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All Journal Science Midwifery Jurnal Psikiatri Surabaya (Surabaya Psychiatry Journal) Interdisciplinary Social Studies
Sitawati, Andini Dyah
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Dentistry Environmental Science Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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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.
The Level of Emotional Fatigue of Caregivers of Dementia Patients at Dr. Soetomo Hospital Surabaya as One of the Dimensions of Caregivers Burnout Sitawati, Andini Dyah; Awwaliyah, Najwa
Interdisciplinary Social Studies Vol. 4 No. 3 (2025): Regular Issue: April-June 2025
Publisher : International Journal Labs

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

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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 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.
Co-Authors Agustiawan, Agustiawan Antariksa, Putri Mayang Sari Awwaliyah, Najwa Fahma, Hilmia Jessica, Lia La Tabari, Muhammad Fadhlan Nyoman Sumiat Tri Ratnaningsih