Jurnal Psikiatri Surabaya (Surabaya Psychiatry Journal)
Jurnal Psikiatri Surabaya (JPS) is a scientific publication every 6 months (semester). JPS accepts submissions in the form of original manuscripts, literature review, case reports, and editorials in Indonesian in the format of Enhanced Spelling or English in accordance with the scope of Psychology, Mental Health, and Psychology.
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Hyperprolactinemia as a side effect of using antipsychotics In Schizophrenic Patients
Anwar, Syaiful;
Khairina
Jurnal Psikiatri Surabaya Vol. 12 No. 2 (2023): November
Publisher : Faculty of Medicine, Universitas Airlangga
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DOI: 10.20473/jps.v12i2.23359
Introductions: Antipsychotics are still the mainstay of schizophrenia management. Antipsychotics are antagonistic to postsynaptic dopamine receptors in the brain. Blockade of dopamine receptors in the tuberoinfundibular pathway by antipsychotics will cause the side effect of hyperprolactinemia. Objectives: This review describes hyperprolactinemia induced by antipsychotic use and its clinical effects, monitoring, and management. Methods: reference search through Google Scholar with keywords schizophrenia, antipsychotics, prolactin, hyperprolactinemia, clinical effects of hyperprolactinemia, diagnosis of hyperprolactinemia, monitoring of hyperprolactinemia, management of hyperprolactinemia. Results: Clinicians need to take a diagnostic approach to identify the etiology of hyperprolactinemia, monitor the clinical symptoms of hyperprolactinemia during the administration of antipsychotics, and immediately carry out management according to existing strategies by considering some general principles and considerations. Conclusions: Schizophrenia is a severe mental disorder that lasts long, requiring long-term and continuous therapy. Administration of antipsychotics is still a mainstay in the management of schizophrenia. Antipsychotics are antagonists to postsynaptic dopamine receptors in the brain. The antipsychotic effect of blocking dopamine receptors not only improves the symptoms of schizophrenia but also causes side effects. The side effect when the tuberoinfundibular dopamine pathway is blocked is an increase in prolactin levels called hyperprolactinemia.
The Role of Childhood Trauma in a Schizophrenic Patient
Jessica, Lia;
Sitawati, Andini Dyah;
Nyoman Sumiat
Jurnal Psikiatri Surabaya Vol. 12 No. 2 (2023): November
Publisher : Faculty of Medicine, Universitas Airlangga
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DOI: 10.20473/jps.v12i2.27764
Introductions: Schizophrenia is a severe mental disorder. Many factors could increase someone's risk of schizophrenia, including childhood trauma. There are many kinds of childhood trauma, including abuse and neglect. This report aims to emphasize the unwanted effects of childhood trauma in a schizophrenic patient and, therefore, the importance of its screening. Case: A hospitalized male hebephrenic patient was admitted and observed in Dr. Soetomo General Hospital for almost a month. The patient came to the hospital with a chief complaint of rage and grandiose delusion. He could neither eat nor sleep for about 2 weeks. He also had a history of neglect by his parents during childhood. Discussions: The patient, in this case suffered an acute psychosis that progressed into hebephrenic schizophrenia. He had a history of childhood trauma that made him vulnerable when faced with meaningful stress in his early adulthood. He had the grandiose delusion that was quite resistant with second generation of anti-psychotics and responded better with first generation of anti-psychotics. He was discharged on the 29th day of hospitalization and continued to take his antipsychotic medication orally at home. Conclusions: Childhood trauma has a huge contribution in risk for schizophrenia. Someone with history of childhood trauma tends to have vulnerability to a stress in adulthood that could make him fall into a psychosis and even schizophrenia. Therefore a screening for history of a childhood trauma is important.
Literature Review of Burnout Syndrome in Intensive Care Unit (ICU) Staffs During The COVID-19 Pandemic
Lazuwardi, Rasya Azka;
Aziz, Afifur Rafi Hilmi;
Qamar;
Nadira Putri Nastiti;
Papageorgiou, Platon
Jurnal Psikiatri Surabaya Vol. 12 No. 2 (2023): November
Publisher : Faculty of Medicine, Universitas Airlangga
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DOI: 10.20473/jps.v12i2.30756
Introductions: Burnout syndrome becomes a special concern for health workers during COVID-19 pandemic that has been exposed to increased workload and intense working hours with COVID-19 patients, stating having a high risk of getting infected with COVID-19 as well. Methods: This literature review paper reviewed scientific journals with prevalence and burnout syndrome profile data. The journals were obtained through the search engines GoogleScholar, the MEDLINE (PubMed) database and PsychINFO. From the search, there are 13 articles in total that meet the required data criteria. Results: Prevalence of burnout syndrome were found severely high in ICU settings, it reached more than 50% from most of the survey. Burnout syndrome rate can be influenced by working conditions, age and gender, time of work and working experience. Burnout syndrome can manifest as higher fatigue level and decrease of cognitive function that can increase the risk of medical mistake. Conclusions: High prevalence and severity of burnout syndrome oblige us to pay attention to symptoms that can affect professional intensive care unit staff and its service to patients. Further research should review prevention therapy and how to apply to health workers and also the prevalence of prevention that has been done in other studies.
The Correlation Between Anxiety and Smartphone Addiction Among Medical Students
Femmy T. Fahira;
Sulistiawati;
Azimatul Karimah
Jurnal Psikiatri Surabaya Vol. 12 No. 2 (2023): November
Publisher : Faculty of Medicine, Universitas Airlangga
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DOI: 10.20473/jps.v12i2.33190
Introductions: Various studies showed that medical students were more prone to exposure to stress and anxiety than their peers. Along with the rising popularity of smartphones, university students tend to spend time on smartphones to distract themselves from stress. However, the overuse of smartphones may lead to addiction. Methods: This study applied a modified version of the Smartphone Addiction Scale (SAS) to assess the level of addiction and Zung's Self-Rating Anxiety Scale (ZSAS) to quantify the severity of anxiety. Based on Spearman's rho statistical test, the value of p = 0.000 and r = 0.297. Results: There are 374 preclinical students included in this study. Most students (47.06%) use smartphones 5-10 hours daily. The majority of students were having mild anxiety (54.81%), followed by moderate anxiety (39.84%) and severe anxiety (5.35%). The results showed that smartphone addiction relates significantly to students' anxiety (p<0.05). Conclusions: From this study, it can be concluded that there is a positive and signiaficant correlation between anxiety and smartphone addiction among preclinical students in the Faculty of Medicine, Universitas Airlangga.
Suicide in the COVID-19 Pandemic
Ni Nyoman Gita Kharisma Dewi;
Ida Aju Kusuma Wardani
Jurnal Psikiatri Surabaya Vol. 12 No. 2 (2023): November
Publisher : Faculty of Medicine, Universitas Airlangga
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DOI: 10.20473/jps.v12i2.34576
Introductions: The COVID-19 pandemic affects various aspects of life, not only in terms of health but also economically and socially. Several studies have shown that the impact of the COVID-19 pandemic is related to an increase in the number of suicides. The study review aims to determine the incidence of suicide during the COVID-19 pandemic. Methods: This study review was compiled using the literature review method by collecting sources from valid scientific literature, namely PubMed and Scientific Direct. Discussions: Suicide risk is related to several factors due to the COVID-19 pandemic, such as a significant relationship between suicide and living in an area with a high prevalence of COVID-19 infection, loss of income due to the pandemic, having relatives or acquaintances who died from COVID-19, fear of being infected by COVID-19, and changes in the learning system. Things that can be protective factors include mental health knowledge, exercising regularly during the pandemic, family support, and a high level of awareness and preventive measures for COVID-19. Conclusions: The COVID-19 pandemic also affects mental health. The impact of the COVID-19 pandemic has a relationship with increased suicides.
Treatment of Depression With Psychotic Features in Maltreated Adolescents: Evidence-Based Case Report
Setiawan, Feronia Augustine;
Phernando, Nicholas Kevin;
Ulya, Zuhrotun
Jurnal Psikiatri Surabaya Vol. 12 No. 2 (2023): November
Publisher : Faculty of Medicine, Universitas Airlangga
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DOI: 10.20473/jps.v12i2.37125
Introductions: Depressive disorders are expected consequences of experiencing child maltreatment. Many depressive disorders can occur with or without psychosis, which has different implications for treatment and prognosis. This condition raises the challenge of treating depression in maltreated adolescents because the patient has inadequate family and social support. Consequently, it is difficult for the patient to undergo psychotherapy that involves family. Case: A 17-year-old female was diagnosed with psychotic depression. The patient had symptoms of depression, accompanied by hallucinations, since five years ago. The patient was hospitalized for suicidal ideation and food refusal for days. Patient had a history of child maltreatment by family and experienced bullying since elementary school. Patient believes that her family, especially her mother, had hated her from the beginning. Discussions: After stabilization of the patient's general condition, psychopathology exploration was done together with selection of appropriate treatment. Combined Cognitive Behavioral Therapy (CBT), Selective Serotonin Reuptake Inhibitor (SSRI) and atypical antipsychotic treatment are the evidence-based treatments for psychotic depression in maltreated adolescents. Studies involving patients with psychotic depression which were treated by combination of sertraline and olanzapine showed significant improvement of depression and psychotic symptoms and reduced the risk of relapse over 36 weeks, compared to sertraline plus placebo. Conclusion: Combination of SSRI, atypical antipsychotic and CBT with a trauma-informed approach should be considered as treatment for psychotic depression in maltreated adolescents.
Physical Complaints of Pain and Heartburn as Part of The Symptoms of Somatization
Prasetya, Era Catur;
Intan Afifah;
Muhammad Hanun Mahyuddin;
Ulaa Haniifah;
Khadijah Hasanah Abang Abdullah
Jurnal Psikiatri Surabaya Vol. 12 No. 2 (2023): November
Publisher : Faculty of Medicine, Universitas Airlangga
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DOI: 10.20473/jps.v12i2.39192
Introductions: One of the mental health disorders that have an impact on physical health is called somatization disorder. Somatization is characterized by the appearance of complaints of pain in body parts that occur repeatedly. Anxiety, various physical complaints, and an increasing number of symptoms accompany symptoms of somatization disorder. The most common physical complaint is heartburn. Case: This case report discusses the case of a 36-year-old woman who complained of heartburn by visiting various doctors, but no medical results showed any abnormalities. Purpose: This case report aims to provide a literature review of heartburn symptoms due to somatization. Discussion: The Relationship between Heartburn Levels and Somatoform Disorders Psychosocial stressors are related to psychological factors that influence medical conditions that cause prominent psychological and somatic disorders. Psychological disorders and vice versa can cause physical disturbances. The patient's bodily medical condition can cause psychological disorders. Patients with severe acute pain will experience anxiety, fear, and sleep disturbances. This is due to the patient's discomfort with his condition, where he suffers from the pain he experiences and cannot move. With increasing duration and intensity of pain, the patient may experience a depressive disorder, and then the patient will be frustrated and irritable towards those around him and himself. Conclusion: The high pain intensity in the patient will cause sensitivity and increase his concern for his physical, lowering the threshold for detecting physical sensations or expressing distress and pain.
Psychosis in Patients with a History of Alcohol Use Disorder
Kusumadewi, Andrian Fajar;
Hermanuaji Sihageng;
Jennifer Andida;
Muhammad Dicky Hertanto;
Muhammad Jordan Diandraputra;
Mulia Kharis;
Raihan Hananto;
Setiani Silvi Nurhidayah
Jurnal Psikiatri Surabaya Vol. 12 No. 2 (2023): November
Publisher : Faculty of Medicine, Universitas Airlangga
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DOI: 10.20473/jps.v12i2.41783
Introductions: Alcohol effects are not limited to one's physical state but also mental processes, including psychosis such as hallucinations or paranoia. Psychotic manifestations can also occur in general medical conditions or other neurological disorders associated with alcohol dependence. Cases: A 29-year-old man presented with a major depressive episode with psychotic symptoms. Since junior high school, the patient admitted to having a history of consuming crystal methamphetamine, heroin, and alcoholic drinks and often saw and heard the voices of 2 men. The patient was treated with Chlorpromazine for anxiety and Olanzapine for maintenance. The patient was allowed to go home with Olanzapine and scheduled for follow-up one week later. Discussions: Previous history indicates a possibility of alcohol-induced psychosis. However, specific diagnosis and management for such a condition is not possible due to no alcohol blood level tests available. Conclusions: The risk of psychotic disorders exists in all alcohol users, especially those with a history of psychosis and use of other addictive substances. A detailed history and appropriate investigations are helpful in monitoring the etiology and course of patients with alcohol-related psychosis.
The Relationship between Religious Coping and Resilience in Universitas Airlangga Medical Students Class of 2020 in Pandemic Time
Annisa Faradila;
Azimatul Karimah;
Irfiansyah Irwadi
Jurnal Psikiatri Surabaya Vol. 12 No. 2 (2023): November
Publisher : Faculty of Medicine, Universitas Airlangga
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DOI: 10.20473/jps.v12i2.41809
Introductions: During the COVID-19 epidemic, college students were expected to adjust to varied daily routines, resulting in pressure and bad emotional sensations in each individual. This situation necessitates college students' attempts to better their survival through coping. Religion is one coping mechanism that may be used to help pupils reduce stress. The presence of resilience is another characteristic that can overcome any challenges. Coping is used to deal with stress caused by challenges, and spirituality is regarded as one part of developing excellent resilience. Objectives: Researchers decided to undertake a study to see whether there is a relationship between religious coping and resilience in the Faculty of Medicine, Universitas Airlangga students class of 2020 during a pandemic. Methods: This cross-sectional observational analytic study collects primary data using two questionnaire instruments, BRIEF RCOPE and Growth-Focused Resilience. Non-random sampling was used to collect samples from 208 Faculty of Medicine, Airlangga University students class of 2020. The Chi-Square Test was used to examine the data using the SPSS version 21 tool. Results: The p-value (sig) was 0.000 (0.05), indicating a significant connection between religious coping characteristics and resilience variables. Religious coping has been shown to be one of the variables affecting and associated with resilience; effective coping will lead to good growth and vice versa. Conclusions: It is possible to infer a substantial association between religious coping and resilience among the Faculty of Medicine, Universitas Airlangga students class of 2020.
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
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DOI: 10.20473/jps.v12i2.42008
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.