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"Nyeri kronis pada populasi dewasa muda dapat mengganggu aktivitas dan keberfungsian sehari-hari. Penderita nyeri bahkan terancam mengalami kehilangan fungsi tubuh tertentu apabila terlibat dalam pain catastrophizing. Berdasarkan fear-avoidance model, sifat cemas dapat mempengaruhi penderita nyeri untuk melakukan pain catastrophizing yang kemudian mengarah pada pemulihan yang tertunda. Peneliti lain mencoba mengembangkan model yang hanya fokus pada faktor negatif ini, dengan memasukkan faktor positif yang dapat membantu pemulihan nyeri individu, yaitu resiliensi. Stres yang dialami penderita nyeri kronis juga perlu diatasi. Salah satu caranya adalah dengan melakukan positive religious coping. Pada studi ini, penulis ingin melihat peran resiliensi dan positive religious coping sebagai moderator di antara interaksi sifat cemas dan pain catastrophizing, sedangkan negative religious coping dianalisis sebagai kovariat. Penelitian dilakukan terhadap 275 penderita nyeri di Indonesia berusia 18-35 tahun. Partisipan memberi persetujuan untuk mengikuti penelitian ini dan mengisi kuesioner yang menggambarkan pengalaman nyeri mereka. Hasil analisis regresi menunjukkan bahwa positive religious coping berperan sebagai moderator dalam interaksi sifat cemas dan pain catastrophizing, namun resiliensi tidak. Memiliki hubungan yang baik dengan Tuhan, sesama, dan diri sendiri dapat membantu penderita nyeri kronis dalam menghadapi nyerinya. Melihat hasil studi ini, profesional dapat mempertimbangkan positive religious coping sebagai salah satu sasaran intervensi saat menangani pasien nyeri kronis.

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Chronic pain in young adults can interfere with daily activity and functioning. Pain patients are threatened with dysfunction when they are engaged in pain catastrophizing. According to the fear-avoidance model, trait anxiety affects one’s involvement in pain catastrophizing, leading to delayed recovery. Other researchers tried to expand the model, which focuses only on the negative factors, by incorporating the positive factors, i.e., resilience, that can promote positive adaptation to chronic pain. The stress that chronic pain patients face also needs to be overcome. One of the strategies is using positive religious coping. In this study, the author examined the role of resilience and positive religious coping as moderators in the interaction of trait anxiety and pain catastrophizing, while negative religious coping is analyzed as a covariate. A total of 275 individuals with chronic pain aged 18-35 participated in this study. Participants informed their consent and filled out a set of questionnaires that described their pain experiences. The regression analysis results show that positive religious coping moderates the interaction between trait anxiety and pain catastrophizing, and resilience does not. Having a good connection with God or a higher being, as well as others and oneself, can help chronic pain patients deal with their pain. From this finding, professionals can consider positive religious coping an intervention target when helping chronic pain patients."

"Nyeri kronis merupakan masalah kesehatan yang penting di banyak negara termasuk di Indonesia, dengan prevalensi yang tinggi dan kemungkinan akan meningkat di masa mendatang. Individu dengan nyeri kronis dapat memunculkan respon pemikiran negatif, terutama pain catastrophizing yang mana dapat meningkatkan pain interference. Kemampuan coping yang efektif dapat mengurangi dampak pain catastrophizing terhadap pain interference. Penelitian budaya barat umumnya berfokus pada penggunaan emotion-focused coping dan problem-focused coping dalam menangani masalah nyeri kronis. Namun, Indonesia sebagai negara yang dekat dengan nilai-nilai dan praktik keagamaan, mendorong adanya eksplorasi positive religious coping. Penelitian ini bertujuan untuk menguji peran moderasi dari tiga jenis coping pada pengaruh pain catastrophizing terhadap pain interference. 368 orang yang telah memenuhi kriteria, berpartisipasi dan mengisi secara online dan offline kuesioner Pain Catastrophizing Scale, Pain Interference Short Form 6a, The Brief COPE, dan The Brief RCOPE yang telah diadaptasi. Hasil penelitian menunjukkan problem-focused coping dan positive religious coping memoderasi pengaruh pain catastrophizing terhadap pain interference. Mencari bantuan Tuhan dan secara aktif mencari solusi masalah nyeri membantu individu menghadapi keterbatasan akibat nyeri kronis. Penggunaan dua jenis coping ini pada populasi Indonesia dapat bermanfaat dalam praktik psikologis menangani individu dengan nyeri kronis.

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Chronic pain is a significant health problem in many countries including Indonesia, with high prevalence and the possibility to increase in the future. Individuals experiencing chronic pain elicit cognitive and behavioral responses, including pain catastrophizing which can cause high pain interference. Effective coping ability can help reduce the impact of pain catastrophizing on pain interference. Previous research focused on emotion-focused and problem-focused coping in dealing with chronic pain. However, Indonesia as a country with a strong influence from religious values and practices encourages the exploration of positive religious coping. This study aimed to examine the moderating role of three coping styles on pain catastrophizing and pain interference associations. 368 individuals who have met the criteria, participated and completed the adapted Pain Catastrophizing Scale, Pain Interference Short Form 6a, The Brief COPE, and The Brief RCOPE online or offline questionnaires. The result showed that problem-focused coping and positive religious coping moderate the effect of pain catastrophizing on pain interference. Seeking help from God helped individuals deal with chronic pain problems, as well as actively resolving difficulties. The use of these two coping styles in Indonesian population can be useful for psychological practice managing chronic pain"

"Stress memiliki prevalensi yang tinggi di masyarakat. Pada usia remaja, potensi munculnya stress akan meningkat. Penelitian ini bertujuan untuk melihat hubungan antara keberfungsian keluarga dan stress dengan moderator positive religious coping pada remaja akhir. Pengukuran variabel keberfungsian keluarga menggunakan alat ukur Family Assessment Device FAD skala general fuctioning untuk mengukur keberfungsian keluarga secara umum. Pengukuran stress menggunakan alat ukur Perceived Stress Scale PSS . Pengukuran positive religious coping menggunakan alat ukur The Brief RCOPE. Partisipan dalam penelitian ini berjumlah 426 94 laki-laki dan 332 perempuan dengan rentang usia 18-21 tahun. Pengujian hipotesis menggunakan teknik multiple regression. Hasil penelitian menunjukkan bahwa keberfungsian keluarga berhubungan dengan stress secara signifikan. Namun, positive religious coping tidak memberikan pengaruh secara signifikan R=0,429, p>.05 dalam hubungan antara keberfungsian keluarga dan stress. Hubungan moderasi yang tidak signifikan tersebut diasumsikan karena 1 hubungan keberfungsian keluarga dan stress sudah terlalu kuat, 2 adanya hubungan signifikan antara keberfungsian keluarga dan positive religious coping, dan 3 positive religious coping tidak efektif sebagai strategi coping pada usia remaja akhir.

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Stress has a high prevalence in society. In adolescence, the potential for stress will increase. This research was conducted to see the relationship between family functioning and stress with religious coping as a moderator among the late adolescents. The measurement of family functioning variable was using the instrument of Family Assessment Device FAD general functioning scale to measure family functioning in general. The measurement of stress variable was using the Perceived Stress Scale PSS . The measurement of positive religious coping variable was using the Brief RCOPE. The participants in this study were 426 subjects 94 men and 332 women with the range of age between 18 21 years old. Hypothesis testing used the multiple regression technique.

The result of this study showed that family functioning significantly correlated with stress. However, positive religious coping could not significantly moderate R 0,429, p .05 the relationship of family functioning and stress. This insignificant moderation relationship was assumed to be due 1 the relationship of family functioning and stress was too strong, 2 there was a significant relationship between family functioning and positive religious coping, and 3 positive religious coping was not effective as coping strategy in late adolescence."

"Kehilangan anggota keluarga inti dapat memicu reaksi duka yang lebih mendalam dan kesulitan dalam beradaptasi. Ketika individu tidak mampu menghadapi kedukaan dengan adaptif maka akan rentan mengalami complicated grief dan menurunkan kesejahteraan subjektif individu. Mekanisme koping seperti spiritual dan religius koping dapat membantu individu dalam menghadapi kedukaannya. Koping spiritual dan religius terbagi menjadi dua yaitu religius koping positif dan religius koping negatif. Penelitian ini bertujuan untuk melihat apakah complicated grief berkorelasi negatif dengan kepuasan hidup, serta melihat apakah religius koping baik positif atau negatif berperan sebagai moderator dalam hubungan antara complicated grief dengan kepuasan hidup pada keluarga inti yang berduka. Analisis data dilakukan terhadap 452 partisipan dengan rentang usia 19 – 40 tahun yang kehilangan anggota keluarga inti. Alat ukur yang digunakan yaitu Satisfaction With Life Scale, Inventory of Complicated Grief, dan Brief Spiritual/Religious Coping Scale. Hasil analisis menunjukkan bahwa complicated grief tidak berkorelasi negatif secara signifikan dengan kepuasan hidup. Selanjutnya, religius koping positif berperan sebagai variabel moderator yang memperkuat hubungan negatif antara complicated grief dan life satisfaction, sedangkan religius koping negatif tidak memoderasi hubungan antara complicated grief dan life satisfaction. Penelitian ini memberikan implikasi terkait pentingnya pemberian intervensi koping religius yang dapat benar-benar meningkatkan kemampuan individu dalam memaknai penggunaan koping religius positif sehingga dapat mengurangi dampak negatif kedukaan terhadap kepuasan hidup individu.

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The loss of a nuclear family member can trigger deeper grief reactions and difficulties in adapting. When individuals are unable to deal with grief adaptively, they will be vulnerable to experiencing complicated grief and reduce individual subjective well-being. Coping mechanisms such as spiritual and religious coping can help individuals in dealing with their grief. Spiritual and religious coping is divided into two types, positive religious coping and negative religious coping. This study aims to see if complicated grief is negatively correlated with life satisfaction, and to see if religious coping either positive or negative plays a moderating role in the relationship between complicated grief and life satisfaction in bereaved nuclear families. Data analysis was conducted on 452 participants aged 19 – 40 years who lost a nuclear family member. The measuring instruments used were Satisfaction With Life Scale, Inventory of Complicated Grief, and Brief Spiritual/Religious Coping Scale. The results of the analysis showed that complicated grief was not significantly negatively correlated with life satisfaction. Furthermore, positive religious coping acts as a moderator variable that strengthens the negative relationship between complicated grief and life satisfaction, while negative religious coping does not moderate the relationship between complicated grief and life satisfaction. This study provides implications regarding the importance of providing religious coping interventions that can actually enhance the individual's ability to interpret the use of positive religious coping so as to reduce the negative impact of grief on individual life satisfaction."

"Kehilangan anggota keluarga inti dapat memicu duka yang lebih intens dan berkepanjangan, meningkatkan risiko complicated grief (CG) yang berdampak pada kesehatan mental dan fungsi sehari-hari. Salah satu strategi yang dapat membantu individu dalam menghadapi tantangan akibat kehilangan adalah koping religius (religious coping). Koping religius merupakan penggunaan keyakinan dan praktik agama untuk menghadapi tekanan hidup. Strategi ini terbagi menjadi dua jenis, yaitu koping religius positif yang berhubungan dengan penurunan intensitas CG, dan koping religius negatif yang cenderung meningkatkan keparahan duka. Resiliensi, yang merupakan kemampuan individu untuk bangkit di tengah kesulitan, juga terbukti berperan penting dalam proses adaptasi terhadap kehilangan dan kemunculannya dapat dipengaruhi oleh pemaknaan yang merupakan mekanisme dari koping religius. Penelitian ini bertujuan untuk menguji peran resiliensi sebagai mediator dalam hubungan antara koping religius (baik positif maupun negatif) dan CG. Data dikumpulkan dari 452 partisipan dengan usia rata-rata (M=29.72), menggunakan tiga alat ukur, yaitu Brief Spiritual/Religious Coping Scale, The Connor-Davidson Resilience Scale, dan Inventory of Complicated Grief. Analisis data dilakukan menggunakan model mediasi dengan PROCESS Hayes. Hasil menunjukkan bahwa resiliensi berperan sebagai mediator dalam hubungan antara koping religius positif dan CG. Namun, pada model hubungan antara koping religius negatif dan CG, resiliensi tidak ditemukan berperan sebagai mediator. Penelitian ini memberikan wawasan mengenai pengembangan intervensi psikologis dengan mengintegrasikan pendekatan agama dan resiliensi untuk mengelola kehilangan secara adaptif, serta menyoroti pentingnya deteksi dan penanganan koping religius negatif yang dapat memperburuk CG.

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The loss of a nuclear family member can trigger more intense and prolonged grief, increasing the risk of complicated grief (CG) which impacts mental health and daily functioning. One strategy that can help individuals deal with the challenges of loss is religious coping. Religious coping is the use of religious beliefs and practices to deal with life stresses. This strategy is divided into two types, namely positive religious coping (PRC), which is associated with a decrease in CG intensity, and negative religious coping (NRC), which tends to increase the severity of grief. Resilience, which is an individual's ability to rise above adversity, has also been shown to play an important role in the process of adapting to loss and its emergence can be influenced by meaning-making, which is a mechanism of religious coping. This study aimed to examine the role of resilience as a mediator in the relationship between religious coping (both positive and negative) and CG. Data were collected from 452 participants with a mean age (M=29.72), using three measurement tools, namely the Brief Spiritual/Religious Coping Scale, The Connor-Davidson Resilience Scale, and the Inventory of Complicated Grief. Data analysis was conducted using the mediation model with Hayes' PROCESS. The results showed that resilience acts as a mediator in the relationship between PRC and CG. However, in the relationship model between NRC and CG, resilience was not found to play a mediating role. This study provides insights into the development of psychological interventions integrating religious and resilience approaches to adaptively manage loss, and highlights the importance of detecting and addressing negative religious coping that may exacerbate CG."

"Latar Belakang. Douleur Neuropathique 4 (DN4) merupakan kuesioner penilaian nyeri neuropatik dengan sensitivitas dan spesifisitas yang baik dalam berbagai bahasa. Penelitian ini bertujuan untuk melakukan uji validitas, reliabilitas, dan akurasi DN4 ke dalam Bahasa IndonesiaMetode. Dilakukan translasi dan adaptasi lintas budaya sesuai kaidah WHO, kemudian dilakukan uji validitas dan reliabilitas pengukuran sensitivitas dan spesifisitas skor DN4-Ina. Studi potong lintang dilakukan pada populasi pasien dengan nyeri kronik di poli saraf RSUPN Dr. Cipto Mangunkusumo mulai Juli-Desember 2023. Pengambilan sampel dilakukan dengan metode konsekutif sampling dan total 201 pasien memenuhi kriteria inklusi dan eksklusi. Data karakteristik demografi disajikan dalam bentuk tabel distribusi frekuensi. Analisis sensitivitas dan spesifisitas menggunakan tabel silang 2x2, dan kurva ROC. Sebanyak 79 pasien memiliki hasil pemeriksaan elektrofisiologi dan dibandingkan masing-masing dengan DN4 dan painDETECT. Semua analisis data menggunakan SPSS versi 25.0Hasil. Mayoritas subjek adalah perempuan (68,15%), dengan rerata usia 52,49+12,83 tahun, intensitas nyeri sedang (rerata NRS 4,67+1,93), dan durasi nyeri 13,23+4,17 bulan. Diagnosis terbanyak adalah radikulopati lumbal (35,32%), diikuti dengan polineuropati DM (15,42%), radikulopati servikal (10,94%), dan sindroma terowongan karpal (9,45%). Pada uji validitas DN4- Ina semua pertanyaan memiliki r-hitung lebih besar dibandingkan r-tabel (0,312). Hasil uji reliabilitas antar pemeriksa menggunakan intraclass correlation coefficient sebesar 0,99 dan Cronbach’s Alpha sebesar 0,746. Hasil sensitivitas 100% dan spesifisitas 83,17%. Saat DN4 dan painDETECT dibandingkan terhadap hasil elektrofisiologi, keduanya memiliki spesifisitas 100%, tetapi sensitivitas DN4 lebih unggul dibandingkan dengan painDETECT (90,32% vs 75,80%)Kesimpulan. Skor DN4-Ina valid, reliabel, dan memiliki akurasi baik untuk menilai nyeri neuropatik.

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Background. Douleur Neuropathique 4 (DN4) is a neuropathic pain assessment questionnaire with good sensitivity and specificity in various languages. This study aims to test the validity, reliability and accuracy of DN4 into Indonesian Language.

Methods. Translation and cross-cultural adaptation were carried out according to WHO rules, then validity and reliability tests were carried out to measure the sensitivity and specificity of the scores DN4-Ina. A cross-sectional study was conducted on a population of patients with chronic pain at the Neurology Clinic of RSUPN Dr. Cipto Mangunkusumo starting July-December 2023. Sample collection was carried out using the consecutive sampling method and a total of 201 patients met the inclusion and exclusion criteria. Demographic characteristic data is presented in the form of a frequency distribution table. Sensitivity and specificity analysis using a 2x2 cross table, and ROC curve. A total of 79 patients had electrophysiological examination results and were compared respectively with DN4 and painDETECT. All data analysis used SPSS version 25.0.

Results. The majority of subjects were female (68.15%), with a mean age of 52.49+12.83 years, moderate pain intensity (average NRS 4.67+1.93), and pain duration 13.23+4.17 months. The most common diagnosis was lumbar radiculopathy (35.32%), followed by DM polyneuropathy (15.42%), cervical radiculopathy (10.94%), and carpal tunnel syndrome (9.45%). In the DN4-Ina validity test, all questions had an r-count greater than the r-table (0.312). The results of the inter- examiner reliability test used an intraclass correlation coefficient of 0.99 and Cronbach's Alpha of 0.746. The sensitivity results were 100% and specificity 83.17%. When DN4 and painDETECT were compared to electrophysiological results, both had 100% specificity, but the sensitivity of DN4 was superior to painDETECT (90.32% vs 75.80%).

Conclusion. The DN4-Ina score is valid, reliable and has good accuracy for assessing neuropathic pain"

"Ujian Objective Structured Clinical Examination (OSCE) merupakan ujian yang dapat menyebabkan kecemasan bagi mahasiswa kesehatan. Individu berupaya dalam menangani stressor dan salah satu bentuk maladaptifnya adalah perilaku self-harm yang merupakan upaya menyakiti diri sendiri. Penanganan stressor dapat adaptif bila menggunakan mekanisme koping yang cocok dengan individu. Penelitian ini bertujuan untuk mengetahui tingkat kecemasan, perilaku self-harm, dan mekanisme koping mahasiswa yang menjalani OSCE. Desain penelitian deskriptif kuantitatif. Sampel penelitian 107 responden (52 responden angkatan 2019 dan 55 responden angkatan 2020), dengan teknik proportional sampling. Instrumen yang digunakan Hamilton Anxiety Rating Scale (HAM-A/HARS), Self-Harm Inventory (SHI), dan Brief COPE Scale. Analisis univariat dengan hasil penelitian menunjukkan bahwa tingkat kecemasan ringan (51%), perilaku self-harm rendah (79%) dengan memukul diri sendiri (38,31%), dan mekanisme koping sedang dengan jenis problem-focused paling banyak digunakan (72%). Saran dari penelitian ini adalah promosi kesehatan mengenai tingkat kecemasan, perilaku self-harm, dan mekanisme koping serta bagaimana solusinya.

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The Objective Structured Clinical Examination (OSCE) is an exam which can cause anxiety for health students. Students are trying to deal with stressors and self-harm behavior is one of the maladaptive forms, which is defined as an attempt to hurt themselves. The coping mechanism students using to handle stressor can adaptive if it matches for each individual. This study aims to see the characteristics of respondents and the overview of the level of anxiety, self-harm behavior, and student coping mechanisms during OSCE. This research is quantitative descriptive. The research sample consisted of 107 FIK UI students consisting of 52 respondents from class of 2019 and 55 respondents from class of 2020 with a proportional sampling technique. The instruments used are the Hamilton Anxiety Rating Scale (HAM-A/HARS), the Self-Harm Inventory (SHI), and the Brief COPE Scale. This study uses univariate analysis with the results showed that students experienced mild levels of anxiety (51%), low self-harm behavior (79%), and moderate use of problem-focused coping mechanisms (72%). The main suggestion of this research is health promotion regarding anxiety levels, self-harm behavior, and coping mechanisms and how to solve them."

"ABSTRAKPola asuh orang tua yang kurang baik dan penggunaan mekanisme koping yang salah dapat membuat mahasiswa tingkat akhir mengalami ansietas dalam proses pembuatan skripsi. Penelitian ini bertujuan untuk mengetahui hubungan pola asuh orang tua dan mekanisme koping dengan ansietas pada mahasiswa tingkat akhir dalam proses pembuatan skripsi di pendidikan sarjana. Desain penelitian ini adalah deskriptif korelasional dengan pendekatan cross sectional, melibatkan 68 mahasiswa tingkat akhir yang dipilih dengan teknik proportional stratified random sampling. Mahasiswa skripsi sebagian besar memiliki orang tua dengan pola asuh authoritative. Mekanisme koping yang digunakan mahasiswa sebagian besar adalah problem focused coping. Mahasiswa skripsi sebagian besar mengalami ansietas ringan. Pola asuh orang tua dan problem focused coping memiliki hubungan yang bermakna dengan ansietas. Penelitian ini diharapkan dapat digunakan sebagai dasar dalam meningkatkan konsultasi pendidikan bagi mahasiswa skripsi dan orang tua.

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ABSTRACTInadequately parenting parent and the used of coping mechanism can make last year college student anxiety under the processing of research in undergraduate program. This study aimed to explore the relationship of coping mechanism with anxiety and perception of student toward parenting in last year college student under the processing of research in undergraduate program. Method design of this study used correlational descriptive with crossectional approach, which involved 68 last year students with proportional stratified random sampling. Majority students had parent with authoritative parenting parent. Majority coping mechanism which was used by student was problem focused coping. Majority student had mild anxiety. Parenting parent and problem focused coping had significant relationship with anxiety. This study may can be used as primary source to increase consultation of education for research student and parent"

"ABSTRAKLatar Belakang: Nyeri panggul kronik merupakan suatu gejala yang dialami oleh perempuan terutama di usia reproduksi. Kondisi ini menggangu aktivitas harian dan menurunkan kualitas hidup hingga membuat penderita mengalami depresi. Prevalensi nyeri panggul kronis pada perempuan berkisar 3,8 ndash; 40 di seluruh dunia. Kondisi ini merupakan suatu entitas yang masih belum dipelajari dengan baik dan dapat menyebabkan morbiditas yang serius. Proses inflamasi juga berperan dalam mencipatakan rasa nyeri. Hs ndash; CRP merupakan sebuah penanda inflamasi yang nilainya meningkat pada saat terjadi reaksi tersebut.Tujuan: Penelitian ini bertujuan untuk mengetahui prevalensi dan berbagai aspek yang berhubungan dengan nyeri panggul kronik pada perempuan di RSUP Cipto Mangunkusumo.Metode: Penelitian dilakukan dengan desain potong lintang di poliklinik rawat jalan ginekologi dan laboratorium di RSCM selama Januari ndash; Maret 2016. Pasien yang mengeluh nyeri panggul lebih dari 6 bulan dilakukan anamnesis, pemeriksaan fisik, dan pemeriksaan penunjang dan pemeriksaan hs ndash; CRP serum. Dilakukan penghitungan prevalensi dan deskripsi karakteristik klinis dan diagnosis pasien. Kualitas hidup dan kadar hs ndash; CRP dibandingkan antara kelompok derajat nyeri ringan dan berat.Hasil: Didapatkan prevalensi sebesar 9,78 dari total pasien di poliklinik ginekologi RSCM. Ditemukan 96,9 kelainan ginekologi, 1 kelainan urologi, dan 2,1 kelainan muskulo-skeletal. Diagnosis tersering adalah endometriosis. Karakteristik klinis pasien yang ditemukan adalah 62,9 menderita lama nyeri selama 6 bulan ndash; 1 tahun dengan intensitas nyeri VAS 7 ndash; 10 sebanyak 51,5 . Kadar hs ndash; CRP serum sebesar 1,99 0,00 ndash; 404, 53 . Terjadi penurunan kualitas hidup dari domain fisik 56 38 - 81 ; domain psikologi 56 31 - 100 ; domain hubungan sosial 25 - 75 ; domain lingkungan 56 31 - 94 .Kesimpulan: Nyeri panggul kronik pada perempuan dijumpai pada usia reproduksi dengan penyebab tersering endometriosis. Nyeri tersebut menyebabkan penurunan kualitas hidup.

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ABSTRACT Background Chronic pelvic pain is a symptom which experienced by women, especially in the reproductive age. These condition interferes with daily activities and decreses quality of life from the patient who suffers it. The prevalences of chronic pelvic pain in women range from 3.8 to 40 worldwide. This condition is an entity that has not been studied well and can cause serious morbidity. Inflammatory process also plays a role in the creation of pain. Hs CRP is a marker of inflammation that increases in value in the event of such reactions.Purpose This study aimed to determine the prevalence and various aspects that associated with female chronic pelvic pain at Cipto Mangunkusumo hospital. Methods The study was conducted with a cross sectional design in gynecology outpatient polyclinic and laboratory at RSCM during January to March 2016. Patients who complain pelvic pain for more than 6 months. We take the history and was performed physical examination and investigations including hs CRP serum examination. We calculate the prevalence and describe the clinical characteristics and diagnosis of the patient. Quality of life and levels of hs CRP were compared between the group of mild and severe pain. Results The prevalence was 9.78 from the total patients in the RSCM gynecology outpatient clinic. We found 96.9 of gynecological disorders, 1 of urological disorders, and 2.1 of musculo skeletal disorders. The most common diagnosis is endometriosis. The Clinical characteristics of patients were found 62.9 suffer for 6 months 1 year with the intensity of pain VAS 7 10 as much as 51.5 . Levels of hs CRP serum was around 1.99 0.00 404, 53 . We found a decreased in the quality of life of the patient. The physical domain score was 56 38 81 the psychology domain score was 56 31 100 the domain of social relationships was 59 25 75 and the environmental domain score was 56 31 94 . Conclusion Endometriosis is the most common diagnosis in female chronic pelvic pain of reproductive age. The Pain causes a decreased in quality of life who suffer from it. "

"Latar belakang: Penelitian ini bertujuan untuk mengetahui pengaruh press needle aurikular terhadap penurunan intensitas nyeri dan peningkatan kualitas hidup serta mengetahui efek samping pada pasien nyeri kronis dengan gejala depresi.Metode: Desain dari penelitian ini adalah randomized controlled trial dengan dua kelompok, yaitu: kelompok perlakuan yang mendapatkan terapi menggunakan press needle Pyonex ukuran 0,17 x 0,9 mm pada titik MA-TF1 Shenmen, MA-IC7 Heart dan MA-IT1 Cingulate gyrus, dan kelompok kontrol dengan menggunakan plester berbentuk bulat tanpa jarum pada titik yang sama. Pada kedua kelompok tidak dilakukan stimulasi. Press needle terpasang selama 14 hari, dengan pergantian jarum satu kali pada hari ketujuh. Luaran dinilai menggunakan skor VAS dan kuesioner SF-12.Hasil: Penelitian ini mengikutsertakan 60 subjek (30 subjek kelompok perlakuan dan 30 subjek kelompok kontrol). Skor VAS kelompok perlakuan pada hari ke-7 dan hari ke-14 lebih rendah dibandingkan kelompok kontrol (2(0-5) vs. 3(0-6), p=0,045; 1(0-4) vs. (3(0- 6), p=0,007). Peningkatan skor SF-12 kelompok perlakuan baik komponen fisik (PCS- 12) maupun komponen mental (MCS-12) lebih tinggi dibandingkan kelompok kontrol (45,75 (35,4 - 56,12) vs. 41,82 (35,4 - 50,52), p=0,001; 50,25 (39,61 - 62,12) vs. 44,98 (37,07 - 55,99), p=0,002) pada hari ke-14. Terdapat efek samping ringan yang bersifat sementara dan membaik tanpa intervensi lebih lanjut, berupa gatal (3,3%) dan kemerahan (1,6%) pada kedua kelompok.Kesimpulan: Press needle aurikular terbukti efektif dan aman dalam menurunkan intensitas nyeri dan meningkatkan kualitas hidup pada pasien nyeri kronis dengan gejala depresi.

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Background: This study aims to determine the effect of auricular press needle therapy on pain intensity reduction and quality of life improvement, as well as to assess the side effects in patients with chronic pain and depressive symptoms.

Methods: The design of this study is a randomized controlled trial with two groups: the treatment group receiving therapy using Pyonex® press needles sized 0.17 x 0.9 mm at the MA-TF1 Shenmen, MA-IC7 Heart, and MA-IT1 Cingulate gyrus points, and the control group receiving round adhesive patches without needles at the same points. No stimulation was performed in either group. The press needles were applied for 14 days, with a needle change on the seventh day. Outcomes were assessed using the Visual Analog Scale (VAS) and the SF-12 questionnaire.

Results: This study included 60 subjects (30 in the treatment group and 30 in the control group). The VAS scores in the treatment group on days 7 and 14 were lower compared to the control group (2(0-5) vs. 3(0-6), p=0.045; 1(0-4) vs. 3(0-6), p=0.007). The improvement in SF-12 scores for both physical component (PCS-12) and mental component (MCS-12) in the treatment group was higher than in the control group (45.75 (35.4 - 56.12) vs. 41.82 (35.4 - 50.52), p=0.001; 50.25 (39.61 - 62.12) vs. 44.98 (37.07 - 55.99), p=0.002) on day 14. There were mild, transient side effects that improved without further intervention, including itching (3.3%) and redness (1.6%) in both groups. Conclusion: Auricular press needle therapy has been shown to be effective and safe in reducing pain intensity and improving quality of life in patients with chronic pain and depressive symptoms."