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"Anxiety and depression in children and adolescents offers a developmental psychology perspective for understanding and treating these complex disorders as they manifest in young people. Adding the school environment to well-known developmental contexts such as biology, genetics, social structures, and family, this significant volume provides a rich foundation for study and practice by analyzing the progression of pathology and the critical role of emotion regulation in anxiety disorders, depressive disorders, and in combination. Accurate diagnostic techniques, appropriate intervention methods, and empirically sound prevention strategies are given accessible, clinically relevant coverage. Illustrative case examples and an appendix of forms and checklists help make the book especially useful. Featured in the text: Developmental psychopathology of anxiety, anxiety disorders, depression, and mood disorders. Differential diagnosis of the anxiety and depressive disorders. Assessment measures for specific conditions. Age-appropriate interventions for anxiety and depression, including CBT and pharmacotherapy. Multitier school-based intervention and community programs. Building resilience through prevention."

"Solution focused anxiety management provides the clinician with evidence-based techniques to help clients manage anxiety. Cognitive behavioral and strategic tools, acceptance-based ideas, and mindfulness are introduced from a solution-focused perspective and tailored to client strengths and preferences.The book presents the conceptual foundation, methods, and attitudes of a solution-focused approach. Case examples illustrate how to transform anxiety into the "Four Cs" (courage, coping, appropriate caution and choice). Readers learn how to utilize solution focused anxiety management in single-session, brief, and intermittent therapy as well as in a class setting.The book additionally includes all materials needed for teaching solution focused anxiety management in a four-session psychoeducational class: complete instructor notes, learner readings, and companion online materials.Special features :- Focuses on what works in anxiety management- Presents evidenced based techniques from a solution-focused perspective- Increases effectiveness by utilizing client strengths and preferences- Describes applications in single session, brief, and intermittent therapy- Supplies forms and worksheets for the therapist to use in practice- Features clinically rich case examples- Supplements text with online companion material- Suitable for use as a treatment manual, reference, or course text"

"Psoriasis merupakan penyakit kulit yang bersifat kronis dan kambuhan. Psoriasis berdampak terhadap kondisi psikologis dan kualitas hidup penderitanya. Penelitian ini bertujuan untuk mengetahui hubungan stres, ansietas dan depresi dengan kualitas hidup di RSUP Dr. Hasan Sadikin Bandung. Penelitian ini bersifat dekriptif dengan metode cross sectional. Sampel penelitian sebanyak 53 responden yang diambil melalui non probality sampling dengan teknik accidental sampling. Instrumen penelitian menggunakan kuisioner Depression, Anxiety and Stress Scale (DASS-21) dan Dermatology Life Quality Index (DLQI). Analisis menggunakan Kendall’s Tau dan T- test dengan hasil yang menujukkan adanya hubungan yang kuat (p<0.001<0,05) antara stres, ansietas dan depresi dengan kualitas hidup. Selain itu juga ditemukan ada hubungan yang lemah antara sebagian karakteristik pasien dengan kualitas hidup. Penelitian ini merekomendasikan agar adanya peningkatan asuhan keperawatan yang holistik tertutama dari aspek psikologis agar mampu meningkatkan kualitas hidup pasien psoriasis.

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ABSTRACTPsoriasis is a skin disease that is chronic and recurring. Psoriasis affects the psychological condition and quality of life of the sufferer. This study aims to determine the correlation between stress, anxiety and depression with the quality of life in Dr. Hasan Sadikin Bandung. This research is descriptive with cross sectional method. The research sample was 53 respondents who were taken through non-probability sampling with accidental sampling technique. The research instrument used the Depression, Anxiety and Stress Scale (DASS-21) questionnaire and the Dermatology Life Quality Index (DLQI). The analysis used Kendall's Tau and T-test with results showing a strong correlation (p <0.001 <0.05) between stress, anxiety and depression with quality of life. It was also found that there was a weak correlation between some patient characteristics and quality of life. This study recommends an increase in holistic nursing care, especially from a psychological aspect, in order to improve the quality of life for psoriasis patients."

"Fatigue merupakan kelemahan atau kelelahan mental dan/atau fisik yang ekstrim dan persisten. Fatigue merupakan gejala yang umum dialami orang-orang dengan kronis penyakit, seperti klien gagal ginjal kronik yang menjalani hemodialisis. Penelitian ini bertujuan untuk mengidentifikasi hubungan depresi dan kecemasan dengan tingkat fatigue pada klien dengan gagal ginjal kronik yang menjalani hemodialisis. Desain penelitian yang digunakan adalah cross sectional, dengan jumlah sampel 96 responden. Alat ukur yang digunakan Fatigue Severity Scale (FSS), Hospital Anxiety and Depression Scale (HADS),dan Medical Outcomes Study (MOS) Social Support Survey.Hasil penelitian menunjukkan adanya hubungan yang bermakna antara depresi dengan tingkat fatigue pada klien gagal ginjal kronik yang menjalani hemodialisis (p value < 0,05). Penelitian ini juga menunjukkan tidak ada hubungan antara kecemasan dengan tingkat fatigue pada klien gagal ginjal kronik. Hubungan antara variabel perancu yaitu usia, jenis kelamin, dukungan sosial dan lamanya menjalani hemodialisis tidak ada hubungan dengan tingkat fatigue.

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Fatigue is a mental weakness or fatigue and / or extreme physical and persistent. Fatigue is a common symptom experienced by people with chronic diseases, such as clients with chronic renal failure undergoing hemodialysis. The research aims to identify the relationship of depression and anxiety with fatigue levels in clients with chronic renal failure undergoing hemodialysis. The study design is cross-sectional, with 96 respondents. Fatigue Severity Scale (FSS), Hospital Anxiety and Depression Scale (HADS), and the Medical Outcomes Study (MOS) Social Support Survey were used.The results showed a significant relationship between depression and fatigue levels on chronic renal failure patient undergoing hemodialysis (p value <0.05). The study also showed no relationship between anxiety with fatigue levels on a client with chronic renal failure. There were no correlation between confounding variables as age, sex, social support and the duration of hemodialysis with the level of fatigue."

"Latar Belakang. Pada lupus eritematosus sistemik (LES) ditemukan prevalensi ansietas dan depresi yang cukup besar. Beberapa aspek menjadi kaitan antara lupus eritematosus sistemik dengan ansietas dan depresi, di antaranya disbiosis usus. Rasio Firmicutes/Bacteroidetes rendah menunjukkan disbiosis dan nilainya rendah pada LES.Tujuan. Mengetahui profil mikrobiota usus pada ansietas dan depresi pada LES serta secara khusus mengetahui korelasi rasio Firmicutes/Bacteroidetes dengan skor gejala ansietas dan depresi pada LES.Metode. Penelitian ini mengambil data studi Pengaruh sinbiotik terhadap aktivitas penyakit, respons imun, serta permeabilitas dan mikrobiota usus pada pasien lupus eritematosus sistemik. Dari studi besar tersebut, diambil data dasar (baseline) berupa data demografik, Hospital Anxiety and Depression Scale (HADS), Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2k), obat-obatan yang dikonsumsi, pola diet, serta proporsi mikrobiota usus tingkat filum. Keseluruhan data dijabarkan secara deskriptif. Dilakukan analisis korelasi antara rasio Firmicutes/Bacteroidetes dengan HADS-Ansietas dan HADS-Depresi.Hasil. Dari 41 subjek, didapatkan proporsi ansietas 53,66% dan depresi 14,63%. Kelompok ansietas memiliki proporsi Bacteroidetes lebih tinggi dan indeks diversitas lebih rendah daripada kelompok tidak ansietas. Kelompok depresi memiliki proporsi Bacteroidetes lebih tinggi, Firmicutes lebih rendah, dan rasio Firmicutes/Bacteroidetes lebih rendah dibandingkan kelompok tidak depresi. Diagram sebar menunjukkan tidak adanya hubungan yang linear antara rasio Firmicutes/Bacteroidetes dengan skor gejala ansietas dan depresi sehingga tidak dapat dilakukan analisis korelasi.Simpulan. Secara deskriptif didapatkan kecenderungan disbiosis pada kelompok yang mengalami ansietas dan depresi daripada kelompok yang tidak mengalami gangguan psikis.

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Background. There was a high prevalence anxiety and depression in systemic lupus erythematosus (SLE). Some aspects interconnecting them, such as intestinal dysbiosis. Firmicutes/Bacteroidetes ratio, one of dysbiosis parameter, found low in SLE patients and also depressed patients.Objectives. This research aim to study intestinal microbiota profile among anxious and depressed SLE patients, and also to know the correlation between Firmicutes/Bacteroidetes ratio with anxiety and depression score in SLE patients.Methods. We used secondary data from research entitled Effects of synbiotic supplementation on disease activity, immune response, gut permeability, and microbiota of systemic lupus erythematosus patients. We used baseline data of demographic data, Hospital Anxiety and Depression Scale, Systemic Lupus Erythematosus Disease Activity Index 2000, drugs used, nutrients intake, and intestinal microbiota profile at phylum level. All those data were described descriptively and also analysed for the correlation between Firmicutes/Bacteroidetes ratio with anxiety score and depression score.Results. From all 41 subjects, the proportion of anxiety was 53,66% and depression 14,63%. Anxiety group had more Bacteroidetes than not anxiety group. Depressed group had more Bacteroidetes, less Firmicutes, and lower Firmicutes/Bacteroidetes ratio than not depressed group. The scatterplot shows that there is no linear relationship between the Firmicutes/Bacteroidetes ratio with anxiety and depression symptom scores so that correlation analysis cannot be done.Conclusion. Descriptively there was a tendency for dysbiosis in the group that experienced anxiety and depression than the group that did not experience psychological disorders."

"Fenomena kegiatan menggemari budaya korea terutama dari sektor industri musik yaitu K-pop marak terjadi di kalangan remaja. Pada masa remaja mereka mengalami masa transisi atau peralihan dari usia kanak-kanak menuju usia dewasa yang berisiko mengalami gangguan kesehatan mental. Usia remaja menjadi tempat proses dalam mencari jati dirinya yang mencari sosok figure yang dapat dicontohnya dan tak sedikit dari mereka memiliki sosok figure dari tokoh idola korea yang mereka gemari. Tujuan penelitian ini adalah untuk mengetahui gambaran tingkat stres, kecemasan, dan depresi di wilayah kabupaten tangerang. Penelitian deskriptif ini menggunakan metode purposive sampling dimana mengikutsertakan 108 remaja penggemar K-pop yang berdomisili di Kabupaten Tangerang. Data penelitian dikumpulkan pada bulan Juni 2024 dengan menggunakan kuesioner DASS-42 (Depression, anxiety,stress scale). Hasil penelitian yang dilakukan menunjukkan bahwa mayoritas responden mengalami stres tingkat sedang (33.33%), kecemasan tingkat sangat berat (33.33%) dan depresi tingkat normal (42.59%). Studi ini juga meneliti karakteristik responden seperti jenis kelamin, usia, pendidikan, dan ekonomi dimana mayoritas penelitian diikuti oleh remaja akhir (69.44%), paling banyak diikuti remaja yang berjenis kelamin perempuan (95.4%), responden mayoritas berasal dari perguruan tinggi (49.07%) dan mayoritas bersumber pendapatan masih ditanggung oleh orang tua (90.74%). Adanya perbedaan tingkat stres, kecemasan, dan depresi kemungkinan dipengaruhi oleh peggunaan coping strategy menggemari K-pop. Saran untuk penelitian selanjutnya dapat menganalisa lebih lanjut terkait hubungan tingkat stres, kecemasan dan depresi terhadap perilaku menggemari K-pop dengan memperhatikan keseimbangan pada karakteristik responden.

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The phenomenon of Korean culture, especially from the music industry, is that K-pop is common among teenagers. In adolescence they experience a transition or transition from childhood to adulthood at risk of mental health disorders. Adolescence is the process of finding a figure that can be portrayed and not a few of them have the figure of a Korean idol that they love. The aim of this study is to get a picture of the levels of stress, anxiety, and depression in the district. This descriptive study uses a purposive sampling method involving 108 K-pop teenagers residing in Tangerang District. Research data collected in June 2024 using the DASS-42 questionnaire (Depression, anxiety,stress scale). The study also examined the characteristics of respondents such as gender, age, education, and economics where the majority of the study was followed by late adolescents (69.44%), the most followed adolescents of the female type (95.4%), respondents were mostly from college (49.07%) and the main source of income was still borne by parents (90.74%). There are differences in the levels of stress, anxiety, and depression that are likely to be influenced by the use of coping strategies by K-pop fans. Recommendations for further research could further analyze the relationship between levels of Stress, Anxiety and Depression to K-Pop fans' behavior by considering the balance in the characteristics of respondents."

"Latar Belakang: Ansietas dan depresi merupakan gangguan psikosomatis yang paling banyak ditemukan. Pada pasien Lupus Eritematosus, ansietas merupakan gangguan mood paling banyak ditemukan dibandingkan depresi. Selain bagian dari manifestasi NPSLE, ansietas dan depresi dapat memicu terjadinya inflamasi yang akan memengaruhi aktivitas lupus. Hospital Anxiety dan Depresi Scale (HADS) merupakan salah satu skala pengukuran ansietas dan depresi yang berbentuk kuesioner yang mudah digunakan dansudah tervalidasi. Mexican Systemic Lupus Erythemathosus Sistemic Disease Activity (Mex SLEDAI) merupakan sistem skoring untuk pasien LES yang mudah dan lebih murah serta memiliki reliabilitas dan validitas yang baik. Saat ini belum ada yang meneliti perihal hubungan ansietas dan depresi yang menggunakan HADS dengan kadar C3 danC4 pada pasien LES.Tujuan: Mengetahui korelasi antara ansietas dan depresi dengan kedua kadar C3 dan C4 pada pasien LES di RSCM.Metode: Penelitian ini menggunakan desain potong lintang, dilakukan analisis data primer pasien LES usia 18-60 tahun. Dilakukan wawancara dan pemeriksaan fisik serta pengisian kuesioner HADS diikuti dengan pengambilan sampel darah untuk menilai kadar C3 dan C4. Korelasi antara skor HADS ansietas dan depresi dengan kadar C3 dan C4, dan serta Mex-SLEDAI didapat dengan uji korelasi Spearman menggunakan SPSS.Hasil: Dari 120 sampel dengan median usia 31 tahun (24-37), penggunaan steroid dengan median 16 mg/minggu (0-28), dan aktivitas lupus dengan median 6 (0-11). Didapatkan korelasi antara ansietas dengan kadar C3 dan C4 yang signifikan dengan nilai r = -0,189 dan r = -0,206. Tidak didapatkan korelasi depresi dengan kadar C3 dan C4 ataupun korelasi ansietas dan depresi dengan aktivitas lupus.Kesimpulan: Terdapat korelasi negatif antara HADS ansietas dengan kadar C3 ataupun C4.

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Background: Anxiety and depression are the most common psychosomatic disorders. Both of them have the highest prevalence of chronic diseases. In Lupus Erythematosus patients, anxiety is more common compared to depression. They have been widely penelitianed and found to have a clinical relationship. Not only they are one of the manifestations of NPSLE, they can also trigger inflammation that will affect lupus activity. On the other hand, many patients with anxiety and depression are undiagnosed and treated inappropriately. There is a screening tool that can measure both disorders quantitatively, namely the Hospital Anxiety and Depression Scale (HADS). Mexican Systemic Lupus Erythematosus Systemic Disease Activity (Mex-SLEDAI) can also be used to measure lupus activity. The advantage of this scoring is that it can be tested without measuring complement or anti-dsDNA levels, which is not necessarily available in every hospital. One of the factors that affects the activity of lupus is complement activity. Currently, no one has investigated the relationship between anxiety and

depression using HADS with levels of C3 and C4 in SLE patients.

Objective: To determine the correlation between anxiety and depression with levels of C3 and C4 in SLE patients in RSCM.

Methods: This study used a cross-sectional design, analyzed the primary data of SLE patients aged 18-60 years. Interviews and physical examinations were carried out as well as filling out the HADS questionnaire followed by taking blood samples to assess C3 and C4 levels. The correlation between HADS scores of anxiety and depression with levels

of C3 and C4, and Mex-SLEDAI was obtained using the Spearman correlation test using SPSS.

Results: 120 samples with a median age of 31 years (24-37), with the use of steroid doses with a median of 16 mg/week (0-28) and lupus activity with a median of 6 (0-11), there was a correlation between anxiety HADS and C3 levels and C4 which is significant with a value of r = -0.189 and r = -0.206. However, for HADS Depression with levels of C3 or C4 no correlation was found. In addition, in this study, there was no correlation between HADS Anxiety and Depression with Lupus Mex Sledai activity

Conclusion: There was a negative correlation between HADS Anxiety and levels of C3 or C4."

"Buku yang berjudul "Overcoming depression" ini ditulis oleh Demitri F. Papolos dan Janice Papolos. Buku ini membahas tentang cara-cara mengatasi depresi."

"Pendahuluan: Dokter di Pusat Kesehatan Masyarakat (Puskesmas) kadang tidak mengenali adanya depresi pada seseorang. Pemberian pelatihan psikiatri untuk dokter di Puskesmas diperkirakan dapat meningkatkan pengetahuan dan keterampilan diagnosis terhadap masalah psikiatri. Kementrian Kesehatan Republik Indonesia telah menyusun suatu modul pelatihan yaitu Modul Pelatihan General Practitioner Kesehatan Jiwa (GP Keswa). Modul bertujuan untuk meningkatkan pengetahuan dan keterampilan dokter di Puskesmas dalam melakukan deteksi kasus gangguan jiwa yang sering di masyarakat. Modul merujuk pada PPDGJ III.Tujuan: Mengidentifikasi keefektivan Modul GP Kesehatan Jiwa akan pengetahuan dan keterampilan dokter umum di pelayanan primer dalam menegakkan diagnosis dan tatalaksana pengobatan gangguan depresi.Metode: Desain penelitian yang digunakan adalah one group pre dan post test. Subjek penelitian adalah 23 dokter umum yang bertugas di Puskesmas Wilayah Kabupaten Banjar, Kalimantan Selatan. Penelitian dilakukan dalam kurun waktu Mei-Oktober 2015. Sampel diambil secara simple random sampling. Seluruh subjek penelitian mengikuti pelatihan modul GP Keswa selama satu hari. Pengetahuan dinilai sebelum pelatihan, satu hari dan tiga bulan setelah pelatihan dengan kuesioner pengetahuan yang diisi sendiri oleh subjek. Keterampilan diagnosis dinilai oleh tim penilai, yaitu staf pengajar Departemen Psikiatri FKUI-RSCM.Hasil: Satu hari setelah pelatihan, 100% subjek mengalami peningkatan pengetahuan. Penilaian tiga bulan setelah pelatihan hanya 8,7% subjek yang tetap mengalami peningkatan pengetahuan. Keterampilan wawancara subjek penelitian hasilnya bervariasi, 12 orang dinyatakan lulus, delapan orang borderline, dan tiga orang tidak lulus.Kesimpulan: Pemberian pelatihan modul GP Keswa efektif dalam meningkatkan pengetahuan dokter Puskesmas mengenai gangguan depresi satu hari setelah pelatihan, namun tidak dapat bertahan setelah tiga bulan pelatihan. Modul Pelatihan GP Keswa tidak efektif untuk meningkatkan keterampilan wawancara dalam menegakkan diagnosis gangguan depresi.

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Introduction: Physicians in Public Health Center (PHC) sometime do not recognize the existence of depression in a person. Provision of psychiatric training for physicians in PHC is expected to enhance the knowledge and skills of physicians to the problem of psychiatric diagnosis.. Ministry of Health has develooped a training module that is General Practitioner (GP). This module aims to enhance the skills of doctors in the health center in case of detection of depression disorder in the community frequently. The module refers to PPDGJIII.

Objective: To assess the effectiveness of training module GP toward physicians to enhance their knowledge and skills to diagnose depressive disorders.

Methods: The study design used was one group pre and post test. Subjects were twenty-three general practitioner who served in Health Center in Banjar, South Kalimantan. The study was conducted in the period Mei-Oktober 2015. Samples were taken by simple random sampling. All recipients GP training modules for one day. Knowledge assessed before training, one day and three months after training with the knowledge questionnaires filled by the subject. Skills diagnosis assessed by assessmet team.

Results: One day after training, 100% of subjects experienced an increase in knowledge. But three months after training only 8.7% of the subjects continued to experience an increase in knowledge. Interview skills outcome is varied, twelve people pass, eight people borderline, and three people did not pass.

Conclusion: Providing GP training modules effective to improve knowledge of physician about depressive disorders one day after training, but can not last three months after training. Providing GP training modules is not effective in improving interviewing skills to diagnose depressive disorder."