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"Psychotic disorders are the most severe form of mental illness. The family is the primary supporter of patients with psychosis; as such, the family is likely to experience stress when caring for psychotic patients and assisting in their recovery. Data analysis regarding stress within families could inform the types of support that family members receive. This study aimed to determine stress within families of psychotic patients in Garut, Indonesia. A descriptive study was carried out using a quantitative approach. The samples collected were of the families who visited an outpatient clinic in Garut. A purposive sample of 70 respondents using the Slovin formula (10%) was recruited. Data were collected using the 42 Depression Anxiety Stress Scale (DASS) questionnaire, and univariate analysis was conducted. Results showed that 5.7% of the respondents experienced medium stress, 54.4% experienced mild stress, 41.4% did not experience stress, and only one person (1.4%) experienced severe stress. The findings suggest that families with psychotic patients experience stress. Further research is recommended to examine the factors and levels of stress within families of long-term acute psychotic patients."

"Pengalaman-menyerupai-psikotik (Psychotic-like experience/PLE) merupakan pengalaman serupa halusinasi/delusi, bersifat non – klinis, dan cukup umum ditemui pada populasi sehat. PLE muncul sebagai hasil dari interaksi aspek kognitif dan aspek emosi yang diketahui berfluktuasi secara cepat. Namun, penelitian longitudinal terdahulu kurang dapat menangkap fluktuasi tersebut karena jeda waktu antar pengukuran yang panjang. Selain itu, belum banyak penelitian mengenai mekanisme terbentuknya PLE pada kelompok dengan kerentanan biopsikososial tinggi. Penelitian ini akan menguji peran afek negatif sebagai mediator atas pengaruh skema negatif-mengenai-diri terhadap PLE pada anggota keluarga pasien psikosis. Sebanyak 36 individu berpartisipasi dalam pengambilan data secara Experience Sampling Method (ESM). Pada hari pertama, pengukuran mencakup gejala depresi (PHQ – 9), kecemasan (GAD – 7), dan psikotik (CAPE – 42). Pada hari kedua sampai kelima belas dilakukan pengukuran skema negatif (BCSS), afek negatif (Momentary Affect Scale), dan PLE (Index of PLE). Data harian dianalisis dengan Multilevel Mediation Modeling. Skema negatif-mengenai-diri ditemukan memprediksi PLE, b = 0,378, p < 0,001, dan afek negatif memediasi secara parsial hubungan kedua variabel tersebut, b = 0,401, 95% CI [0,2501; 0,5714]. Fluktuasi harian dari skema yang disertai dengan keberadaan afek negatif akan mendorong interpretasi maladaptif atas pengalaman sehari – hari, sehingga memicu PLE, yang pada keluarga pasien dapat dijelaskan melalui tingginya behavioral sensitization.

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Psychotic-like experience (PLE) is hallucination/delusion – like experiences, nonclinical, and quite common in healthy normal population. PLE is shaped by the interplay of cognitive and emotional aspects which are found to be fluctuated in daily life. However, most of the longitudinal studies have yet to capture the dynamic, due to the longer time gap between measurements. Studies in higher-than-average genetic risk-group were also still limited. This study examines the role of negative affect as a mediator to the effect of negative-self schema on PLE in first-degree relatives of psychotic patients. Data was collected from 36 individuals using Experience Sampling Method (ESM). On the first day, depression (PHQ – 9), anxiety (GAD – 7), and psychotic symptoms (CAPE – 42) were measured. On day two until fifteen, daily measurements on negative-self schema (BCSS), negative affect (Momentary Affect Scale), and PLE (Index of PLE) were completed twice a day. Multilevel Mediation Modeling was performed to analyze the data. Negative-self schema was found to predict PLE, b = 0,378, p < 0,001, and this effect was partially mediated by negative affect, b = 0,401, 95% CI [0,2501; 0,5714]. Day-to-day fluctuation of negative-self schema accompany by negative affect would induce maladaptive interpretation which then result in the PLE symptoms. In first-degree relatives, vulnerability to PLE could be explained by behavioral sensitization."

"Skizofrenia merupakan penyakit neurobiologis berat dan beragam, meliputi aspek kognitif, afektif, perilaku, terjadi secara terus-menerus akibatnya bukan hanya untuk dirinya sendiri melainkan juga untuk lingkungan disekitarnya. Klasifikasi skizofrenia dibuat berdasarkan tanda gejala yang muncul yaitu gejala positif, gejala negatif, gejala kognitif dan gejala depresif. Pada tulisan ini mengupas skizofrenia dengan gejala positif yaitu gangguan orientasi realita halusinasi dan waham. Tentang halusinasi dan waham yang ada pada pasien, terapi generalis (ners), ners spesialis serta program Discharge Planning yang dilakukan oleh perawat. Setelah dilakukan semua tindakan tersebut tergambar perubahan sebelum dan sesudah dilakukan tindakan Discharge Planning berupa penurunan tanda dan gejala serta peningkatan kemampuan pasien dan keluarga dalam melakukan terapi ners generalis halusinasi antara lain melawan, mengabaikan dan mengalihkan halusinasi serta pemberian obat dengan cara 8 benar minum obat. Terapi generalis waham antara lain mengidentifikasi isi waham dan mengorientasi realita pengenalan orang, waktu dan tempat, mengidentifikasi keutuhan yang tidak terpenuhi dan mengembangkan aspek positif pasien serta terapi obat. Kita juga dapat melihat perubahan kemampuan perawat dalam melakukan Discharge Planning pre dan post dilaksanakan pelatihan Discharge Planning, Maka penulis merekomendasikan dilakukan Discharge Planning pada ruangan lain di RSMM (Rumah Sakit Marzoeki Mahdi) maupun di tempat pelayanan kesehatan lainnya.

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Schizophrenia is severe and diverse neurobiological disease, including cognitive, afective, and behavioral aspects that occur continuously, the consequences are not only for himself but also for the environtment around them. The clasification of schizophrenia is base on the symptom that appear, namely positive symptom, negative, cognitive and depressive symptom. This paper examine schizopheria with possitive symptom is Reality Orientation Disorder ; hallucinations and delusions. About the sign and symptom of hallucinations and delusion that exist in patient generalst therapy carry out by nurse on patients and families, the abilities of patient and families, to carry generalis therapy, specialist therapy and the Discharge Planning Program carry out by nurse. After all these action are carry out, the changes before and after Discharge Planning are carry out in the form of decreasing symptomatic sign and increasing the ability of patient and families to perform generalys therapy of hallucinations, among other by fighting, ignoring and diverting hallucinations and administering drugs with 8 corrects to drink medicine, general terapy of delucion among; identify content of delucions, orientation of reality of recognizing people, place and time, identifying needs and developing possitive aspects of patients and drugs therapy. also we can see changes nursing ability to carry out Discharge Planning pre and post Discharge Planning training, so the author recommended that Discharge Planning carry out in another room in RSMM (Marzoeki Mahdi Mental Hospital) and at other service place."

"Kanker merupakan penyakit kronik yang menjadi penyebab kematian utama kedua di dunia. Dampak kanker dapat mempengaruhi fisik dan psikologis yang berpengaruh pada nilai kualitas hidup pasien kanker. Penulisan ini bertujuan untuk mengidentifikasi kekuatan hubungan antara gangguan psikologis (depresi, ansietas dan stres) dengan kualitas hidup pada pasien kanker. Metode dalam penulisan ini ialah telaah literatur dengan menggunakan prinsip Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Penelusuran jurnal dilakukan melalui database Pubmed, Clinical Key, Wiley Online Library, Sciencedirect, SAGE journals, dan Google Scholar. Analisis bias artikel dilakukan oleh dua reviewer dengan menggunakan The Joanna Briggs Institute Critical Appraisal Checklist. Hasil analisa pada enam belas jurnal didapatkan mayoritas pasien kanker mengalami depresi, ansietas dan stres serta mengalami penurunan kualitas hidup. Terdapat hubungan yang signikan antara depresi, ansietas dan stres dengan kualitas hidup pada pasien kanker.

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Cancer is a chronic disease that is the second leading cause of death in the world. The impact of cancer can affect the physical and psychological factors that affect the quality of life of cancer patients. This article discusses the strenght of the relationship between psychological disorders (depression, anxiety, and stress) with quality of life in cancer patients. The method in this article is a literature review using the principles of Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Journals traced through the Pubmed, Clinical Key, Wiley Online Library, Sciencedirect, SAGE journals, and Google Scholar databases. The article bias analysis was assessed by two reviewers using The Joanna Briggs Institute Critical Appraisal Checklist. The results from analysis the journals obtained by patients experienced an increase in depression, anxiety, and stress and had decreased quality of life. There is a significant relationship between depression, anxiety, and stress with the quality of life in cancer patients."