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All Journal Journal of Clinical and Cultural Psychiatry Jurnal Psikiatri Surabaya (Surabaya Psychiatry Journal)
Angelina Tulus
Unknown Affiliation
Health Professions Medicine & Pharmacology

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Fatigue, sleep disturbance and the desire to die as an adverse impact of the COVID-19 survivors Ellis Rochayati; Grace Noviana Chandra; Lely Setyawati Kurniawan; Angelina Tulus; Ida Ayu Kartika Widiadnyani
Journal of Clinical and Cultural Psychiatry Vol 4 No 1 (2023)
Publisher : Indoscholar Publication and the Indonesian Psychiatric Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36444/jccp.v2i2.33

Abstract

A significant depressed episode called postoperative delayed paradoxical depression interferes with the disease's medical management and treatment. Because it occurred following a successful intervention, yet the patient didn't feel relieved, it is considered paradoxical. Often regarded as a mild variant of post-traumatic stress disorder, is said to be delayed due to the manifestation of several weeks after surgery. Anomalies or dysregulation of aminobiogenic metabolites, including norepinephrine, dopamine, and serotonin, are present in patients with mood disorders. The neurotransmitters norepinephrine, dopamine, and serotonin are reduced in depressive situations. Neurotransmitter norepinephrine controls mood, appetite, reward behavior, arousal, and drive. A neurotransmitter called dopamine controls motivation, pleasure, sex, and psychomotor function. Psychopharmaceuticals, psychotherapy, and neurostimulation are some of the therapeutic methods available for depression therapy. Serotonin and norepinephrine are increased at the postsynaptic level by SNRIs by blocking their reuptake. Besides psychopharmaceuticals approach, other methods include antidepressants, re-education, and psychotherapy are required.
The Relationship Between Substance use as a Coping Mechanism and Sleep Quality Among General Practitioners and Resident Doctors Serving Covid-19 Patients In Surabaya Andreani, Robertha Lutfi; Silas Henry Ismanto; Obed T Paundralingga; Angelina Tulus; Handi Suyono; Monica Goenawan
Jurnal Psikiatri Surabaya Vol. 14 No. 1 (2025): May
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jps.v14i1.56058

Abstract

Introduction: During the 2020 period, the number of positive COVID-19 cases in Indonesia experienced a surge. It was reported in a study that 5.7% of healthcare workers needed sleep medication since COVID-19.  This research is aimed at analyzing the relationship between substance use as a coping mechanism and sleep quality among healthcare workers in the COVID-19 pandemic era. Methods: This study was conducted from March to August 2021 on general practitioners in the emergency room of hospitals who worked as clinicians in the pandemic era in Surabaya. Purposive sampling technique was used. Coping strategies related to substance use were evaluated using the Brief Cope Inventory (BCI), while sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), and insomnia severity was measured using the Insomnia Severity Index (ISI). Data analysis was done using the Spearman correlation test (p < 0.1). Results: There was a relationship between substance use as a coping mechanism and sleep quality (α = 0.1) based on the ISI questionnaire (p = 0.096, r = 0.181), but using the PSQI (p = 0.568, r = 0.062), substance use did not significantly affect sleep quality. Many factors influence sleep quality, one of which is mental health conditions related to coping mechanisms. Substance use can cause various sleep disturbances. Conclusion: There is a relationship between substance use as a coping mechanism and sleep quality, but due to the minimal sample size, it may not sufficiently represent the population.
Co-Authors Andreani, Robertha Lutfi Ellis Rochayati Grace Noviana Chandra Handi Suyono Ida Ayu Kartika Widiadnyani Lely Setyawati Kurniawan Monica Goenawan Obed T Paundralingga Silas Henry Ismanto