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All Journal Jurnal Psikiatri Surabaya (Surabaya Psychiatry Journal)
Julia Dian Christiani Adi Santoso
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Health Professions Medicine & Pharmacology

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Journal : Jurnal Psikiatri Surabaya (Surabaya Psychiatry Journal)

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Training for Mental Health Volunteers of People Living with Schizophrenia in the COVID-19 Pandemic in Bangkalan City Julia Dian Christiani Adi Santoso; Joewen Sarliency Manafe; Dayu Triana Rahmawati; Sheila Maryam Gautama; Azimatul Karimah
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.v12i2.42008

Abstract

Introductions: The global coronavirus-19 (COVID-19) pandemic disproportionately burdens people with schizophrenia and related disorders. Access to mental health providers in rural areas was still far from expected. People with schizophrenia in low and middle-income countries, including Bangkalan City, often lack access to evidence-based treatments. We hypothesized that psychoeducation might improve Mental Health Volunteers' (MHV) knowledge and skills to help people with schizophrenia in rural areas. Furthermore, we want to identify the obstacles and practical solutions essential to improving the community's mental health in Bangkalan City. Methods: The total participants were 134 MHV from the Department of Health, Bangkalan City. The data was collected in pretest and posttest on each workshop session and Focus Group Discussion (FGD). Results: There were significant improvements in the knowledge and skills about Schizophrenia of MHVs and programmers from the Department of Health, Bangkalan City (p<0.01). The three most common problems raised in FGD were communication with people with schizophrenia and their families due to health protocols, appeals from community leaders contrary to health policies, and family conflicts. Conclusions: Training for MHV in the Department of Health, Bangkalan City, has improved their understanding of schizophrenia and its interventions, their communication skills with people with schizophrenia and their families, and their skills to handle psychiatric emergencies related to schizophrenia. The three most common problems and the solutions were agreed upon during FGD.
From Loss to Loneliness: The Effects of Prolonged Grief in Elderly Julia Dian Christiani Adi Santoso; Hendy Muagiri
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.v13iS1.62650

Abstract

Introduction: COVID-19 high death tolls have brought about many bereavements all over the world. In this brief report, we aim to describe the effects of traumatic end-of-life experiences causing prolonged grief and loneliness as mediators for psychiatric disorders in the elderly. Case: The patient was a 60-year-old woman with chronic sleep disturbance since her only daughter suddenly passed away after several days of being isolated in the hospital during the COVID-19 pandemic and being hastily buried with the COVID-19 protocols. The patient yearned for her daughter but at the same time also avoided all memories of her daughter. She felt anxious most of the day which escalated to panic attacks requiring visits to the emergency room. Various examinations were carried out with normal results, except for blood pressure. She was diagnosed with prolonged grief, generalized anxiety, post-traumatic stress disorder, and hypertension. Treatments included SSRI, benzodiazepine, antihypertensive medicine, and psychotherapy. Improvements were significant within 9 months of therapy. Discussion: Traumatic end-of-life events may precipitate prolonged grief and loneliness. Bereavement is the most common cause of loneliness in the elderly. Untreated prolonged grief and loneliness generate a loss of sense of self and purpose and are associated with low-grade peripheral inflammation and poor health. The combination of pharmacotherapy and psychotherapy is the most effective treatment which improves the patient’s outcome significantly. Conclusion: Traumatic end-of-life experiences are associated with prolonged grief disorder, poor physical and mental health outcomes, hence the right holistic approach is necessary to improve patient outcomes. Keywords: Prolonged Grief, Loneliness
Co-Authors Dayu Triana Rahmawati Hendy Muagiri Joewen Sarliency Manafe Karimah, Azimatul Sheila Maryam Gautama