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Krisniati, Theresia Rini
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Humanities Education Medicine & Pharmacology Nursing Public Health

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PREVALENCE OF HYPOKALEMIA IN PSYCHIATRIC INPATIENTS AT GRHASIA MENTAL HOSPITAL YOGYAKARTA Krisniati, Theresia Rini; Zahra, Fathimah Az; Sefriyanto, Januarius Hendra Kurniawan; Amalia, Naila; Ardiningrum, Wikan
Journal of Psychiatry Psychology and Behavioral Research Vol. 6 No. 2 (2025): Mental Health Framework from a Multidisciplinary Perspective
Publisher : Departemen Psikiatri Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jppbr.2025.006.02.8

Abstract

Introduction: Hypokalemia, defined as a serum potassium level below 3.5 mEq/L, is often overlooked in psychiatric patients despite its clinical significance. Methods: This study examines the prevalence of hypokalemia in psychiatric inpatients at Grhasia Mental Hospital, Yogyakarta, from October to December 2023. A cross-sectional analysis of 365 patient records was conducted. Results: The majority (74.8%) were diagnosed with schizophrenia spectrum and other psychotic disorders. The overall prevalence of hypokalemia was 28.8%, with 4.9% of cases presenting with potassium levels below 3.0 mEq/L. Bivariate analyses using t-tests, ANOVA, and Pearson correlation showed no significant differences or correlations between serum potassium levels and demographic or clinical factors. Discuss: Almost one-third of the total psychiatric inpatients at Grhasia Mental Hospital in Yogyakarta experience hypokalemia. This prevalence rate is much higher compared to the general population, where hypokalemia occurs in only 2-5% overall. This high prevalence indicates that patients with mental disorders have a greater risk of experiencing electrolyte disturbances, which can affect their physical and mental condition. Conclusion: Given the high prevalence, routine electrolyte monitoring in psychiatric inpatients is essential to prevent complications. Further research is needed to explore the impact of antipsychotic medications on potassium regulation and to develop strategies for early detection and management of hypokalemia in psychiatric care.
EXPLORING THE EFFICACY OF ART-RELATED ACTIVITIES PARTICULARLY PAINTING AS ADJUVANT THERAPY IN SCHIZOPHRENIA: AN EVIDENCE-BASED CASE REPORT Krisniati, Theresia Rini
Journal of Psychiatry Psychology and Behavioral Research Vol. 5 No. 1 (2024): Transforming Different Modalities to Achieve Better Mental Health
Publisher : Departemen Psikiatri Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jppbr.2024.005.01.4

Abstract

Introduction – Schizophrenia is a condition that affects approximately one in 300 individuals across the globe, leading to the experience of both positive and negative symptoms. While antipsychotic medication remains the primary treatment, some patients still contend with residual symptoms and relapses. Art-related activities, particularly painting, are frequently used as potential adjuvant therapies for individuals with schizophrenia. Therefore, this study aimed to critically assess the efficacy of art-related activities, specifically painting, as supplementary therapy. Methods – A comprehensive literature search was conducted on PubMed, Google Scholar, and ScienceDirect, guided by clinical questions and strict inclusion or exclusion criteria. The selected articles were critically evaluated to determine their validity, significance, and applicability. Results – The literature search identified 3 randomized controlled trials (RCTs) and 1 case series, each with varying validity and analysis outcomes. Among the RCTs, 2 reported a positive effect of art therapy on the negative symptoms of schizophrenia, while the remaining 1 found no significant impact on patients. In a case series study, a substantial difference was observed in the symptoms of schizophrenia patients who engaged in art activities. Discuss – The 3 RCTs were done with the involvement of a licensed art therapist. The practical application of the RCT study results was still limited by the case examined since there are no art therapists in the case observed. However, in this case, the patient was observed to be more calm, cooperative and increase in ADL score after the art-related activity done in a rehabilitation program. Conclusion: There is potential for art-related activities as adjuvant therapy for individuals with schizophrenia, but it still lacks sufficient and consistent evidence.  Keywords:art, painting, therapy, schizophrenia, art-related activity.
Co-Authors Amalia, Naila Ardiningrum, Wikan Sefriyanto, Januarius Hendra Kurniawan Zahra, Fathimah Az