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Kesehatan Reproduksi Santri, Perempuan Sehat Remaja Kuat di Pondok Pesantren Wahid Hasyim Bangil Junaedy, M Dwinanda; Nasir, M; Umaha, Farida; Laili, Uliyatul; Prayekti, Endah; Sadza, Lailatus; Tauziah, Amalia; Prisnidiawati, Ajeng; Baihaqi, Muhammad Azhari; Rizki Jalil, Ike Wasilatur; Setyana Yuli, Azizah Ari
Amalee: Indonesian Journal of Community Research and Engagement Vol 4 No 1 (2023): Amalee: Indonesian Journal of Community Research and Engagement
Publisher : LP2M INSURI Ponorogo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37680/amalee.v4i1.2121

Abstract

Adolescence is a unique and vital developmental phase to build the foundation of health. During this period, maturation is about the reproductive system, so adolescents must understand reproductive health. According to WHO, to grow and develop with good health, adolescents need some information, including sex education, the opportunity to improve life skills, equality in health services, effective and supportive environment. This community service aims to provide health education to students at PP Wahid Hasyim Bangil. This community service was implemented at PP Wahid Hasyim Bangil on May 21 and 22 May 2022. The target of this community service is students at PP Wahid Hasyim, totaling 12 students. The method used is presentation and discussion in an online conference and a questionnaire to measure students' knowledge about reproductive health in pre and post-webinar. The results of data analysis using Wilcoxon showed that the p-value was 0.04, indicating a difference before and after the webinar on reproductive health. Community service effectively increases students' knowledge about reproductive health, so this event can do routine and make the adolescents community in Islamic boarding schools.
Prolonged Grief Disorder and Early Onset Depression in Children Basuki, ⁠Shinta Maulydiyah; Prisnidiawati, Ajeng; Karida, Rika Nur; Rasyid, Rezza Dwi Ar; Ridlo, Fairuz; Ilahi, Marintik; Algristian, Hafid
Medicor : Journal of Health Informatics and Health Policy Vol. 3 No. 3 (2025): July 2025
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v3i3.536

Abstract

Children who experience the death of a significant attachment figure, such as a parent or grandparent, are particularly vulnerable to Prolonged Grief Disorder (PGD) and early-onset depression. Unlike adults, children may manifest grief through somatic symptoms, irritability, or behavioral disturbances rather than overt sadness. The grief process in childhood, if not properly addressed, can disrupt emotional regulation, cognitive development, and psychosocial functioning. This case report discusses a 10-year-old boy who developed depressive symptoms following the loss of his grandfather, with whom he had a strong emotional bond. His symptoms included persistent sadness, social withdrawal, emotional dysregulation, and somatic complaints. These were compounded by environmental stressors such as parental divorce, an emotionally invalidating caregiving environment, and exposure to an aggressive alcoholic family member. Assessment involved clinical interviews, psychiatric evaluations, and a comprehensive review of literature addressing grief and child mental health. The patient met the diagnostic criteria for PGD and showed comorbid early-onset depression, highlighting the interconnected nature of grief and affective disorders in children. Neurobiological factors, particularly dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis, were considered in the etiology. The case underscores the importance of early recognition, family-centered psychosocial interventions, and integrative therapeutic approaches including cognitive-behavioral therapy (CBT), expressive arts, and complementary methods such as aromatherapy. This report emphasizes the urgent need for culturally sensitive, trauma-informed strategies to help bereaved children navigate loss and prevent chronic psychiatric outcomes. Early intervention plays a critical role in promoting resilience and long-term mental well-being in grieving children.
The Relationship Between Low Socioeconomic and Depressive Symptoms: A Case Report Ridlo, Fairuz; Rasyid, Rezza Dwi Ar; Karida, Rika Nur; Prisnidiawati, Ajeng; Basuki, Shinta Maulydiyah; Kasiani, Tutik Nur; Algristian, Hafid
Medicor : Journal of Health Informatics and Health Policy Vol. 3 No. 2 (2025): April 2025
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v3i2.534

Abstract

Depression is a prevalent mental health disorder that significantly impacts both individual well-being and broader societal functioning. Socioeconomic disadvantage manifested through low income, limited educational attainment, and reduced access to mental health care has consistently emerged as a key risk factor for the development and persistence of depressive symptoms. In Indonesia, the mental health burden among low income populations remains under recognized and under treated. This case report details the clinical presentation of a 35-year-old woman diagnosed with major depressive disorder, originating from a low socioeconomic background. The patient experienced chronic psychological distress linked to financial instability, family rejection, and social stigma related to her informal digital employment. Data were collected through comprehensive psychiatric evaluation, including structured interviews, mental status examination, and physical assessment, in accordance with DSM-5 diagnostic criteria. The patient's symptoms marked by insomnia, anhedonia, anxiety, suicidal ideation, and psychosomatic complaints highlight the complex interplay between environmental hardship and mental health. Her case exemplifies how economic precarity and insufficient social support contribute to both emotional and physical deterioration. This report not only contributes to a deeper understanding of depression among socioeconomically marginalized individuals in Indonesia but also emphasizes the importance of culturally contextualized mental health strategies. It advocates for community based, low barrier interventions that incorporate psychosocial and economic dimensions. Ultimately, addressing mental health within low SES populations requires holistic approaches that extend beyond clinical treatment and include policy reforms focused on employment protection, social welfare, and anti-stigma efforts.
A Case Report on Moderate Depression as a Precipitating Factor for Chronic Gastritis Rasyid, Rezza Dwi Ar; Ridlo, Fairuz; Karida, Rika Nur; Prisnidiawati, Ajeng; Basuki, Shinta Maulydiyah; Kasiani, Tutik Nur; Algristian, Hafid
Medicor : Journal of Health Informatics and Health Policy Vol. 3 No. 3 (2025): July 2025
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v3i3.535

Abstract

Depression is increasingly acknowledged as a key contributor to gastrointestinal dysfunction, primarily through neuroendocrine mechanisms such as activation of the hypothalamic–pituitary–adrenal (HPA) axis. Elevated cortisol in depressive states may trigger increased gastric acid secretion, altered gut motility, and intestinal barrier disruption, which contribute to inflammation and recurrent gastritis. While chronic gastritis is often treated pharmacologically, the psychological dimension is frequently overlooked. This case report investigates the role of moderate depression as a triggering factor for chronic gastritis through HPA axis dysregulation. A 33-year-old woman diagnosed with both conditions was followed for six months. Data were obtained via DSM-5-based psychiatric assessments, medical records, and follow-up interviews. The patient was treated with sertraline (50 mg/day) and standard gastritis therapy. Notable improvements in depressive symptoms were observed, along with a marked reduction in gastritis recurrence. This outcome supports existing evidence that psychological stress can impact gastrointestinal health via neuroinflammatory responses, immune dysfunction, and microbiota alteration. The case highlights the importance of an integrated treatment model that addresses both psychological and physical aspects. Routine mental health screening in patients with persistent gastrointestinal symptoms may enhance treatment efficacy and reduce recurrence. A biopsychosomatic approach involving collaboration between psychiatry and gastroenterology is recommended for comprehensive and effective care.
Alexithymia and The Complexity of Divorce Karida, Rika Nur; Ar Rasyid, Reza Dwi; Ridlo, Fairuz; Prisnidiawati, Ajeng; Basuki, Shinta Maulydiyah; Nindhita, Pinastikasari; Algristian, Hafid
Psychosocia : Journal of Applied Psychology and Social Psychology Vol. 3 No. 3 (2025): July 2025
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/psychosocia.v3i3.842

Abstract

Divorce is a major psychosocial stressor, particularly for women, and is strongly associated with depression, anxiety, and insomnia. Alexithymia—a personality construct characterized by difficulties in identifying and expressing emotions—may complicate emotional adjustment following divorce. This case report presents a 35-year-old Javanese woman who developed depression, anxiety, and insomnia after divorce, accompanied by alexithymia traits. Data were obtained through psychiatric evaluation, semi-structured interviews, and corroborative information from her psychosocial environment. The patient showed persistent mood swings, sleep disturbance, limited emotional expression, and an externally oriented cognitive style. Her difficulties in emotional processing, combined with sociocultural pressures as a divorced woman, contributed to her psychological burden. This report highlights the need for early screening of alexithymia in divorced women and emphasizes targeted interventions such as emotional awareness training, expressive therapies, and culturally sensitive psychosocial support. Recognition of alexithymia may prevent chronic depression and improve resilience in post-divorce care.