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Journal : Jurnal Psikiatri Surabaya (Surabaya Psychiatry Journal)

Clinical Manifestation Differences of Schizophrenia Patients Based on Gender Alya Rahma Trishna; Nalini Muhdi
Jurnal Psikiatri Surabaya Vol. 9 No. 1 (2020): May
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (257.399 KB) | DOI: 10.20473/jps.v9i1.16356

Abstract

Background: Schizophrenia is yet to be deeply understood, despite being one of the most common mental illnesses in the world. Male and female schizophrenic patients may show different clinical presentations. The differences have been studied extensively globally, but there has yet many reports in regards of this in Indonesia.Aims: Knowing the differences of clinical manifestation on schizophrenia patients based on gender.Method: This research is analytic study in retrospective design. The data is taken from medical records of male and female schizophrenic inpatients of Psychiatric Ward of Dr. Soetomo General Hospital Surabaya on January 1st to December 31st, 2018, in total of 75 samples included. Data is processed with ANOVA statistic method.Result: The prevalence of male schizophrenic inpatients is 65,3% and 34,7% for female inpatients, with the ratio of 1,88:1. The differences of clinical presentations are not significant for the following clinical manifestations; abnormal motor behaviour (P=0,281), delusion (P=0,240), disorganized thinking (P=0,306), diminished emotional expression (P=0,295), and avolition (P=0,633) clinical manifestations. There is a significant difference in hallucination clinical manifestation between male and female inpatients (P=0,037).Conclusion: There is a significant difference in schizophrenia’s clinical manifestation of hallucination between male and female inpatients.
Hubungan Antara Konflik Peran Ganda dengan Psychological Well-Being pada Dokter Perempuan Berkeluarga yang Menjalani Program Pendidikan Dokter Spesialis-1 Di RSUD Dr. Soetomo Surabaya Yanti Fitria; Nalini Muhdi
Jurnal Psikiatri Surabaya Vol. 6 No. 1 (2017): Juni
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (384.484 KB) | DOI: 10.20473/jps.v6i1.19107

Abstract

Objektif :Residen perempuan berkeluargarentan mengalami konflik peran gandasebagai PPDS danibu, sehingga kesulitan mencapai psychological well-being (kesejahteraan psikologis) yang tinggi. Penelitian ini bertujuan menganalisis hubungan antara konflik peran ganda dengan psychological wellbeing pada dokter perempuan berkeluarga yang menjalani Program Pendidikan Dokter Spesialis-1 di RSUDDr. Soetomo Surabaya, yang hasilnya dapat dimanfaatkan untuk pengembangan program pendidikan.Metode : Studi analitik observasional, cross-sectional. Sampel dari seluruh prodi PPDS-1 di RSUD dr. Soetomo Surabaya pada Oktober-November 2016. Total sampling, kriteria inklusi berupa PPDS-1 perempuan, tidak cuti, semester 3-5 di bagian, berstatus menikah dan mempunyai anak. Analisis data disajikan dalam tabel dan narasi.Hasil : 104 subyek penelitiandari 20 prodi. Terdapat hubungan bermakna antara konflik peran ganda dengan psychological well-being (p=<0,0001; r=-0,387), pada subskala penerimaan diri, relasi positif dan pengendalian lingkungan. Konflik yang bersumber dari pekerjaan, mempunyai hubungan bermakna dengan psychological well-being pada subskala time (waktu), strains (ketegangan) dan behavior (perilaku), sedangkan yang bersumber dari keluarga, hanya pada subskala strains (ketegangan).Simpulan : PPDS merupakan sumber konflik utama bagi residen perempuan berkeluarga, yang dapat menurunkan psychological well-being. Residen diharapkan meningkatkan kemampuan manajemen konflik. Kesiapan seluruh keluarga untuk menerima kondisi salah satu anggota keluarganya untuk menjadi PPDS harus diperhatikan.
Sexuality in Women After Hysterectomy Brihastami Sawitri; Nalini Muhdi
Jurnal Psikiatri Surabaya Vol. 8 No. 2 (2019): December
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (971.811 KB) | DOI: 10.20473/jps.v8i2.19534

Abstract

Hysterectomy is the most common major gynecological surgeries, with up to 39,4% women will experience it during her lifetime. This procedure can be stressful for women as half of them will experience mild to severe physical and psychological complications. Uterus removal is often associated with de-feminization, castration, being disabled and loss of wholeness which may alter body image and self-esteem, ultimately lead to depression. Most women are anxious on how hysterectomy affect their sexuality, but only few feel comfortable discussing this essential matter to health professionals. The evaluation and management of sexual dysfunction had been the traditional province of psychiatrist. Psychiatrists should fulfill their competencies by updating knowledge on sexuality and sexual dysfunction, improving communication skill, being comfortable with own sexuality and discussing sexuality with other. Pharmacotherapy, relaxation techniques, behavior therapy, group therapy, analytical oriented sex therapy, dual-sex therapy and other techniques or exercises are some modalities option which may help women with sexual difficulties post-hysterectomy.
Suicide Attempt in Schizophrenia Harikha, Igha Vinda; Nalini Muhdi; Tiwik Koesdiningsih
Jurnal Psikiatri Surabaya Vol. 11 No. 1 (2022): May
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jps.v11i1.20597

Abstract

Suicide is a very important sosial phenomenon and requires attention not only from psychiatrists but also the general public. The phenomenon of suicide has spread to almost all parts of the world, both in countries with advanced technology and in developing countries, from rich countries to poor countries. The risk of suicide among people with schizophrenia is higher than the general population. Attempted suicide is an act of self-injury that is done intentionally and aims to die, but does not cause death. These actions represent psychological difficulties and there are several risk factors associated with suicide attempts. Schizophrenia is a chronic and severe psychiatric disorder with a huge global health burden. Among those suffering from schizophrenia, the lifetime suicide rate is around 5% and suicide is the leading cause of premature death.Keywords: Suicide, Suicide Attempt, Schizophrenia