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p-Index From 2021 - 2026
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All Journal Journal of Health Community Service Journal of Health Literacy and Qualitative Research
Amalia Tauziah
Universitas Nahdlatul Ulama Surabaya
Education Health Professions Medicine & Pharmacology Nursing Public Health

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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.
A Socialization of the Benefits of Brotowali for Health at the Bringkan Lestari Nursing Home in Gresik RATNA SOFARIA MUNIR; Handayani Handayani; Renny Novi Puspitasari; Nihazzatuzai Nihazzatuzai; Amalia Tauziah; Retno Diah Putri Ekayanti
Journal of Health Community Service Vol. 5 No. 2 (2025): Journal of Health Community Service: 2025 May Editor's Choice
Publisher : UNUSA Press

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Abstract

Lestari Nursing Home is an active nursing home located in Bringkan village, Menganti sub-district, Gresik district. There are 40 elderly people who are permanent residents. Nursing homes often receive assistance in the form of food or basic necessities. Based on survey results, many elderly people do not know the benefits of the brotowali herbal plant. In fact, brotowali infusion and decoction have been used to treat high blood sugar. Due to the lack of knowledge among the elderly about the benefits of the brotowali herbal plant, the drafting team will hold outreach activities at the Lestari Nursing Home. The aim of this community service activity is to increase the knowledge of the elderly about the benefits of brotowali for health, and increase the awareness of the elderly to use brotowali herbal drinks for natural (herbal) health.  The method used is counseling. The topic given was about the benefits of brotowali for health with a target of 20 elderly people. The results of the counseling showed an increase in knowledge of 84%. The elderly seemed enthusiastic in this outreach activity as seen from their activeness when the question and answer discussion session was opened by the resource person.
Co-Authors Asikah Hafid Algristian Handayani Handayani Nihazzatuzai Nihazzatuzai Puspitasari, Renny Novi RATNA SOFARIA MUNIR Retno Diah Putri Ekayanti