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All Journal Smart Medical Journal Journal of Psychiatry Psychology and Behavioral Research (JPPBR) Plexus Medical Journal
Maharatih, Gusti Ayu
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Humanities Education Health Professions Medicine & Pharmacology Nursing Public Health

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PATH ANALYSIS OF FACTORS AFFECTING STRESS, ANXIETY AND DEPRESSION IN MEDICAL RESIDENTS DURING THE COVID-19 PANDEMIC Karima, Aziza Matinu; Maharatih, Gusti Ayu; Nugroho, I Gusti Bagus Indro
Journal of Psychiatry Psychology and Behavioral Research Vol. 7 No. 1 (2026): Multidimensional Perspectives on Mental Health Across the Lifespan and Social C
Publisher : Departemen Psikiatri Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jppbr.2026.007.01.2

Abstract

Introduction: The COVID-19 pandemic has significantly affected the mental health of medical personnel, particularly residents who face high clinical workloads, exposure risks, and academic pressures. The aim of this research to analyze direct and indirect determinants of stress, anxiety, and depression among medical residents using path analysis. Methods: A cross-sectional study involving 437 residents at Dr. Moewardi Hospital was conducted in October–November 2020. Stress, anxiety, and depression were assessed using the DASS-21, while coping mechanisms were measured using the Brief COPE. Data analysis was conducted using path analysis. Results: Stress (β = 0.5; p < 0.001) and anxiety (β = 0.18; p < 0.001) directly increased depression, while adaptive coping showed a negative association (β = –1.2; p < 0.001). Age, sex, comorbidities, and COVID-19 exposure had indirect effects mediated by stress and anxiety. Discuss: The findings of this study underscore the importance of interventions that reinforce adaptive coping, including stress management training, mindfulness, peer support, and religious approaches. Conclusion: Stress and anxiety significantly predicted depression, while adaptive coping had a protective effect.  Keywords: stress, anxiety, depression, coping, medical residents, COVID-19.
Stress, Anxiety and Depression in Survivors of COVID-19 Istifarani, Zikrina; Maharatih, Gusti Ayu
Smart Medical Journal Vol 5, No 3 (2022): Smart Medical Journal
Publisher : Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13057/smj.v5i3.68567

Abstract

Introduction : Stress, anxiety and depression are the most common psychiatric disorders associated with patients infected wilth COVlD-19. The aim of this study was identify descriptions of differences in stress, anxiety and depression in survivors of COVlD-19 compared to non-survivors of COVID-19 and analyze the risk factors that most influence these events.Method: This research is a descriptive analytic study with a cross sectional design. The population are survivors and non-survivors of COVlD-19 who followed the ketofastosis diet and joined the isoman group on the telegram application. The research subjects were COVlD-19 survivors and non-COVlD-19 survivors with a total of 379 subjects. Data collection from online questionnaire containing personal data and DASS 21, and then will be analyzed using Chi Square and logistic regression.Results: The subjects of COVlD-19 survivors experienced anxiety 6,8%, depression 5,5%,and stress 1,6%. The subject of non survivor of COVlD-19 experienced anxiety 4,5%,depression 2,9%, and stress 1,3%. In the Chi Square analysis between stress, anxiety and depression compared to survivors of COVlD-19 and non-survivors of COVlD-19 were p =0.947, p = 0.335, p = 0.153. While the logistic regression analysis test results for risk factors from stress in COVlD-19 survivor were gender (OR=1.520) and having a chronic disease (OR=1.334), for anxiety were gender (OR= 1.743) and having a chronic disease (OR=1.641), then for depression with risk factors also for having chronic disease (OR=1.454) and gender (OR= 0.940).Conclusion: There were no significant differences in stress, anxiety and depression in survivors of COVlD-19 compared to non-survivors of COVlD-19. The most influential risk factor for stress and anxiety in COVlD-19 survivors is gender while for depression is having a chronic disease. 
Hubungan Dukungan Sosial dengan Tingkat Depresi Pasien Systemic Lupus Erythematosus (SLE) Naziha, Aliya; Maharatih, Gusti Ayu; Bulan Kakanita Hermasari
Plexus Medical Journal Vol. 1 No. 6 (2022): Desember
Publisher : Fakultas Kedokteran, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/plexus.v1i6.498

Abstract

Pendahuluan: Systemic Lupus Erythematosus (SLE) adalah penyakit autoimun yang disebabkan oleh pengendapan kompleks imun dengan keterlibatan berbagai organ. Salah satu manifestasi yang paling umum SLE adalah Neuropsychiatric Systemic Lupus Erythematosus (NPSLE). Manifestasi klinis NPSLE yang paling banyak ditemukan adalah gangguan mood yaitu depresi. Kondisi pasien SLE yang mengalami berbagai perubahan secara fisik dapat mempengaruhi keadaan psikologisnya sehingga dibutuhkan dukungan sosial yang positif karena dapat menjadi penyangga efek negatif dari rasa sakit dan depresi. Penelitian ini bertujuan untuk mengetahui hubungan dukungan sosial dengan tingkat depresi pada penderita Systemic Lupus Erythematosus (SLE) di Yayasan Tittari Surakarta. Metode: Penelitian ini bersifat observasional analitik dengan pendekatan cross-sectional. Subjek penelitian adalah penderita Systemic Lupus Erythematosus (SLE) di Yayasan Tittari Surakarta. Pengambilan sampel dilakukan dengan teknik purposive sampling dengan pengisian kuesioner sosiodemografi, The Social Provisions Scale (SPS), dan Hospital Anxiety and Depression Scale – Depression (HADS-D). Analisis data dilakukan dengan uji normalitas Kolmogorov–Smirnov, serta uji bivariat menggunakan Spearman Rank. Hasil: Penelitian ini diikuti oleh 60 responden. Responden didominasi oleh perempuan (96,7%), dengan rentang usia terbanyak adalah 18 – 35 tahun (48,3%), sudah menikah (78,3%), serta memiliki tingkat pendidikan perguruan tinggi (71,7%). Mayoritas responden telah menderita SLE ≥2 tahun (95%) serta mengonsumsi obat steroid dan immunosupressan (41,7%). 35 responden memiliki dukungan sosial rendah (58,3%) sedangkan 25 responden memiliki dukungan sosial tinggi (41,7%). Berdasarkan tingkat depresi, 49 responden (81,7%) dalam keadaan normal (81,7%), 9 responden memiliki depresi ringan (15%), 2 responden mempunyai depresi sedang (3,3%), dan tidak ada responden yang memiliki depresi berat. Hubungan dukungan sosial dengan tingkat depresi pada pasien SLE di Yayasan Tittari Surakarta menunjukkan nilai p = 0,004 (p<0,05) dan nilai koefisien korelasi r= 0,370. Kesimpulan: Terdapat korelasi lemah antara dukungan sosial dengan tingkat depresi pada pasien Systemic Lupus Erythematosus (SLE) di Yayasan Tittari Surakarta dengan arah korelasi negatif.
Co-Authors Bulan Kakanita Hermasari Istifarani, Zikrina Karima, Aziza Matinu Naziha, Aliya Nugroho, I Gusti Bagus Indro