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"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"

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Kecemasan adalah emosi dasar berupa pikiran negatif akan ketidakpastian yang muncul ketika adanya ancaman, seringkali disertai nyeri kepala, jantung berdebar, gangguan lambung ringan maupun berkeringat. Rasa cemas berlebih akan menghambat fungsi seseorang dalam hidup. Di dunia, prevalensi gangguan kecemasan mencapai 5% dari jumlah penduduk, sedangkan di Indonesia gangguan mental emosional (depresi dan kecemasan) mencapai 9,8%. Pada tahun 2018 ditemukan proporsi kecemasan pada mahasiswa FKM UI sebesar 87,2%, proporsi tertinggi pada tingkat severe (25,3%) dan terendah pada tingkat moderate (18,3%). Tujuan penelitian ini untuk mengetahui faktor-faktor yang berhubungan dengan kecemasan pada mahasiswa S1 Reguler FKM UI tahun 2020. Pendekatan dilakukan secara kuantitatif, dengan desain studi cross-sectional, serta analisis dengan uji Chi Square untuk melihat hubungan antara 8 variabel independen dengan kecemasan. Sampel penelitian sebanyak 146 orang dari populasi 1121 orang. Instrumen yang digunakan adalah kuesioner DASS-21, dan pengumpulan data menggunakan google form. Ditemukan proporsi kecemasan pada mahasiswa S1 reguler FKM UI tahun 2020 sebesar 83,6%, proporsi tertinggi pada tingkat extremely severe (39,7%), dan terendah pada tingkat mild (4,1%). Uji statistik menunjukkan terdapat hubungan antara faktor jenis kelamin dan usia dengan kecemasan. Diharapkan UI dan FKM UI dapat meningkatkan intervensi promotif dan preventif terkait kesehatan mental terutama kecemasan, serta meningkatkan kualitas dan kuantitas SDM di Klinik Makara agar dapat menangani kasus kesehatan mental lebih optimal kedepannya.

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Anxiety is a basic emotion in the form of negative thoughts of uncertainty that arise when there is a threat, often accompanied by headaches, palpitations, mild gastric disturbances or sweating. Excessive anxiety will inhibit a persons function in life. In the world, the prevalence of anxiety disorders reaches 5% of the population, while in Indonesia mental emotional disorders (depression and anxiety) reach 9.8%. In 2018 the proportion of anxiety found in FKM UI students was 87.2%, the highest proportion was at the severe level (25.3%) and the lowest was at the moderate level (18.3%). The purpose of this study is to determine the factors associated with anxiety in FKM UI students in 2020. The approach was carried out quantitatively, with cross-sectional study design, and analysis with the Chi Square test to see the relationship between 8 independent variables with anxiety. The research sample of 146 people from a population of 1121 people. The instrument used was the DASS-21 questionnaire, and data collection using google forms. The proportion of anxiety found in regular S1 FKM UI students in 2020 was 83.6%, the highest proportion was at the extremely severe level (39.7%), and the lowest was at the mild level (4.1%). Statistical tests show there is a relationship between sex and age factors with anxiety. It is hoped that UI and FKM UI can improve promotive and preventive interventions related to mental health, especially anxiety, and improve the quality and quantity of human resources at the Makara Clinic so that they can handle mental health cases more optimally in the future.

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"ABSTRAKLatar belakang : Cukup tingginya prosedur tindakan jantung yang dilaksanakan dirumah sakit serta terdapatnya kecemasan pasca tindakan jantung akan mempengaruhikualitas hidup pasien. Latihan relaksasi otot progresif merupakan suatu bentuk latihanrelaksasi yang dapat mengatasi kecemasan pada subjek pasca tindakan jantung.Penelitian ini bertujuan untuk mengetahui tingkat gejala kecemasan serta kualitashidup subjek pasca tindakan jantung sebelum dan sesudah latihan relaksasi ototprogresif.Metode : Penelitian ini adalah studi intervensi dengan desain pre dan post satukelompok pada 7 orang subjek pasca tindakan jantung yang mengikuti programrehabilitasi jantung fase II. Subjek dinilai tingkat gejala kecemasan dan kualitas hidupnya dengan menggunakan Hamilton Anxiety Scale dan SF 36. Subjek dengan gejalakecemasan diberikan latihan relaksasi otot progresif selama 6 minggu, 2 kali perhari.Setelah 6 minggu kembali dinilai tingkat gejala kecemasan dan kualitas hidup nya .Hasil : Didapatkan penurunan tingkat gejala kecemasan yang bermakna (p<0,028)(IK7,8-17,3) , dengan rerata tingkat gejala kecemasan sebelum diberikan latihan 19,2(SB 6) dan setelah diberikan latihan 6,2 (SB 4) . Kualitas hidup subjek setelahdiberikan latihan relaksasi menunjukan perbaikan terutama pada ranah fungsi fisik,keterbatasan peran akibat keterbatasan fisik, keterbatasan peran akibat keadaanemosional, energi / kelelahan, keadaan emosional yang memberikan nilai yangbermakna.Kesimpulan : Pada penelitian ini latihan otot progresif dapat memperbaiki gangguangejala kecemasan dan kualitas hidup pasien pasca tindakan jantung.

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ABSTRACTBackground : Quite high of cardiac intervention procedures performed in hospitals aswell as the presence of anxiety after cardiac intervention will affect patient's qualityof life. Progressive muscle relaxation training is a form of relaxation training that canovercome anxiety on subject of post cardiac intervention procedures . This researchaimed to determine subject level of anxiety symptom and quality of life after cardiacintervention before and after progressive muscular relaxation training .Methods : This research is an interventional study with one group pre and postdesign on 7 subjects after cardiac intervention that followed phase II cardiacrehabilitation program. Subject level of anxiety symptom and quality of life beingassessed by using Hamilton Anxiety Scale and SF 36. Subject with anxiety symptomprovided with progressive muscular relaxation training for 6 weeks, twice a day. After6 weeks subject level of anxiety symptom and quality of life revaluated .Result : There were significant improvement in level of anxiety symptom (p <0,028)(IK 7,8-17,3), mean level of anxiety symptom before intervention was 19,2 (SB6) andmean after intervention 6,2 (SB 4). Subject quality of life was also improvedparticularly at physical functioning, role limitations due to physical health, rolelimitation due to emotional problem, energy/fatigue, emotional wellbeing.Conclusion : In this research progressive muscular relaxation can improve anxietysymptom and quality of life of patients after cardiac intervention."

"Masalah psikososial dan kesehatan jiwa bagi penyintas COVID-19 yang paling banyak ditemukan adalah ansietas. Situasi pandemi membuat peneliti mengembangkan model dukungan kesehatan jiwa dan psikososial berbasis telenursing. Penelitian bertujuan untuk menguji efektivitas model dukungan kesehatan jiwa dan psikososial terhadap ansietas, resiliensi dan self transendence. Metode penelitian ini merupakan operational research terdiri atas 3 tahap, yaitu tahap pertama desain kualitatif deskriptif fenomenologi menggali permasalahan psikososial pada penyintas COVID-19. Tahap kedua merupakan pengembangan model teori dan aplikasi android. Tahap ketiga dilakukan uji efektivitas model dukungan kesehatan jiwa dan psikososial pada penyintas COVID-19 dan keluarga. Penelitian dilakukan di Bogor. Penelitian tahap 1 dilakukan pada penyintas COVID-19, keluarga dan perawat. Jumlah sampel tahap 1 : 46 responden. Hasil penelitian tahap 1 diperoleh 4 tema. Penelitian tahap 3 menggunakan desain quasy experiment dengan control group pre-post test design. Total sampel pada penelitian tahap 3 adalah 360 orang. Intervensi pada penyintas al : TKN 1-3, CBT, MBSR dan SHG dan intervensi pada keluarga : TKN 1-4. Hasil penelitian ditemukan bahwa model dukungan kesehatan jiwa dan psikososial dapat menurunkan ansietas, meningkatkan resiliensi dan self transendence secara bermakna (pValue<0,005). Rekomendasi penelitian ini bahwa perlunya pengembangan upaya preventif dan promotif melalui variasi cara sesuai dengan perkembangan teknologi.

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The most common psychosocial and mental health problem for COVID-19 survivors is anxiety. Pandemic situation has led researchers to develop a model of mental health and psychosocial support based on telenursing. This study aims to examine the effectiveness of a telenursing on the anxiety, resilience, and self-transcendence of COVID-19 survivors. This research method is operational research. The first stage uses a descriptive phenomenological qualitative design. The second stage was the development of a theoretical model and an Android application. The third stage was to examine the effectiveness of the mental health and psychosocial support model. Phase 1 research was conducted on COVID-19 survivors, families, and nurses. Phase 3 of research was conducted using a quasy experiment design with a control group pre-post test design. The total sample was 360 people. Respondents in the intervention group were given the nursing intervenstions as follow: TKN 1-3, CBT, MBSR, and SHG, while family intervention was TKN 1-4. The results of the study found that mental health and psychosocial support model can reduce anxiety and increase resilience and self-transcendence significantly (p-value <0.005). This study recommends that it is necessary to develop preventive and promotional efforts in accordance with technological developments."

"Sebagai mahasiswa, berada pada masa transisi dari remaja akhir menuju dewasa awal dan memiliki berbagai tuntutan yang diemban dapat berpotensi menimbulkan gangguan kesehatan mental salah satunya yakni kecemasan. Fenomena kecemasan ini dapat berdampak buruk hingga fatal pada individu jika terus meningkat. Oleh karena itu, penting bahwasannya untuk mengetahui hal-hal yang berperan dalam menurunkan tingkat kecemasan pada mahasiswa. Penelitian ini memiliki bertujuan untuk mengetahui apakah peran dari perceived social support terhadap kecemasan dimoderasi self-esteem. Variabel kecemasan diukur dengan 10 item dimensi kecemasan dari Hopkins Symptom Checklist-25 (HSCL-25), perceived social support diukur dengan Multidimensional Scale of Perceived Social Support (MSPSS), dan self-esteem diukur dengan Rosenberg Self-Esteem Scale (RSES). Sebanyak 747 mahasiswa dari berbagai perguruan tinggi di Indonesia merupakan responden dalam penelitian ini. Hasil dalam penelitian ini menunjukan bahwa perceived social support berhubungan secara negatif terhadap kecemasan, namun hubungan di antara keduanya tidak dimoderasi self-esteem.

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As a college student, being in the transition from late teenage to young adult and have a lot of role demands may leads to increase mental illness which one of them is anxiety. This anxiety phenomenon can bring bad impact up to fatalities if it keeps on escalating. Therefore, it is important to know the matters that have impact on reducing the anxiety level of college students. This research’s goal is to know the role of perceived social support to anxiety level and moderated by self-esteem. The anxiety variable was measured using 10 items anxiety dimension of Hopkins Symptom Checklist-25 (HSCL-25), the perceived social support was measured using Multidimensional Scale of Perceived Social Support (MSPSS), and the self-esteem was measured using Rosenberg Self-Esteem Scale (RSES). Total of 747 college students from various colleges in Indonesia were respondents in this research. The result of this research indicates that perceived social support has a negative relationship to anxiety, but the relationship between both is not moderated by self-esteem."

"Tesis ini membahas tentang penerapan Theraplay pada anak usia prasekolah yang mengalami Generalized Anxiety Disorder (GAD). Penelitian ini adalah penelitian kualitatif single-case design yang melibatkan anak dan orangtua. Hasil penelitian ini menunjukkan bahwa intervensi Theraplay efektif dalam menangani GAD pada anak usia pra-sekolah. Efektivitas Theraplay dalam menangani GAD terlihat dari beberapa gejala GAD yang tidak lagi muncul setelah intervensi, seperti ketegangan otot dan kesulitan tidur. Selain itu, tingkat kecemasan juga menurun setelah intervensi sehingga anak tidak lagi mengalami kecemasan yang mengganggu fungsi adaptif di rumah, sekolah, dan lingkungan sosial. Setelah intervensi ia lebih mampu mengelola kecemasannya, menerima pengalaman baru secara lebih positif, dan memiliki fungsi adaptif yang lebih baik. Melalui intervensi Theraplay, terjadi peningkatan kualitas interaksi antara ibu dan anak sehingga attachment antara ibu dan anak menjadi lebih positif. Interaksi antara anak dan orangtua yang semakin positif mengubah internal working model (IWM) anak sehingga kepercayaan diri anak meningkat. Selain itu, perubahan IWM juga menjadikan cara pandang anak terhadap lingkungan dan dunia sekitarnya lebih positif. Hal ini berdampak pada penurunan skor internalizing scale dan peningkatan fungsi adaptif dalam kehidupan sehari-hari.

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The purpose of this study is to examine the effectivity of Theraplay on preschool children with Generalized Anxiety Disorder (GAD). This study uses a qualitative single-case design which involves a child and his parent. Results show that Theraplay is an effective intervention for a preschooler with GAD. Several GAD symptoms were no longer present after the intervention, specifically muscle tension and sleeping problem. Furthermore, the level of anxiety also decreased to a point where the child no longer experienced excessive and uncontrollable anxiety which intervered with her adaptive functioning at home, school, and other social environments. After the intervention, she is more able to manage her anxiety, perceive new experiences more positively, and has improved adaptive functions. Through Theraplay, the quality of interaction between the mother and child evidently increased in that the attachment between them became more positive. The improved interaction between the parent and child shifted the internal working model (IWM) so that the child's self-esteem increased. Moreover, this shift in IWM also positively influenced the child`s perspective of looking at her environment. This in turn resulted in a decrease in internalizing scores and an increase in daily adaptive functioning."

"ABSTRAKStroke adalah salah satu penyakit tidak menular penyebab masalah kesehatan pada masyarakat perkotaan. Klien stroke sebagian besar mengalami ansietas. Karya ilmiah ini bertujuan untuk menganalisis keefektifan intervensi mandiri keperawatan terhadap ansietas pada klien stroke lansia di rumah sakit. Metode penanganan yang digunakan adalah studi kasus. Instrumen yang digunakan untuk mengkaji ansietas adalah Hamilton Anxiety Rating Scale. Hasil analisis menunjukkan bahwa asuhan keperawatan mandiri perawat dengan tehnik relaksasi dan guide imagery pada klien stroke efektif dalam membantu mengurangi kecemasan. Rekomendasi bagi petugas kesehatan, khususnya perawat diruang rawat untuk mengkaji lebih dini masalah psikososial khususnya ansietas dan memberikan latihan tehnik napas dalam, distraksi, spiritual, dan hipnosis lima jari untuk meningkatan kemampuan klien dalam mengatasi ansietas.

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ABSTRACT

Stroke is one of the non communicable diseases that cause health problems in urban communities. The stroke clients are mostly anxious. This scientific work to analyze the effectiveness of nursing intervention against anxiety in elderly stroke clients in hospitals. The methode used is case study. The instrument used to examine anxiety is the Hamilton Anxiety Rating Scale. The results showed nursing independent intervention as relaxation techniques and guide imagery on stroke clients are effective to reduce anxiety. Results of this study recommended that health workers, especially nurses, have to make an early detection of psychosocial problems especially anxiety and provide deeph breathing techniques, distraction, spiritual, and five finger hypnosis to increase client rsquo s ability to reduce anxiety. "