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All Journal Berkala Kedokteran Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya Plexus Medical Journal Preventia : The Indonesian Journal of Public Health
Oktaviyantini, Tri
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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The Association between Coping Mechanisms and Depression in Patients with Chronic Kidney Disease Undergoing Hemodialysis at Dr. Moewardi Hospital Surakarta Zweiryadinda, Wim; Oktaviyantini, Tri; Kusuma, Wijaya
Berkala Kedokteran Vol 19, No 2 (2023)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v19i2.17388

Abstract

Patients with chronic kidney disease (CKD) undergoing routine hemodialysis (HD) may experience psychiatric comorbidities like depression. The coping mechanism is thought to be associated with the emergence of depression in patients with CKD. This cross-sectional study examines the association between coping mechanisms and depression in CKD patients undergoing routine HD therapy at Dr. Moewardi Hospital, Surakarta. Brief COPE and Hospital Anxiety and Depression Scale (HADS) questionnaire were used as study instruments. The result showed that 29 (78.38%) research subjects used adaptive coping, while 8 (21.62%) used maladaptive coping. There are 13 (35%) participants with mild depression. Spearman’s rank correlation showed a strong negative correlation between adaptive coping mechanisms and the severity of depression in CKD patients undergoing hemodialysis (r=-0,655; p<0,01)
AKUPUNTUR SEBAGAI TERAPI ADJUVAN PADA PASIEN DEPRESI BERAT (Case Report) Rachmadian, Okky Dita; Herdaetha, Andriesti; Oktaviyantini, Tri
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 9 No 02 (2025): Qanun Medika Vol 09 No 02 July 2025
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v9i02.23720

Abstract

Based on WHO data, almost 20%-30% of hospital patients in developing countries experience mental emotional disorders such as depression. Depression occurs from mild to severe, thus interfering with daily functioning. The most effective therapy for severe depression is electroconvulsant therapy (ECT). But in some cases it cannot be done, so there needs to be alternative therapies. Acupuncture can trigger endorphins and lower cortisol levels that can affect a person's mood. In this case, we present A 50-year-old woman with a diagnosis of recurrent depressive disorder now severe episodes with psychotic symptoms was planned to receive ECT therapy, but the patient was not eligible. Then the patient is given drugs Fluoxetine 1x20 mg and Clozapine 1x50 mg. The patient is still silent, neither eating nor answering questions. Based on several journals found, acupuncture can be given as an additional therapy given with psychopharmaceuticals. Acupuncture is beneficial in faster improvement of depressive symptoms when compared to patients who only get antidepressants. After several acupuncture sessions, patient’s symptomps was improved. So we conclude that acupuncture can be used as an additional therapeutic option given together with psychopharmaceuticals to depressed patient.
Treating Adolescent Depression: Exploring Neurofeedback Training, Dhikr, and Community Stigma in Complementary Therapies (A Case Study) Oktaviyantini, Tri
Preventia: The Indonesian Journal of Public Health Vol. 9, No. 2
Publisher : citeus

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Abstract

Adolescent depression, particularly when complicated by psychotic features, presents significant challenges in treatment due to its complex and multifaceted nature. This case study explores the integration of neurofeedback training and Dhikr, an Islamic meditative practice, as complementary therapies alongside traditional pharmacotherapy in treating a 15 years old male diagnosed with severe recurrent depression. Despite initial reluctance and skepticism influenced by community stigma surrounding mental health and spiritual practices, both therapies contributed to noticeable improvements in the patient's symptoms and overall well-being. Neurofeedback was utilized to regulate brainwave activity, while Dhikr provided a meditative and spiritual component that promoted mindfulness and inner peace. The case highlights the importance of addressing community stigma, personalized treatment plans, and holistic approaches in managing adolescent depression, ultimately leading to better engagement and therapeutic outcomes.
Hubungan Tingkat Kecemasan Sosial dengan Durasi Penggunaan Media Sosial pada Mahasiswa Kedokteran Purnomo, Christopher William; Oktaviyantini, Tri; Hastami, Yunia
Plexus Medical Journal Vol. 2 No. 2 (2023): April
Publisher : Fakultas Kedokteran, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/plexus.v2i2.467

Abstract

Pendahuluan: Kecemasan sosial merupakan gangguan mental yang banyak terjadi pada individu. Individu dengan tingkat kecemasan sosial yang lebih tinggi, cenderung lebih banyak menggunakan media sosial saat hendak berkomunikasi, dalam rangka untuk menghindari interaksi sosial secara langsung. Penelitian ini bertujuan untuk mengetahui hubungan antara tingkat kecemasan sosial dengan durasi penggunaan media sosial pada mahasiswa kedokteran. Metode: Penelitian ini bersifat observasional analitik dengan rancangan penelitian cross-sectional. Pengambilan sampel dilakukan dengan teknik purposive sampling. Subjek penelitian ini adalah mahasiswa angkatan 2019 Kedokteran Universitas Sebelas Maret Surakarta, sebanyak 75 orang. Penilaian tingkat kecemasan sosial menggunakan kuesioner LSAS versi bahasa Indonesia. Penilaian durasi penggunaan media sosial menggunakan kuesioner SONTUS versi bahasa Indonesia. Data kemudian dianalisis dengan uji nonparametrik Spearman. Hasil: Dari 75 subjek penelitian yang diteliti dalam penelitian ini, didapatkan hasil yang signifikan, p=0,000. Didapatkan Correlation Coefficient sebesar 0,545. Kesimpulan: Terdapat hubungan yang signifikan antara tingkat kecemasan sosial dengan durasi penggunaan media sosial pada mahasiswa kedokteran.
Co-Authors Hastami, Yunia Herdaetha, Andriesti Purnomo, Christopher William Rachmadian, Okky Dita Wijaya Kusuma Zweiryadinda, Wim