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All Journal Medicor : Journal of Health Informatics and Health Policy
Kasiani, Tutik Nur
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Health Professions Public Health

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The Relationship Between Low Socioeconomic and Depressive Symptoms: A Case Report Ridlo, Fairuz; Rasyid, Rezza Dwi Ar; Karida, Rika Nur; Prisnidiawati, Ajeng; Basuki, Shinta Maulydiyah; Kasiani, Tutik Nur; Algristian, Hafid
Medicor : Journal of Health Informatics and Health Policy Vol. 3 No. 2 (2025): April 2025
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v3i2.534

Abstract

Depression is a prevalent mental health disorder that significantly impacts both individual well-being and broader societal functioning. Socioeconomic disadvantage manifested through low income, limited educational attainment, and reduced access to mental health care has consistently emerged as a key risk factor for the development and persistence of depressive symptoms. In Indonesia, the mental health burden among low income populations remains under recognized and under treated. This case report details the clinical presentation of a 35-year-old woman diagnosed with major depressive disorder, originating from a low socioeconomic background. The patient experienced chronic psychological distress linked to financial instability, family rejection, and social stigma related to her informal digital employment. Data were collected through comprehensive psychiatric evaluation, including structured interviews, mental status examination, and physical assessment, in accordance with DSM-5 diagnostic criteria. The patient's symptoms marked by insomnia, anhedonia, anxiety, suicidal ideation, and psychosomatic complaints highlight the complex interplay between environmental hardship and mental health. Her case exemplifies how economic precarity and insufficient social support contribute to both emotional and physical deterioration. This report not only contributes to a deeper understanding of depression among socioeconomically marginalized individuals in Indonesia but also emphasizes the importance of culturally contextualized mental health strategies. It advocates for community based, low barrier interventions that incorporate psychosocial and economic dimensions. Ultimately, addressing mental health within low SES populations requires holistic approaches that extend beyond clinical treatment and include policy reforms focused on employment protection, social welfare, and anti-stigma efforts.
A Case Report on Moderate Depression as a Precipitating Factor for Chronic Gastritis Rasyid, Rezza Dwi Ar; Ridlo, Fairuz; Karida, Rika Nur; Prisnidiawati, Ajeng; Basuki, Shinta Maulydiyah; Kasiani, Tutik Nur; Algristian, Hafid
Medicor : Journal of Health Informatics and Health Policy Vol. 3 No. 3 (2025): July 2025
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v3i3.535

Abstract

Depression is increasingly acknowledged as a key contributor to gastrointestinal dysfunction, primarily through neuroendocrine mechanisms such as activation of the hypothalamic–pituitary–adrenal (HPA) axis. Elevated cortisol in depressive states may trigger increased gastric acid secretion, altered gut motility, and intestinal barrier disruption, which contribute to inflammation and recurrent gastritis. While chronic gastritis is often treated pharmacologically, the psychological dimension is frequently overlooked. This case report investigates the role of moderate depression as a triggering factor for chronic gastritis through HPA axis dysregulation. A 33-year-old woman diagnosed with both conditions was followed for six months. Data were obtained via DSM-5-based psychiatric assessments, medical records, and follow-up interviews. The patient was treated with sertraline (50 mg/day) and standard gastritis therapy. Notable improvements in depressive symptoms were observed, along with a marked reduction in gastritis recurrence. This outcome supports existing evidence that psychological stress can impact gastrointestinal health via neuroinflammatory responses, immune dysfunction, and microbiota alteration. The case highlights the importance of an integrated treatment model that addresses both psychological and physical aspects. Routine mental health screening in patients with persistent gastrointestinal symptoms may enhance treatment efficacy and reduce recurrence. A biopsychosomatic approach involving collaboration between psychiatry and gastroenterology is recommended for comprehensive and effective care.
Parental Influence in Early-Onset Childhood Depression: A Case-Based Perspective Prisnidiawati, Ajeng; Basuki, Shinta Maulydiyah; Karida, Rika Nur; Rasyid, Rezza Dwi Ar; Ridlo, Fairuz; Kasiani, Tutik Nur; Algristian, Hafid
Medicor : Journal of Health Informatics and Health Policy Vol. 3 No. 4 (2025): October 2025
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v3i4.538

Abstract

Childhood depression often stems from early-life stressors such as peer bullying and negative parenting. Early- onset depression can have long-term impacts on a child’s emotional and cognitive development. Nevertheless, parental awareness of their crucial role in supporting children’s mental health remains limited. This case report describes the clinical manifestation of depression in a 10-year-old boy, triggered by prolonged bullying and insufficient family support, and explores how parental psychoeducation can facilitate recovery. This research employs a descriptive qualitative case study method, in which data were collected through in-depth clinical interviews with the patient and his parents, as well as direct observation. The initial screening used the Strengths and Difficulties Questionnaire (SDQ) to identify emotional and behavioral concerns. Additionally, semi structured interviews were conducted to explore psychosocial history, school experiences, and parenting style over a four week outpatient period. The child presented with persistent sadness, social withdrawal, hallucinations, and academic pressure, particularly from his grandmother, with clear behavioral changes following continuous bullying at school. Through targeted psychoeducation, the mother adopted a more responsive and non-judgmental parenting approach, leading to gradual emotional improvement in the child, as seen by reduced social isolation and improved emotional expression. This case highlights the critical role of family support and parental psychoeducation as non-pharmacological interventions in early- onset childhood depression, emphasizing the importance of early detection of depressive symptoms and involving families in emotional support strategies to strengthen children’s mental resilience.
Co-Authors Algristian, Hafid Basuki, Shinta Maulydiyah Karida, Rika Nur Prisnidiawati, Ajeng Rasyid, Rezza Dwi Ar Ridlo, Fairuz