Damba Bestari
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Case of Recurrent Episode of Schizoprenia Paranoid in Pregnant Woman Setiobudi, Karen Delicia; Soetjipto, Soetjipto; Damba Bestari; Era Catur Prasetya
Jurnal Psikiatri Surabaya Vol. 12 No. 1 (2023): May
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jps.v12i1.34707

Abstract

AbstractIntroductions: Pregnancy is a stressor to women, in terms of biological as well as psychological. For individuals who previously received medication for schizophrenia in the past, it can be a triggering factor for the relapse of the illness. Here we describe a case of a pregnant woman who experiences a relapse in pregnancy. Case: The patient was a 40-year-old pregnant woman, brought to the emergency room after attacking her father by stabbing her father's head with a knife. She was suspicious of her dad's gaze at her. She was hostile towards healthcare workers when being examined. For her pregnancy, consultation with the Obstetric and Gynaecology department had been done to ensure that she and her baby were taken care of while being treated in the psychiatry ward. Discussions: The patient was diagnosed as having paranoid schizophrenia recurrent episodes. There was no complication found in her pregnancy, and she was scheduled for Sectio Caesarean as she was not mentally fit to do vaginal delivery. The psychiatric approach to the patient was atypical antipsychotic along with supportive psychotherapy. Psychoeducation and family therapy were also done to ensure that the patient's family understand the illness and the importance of compliance with the medication. Conclusions: Pregnancy is one of the factors that lead to the relapse of schizophrenia in patients with a history of mental illness. Holistic treatment is needed to treat the patient to prevent the relapse of the illness.
Experiencing Loneliness in Motherhood Damba Bestari; Anish V. Cherian
Jurnal Psikiatri Surabaya Vol. 13 No. S1 (2024): Special Issue (More About Loneliness Towards Mental Health)
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jps.v13iS1.62658

Abstract

Introduction: Motherhood is a lifelong learning process. Becoming a mother involves huge changes and a major shift in identity. We usually don’t pair loneliness with motherhood, but researchers have found that motherhood could be filled with lonely feelings. A study by the British Red Cross found that more than 83% of mothers under 30 years old feel lonely at some time. Even before COVID, one study found that more than 90 percent of moms reported feeling lonely after having kids, over one-third said they cried regularly, and more than half suffered from anxiety. This study aims to determine the problems with loneliness in motherhood and how they influence the whole family’s long-term growth and wellness. Methods: PubMed and Google Scholar were searched using the following keyword: (loneliness) AND (motherhood) AND (mental health) AND (maternal) using the journal publication filter for the 2018-2023 issue. Review: Loneliness isn’t only a concern for mothers but also for all family members. Mothers who experience a high degree of loneliness are likely to be depressed, which in turn leads to decreased self-esteem and poor health, and consequently the poor health of their children. Stronger involvement of the mother’s family, friends, and other support systems should be promoted. Conclusions: Researchers should pay attention to the facts that building close connections with others can stop social isolation in mothers from taking a toll on their mental health Keywords: Loneliness, Motherhood, Mental Health, Maternal
Fragile Under Fire: Personality Disorders Underneath Resilience Facade of Medical Students Mahdiyah, Nazhifah; Bestari, Damba; Dubey, Aashi
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.v14i1.66452

Abstract

Introduction: Medical students with personality disorders (PDs) often have to present a resilient facade to navigate the intense pressures of their academic and clinical training. These disorders can negatively influence their emotional well-being, academic success, and professional development. This review explores the prevalence, impact, and diagnostic methodologies of PDs among medical students. Methods: A literature review was conducted to identify relevant studies from PubMed and Scopus following primary keywords “personality disorder” and “medical student,” investigating the possible effects and manifestation of personality disorders in medical students. Results: Medical students had a higher prevalence of PDs (30.2%) compared to the general population (6.1%). Obsessive-compulsive personality disorder (OCPD) is the most prevalent type (21.8%). The impact of PDs, exacerbated by the high stress of medical education, can lead to the increasing rate of depression, burnout, and anxiety, which further impact both academic success and career progression. Early intervention, including the use of standardized diagnostic tools such as the DSM-5-TR and ICD-11, can help to identify as well as enhance students’ overall well-being and performance. Conclusion: Medical students with PDs face significant challenges that impact their academic performance, emotional stability, and professional relationships. PDs require more extensive targeted mental health support and systemic changes in medical education. While there is no cure for PDs, therapy focusing on symptom management and emotional regulation can improve resilience and success. Addressing stigma and strengthening mental health services, curriculum integration, and peer support networks are essential for better outcomes.  
Faith and Mental Health: Reconstructing the Religious Narrative in Suicide Prevention Efforts in Indonesia (A Narrative Review) Algristian, Hafid; Azizah, Nur; Khairunnisa; Rusnalasari, Zulidiyana; Bestari, Damba
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 10 No 01 (2026): Qanun Medika Vol 10 No 01 January 2026
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v10i01.28936

Abstract

Suicide remains a largely hidden public health concern in Indonesia, shaped by pervasive underreporting and religion-based stigma that frequently frames psychological suffering as a manifestation of weak faith. This narrative review critically examines the dual role of religion in suicide prevention, acknowledging its capacity to function both as a protective resource and, under certain interpretive conditions, as a factor that may exacerbate risk through stigma and social exclusion. Rather than aggregating empirical evidence, this review adopts an interpretive and theory-building approach, synthesizing interdisciplinary literature from public health, psychiatry, neurobiology, and Islamic theology to develop a conceptual framework for narrative reconstruction. The analysis highlights that religious teachings can foster hope, meaning, and social belonging, while rigid or judgmental interpretations may intensify shame and hinder help-seeking. Building on this synthesis, the article proposes a normative framework that integrates scientific understandings of psychological pain and neurobiological vulnerability with compassionate theological concepts, such as divine mercy and hope, and with the reinterpretation of ikhtiar and tawakal as supportive of professional mental health care. As a practical illustration, a culturally resonant psychological first aid model—Ask, Listen, Accompany (ALA)—is presented as a community-oriented approach aligned with established global principles, without claiming empirical validation. The framework is intended as a heuristic guide rather than an evidentiary model, and its applicability will vary across Indonesia’s diverse socioreligious contexts. By repositioning religion as complementary to clinical care, this review aims to inform dialogue, guide future empirical research, and support culturally sensitive suicide prevention efforts.