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Inovasi Pemberdayaan Masyarakat: Pencegahan Stunting dan Tuberkulosis di Desa Roomo dengan Ikan Laut dan Virgin Coconut Oil Mulyadi; Wiwik Winarningsih; Chilyatiz Zahroh; Hafid Algristian; Mufidah Sheena Andani Prastini; Kunti Fatimah Azzahro; M. Djali Yusup Iskandar Muda
Journal of Community Development Diversity Vol. 1 No. 1 (2025): Maret
Publisher : Pro Panoramic Solution

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64595/jcdd.152

Abstract

Prevalensi stunting di Jawa Timur pada tahun 2022 mencapai 23,5%, lebih tinggi dari target WHO sebesar 20%. Stunting pada balita berdampak tidak hanya pada pertumbuhan fisik, tetapi juga meningkatkan risiko penyakit seperti tuberkulosis (TB). Penelitian menunjukkan bahwa balita dengan status gizi stunting berisiko 2,96 kali lebih tinggi terkena TB, sementara balita dengan severely stunting memiliki risiko 8,18 kali lebih tinggi. Di Desa Roomo, Kabupaten Gresik, penanganan stunting dan TB masih terbatas, khususnya terkait pemenuhan gizi seimbang untuk ibu dan anak. Oleh karena itu, kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan partisipasi masyarakat dalam pencegahan stunting dan TB secara berkelanjutan melalui pemanfaatan modul terapan. Metode yang digunakan adalah pemberdayaan kader desa, edukasi masyarakat, serta distribusi makanan tambahan (PMT) berbasis ikan laut dan virgin coconut oil (VCO). Kegiatan ini dilakukan dengan melibatkan RS Graha Husada Gresik dan kelompok nelayan Gresik Utara. Hasil menunjukkan adanya peningkatan berat badan anak sebesar 0,5 hingga 1 kg, serta peningkatan pengetahuan kader desa dan masyarakat tentang pencegahan stunting dan TB. Kader yang telah dilatih berhasil menjalankan perannya dalam memantau pemberian PMT dan memberikan edukasi kesehatan. kegiatan ini berhasil meningkatkan status gizi anak dan memberdayakan kader desa dalam mendukung program pencegahan stunting dan TB. Keberlanjutan program ini diharapkan mampu menurunkan prevalensi stunting dan TB di Desa Roomo melalui Posko Tanggap Stunting dan TB Anak yang aktif digunakan untuk pemantauan kesehatan.
The Role of Spirituality in Depression : A Case report Anabela Amoret Amsori; Roosyidah; Syahrul Gusnaldi Prawidya; Novanthy Nur Rohmadhani Subagyo; Muhammad Azhari Baihaqi; Embun Kumalaratih; Hafid Algristian
Psychosocia : Journal of Applied Psychology and Social Psychology Vol. 4 No. 1 (2026): January 2026
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/psychosocia.v4i1.1054

Abstract

Depression is a psychological condition characterized by persistent sadness, hopelessness, and loss of interest that affects emotional, cognitive, and behavioral functioning. Spirituality is believed to play a significant role in reducing depressive symptoms by fostering inner harmony, emotional resilience, and a sense of meaning in life. This case report explores the relationship between spirituality and depression in a 44-year-old woman diagnosed with major depressive disorder with psychotic features. The patient continues to experience negative emotions such as pessimism, lack of self-confidence, continuous crying, and feelings of inferiority that began after being dismissed from her job, a traumatic event that deeply affected her psychological state. She also experienced a decline in spiritual beliefs and practices, which was attributed to her father’s overly strict and inconsistent religious upbringing. This case highlights the close relationship between spirituality and mental health, demonstrating that spiritual well-being can serve as a protective factor against depression by enhancing emotional stability, personal resilience, and positive psychological adjustment. The integration of spiritual care into mental health interventions is therefore essential, as it may improve recovery outcomes and enhance the overall quality of life for individuals experiencing depression.
Effectiveness of a Multimodal Therapeutic Approach for Disorganization Symptoms in Hebephrenic Schizophrenia: A Case Report Affan Tsaqif Taufiqurrahman; Winaryani Winaryani; Hafid Algristian
Psychosocia : Journal of Applied Psychology and Social Psychology Vol. 4 No. 1 (2026): January 2026
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/psychosocia.v4i1.1160

Abstract

Hebephrenic schizophrenia, or disorganized-type schizophrenia, represents one of the most disabling and treatment-resistant subtypes of psychotic disorders, marked by disorganized thinking, affect, and behavior. These symptoms often persist despite standard pharmacological treatment and are associated with poor cognitive and social functioning. This case report explores the effectiveness of an integrated multimodal therapeutic approach that combines pharmacological, cognitive-behavioral, and metabolic strategies in managing a young woman with chronic hebephrenic schizophrenia. The patient, a 23-year-old female with a six-year illness duration and history of medication nonadherence, was treated with aripiprazole 15 mg/day (dopamine D2 partial agonist), trifluoperazine 5 mg/day (full D2 antagonist), folic acid 1 mg/day, and vitamin B6 100 mg/day. Cognitive Behavioral Therapy (CBT) and family psychoeducation were conducted twice weekly for three weeks. After treatment, she demonstrated measurable improvement, including a 1-point reduction in conceptual disorganization and a 2-point improvement in blunted affect (PANSS-R), alongside qualitative gains in coping with auditory hallucinations and affective responsiveness. These results suggest that synergistic modulation of dopaminergic circuits, cognitive restructuring, and metabolic support may yield short-term benefits for patients with treatment-resistant disorganization symptoms. Further longitudinal studies are warranted to evaluate long-term outcomes and neurobiological mechanisms.
Holistic Management of Depressive-Type Schizoaffective Disorder: A Case Illustration Muh Azka Aldani Fadhlurahman; Hafid Algristian; Yekti Mumpuni
Psychosocia : Journal of Applied Psychology and Social Psychology Vol. 4 No. 2 (2026): April 2026
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/psychosocia.v4i2.1359

Abstract

Schizoaffective disorder is a complex psychiatric condition characterized by the coexistence of psychotic and mood symptoms, often requiring comprehensive and long-term management. Achieving sustained clinical stability in depressive-type schizoaffective disorder remains challenging, particularly when psychosocial stressors and limited support systems are present. This case illustration describes a holistic management approach integrating pharmacological treatment, structured family involvement, and patient-centered spiritual coping within an Indonesian cultural context. We present the case of a 44-year-old female diagnosed with depressive-type schizoaffective disorder based on the Indonesian Guidelines for the Classification and Diagnosis of Mental Disorders, corresponding to international diagnostic principles. Clinical data were obtained through psychiatric interviews, longitudinal clinical observation, and review of medical records. The intervention consisted of combined antipsychotic and antidepressant pharmacotherapy, accompanied by structured family support and ethically integrated spiritual coping strategies aligned with the patient’s preferences. Over the course of follow-up, the patient demonstrated a reduction in psychotic symptoms (notably ideas of reference) and depressive features, alongside improvements in sleep patterns, self-care, treatment adherence, and emotional regulation. Functional gains were observed in daily activities and engagement with meaningful roles, with no acute relapse reported during the observed follow-up period. Family involvement contributed to adherence monitoring and stress reduction, while spiritual coping functioned as an internal resource for meaning-making and resilience rather than as a standalone intervention. This case illustrates that a holistic management strategy addressing biological, psychosocial, and spiritual dimensions may support clinical stabilization and functional recovery in depressive-type schizoaffective disorder. While findings from a single case cannot be generalized, this report highlights the potential clinical value of integrating family support and patient-centered spirituality into routine psychiatric care within culturally relevant settings.
The Role of Rumination as a Maladaptive Coping Mechanism in Cases of Comprehensive Anxiety Disorder Osya Azifa Firlani; Hafid Algristian; Budi Cahyono
Psychosocia : Journal of Applied Psychology and Social Psychology Vol. 4 No. 2 (2026): April 2026
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/psychosocia.v4i2.1376

Abstract

Generalized Anxiety Disorder (GAD) is characterized by excessive and persistent worry accompanied by somatic and cognitive symptoms that impair daily functioning. Although rumination has been widely discussed as a form of repetitive negative thinking, its role as a maladaptive coping mechanism sustaining GAD relapse in the context of occupational stress and shift work remains underexplored. This study presents an analytical descriptive case study integrated with a narrative literature review to examine how rumination contributes to symptom maintenance and relapse in GAD. The case involves a 43-year-old female outpatient evaluated at a psychiatric clinic in Surabaya in 2025. The recurrence of anxiety symptoms was precipitated by an early-retirement offer and rotating shift work, which triggered persistent rumination about financial uncertainty. This cognitive process led to insomnia, concentration difficulties, and inconsistent medication adherence, ultimately resulting in symptom relapse. Literature-based interpretation suggests that intolerance of uncertainty (IU) increases vulnerability to rumination, which sustains autonomic hyperarousal and sleep disturbance, while shift work disrupts circadian rhythms and contributes to inconsistent dosing and fluctuating plasma levels of pharmacotherapy. This case highlights a clinically relevant pathway linking occupational uncertainty, rumination, insomnia, and nonadherence in GAD relapse. Comprehensive management should integrate pharmacotherapy, rumination-focused psychotherapy (e.g., CBT or MCT), adherence education, and consideration of workplace-related stressors to reduce recurrence risk.
Delirium in Bipolar Disorder as a Triggering Factor to Cognitive Decline: A Case Report and Neuroprogression Insight Hayyunah Rohmatul Ahadiah; Lailatus Syadza; Moch Syafirul Nur Shafly; Asikah; Hafid Algristian
Sinergi International Journal of Psychology Vol. 3 No. 4 (2025): November 2025
Publisher : Yayasan Sinergi Kawula Muda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61194/psychology.v3i4.784

Abstract

Bipolar disorder is a major contributor to global disability, affecting not only mood regulation but also cognitive function, and its impact is often exacerbated by metabolic comorbidities such as type 2 diabetes mellitus, hypertension, and dyslipidemia. These comorbid conditions can lead to poorer clinical outcomes and increase the risk of neuropsychiatric complications such as delirium and cognitive impairment, which are frequently overlooked in clinical practice. This article aims to describe and analyze the case of a 31-year-old male with a history of bipolar disorder who presented with a hyperglycemic crisis and pneumonia, followed by the onset of acute delirium and subsequent cognitive decline. Through a descriptive clinical approach, the patient’s medical and psychiatric history, laboratory findings, and treatment course are reviewed to explore the complex interaction between mood disorders and metabolic dysfunction. The analysis reveals a strong link between metabolic dysregulation and worsening neuropsychiatric outcomes. This case underscores the importance of early detection and an integrated, multidisciplinary management approach to prevent long-term cognitive deterioration in patients with psychiatric disorders accompanied by metabolic conditions, offering important implications for future clinical practice.
Hormonal Influence on Mood Dysregulation: A Case of Bipolar Disorder with Endometriosis Halimatus Sakdyah; Egy Atthahirah Septina; Linda Ramadhanty Pramesta; Muhammad Ikhsan; Alsa Shafira; Endi Nurhayati; Hafid Algristian
Sinergi International Journal of Psychology Vol. 3 No. 4 (2025): November 2025
Publisher : Yayasan Sinergi Kawula Muda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61194/psychology.v3i4.829

Abstract

Bipolar disorder often coexists with gynecological conditions such as endometriosis, presenting clinical challenges due to overlapping hormonal and neuropsychiatric influences. The impact of hormonal therapy on mood stability in women with affective disorders remains underexplored. We report the case of a 30-year-old woman with bipolar II disorder, stable for nearly two years on lamotrigine, who developed mood destabilization after initiating hormonal treatment for stage III endometriosis. Sequential regimens—dienogest, norethisterone, and ethinylestradiol–levonorgestrel—were temporally associated with new or worsening mixed affective symptoms, including agitation, insomnia, irritability, and emotional lability, despite adherence to mood stabilizers. Her Hamilton Depression Rating Scale score increased from 9 to 21 within three months, with laboratory evaluation showing elevated estradiol and suppressed luteinizing hormone, supporting a hormone-related mechanism. A structured literature review (PubMed, Scopus, Google Scholar, 2000–2024) identified limited but consistent evidence that synthetic progestins may exacerbate psychiatric symptoms in mood-vulnerable populations through neuroendocrine and neurotransmitter modulation. This case underscores the importance of recognizing hormonally induced mood dysregulation in women with pre-existing psychiatric disorders and highlights the need for proactive management strategies. We recommend pre-treatment psychiatric screening, structured and longitudinal mood monitoring throughout hormonal therapy, and close interdisciplinary collaboration between gynecology and psychiatry to optimize outcomes. Integrated care approaches may reduce the risk of mood destabilization, enhance safety, and improve quality of life for women facing the dual burden of bipolar disorder and endometriosis.
Diagnostic and Therapeutic Challenges in Schizoaffective Disorder with Schizoid Personality Comorbidity Putri Faradisa Kamila; Hafid Algristian; Nur Azizah; Nur Aida
Sinergi International Journal of Psychology Vol. 4 No. 3 (2026): August 2026
Publisher : Yayasan Sinergi Kawula Muda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61194/psychology.v4i3.986

Abstract

Schizoaffective disorder, depressive type, is a severe psychiatric condition characterized by the coexistence of psychotic symptoms and a major depressive episode, with substantial functional impairment and potential suicide risk. Diagnostic and therapeutic complexity may increase when the disorder co-occurs with schizoid personality disorder, particularly because social withdrawal, restricted affect, and anhedonia can resemble negative or depressive symptoms. This case report describes a 33-year-old woman diagnosed with schizoaffective disorder, depressive type, with comorbid schizoid personality disorder. Clinical assessment included psychiatric interviews, collateral information from family members, mental status examination, behavioral observation, reconstruction of symptom chronology, and review of psychosocial history. The patient developed auditory hallucinations and persecutory ideas approximately four weeks before admission, followed by prominent depressive symptoms and suicidal ideation after the sudden death of a primary support figure. Long-standing social detachment, preference for solitary activities, restricted emotional expression, and limited interpersonal relationships were present since early adulthood and preceded the psychotic episode, supporting the diagnosis of schizoid personality disorder. Inpatient management consisted of risperidone, sertraline, and low-intensity supportive psychosocial interventions adapted to the patient’s preference for limited interpersonal engagement. During approximately 14 days of hospitalization, hallucinations and suicidal ideation decreased and basic self-care improved. At two-week follow-up, no recurrent suicidal ideation was reported, although mild auditory hallucinations and social withdrawal persisted. This case emphasizes the importance of longitudinal assessment and collateral information in distinguishing enduring personality characteristics from state-related negative or depressive symptoms. Individualized treatment that combines pharmacological stabilization with appropriately paced psychosocial engagement may improve treatment acceptability and functional stabilization in complex psychiatric comorbidity.
Challenges in Managing Disorganized Schizophrenia with Comorbid Treatment Non-Adherence: A Case Study from Indonesia Muhammad Suro Madani; Hafid Algristian; Dian Setyorini
Jurnal Riset Kualitatif dan Promosi Kesehatan Vol. 5 No. 2 (2026): July 2026
Publisher : Yayasan Sinergi Kawula Muda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61194/jrkpk.v5i2.906

Abstract

Schizophrenia is a severe and chronic psychiatric disorder in which long-term adherence to antipsychotic medication is essential for relapse prevention, yet non-adherence remains highly prevalent, particularly in resource-limited settings such as Indonesia where families serve as primary caregivers. We report the case of an adult male with disorganized-type schizophrenia who experienced repeated relapses precipitated by persistent non-adherence driven by profound anosognosia and treatment fatigue. Upon admission, he presented with prominent persecutory, grandiose, and nihilistic delusions, marked disorganization, and complete lack of insight. This case illustrates a critical clinical paradox: the core symptom of schizophrenia—anosognosia—directly undermines its primary treatment modality when delivered in oral form. The case also reflects cultural and systemic challenges unique to Indonesian mental healthcare, including high caregiver burden and limited continuity of community-based services. Drawing from current global and regional evidence, we propose an integrated management model that positions long-acting injectable (LAI) antipsychotics as the pharmacological foundation to bypass daily adherence barriers, enabling more effective implementation of culturally adapted psychosocial interventions such as family psychoeducation and motivational interviewing. The novelty of this report lies in demonstrating how the interplay between neurobiological deficits, treatment fatigue, and sociocultural dynamics contributes to non-adherence, while highlighting how an LAI-based, culturally responsive, and system-aware strategy can disrupt the cycle of relapse and rehospitalization. This case underscores the importance of incorporating LAIs earlier in treatment planning and strengthening family-centered care within Indonesia’s mental health system.
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