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HUBUNGAN ANTARA INDEKS MASSA TUBUH (IMT) DAN KUALITAS HIDUP PENDERITA SKIZOFRENIA Hadiati, Titis
JNH (Journal of Nutrition and Health) Vol 7, No 2 (2019): JNH (JOURNAL OF NUTRITION AND HEALTH)
Publisher : Universitas Diponegoro

Latar Belakang: Sejumlah penelitian telah melaporkan bahwa penderita skizofrenia memiliki Indeks Massa Tubuh (IMT) yang lebih besar dibanding populasi normal. Penderita skizofrenia sangat beresiko memiliki berat badan yang berlebih, sehingga peningkatan Indeks Massa Tubuh (IMT) memiliki kaitan dengan gangguan pada kualitas hidup populasi umum dan peningkatan berat badan berkaitan dengan semakin buruknya kualitas hidup penderita skizofrenia. Kualitas hidup merupakan outcome yang paling bermakna pada penderita skizofrenia.Tujuan: Mengetahui hubungan antara IMT dan kualitas hidup penderita skizofrenia.Metode: Penelitian ini menggunakan desain cross sectional. Sampel berasal dari pasien rawat jalan dan rawat inap di RSJ Amino Gondohutomo Semarang (n=37), berusia 17-25 tahun yang telah terdiagnosis dengan skizofrenia. Pengambilan sampel menggunakan metode non probability sampling jenis consecutive. Data penilaian berasal dari catatan medis untuk memperoleh data sosiodemografi, SF36, dan pengukuran berat serta tinggi badan. IMT dihitung (kg/m2). Uji statistik menggunakan SPSS. Hubungan antara IMT dan kualitas hidup penderita skizofrenia dianalisis dengan chi square.Hasil : Dari 37 data yang diperoleh, didapatkan responden dengan kualitas hidup tidak terganggu sebesar 51,4% dan kualitas hidup terganggu sebesar 48,6%. Dari hasil uji statistik didapatkan usia, jenis kelamin dan pendidikan berhubungan secara signifikan dengan kualitas hidup. Sementara, hasil uji statistik untuk variabel IMT diperoleh hasil p value 0,642, sehingga dapat diartikan bahwa IMT tidak berhubungan secara signifikan terhadap kualitas hidup penderita skizofrenia.Kesimpulan : IMT berlebih hanya terjadi pada 35,1% penderita skizofrenia. Tidak terdapat hubungan antara IMT dan kualitas hidup penderita skizofrenia. Kata Kunci: Indeks Massa Tubuh, Kualitas hidup, Skizofrenia, SF-36

Perbedaan Skor BDI II (Beck depression Inventori) pada siswi dengan PMDD (Premenstrual Dysphoric Disorder) dan non PMDD wimala, Dina; Hadiati, Titis
Medica Hospitalia : Journal of Clinical Medicine Vol. 8 No. 1 (2021): Med Hosp
Publisher : RSUP Dr. Kariadi

Latar Belakang : Gangguan menstruasi dapat terjadi pada 90 % wanita dan 5-8% nya mengalami gangguan parah yaitu PMDD. 32% remaja perempuan usia 15-19 tahun dimana diagnosis depresi pada remaja lebih sering terlewatkan dibandingkan pada orang dewasa. PMDD dan depresi menyebabkan keluhan psikologis dan berdampak pada kualitas hidup seseorang, karena adanya emosi yang tidak terkontrol, terutama bila tejadi pada remaja. Deteksi PMDD dan depresi pada remaja sering terlewatkan hal ini disebabkan karena gejala yang menonjol adalah lekas marah, reaktivitas susasana hati dan gejala fisik yang tidak dapat dijelaskan sebabnya. Tujuan : Mengetahui perbedaan skor BDI-II pada siswi dengan PMDD dan non PMDD Metode : Penelitian ini merupakan penelitian kuantitatif dengan rancangan belah lintang. Sampel adalah siswi SMK yang memenuhi kriteria inklusi dan eksklusi. PMDD dinilai dengan kuesioner SPAF (Shortened Premenstrual Assessment Form) dan depresi dinilai dengan BDI-II (Beck Depression Inventory-II). Analisa data menggunakan uji Pearson Chi Square, Fisher’s Exact dan Mann Whitney. Hasil : Penelitian ini diikuti oleh 135 responden, 60 (44,4%) responden PMDD dan 75 (55,6%) responden non PMDD dengan median skor BDI-II untuk kelompok PMDD adalah 19 (2-39) dan non PMDD 11 (0-33). Terdapat perbedaan skor BDI-II yang signifikan pada siswi dengan PMDD dan non PMDD dengan p value <0,001. Simpulan : Terdapat perbedaan skor BDI-II yang bermakna pada siswi dengan PMDD dan non PMDD. Kata Kunci : BDI-II, PMDD, remaja

HUBUNGAN GANGGUAN MENTAL EMOSIONAL DENGAN KECANDUAN MEDIA SOSIAL PADA MAHASISWA SEMESTER 1 TAHUN AJARAN 2019 DAN SEMESTER 3 TAHUN AJARAN 2018 DI UNIVERSITAS DIPONEGORO SEMARANG Mahardhika, Alain Stephano; Fitrikasari, Alifiati; Wardani, Natalia Dewi; Hadiati, Titis; Sutaty, Witrie; Julianti, Hari Peni
Medica Hospitalia : Journal of Clinical Medicine Vol. 9 No. 1 (2022): Med Hosp
Publisher : RSUP Dr. Kariadi

Background: Currently the level of addiction to social media tends to increase, especially among students. 75% of individuals who experience internet addiction are caused by problems in their relationships with other people. One of the related factors is emotional mental disorder. Objective: To determine the relationship between mental emotional disorders and social media addiction in students in the 1st semester of the 2019 academic year and the 3rd semester of the 2018 academic year at Diponegoro University, Semarang. Methods: Research with cross sectional design. The research sample is Diponegoro University Semarang students in 1st semester of the 2019 academic year and 3rd of the 2018 academic year. The independent variable is mental emotional disorder, while the dependent variable is social media addiction. The research instrument used a sociodemographic questionnaire, the Bergen Social Media Addiction Scale (BSMAS) and the Self Reporting Questionnaire 20 (SRQ20). Research variables were analyzed by chi square test. Results: The majority of research subjects had normal emotional mental disorders as many as 140 (82.8%) and 29 (17.2%) indicated experiencing emotional disorders. The majority of social media addiction levels were normal as many as 113 (66.9%), while alerts were 56 (33.1%), There was a relationship between emotional mental disorders and social media addiction (p=0.019, PR=2.587 95%CI=1.146 – 5,840). Conclusion: There is a significant relationship between mental emotional disorders and social media addiction. Diponegoro University Semarang students in 1st semester of the 2019 academic year and 3rd semester of the 2018 academic year.

Relationship between Stress Level and Risk of Eating Disorder in Undergraduate Students during the COVID-19 Pandemic Clara, Jessica; Hadiati, Titis; Jusup, Innawati; Sarjana A.S., Widodo
Medica Hospitalia : Journal of Clinical Medicine Vol. 10 No. 3 (2023): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v10i3.953

BACKGROUND: The prevalence of undergraduate students' stress before COVID-19 pandemic in Indonesia was 36.7-71.6%, where undergraduate students' age was classified as the age group for the onset of eating disorders. During the COVID-19 pandemic, students must continue their studies. However, modifications of daily routines in pandemic have a negative effect on mental health, increase negative stress (distress), and it could increase the incidence of eating disorders symptoms. AIMS: The purpose of this study was to find out the relationship between stress level in undergraduate student and the risk of eating disorder they might have during the COVID-19 Pandemic. METHOD: This study used cross sectional study design and conducted on June 2021. The subjects were 110 active students who studied in Faculty of Medicine Diponegoro University who was chosen using consecutive sampling technique. The Perceived Stress Scale-10 questionnaire was used to measure the students’ stress level for the past month and the Eating Attitude Test-26 questionnaire was used to determine the students' risk of having an eating disoder. Both questionnaires were selected because it has been proven as reliable questionnaires with high sensitivity and specificity (Cronbach's alpha >0.7). RESULT: The result showed that out of 110 students who have been subjects of this study, 25,5% of respondents experienced low stress, 68,2% of respondents experienced moderate stress, and 6,4% of respondents experienced high stress. It also showed that 4,5% of respondents have the risk of having an eating disorder. CONCLUSION: There is a significant correlation (p=0,005) between the stress level and risk of eating disorder with very weak positive relationship direction (r=0,097).

The Effect of Folic Acid Adjuvant on Cognitive Function on Patients with Chronic Schizophrenia Sofa, Yulia Ratna; Wardani, Natalia Dewi; sari, Linda Kartika; Hadiati, Titis; Muflihatunnaimah, Muflihatunnaimah
Diponegoro International Medical Journal Vol 3, No 2 (2022): December 2022
Publisher : Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dimj.v3i2.15219

ABSTRACT Background: Schizophrenia is a severe mental disorder that associated with daily life and social function deterioration and could be accompanied with cognitive deficits. Meanwhile, hyperhomocysteinemia (HHcy) is the increasing homocysteine (Hcy) level which might be the one of biological factor in schizophrenia. In recent study with healthy subjects, it was known that there was a correlation between total Hcy level and cognitive function. Folic acid is part of water-soluble vitamin B and expected to have important role in oxidative stress by preventing hyperhomocysteinemia.Objective: This study aimed to elaborate the effect of folic acid adjuvant to improve cognitive function in chronic schizophrenia patients.Methods: This was a double-blinded randomized controlled trial with pre and post-test clinical trial design. This study included 32 patients in control group and 32 patients in treatment group. MOCA-INA score was examined in all subjects on the first day. Then, all subjects were given standard antipsychotic treatment plus folic acid adjuvant / placebo during 3 week of hospitalized treatment and 1 week of outpatient treatment. When the 4-week treatment finished, the subjects were followed by MOCA-INA post-test.Results: In this study, we had the significant difference of pre and post-test MOCA-INA score in the control group (p<0.001), significant difference of pre and post-test MOCA-INA score in the treatment group (p<0.001), and significant difference of post-test MOCA-INA score between the control and treatment group (p<0.001).Conclusion: Folic acid adjuvants significantly improved cognitive function in chronic schizophrenic patients.

Does Self-Esteem Affect Stress Levels in Final Year Medical Students? (A Study In Final Year Medical Students, Faculty Of Medicine, Diponegoro University) Felita, Fiona; Adiwijaya, Janice Nathania; Hadiati, Titis; Fitrikasari, Alifiati; Savitri, Soesmeyka
Diponegoro International Medical Journal Vol 5, No 1 (2024): July 2024
Publisher : Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dimj.v5i1.22494

Background: During young adulthood, individuals are forced to encounter countless and overwhelming challenges and responsibilities. Individuals are very prone during this period due to the fluctuation in self-esteem. Low self-esteem might significantly impact individuals as they could perceive challenges as distress, putting them at an increased risk of harming physical or mental health.Objective: To examine the relationship between self-esteem and stress levels among final year medical students, Faculty of Medicine, Diponegoro University. Methods: This research is an observational analytic correlational study with a cross-sectional design. Samples were obtained by total sampling method involving final year medical students, Faculty of Medicine, Diponegoro University (Class of 2018). Self-esteem was measured using the Rosenberg Self-esteem Scale (RSES), and stress levels were measured using the Perceived Stress Scale (PSS-10) that had been tested valid and reliable. Data were analyzed using Spearman and Lambda Correlation Tests.Results: There were 226 subjects involved in this research. Most subjects had high self-esteem (69,5%) and moderate level of stress (67,3%). Demographic factors (gender, residency status, academic achievement and economic status) were not significantly associated with self-esteem and stress levels. However, there was a significant relationship (p=0.000) between self-esteem and stress levels with moderate negative correlation (r=-0.385).Conclusion: There was a significant relationship between self-esteem and stress levels.

The Relationship between Self-Esteem and Anxiety Levels in Final-year Medical Students Adiwijaya, Janice Nathania; Felita, Fiona; Fitrikasari, Alifiati; Sarjana, Widodo; Hadiati, Titis
Diponegoro International Medical Journal Vol 5, No 1 (2024): July 2024
Publisher : Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dimj.v5i1.22515

Background: Self-esteem is an evaluation of oneself that can be positive or negative. Self-esteem affects the way individuals value and views themselves and others. Self-esteem increases gradually during young adulthood. On the other hand, anxiety disorders are also prone to occur during this time. Individuals with low self-esteem arefound to often experience symptoms of anxiety.Objective: The purpose of this study is to examine the relationship between self-esteem and anxiety levels among final year medical students, Faculty of Medicine, Diponegoro University.Methods: This research is a correlational analytic observational study with a cross-sectional design. Total sampling was used in this research involving final year medical students, Faculty of Medicine, Diponegoro University (Class of 2018). Self-esteem was assessed using the Rosenberg Self-esteem Scale (RSES), and anxiety levels were assessed using the Zung Self-rating Anxiety Scale (ZSAS) that had been tested valid and reliable. Data were analyzed using Spearman and Lambda Correlation Tests.Results: There were 226 respondents involved in this study. The majority of respondents had high self-esteem (69.5%) and a mild level of anxiety (84.1%). Gender was known to affect the level of anxiety (p=0.026) but not self-esteem. Academic achievement and residency status was known not to affect self-esteem and anxiety levels. There was a significant relationship (p=0.000) between self-esteem and anxiety levels with a moderate negative correlation (r=-0.289).Conclusion: There was a significant relationship between self-esteem and anxiety levels.

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