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The Role of Childhood Trauma in a Schizophrenic Patient Jessica, Lia; Sitawati, Andini Dyah; Nyoman Sumiat
Jurnal Psikiatri Surabaya Vol. 12 No. 2 (2023): November
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jps.v12i2.27764

Abstract

Introductions: Schizophrenia is a severe mental disorder. Many factors could increase someone's risk of schizophrenia, including childhood trauma. There are many kinds of childhood trauma, including abuse and neglect. This report aims to emphasize the unwanted effects of childhood trauma in a schizophrenic patient and, therefore, the importance of its screening. Case: A hospitalized male hebephrenic patient was admitted and observed in Dr. Soetomo General Hospital for almost a month. The patient came to the hospital with a chief complaint of rage and grandiose delusion. He could neither eat nor sleep for about 2 weeks. He also had a history of neglect by his parents during childhood. Discussions: The patient, in this case suffered an acute psychosis that progressed into hebephrenic schizophrenia. He had a history of childhood trauma that made him vulnerable when faced with meaningful stress in his early adulthood. He had the grandiose delusion that was quite resistant with second generation of anti-psychotics and responded better with first generation of anti-psychotics. He was discharged on the 29th day of hospitalization and continued to take his antipsychotic medication orally at home. Conclusions: Childhood trauma has a huge contribution in risk for schizophrenia. Someone with history of childhood trauma tends to have vulnerability to a stress in adulthood that could make him fall into a psychosis and even schizophrenia. Therefore a screening for history of a childhood trauma is important.
Risk factors for postpartum psychiatric disorders: A systematic review Sitawati, Andini Dyah; Fahma, Hilmia; La Tabari, Muhammad Fadhlan; Ratnaningsih, Tri; Antariksa, Putri Mayang Sari; Agustiawan, Agustiawan
Science Midwifery Vol 13 No 5 (2025): Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i5.2123

Abstract

Introduction: Postpartum psychiatric disorders, particularly postpartum depression, are one of the most common psychological complications affecting maternal and neonatal well-being. These conditions are often underdiagnosed and undertreated, particularly in developing countries. Identifying risk factors is crucial for prevention and early detection. Objective: This systematic review aims to identify and analyze risk factors contributing to postpartum psychiatric disorders based on scientific evidence from 2015 to 2025. Methods: A literature search was conducted through PubMed, Scopus, ScienceDirect, and Web of Science databases using the keywords “postpartum depression,” “psychiatric disorder,” and “risk factors.” Included articles were observational human studies, written in English or Indonesian, reporting risk factors and postpartum psychiatric outcomes. Of the 1,026 articles screened, nine studies met the inclusion criteria. Results: The most consistent risk factors found included a history of previous psychiatric disorders, low social support, perinatal stress, low economic status, obstetric complications, and postpartum immunological dysregulation. Eight of the nine studies showed a significant association (p < 0.05). Conclusion: Postpartum psychiatric disorders are multifactorial, influenced by biological, psychological, and social factors. Preventive efforts should focus on antenatal screening, strengthening social support, and monitoring the mother's mental state after delivery.
The Level of Emotional Fatigue of Caregivers of Dementia Patients at Dr. Soetomo Hospital Surabaya as One of the Dimensions of Caregivers Burnout Andini Dyah Sitawati; Najwa Awwaliyah
Interdisciplinary Social Studies Vol. 4 No. 3 (2025): Interdisciplinary Social Studies
Publisher : International Journal Labs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55324/iss.v4i3.871

Abstract

Dementia is a chronic, progressive and irreversible neurobehavioral syndrome disorder, but it is not included in the normal aging process. Dementia affects the patient's independence, so it requires the help of caregivers in daily activities. The burden of care that lasts for a long period of time is prone to causing emotional exhaustion, one of the dimensions of caregiver burnout. This study is a descriptive observational study that uses the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) questionnaire to determine the level of emotional fatigue of caregivers of dementia patients at the Geriatric Polytechnic of Dr. Soetomo Hospital Surabaya during October 2024. This study uses consecutive sampling techniques. Of the 24 study subjects, 13 caregivers (54.2%) experienced low levels of emotional fatigue, 8 people (33.3%) experienced moderate levels of emotional fatigue and 3 people (12.5%) with high levels of emotional fatigue. Based on the results of this study, the emotional fatigue of caregivers of dementia patients at the Geriatric Polyclinic of Dr. Soetomo Surabaya Hospital during October 2024 is at a low level, which predicts a low level of caregiver burnout.
Risk factors for postpartum psychiatric disorders: A systematic review Andini Dyah Sitawati; Hilmia Fahma; Muhammad Fadhlan La Tabari; Tri Ratnaningsih; Putri Mayang Sari Antariksa; Agustiawan Agustiawan
Science Midwifery Vol 13 No 5 (2025): December: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i5.2123

Abstract

Introduction: Postpartum psychiatric disorders, particularly postpartum depression, are one of the most common psychological complications affecting maternal and neonatal well-being. These conditions are often underdiagnosed and undertreated, particularly in developing countries. Identifying risk factors is crucial for prevention and early detection. Objective: This systematic review aims to identify and analyze risk factors contributing to postpartum psychiatric disorders based on scientific evidence from 2015 to 2025. Methods: A literature search was conducted through PubMed, Scopus, ScienceDirect, and Web of Science databases using the keywords “postpartum depression,” “psychiatric disorder,” and “risk factors.” Included articles were observational human studies, written in English or Indonesian, reporting risk factors and postpartum psychiatric outcomes. Of the 1,026 articles screened, nine studies met the inclusion criteria. Results: The most consistent risk factors found included a history of previous psychiatric disorders, low social support, perinatal stress, low economic status, obstetric complications, and postpartum immunological dysregulation. Eight of the nine studies showed a significant association (p < 0.05). Conclusion: Postpartum psychiatric disorders are multifactorial, influenced by biological, psychological, and social factors. Preventive efforts should focus on antenatal screening, strengthening social support, and monitoring the mother's mental state after delivery.
CAPACITY BUILDING OF POSYANDU CADRES IN EARLY DETECTION OF SPEECH DELAY IN CHILDREN IN SIDOARJO Henni Endah; Zawawi Zawawi; Andini Dyah Sitawati; Nanang Haryono; Endang Sholihatin
Jurnal Layanan Masyarakat (Journal of Public Services) Vol. 9 No. 4 (2025): JURNAL LAYANAN MASYARAKAT
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/.v9i4.2025.636-650

Abstract

This community service program aimed to enhance the capacity of Posyandu cadres in the early detection and intervention of speech delay among young children in Wage Village, Taman Subdistrict, Sidoarjo, through the utilization of the interactive digital application Speech Blubs. The implementation method was designed to be participatory and practical, combining classical training sessions, interactive discussions, application usage simulations, and hands-on mentoring at the Posyandu level. The program was conducted in five structured phases: planning, implementation, mentoring, evaluation, and follow-up. A total of 15 Posyandu cadres participated in the entire series of activities. Evaluation was carried out using pre-test and post-test instruments to assess changes in participants’ knowledge and skills. The results indicated an average score improvement of 68%, reflecting the effectiveness of the training approach. In addition to technical competency, the cadres demonstrated increased confidence in operating the application, conducting developmental observations, and engaging parents in the intervention process. This program affirms that integrating technology-based training with family-centered approaches can significantly strengthen community-level early detection services for speech delay. The model presents potential for replication in other regions with similar needs.
Effect of Type 2 Diabetes Mellitus on Sleep Disorders: An Observational Study at an Indonesian Tertiary Hospital adilla fida sauqina; Andini Dyah Sitawati; Izzatul Fitriyah; Atika; Hermina Novida
Current Internal Medicine Research and Practice Surabaya Journal Vol. 7 No. 2 (2026): CURRENT INTERNAL MEDICINE RESEARCH AND PRACTICE SURABAYA JOURNAL
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Introduction: In 2021, Indonesia was the fifth-largest nation globally regarding the incidence of type 2 diabetes mellitus (T2DM). The quantity of persons diagnosed with T2DM in Indonesia grows each year. Sleep difficulties, sometimes overlooked by individuals with T2DM, are instigated by the symptoms associated with the disorder. This research aims to evaluate the sleep quality of T2DM patients undergoing outpatient treatment at Dr. Soetomo General Academic Hospital during January and February 2024.  Methods: Evaluating the characterization of sleep quality in individuals with type 2 diabetes mellitus at the outpatient facility of Dr. Soetomo General Academic Hospital between January-February 2024. The research methodology employed in this investigation is descriptive observational, utilizing a cross-sectional design with the PSQI (Pittsburgh Sleep Quality Index) and MMSE (Mini-Mental State Examination) as instruments for assessing sleep quality in individuals with diabetes mellitus. This research used primary data gathered from guided interviews and secondary data derived from medical records, with inclusion criteria of individuals aged 20-60 years, without cognitive impairment (MMSE score ≥ 24), and exclusion criteria of no prior sleep disorders. Data analysis was conducted in a univariate or descriptive manner. Results: The results from the Pittsburgh Sleep Quality Index (PSQI) survey indicated that a significant portion of participants (63%) suffered from inadequate sleep quality, yielding an average score of 6.31. The elements of sleep quality comprised moderately favourable subjective sleep quality (49%), inadequate sleep latency (81%), and insufficient sleep duration (81%). The majority of participants had high sleep efficiency (94%) yet often encountered sleep disruptions, including nocturnal awakenings (93%) or early morning toilet visits (90%). Moreover, a vast majority abstained from using sleep medications (99%), but 45% indicated encountering daytime impairment 1-2 times weekly. Conclusion: The findings from the PSQI (Pittsburgh Sleep Quality Index) questionnaire indicate that the majority of participants experienced inadequate sleep quality. Consequently, thorough management of patients with type 2 diabetes mellitus is essential in primary care, including the surveillance of problems and the instruction of patients on healthy sleep practices to enhance overall treatment results.