Cokorda Bagus Jaya Lesmana, Cokorda Bagus Jaya
Bagian Psikiatri Fakultas Kedokteran Universitas Udayana

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Emergency Room at Udayana University Hospital Emyastuti, Ni Luh Wayan; Suarjana, I Ketut; Lesmana, Cokorda Bagus Jaya
Jurnal Delima Harapan Vol 11 No 1 (2024): Maret
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31935/delima.v11i2.258

Abstract

Background and objectives: The Emergency Department (ER) at Udayana University Hospital is required to provide quality health services in accordance with the Minimum Service Standards (SPM) set by the government. However, there are several SPM indicators that have not been achieved. Therefore, this research aims to develop a strategy to increase SPM achievement in the emergency room at Udayana University Hospital using the two-stage Delphi method. Method: A qualitative approach with a two-stage Delphi method was used to achieve this objective. Data was collected through in-depth interviews with 16 informants, FGDs and questionnaires. Results: The research found that internal factors categorized as strengths and weaknesses influenced the achievement of SPM in the IGD. External factors are classified into opportunities and threats. SWOT analysis shows that the IE matrix describes a grown and built organization. In the 4-Quadrant SWOT Matrix, it is in quadrant I which describes the opportunities and strengths of the organization and strategies that can be carried out with aggressive strategies. The TOWS matrix produces 11 alternative strategies which are ranked using the QSPM method. Alternative strategies generated using the Delphi method resulted in 6 priority strategies. Conclusion: From this research, 7 strength factors, 7 weakness factors, 4 opportunity factors and 3 threat factors were found at UNUD Hospital and there are 6 priority strategies that can be used to improve SPM IGD achievements.
Feasibility of implementing pranic healing as a complementary service: A case study at Sanglah General Hospital, Denpasar Megawati, Desak Made; Lubis, Dinar Saurmauli; Manuaba, Ida Bagus Gede Fajar; Lesmana, Cokorda Bagus Jaya
Public Health and Preventive Medicine Archive Vol. 9 No. 1 (2021)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (970.694 KB) | DOI: 10.53638/phpma.202`1.v9.i1.p01

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Background and purpose: WHO supports the implementation of complementary therapy services in health facilities to increase comprehensive health services coverage. Sanglah Hospital is developing the pranic healing service as part of the development of Indonesia’s medical tourism and traditional health. This study aims to determine the extent to which the feasibility, obstacles, challenges, and opportunities of the pranic healing service implemented at Sanglah Hospital. Methods: This study employed a mixed-methods design with a case study approach. The data were collected from March to April 2020 using in-depth interview with 23 informants by collecting information on acceptance, readiness, requests, and service management. Documents and archival records were also collected. The survey data were collected using a selfadministered questionnaire from 40 respondents by collecting information on patients’ requests and acceptance aspects. The qualitative data analysis was performed thematically and presented in a narrative form. The survey data were analyzed using univariate analysis. Results: The pranic healing service received support from the Ministry of Health and the hospital management, had a good acceptance from health workers and patients, was the only complementary service of its kind in health facilities throughout Indonesia and had the potential for the development of medical tourism. Obstacles and challenges found were related to workforce management, regulatory readiness, referral systems, and the development of inpatient services. Conclusion: Pranic healing service could be implemented at Sanglah Hospital because they had substantial support and because of demand and acceptance aspects. However, obstacles and challenges on the implementation and practicality aspects should be overcome for the sustainability of this service. The pranic healing has a good potency since to date, it is the only one available in Indonesia which is also potential for the development of medical tourism.
Hospital financial control strategy in the COVID-19 Pandemic era Citra Mutiarahati, Ni Luh; Ani, Luh Seri; Suarjana, Ketut; Januraga, Pande Putu; Manuaba, I.B.G. Fajar; Lesmana, Cokorda Bagus Jaya; Indrayathi, Putu Ayu
Public Health and Preventive Medicine Archive Vol. 11 No. 1 (2023)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2023.v11.i1.p06

Abstract

Background and purpose: The pandemic of COVID-19 is an unprecedented medical and economic challenge for healthcare system. The number of patients during pandemic of COVID-19 had a rapid growth which led to changes in services aspects that threaten financial viability of hospitals, including private hospitals. This study aims to determine the efforts of private hospitals in maintaining financial stability during the pandemic of COVID-19. Methods:  A qualitative study with a multi-case design carried out in 7 (seven) private hospitals in Denpasar. Informants were obtained based on a purposive sampling approach. This study recruited 19 informants from 7 private hospitals in Denpasar. Data was collected through in-depth interviews conducted face-to-face, using the Zoom and Whatsapp applications. The data were analysed using a content analysis approach. Results: Almost all hospitals stated that their finances disrupted. Financial mitigation efforts were difficult to do, hospital preparation and responses were dependent on the hospital's financial condition and regulations that changing, and recovery efforts were not easy either because in general the community's economy has not recovered. Conclusion: Private hospital finances were experiencing disruption. Mitigation efforts were difficult to do due to the unpredictable changing regulations and policies during the pandemic. Based on the study results, it can be recommended that the hospital management needs to develop a service strategy that is able to overcome the problem of the surge in the number of patients.
Self-Efficacy of nurses in COVID-19 isolation room of Sanglah Hospital, Denpasar: A mixed-method study Pande, Rai Dewi Damayanthi; Lubis, Dinar Saurmauli; Lesmana, Cokorda Bagus Jaya
Public Health and Preventive Medicine Archive Vol. 10 No. 1 (2022)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2022.v10.i1.p02

Abstract

Background and purpose: Nurses' self-efficacy during the pandemic is different from their self-efficacy before the pandemic. Managing self-efficacy is one way to support nurses' mental well-being and resilience. This study aims to describe and determine factors related to nurses' self-efficacy in the COVID-19 Isolation Room of Sanglah Hospital, Denpasar, Bali Province. Methods: This is a mixed-methods study with a sequential explanatory design. In the first stage, a cross-sectional survey was conducted with a questionnaire in 132 nurses selected with total sampling. Statistical analysis was carried out using Chi-Square Test and Fisher's Exact Test at a 95% confidence level, to identify a relationship between nurses’ characteristics and sources of self-efficacy with their self-efficacy levels. Subsequently, qualitative in-depth interviews were conducted with 12 informants selected by purposive sampling. Qualitative data were analyzed using thematic analysis. Results: In the quantitative study, it was found that there was no relationship between the characteristics of nurses (age, gender, education level, years of service and training) and the level of self-efficacy (p>0.05). Meanwhile, the sources of efficacy (mastery experience, vicarious experience, social persuasion, physiological and emotional conditions) were found significantly associated with the level of self-efficacy (p<0.05). The qualitative study found that matters in line with these results, and other variables related to self-efficacy were personal, organizational, and external variables. Conclusion: Sources of self-efficacy that nurses can utilize, as well as opportunities and support provided by nurse leaders, developed self-efficacy in treating COVID-19 patients. It is necessary to increase the significance of sources of self-efficacy, personal variables, and organizational support to increase self-efficacy.
English THE CORRELATION BETWEEN MARRIAGE AND DEMENTIA IN ELDERLY AT THE WREDA SEJAHTERA ASSOCIATION (PWS) IN DENPASAR CITY Suryananda, Amanda Raissa; Diniari, Ni Ketut Sri; Wahyuni, Anak Ayu Sri; Lesmana, Cokorda Bagus Jaya
E-Jurnal Medika Udayana Vol 13 No 07 (2024): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2024.V13.i07.P14

Abstract

ABSTRACT Elderly individuals are considered more vulnerable to experiencing dementia due to the various changes they undergo in life, one of which is marriage. Certain marriage status may have a higher likelihood and risk of being associated with dementia. This research aims to provide a description of characteristics and identify the relationship between marriage and dementia among elderly at the Wreda Sejahtera Association (PWS) in Denpasar. This study employed a cross-sectional analytic design. Data were collected through face-to-face interviews and with MoCA-INA to evaluate characteristics and incidence of dementia among 88 elderly. Data were then analyzed using univariate and bivariate, and multivariate analysis. Of the 88 elderly, 9.1% had dementia where the majority were not with a partner (widow/widower). There was an association between dementia with marital status (p=0.000) and education (p=0.034). The risk of elderly with dementia is three times higher in widows/widowers than those who are still with their spouses. Odd ratio (OR) of elderly widow/widower was 30.608 (95%CI= 2.451-38.264). Marital status and age are risk factors contributing to the occurrence of dementia. Being unmarried or widowed/divorced can increase the likelihood of experiencing dementia, with this likelihood increasing as age advances. Preventive measures of dementia should be done as early as possible for divorced or unmarried people. Keywords : Dementia, Elderly, Marriage
MEKANISME KOPING MALADAPTIF BERKAITAN DENGAN PROPORSI KECEMASAN: STUDI POTONG LINTANG PADA MAHASISWA PENDIDIKAN DOKTER Sandra, Sandra; Lesmana, Cokorda Bagus Jaya; Aryani, Luh Nyoman Alit; Wardani, Ida Aju Kusuma
E-Jurnal Medika Udayana Vol 11 No 5 (2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2022.V11.i05.P14

Abstract

Pandemi Corona Virus Disease 2019 (COVID-19) memberikan banyak dampak untuk kesehatan, termasuk kesehatan mental. Kecemasan merupakan salah satu masalah yang timbul dalam situasi pandemi dan disebabkan oleh berbagai faktor. Mahasiswa kedokteran merupakan salah satu populasi yang rentan mengalami gejala kecemasan dibandingkan populasi lainnya. Dengan demikian, strategi koping yang tepat dapat membantu penanganan kecemasan. Penelitian ini bertujuan untuk melihat perbedaan proporsi tingkat kecemasan pada mahasiswa Fakultas Kedokteran Universitas Udayana berdasarkan mekanisme koping yang banyak diterapkan. Studi ini menggunakan desain analitik potong lintang pada 311 mahasiswa pendidikan dokter Universitas Udayana angkatan 2018-2020 yang aktif mengikuti perkuliahan secara daring selama pandemi. Mekanisme koping dan kecemasan diukur dengan kuesioner Brief COPE dan Generalized Anxiety Disorder-7 (GAD-7) melalui Google Form dan dikerjakan secara mandiri oleh responden. Analisis data menemukan perbedaan proporsi yang signifikan antara mekanisme koping dan tingkat kecemasan (p = 0,002; <0,05). Rasio prevalensi menunjukkan bahwa mekanisme koping maladaptif 2,104 dan 2,122 kali lebih tinggi menyebabkan kecemasan sedang-berat dibandingkan koping sedang dan adaptif. Mekanisme koping adaptif dan maladaptif yang banyak digunakan oleh responden adalah koping aktif dan penghindaran secara berurutan. Perbedaan tahun angkatan (p = 0,000; <0,05) dan usia (p = 0,000; <0,05) memiliki perbedaan proporsi yang signifikan pada tingkat kecemasan, namun tidak dengan jenis kelamin (p = 0,103; >0,05). Mekanisme koping adaptif dan maladaptif ditemukan memiliki perbedaan proporsi tingkat kecemasan yang berbeda secara signifikan, yang mana prevalensi kecemasan berat ditemukan meningkat pada koping maladaptif. Penerapan mekanisme koping yang adaptif akan membantu mahasiswa dalam menghadapi penyebab kecemasannya. Kata Kunci: Kecemasan. Mahasiswa Kedokteran, Mekanisme Koping
PREVALENSI TINGKAT KECEMASAN PADA PASIEN KANKER PAYUDARA YANG MENJALANI KEMOTERAPI DI RSUP PROF.DR. I.G.N.G NGOERAH TAHUN 2023 ARIANI, NI KETUT PUTRI; LESMANA, COKORDA BAGUS JAYA; SITANGGANG, AMITA ROULI PURNAMA; SILAEN, REBECCA MUTIA AGUSTINA; YOSEF, HERMAN
PAEDAGOGY : Jurnal Ilmu Pendidikan dan Psikologi Vol. 4 No. 1 (2024)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia (P4I)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/paedagogy.v4i1.2758

Abstract

The level of anxiety in breast cancer patients undergoing chemotherapy poses a risk of unfavorable outcomes. Based on data collected in 2019 from three electronic databases (PubMed, Web of Science, and Scopus), a total of 36 studies covering 16,298 breast cancer patients between 2000 and 2018 were included in the research. The prevalence of anxiety among breast cancer patients was 41.9% (CI: 95%), highlighting the significance of both psychological and physical factors in breast cancer patients. The objective of this study was to determine the prevalence of anxiety in breast cancer patients undergoing chemotherapy at Prof. Dr. I.G.N.G Ngoerah Hospital. This was an observational descriptive study with a cross-sectional design to assess the level of anxiety in breast cancer patients receiving chemotherapy in the hospital. Anxiety was measured using the Beck Anxiety Inventory (BAI). Out of the 42 participants in the study, it was found that 54.8% experienced minimal anxiety, 31.0% had mild anxiety, 9.5% had moderate anxiety, and 4.8% had severe anxiety. Patients with severe anxiety were mostly in the age range of 0-30 years (50%), had completed junior high school education (20%), were unemployed (5.6%), unmarried (20%), had comorbidities (5.6%), and received chemotherapy more than 10 times (20%). ABSTRAKTingkat kecemasan pada pasien kanker payudara yang sedang melakukan kemoterapi berisiko pada terjadinya peningkatan kondisi yang tidak mengutungkan. Prevalensi kecemasan pada pasien kanker payudara berdasarkan data yang dikumpulkan pada tahun 2019 dari tiga database elektronik (PubMed, Web of Science, dan Scopus) sebanyak 36 penelitian yang mencakup 16.298 pasien kanker payudara antara tahun 2000 dan 2018 terdaftar dalam penelitian tersebut, prevalensi kecemasan di antara pasien kanker payudara adalah 41,9% (CI: 95%) menunjukkan pentingnya faktor psikologis serta fisik pada pasien kanker payudara. Tujuan dari penelitian ini adalah untuk mengetahui prevalensi kecemasan pada pasien kanker payudara yang sedang melakukan kemoterapi di RSUP Prof. Dr. I.G.N.G Ngoerah. Penelitian ini merupakan penelitian observasional deskriptif dengan rancangan cross-sectional untuk mengetahui tingkat kecemasan pada pasien kanker payudara yang melakukan kemoterapi di rumah sakit. Kecemasan diukur dengan pengukuran tingkat kecemasan menurut Beck Anxiety Inventory (BAI). Sebanyak 42 sampel yang mengikuti penelitian, didapatkan sebanyak 54,8% mengalami cemas minimal, 31,0% mengalami kecemasan ringan, 9,5% mengalami kecemasan sedang, dan 4,8% mengalami kecemasan berat. Pasien yang memiliki tingkat kecemasan berat sebagian besar adalah pada rentang umur 0-30 tahun (50%), tingkat pendidikan SMP (20%), tidak bekerja sebesar (5,6%), belum menikah (20%), dengan penyakit penyerta (5,6%), dan frekuensi kemoterapi >10 kali (20%)
GANGGUAN KELEKATAN SEBAGAI PENCETUS TERJADINYA SKIZOFRENIA : TINJAUAN PUSTAKA SITANGGANG, AMITA ROULI PURNAMA; ARDANI, I GUSTI AYU INDAH; LESMANA, COKORDA BAGUS JAYA
HEALTHY : Jurnal Inovasi Riset Ilmu Kesehatan Vol. 3 No. 1 (2024)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/healthy.v3i1.2867

Abstract

Schizophrenia is one of the non-fatal diseases that result in a heavy burden for patients, society, and the government, with a prevalence rate of 0.5-1% of the world's population, or more than 20 million people worldwide. In Indonesia, according to the Ministry of Health of the Republic of Indonesia in 2019, it is estimated that there are 450,000 people with mental disorders, including schizophrenia. Although the exact cause of schizophrenia is not yet known, several factors are suspected to influence the occurrence of schizophrenia, one of which is emotional trauma due to attachment disorders. Attachment theory offers a conceptualization of the formation of emotional bonds, social functions, and emotional regulation that can help explain the occurrence of mental disorders, including schizophrenia. A literature review was conducted through data sources such as PubMed, Google Scholar, Medline, and PsycINFO to search for data on attachment theory, attachment disorders, and schizophrenia. Attachment disorders are experienced in the early stages of development in the form of trauma. Trauma experienced in the early stages of development, such as negative events, neglect, or inadequate caregiving, is a factor that can affect brain development, leading to changes in neuroendocrine function, resulting in disturbances in emotional regulation and cognitive function. There is a decrease in the ability to identify and understand one's own and others' mental states, such as beliefs, emotions, and intentions, known as "mentalization" and "theory of mind." Emerging evidence regarding the role of attachment in the development of psychosis has implications for the prevention and treatment of psychosis. Trauma experienced in the early stages of development, such as negative events, neglect, or inadequate caregiving, is considered a factor that can affect brain development and neuroendocrine function. The discussion on the relationship between attachment disorders and schizophrenia still requires extensive review and research in the future. ABSTRAKSkizofrenia termasuk salah satu kelompok penyakit nonfatal yang mengakibatkan beban berat bagi penderita, masyarakat, dan pemerintah dengan kisaran prevalensi antara 0,5-1 % dari populasi dunia, atau lebih dari 20 juta orang di seluruh dunia. Di Indonesia, menurut Kementerian Kesehatan RI tahun 2019 diperkirakan ada 450.000 orang dengan gangguan jiwa (ODGJ) termasuk skizofrenia. Meskipun penyebab skizofrenia belum diketahui secara pasti, terdapat beberapa faktor yang diduga mempengaruhi terjadinya skizofrenia, salah satunya adalah trauma emosional akibat gangguan kelekatan. Teori kelekatan menawarkan konseptualisasi tentang pembentukan ikatan emosional, fungsi sosial, dan regulasi emosi yang dapat membantu menjelaskan terjadinya gangguan mental termasuk skizofrenia. Dilakukan tinjauan pustaka melalui sumber data yaitu PubMed, Google Scholar, Medline, dan PsycINFO untuk mencari data mengenai teori kelekatan, gangguan kelekatan dan skizofrenia. Gangguan kelekatan dialami pada tahap awal perkembangan dalam bentuk trauma. Trauma yang dialami pada tahap awal perkembangan, misalnya peristiwa negatif, pengabaian atau pengasuhan yang tidak memadai merupakan faktor yang dapat mempengaruhi perkembangan otak, sehingga terjadi perubahan fungsi neuroendokrin sehingga terjadi gangguan regulasi emosi dan fungsi kognitif. Terdapat penurunan kemampuan untuk mengidentifikasi dan memahami kondisi mental diri sendiri dan orang lain, seperti keyakinan, emosi, dan niat, yang disebut sebagai “mentalisasi” dan “teori pikiran”. Bukti yang muncul mengenai peran keterikatan terhadap perkembangan psikosis mempunyai implikasi terhadap pencegahan dan pengobatan psikosis. Trauma yang dialami pada tahap awal perkembangan, misalnya peristiwa negatif, pengabaian atau pengasuhan yang tidak memadai dianggap sebagai faktor yang dapat mempengaruhi perkembangan otak serta fungsi neuroendokrin. Diskusi mengenai hubungan gangguan kelekatan dan skizofrenia masih memerlukan banyak telaah dan penelitian di masa depan. 
Spirituality Beyond Religiosity: Understanding Perceptions of Academic Cheating in Indonesia and Malaysia Jamaluddin, Samudera Fadlilla; Lufityanto, Galang; Purba, Fredrick Dermawan; Lesmana, Cokorda Bagus Jaya; Andrianto, Sonny; Ardi, Rahkman; Siswadi, Ahmad Gimmy Prathama; Ridfah, Ahmad; Kristanto, Andreas Agung; Hutapea, Bonar; Suryani, Luh Ketut; Wisayanti, Suci; Achmad, Rendy Alfiannoor; Zwagery, Rika Vira; Fernandez, Elaine Frances; Ismail, Rozmi; Ishak, Mai Sumiyati; Zhi, Alfred Chan Huan; Hashim, Intan Hashimah Mohd; Khan, Aqeel; Yusoff, Ahmad Mustaqim; Jaladin, Rafidah Aga Mohd; Chobthamkit, Phatthanakit
Jurnal Psikologi Vol 51, No 3 (2024)
Publisher : Faculty of Psychology, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpsi.99452

Abstract

Cumulating evidence suggests that high levels of spirituality can foster integrity. However, integrity violations remain prevalent, even among populations with strong religious beliefs. This study collected data from 2,800 students across 17 academic institutions in Indonesia and Malaysia to examine the relationship between their levels of spirituality and their perceptions of academic cheating. Although both countries have predominantly Muslim populations, they differ in how religious practices are implemented. The results revealed a significant correlation between spirituality and perceptions of cheating in both countries. However, one aspect of spirituality in Indonesia diverged from the broader concept, underscoring the complex and nuanced relationship between spirituality and religion. While these concepts often overlap, they also exhibit distinct differences. Such differences in spirituality and religiosity may help explain the paradox of integrity issues, including the prevalence of cheating within religious communities.
PSIKIATRI SPIRITUAL DAN RELIGI DALAM KONTEKS BEBAINAN: STUDI KASUS DI BALI TENTANG KERASUKAN DAN PENYEMBUHAN LESMANA, COKORDA BAGUS JAYA; SANTOSA, I KETUT ARYA; MAHARDIKA, I KOMANG ANA; TRISNOWATI, RINI
HEALTHY : Jurnal Inovasi Riset Ilmu Kesehatan Vol. 3 No. 3 (2024)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/healthy.v3i2.3436

Abstract

Bebainan, a spiritual phenomenon unique to Bali, reflects the deep interconnection between mental health, religious beliefs, and supernatural perceptions in Balinese culture. Considered a form of spirit possession, bebainan is attributed to a bebai, a malevolent spirit invoked to harm an individual. This condition, marked by physical discomfort, altered consciousness, and uncharacteristic behaviors, is understood not as a medical disorder but as a spiritual affliction requiring intervention by traditional healers, or balian. This review explores bebainan within the context of spiritual and religious psychiatry, examining its symptoms, interpretation, and treatment through ritualistic healing methods. By comparing traditional Balinese approaches to Western psychiatric interpretations—where bebainan shares similarities with dissociative and possession-form disorders—this article underscores the importance of culturally sensitive psychiatric care. It argues that psychiatric frameworks should respect and incorporate religious practices, particularly for conditions perceived as spiritually influenced. Through analyzing case studies and healer perspectives, this review highlights bebainan as both a spiritual and mental health condition, suggesting that integrating psychiatric and spiritual care may offer more effective support for individuals with culture-bound syndromes. Such an approach encourages collaboration between mental health professionals and spiritual practitioners, offering a holistic model of care that honors cultural and spiritual beliefs while providing appropriate psychiatric support. This integration supports a more inclusive view of mental health that accommodates diverse belief systems, ultimately contributing to more empathetic and effective care. ABSTRAKBebainan, sebuah fenomena spiritual unik di Bali, mencerminkan keterkaitan yang mendalam antara kesehatan mental, keyakinan agama, dan persepsi supernatural dalam budaya Bali. Dianggap sebagai bentuk kerasukan roh, bebainan dikaitkan dengan bebai, roh jahat yang digunakan untuk menyakiti seseorang. Kondisi ini, yang ditandai dengan ketidaknyamanan fisik, perubahan kesadaran, dan perilaku yang tidak seperti biasanya, dipahami bukan sebagai kelainan medis tetapi sebagai penderitaan spiritual yang memerlukan intervensi oleh tabib tradisional, atau balian. Ulasan ini mengeksplorasi bebainan dalam konteks psikiatri spiritual dan religius, mengkaji gejala, interpretasi, dan pengobatannya melalui metode penyembuhan ritual. Dengan membandingkan pendekatan tradisional Bali dengan penafsiran psikiatrik Barat—di mana bebainan memiliki kesamaan dengan gangguan disosiatif dan kerasukan—artikel ini menggarisbawahi pentingnya perawatan psikiatri yang sensitif secara budaya. Argumennya adalah bahwa kerangka kerja psikiatris harus menghormati dan menggabungkan praktik keagamaan, khususnya untuk kondisi yang dianggap dipengaruhi secara spiritual. Melalui analisis studi kasus dan perspektif penyembuh, tinjauan ini menyoroti bebainan sebagai kondisi kesehatan spiritual dan mental, menunjukkan bahwa mengintegrasikan perawatan psikiatris dan spiritual dapat memberikan dukungan yang lebih efektif bagi individu dengan sindrom terikat budaya. Pendekatan seperti ini mendorong kolaborasi antara profesional kesehatan mental dan praktisi spiritual, menawarkan model perawatan holistik yang menghormati keyakinan budaya dan spiritual sekaligus memberikan dukungan psikiatris yang sesuai. Integrasi ini mendukung pandangan yang lebih inklusif mengenai kesehatan mental yang mengakomodasi beragam sistem kepercayaan, yang pada akhirnya berkontribusi terhadap perawatan yang lebih berempati dan efektif.