting mechanisms that align with its rapid clinical effects and potential secondary mood benefits. Adverse events were generally mild, including sedation and psychomotor slowing, and withdrawal symptoms were uncommon when alprazolam was prescribed short-term with supervised tapering. However, the evidence base remains limited by short follow-up periods, small mechanistic samples, and a lack of robust long-term comparative studies. Overall, the findings indicate that alprazolam may serve as a useful short-term adjunct during periods requiring rapid symptom stabilization, particularly when initiating antidepressant therapy. Further research is needed to clarify its long-term safety, functional outcomes, and optimal integration into contemporary treatment pathways.
Longitudinal Diagnostic Reassessment of Schizoaffective Disorder in Chronic Psychosis: A Case Report Tegar Narindra Putra; Hafid Algristian; Miftakhul Huda
Medicor : Journal of Health Informatics and Health Policy Vol. 4 No. 2 (2026): April 2026
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v4i2.1364

Abstract

Differentiating schizophrenia from schizoaffective disorder remains a significant diagnostic challenge due to substantial symptom overlap and reliance on cross-sectional assessment. This case illustrates how systematic longitudinal reconstruction of mood symptom trajectories supported diagnostic revision after prolonged treatment under an initial schizophrenia diagnosis. A descriptive clinical case approach was employed, involving comprehensive patient interview, collateral family interview, longitudinal symptom mapping, and reassessment based on DSM-5-TR criteria. The patient was a 33-year-old woman with a 13-year history of chronic psychosis initially diagnosed as paranoid schizophrenia. Retrospective reconstruction identified five recurrent major depressive episodes lasting approximately 6–12 months each, accounting for an estimated 6–7 years of the illness course. In addition, at least one documented period of persistent psychosis lasting more than two weeks occurred in the absence of mood symptoms, fulfilling DSM-5-TR criteria for schizoaffective disorder, depressive type. Following diagnostic revision, antidepressant augmentation and structured psychosocial intervention were initiated. At three-month follow-up, depressive symptoms decreased, passive suicidal ideation resolved, and functional status improved as measured by the Personal and Social Performance (PSP) scale (from 40 to 60), with no rehospitalization. This case underscores the importance of longitudinal assessment in chronic psychosis and highlights its implications for diagnostic accuracy and treatment planning.
A Case Report: Post-Traumatic Stress Disorder (PTSD) with Thyrotoxicosis and Psychosocial Stress Masyita Kusuma Maharani; Hafid Algristian; Ariyani Sri Suwarti
Sinergi International Journal of Psychology Vol. 4 No. 1 (2026): February 2026
Publisher : Yayasan Sinergi Kawula Muda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61194/psychology.v4i1.872

Abstract

Post-Traumatic Stress Disorder (PTSD) is a psychiatric condition triggered by trauma, often exacerbated by medical comorbidities like thyrotoxicosis. This report aims to illustrate the complex interaction between PTSD, endocrine dysfunction, and psychosocial stress, highlighting the need for an integrated treatment approach. This case report is based on a clinical case of a 31-year-old female with PTSD and comorbid thyrotoxicosis treated at a hospital in Indonesia. Data were collected through clinical history, physical and psychiatric examinations, and a review of relevant literature. The patient developed PTSD symptoms following a motorcycle accident, including nightmares, hyperarousal, insomnia, and avoidance behavior. Her pre-existing thyrotoxicosis amplified anxiety and physiological arousal, while psychosocial stressors such as legal issues and unemployment perpetuated her symptoms. A combined treatment of Sertraline 50 mg/day, short-term Alprazolam, trauma-focused therapy, and spiritual coping strategies resulted in initial improvement in anxiety and emotional regulation. Managing PTSD with comorbid thyrotoxicosis and psychosocial stress requires a biopsychosocial-endocrine approach. Coordinated pharmacological, psychotherapeutic, and psychosocial interventions are essential for symptom control and functional recovery. This case underscores the importance of multidisciplinary collaboration in complex PTSD presentations.
The Psychosomatic Cycle of Generalized Anxiety Disorder and Chronic Illness: A Clinical Review Amalia Tauziah; Hafid Algristian; Asikah
Journal of Health Literacy and Qualitative Research Vol. 6 No. 1 (2026): March 2026
Publisher : Yayasan Sinergi Kawula Muda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61194/jhlqr.v6i1.981

Abstract

Generalized Anxiety Disorder (GAD) frequently coexists with chronic medical illnesses, creating a complex interaction that may intensify psychological distress and the perception of physical symptoms. This case report describes a 62-year-old male with GAD and multiple chronic comorbidities, including atherosclerotic heart disease, hypertension, type 2 diabetes mellitus with nephropathy, and benign prostatic hyperplasia. The patient presented with persistent health-related worry, sleep disturbance, and heightened preoccupation with bodily sensations, accompanied by moderate impairment in quality of life. Clinical assessment and psychological screening indicated significant anxiety symptoms without prominent depressive features. Based on clinical observations and integration with the biopsychosocial framework, somatosensory amplification, body hypervigilance, and difficulties in emotional expression were hypothesized to contribute to a psychosomatic interaction pattern. These processes may contribute to a reinforcing psychosomatic cycle in which anxiety intensifies the perception of physical symptoms, while chronic illness functions as a persistent internal stressor that maintains health-related worry. These mechanisms were not directly measured using standardized instruments but were inferred from behavioral patterns, illness narratives, and longitudinal clinical documentation. This case highlights how psychological and medical factors may mutually reinforce each other in elderly patients with multimorbidity. An integrative management approach combining pharmacological treatment, psychoeducation, and supportive psychotherapy may help interrupt this reciprocal cycle and improve functional outcomes and quality of life.
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