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Adhe Herawaty
Hubungan faktor sosiodemografi, stigma diri, gejala klinis dan mekanisme coping terhadap pengungkapan status hiv/aids penderita sida serta dampak psikologis yang ditimbulkan = Relationship between sociodemographic factors, self-stigma, clinical symptoms and coping mechanisms towards hiv/aids disclosure and its psychological impact
"Pengungkapan status HIV/AIDS adalah suatu tindakan yang belum seluruhnya dilakukan para penderita SIDA. Hal ini dipengaruhi banyak faktor yang melatarbelakanginya. Tindakan pengungkapan ini dapat memengaruhi munculnya psikopatologi pada seorang penderita SIDA. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang memengaruhi keputusan seorang penderita SIDA dalam mengungkapkan status HIV/AIDS serta psikopatologi yang ditimbulkan dari tindakan ini. Penelitian ini menggunakan instrumen kuesioner sosiodemografi, Berger HIV rating scale untuk menilai stigma diri, instrumen COPE untuk menilai mekanisme coping dan SCL-90 untuk menilai psikopatologi pada subjek penelitian. Uji statistik digunakan untuk menganalisis hubungan masing-masing variabel terhadap pengungkapan status HIV/AIDS. Faktor sosiodemografi seperti usia, jenis kelamin, pendidikan, pekerjaan, status pernikahan tidak mempunyai hubungan bermakna terhadap pengungkapan status HIV/AIDS. Hal ini ditunjukan dengan nilai p masing-masing variabel yaitu pada variabel usia didapatkan nilai p=1,000, variabel jenis kelamin dengan nilai p=1,000, variabel pendidikan dengan nilai p=0,401, variabel status pernikahan dengan nilai p=0,850 dan nilai p=0,519 untuk variabel pekerjaan. Faktor mekanisme coping dianalisis juga tidak mempunyai hubungan bermakna terhadap pengungkapan status HIV/AIDS dengan nilai p=0,406 active coping , p=0,148 acceptance dan p=0,568 religious focused . Terdapat hubungan antara stigma diri dengan pengungkapan status HIV/AIDS dengan nilai p=
Disclosure of HIV AIDS status is an action that has not been fully done by SIDA rsquo s patients. This is influenced by many factors that lie behind it. This act of disclosure may affect the emergence of psychopathology in a SIDA rsquo s patients. This study aims to determine the factors that influence the decision of a SIDA rsquo s patients in disclosing the status of HIV AIDS and psychopathology arising from this action. Research subjects did fill out demographic questionnaires and several other questionnaires. Researchers used the Berger HIV rating scale instrument to assess self stigma, the COPE instrument to assess coping mechanisms and SCL 90 to assess psychopathology in the study subjects. Statistical tests were used to analyze the relationship of each variable to HIV AIDS status disclosure. Sociodemographic factors such as age, sex, education, occupation, marital status have no significant association with HIV AIDS status disclosure. This is indicated by the p value of each variable that is the age variable obtained p value 1,000, the gender variable with the value p 1,000, the education variable with the value p 0,401, marital status variable with the value p 0.850 and the value p 0,519 for job variables. The coping mechanism factors analyzed also had no significant relationship to HIV AIDS status disclosure with p 0,406 active coping , p 0,148 acceptance and p 0,568 religious focused . There is a relationship between self stigma and HIV AIDS status disclosure with p "
2018
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UI - Tesis Membership  Universitas Indonesia Library
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Dyani Pitra Velyani
Gambaran psikopatologi dan faktor-faktor yang memengaruhi pada pasangan infertilitas yang menjalani fertilisasi in vitro di klinik Yasmin RSCM Kencana = Psychopathological profile and its influencing factors in infertility couples undergoing in vitro fertilization (IVF) in Yasmin Clinic Kencana Cipto Mangunkusumo hospital
"Fertilisasi invitro (FIV), atau yang biasa dikenal oleh masyarakat awam sebagai “program bayi tabung”, adalah metode Assisted Reproductive Therapy (ART) yang dilakukan saat metode lain untuk mengatasi masalah infertilitas telah mengalami kegagalan (end of the line treatment). Terapi ini menghabiskan banyak waktu, biaya, tenaga, serta digambarkan sebagai emotional roller-coaster bagi pasangan yang menjalaninya.
Penelitian ini merupakan studi kuantitatif dan kualitatif untuk mengetahui fenomena psikologis yang terjadi pada pasangan suami istri dengan masalah infertilitas yang menjalani program FIV di Klinik Yasmin RSCM Kencana dan mengetahui bagaimana pasangan suami istri memaknai masalah infertilitas dan terapi FIV yang mereka jalani.
Hasil penelitian menunjukkan bahwa gejala kecemasan merupakan gambaran yang paling banyak ditemukan. Pada uji statistik tidak didapatkan hubungan yang bermakna antara faktor demografi yaitu suku dan agama, durasi infertilitas, riwayat terapi FIV sebelumnya serta tahapan FIV yang sedang dijalani dengan adanya psikopatologi. Hal ini kemungkinan besar berhubungan dengan kesiapan mental pasangan sebelum menjalani terapi FIV, penerimaan pasangan terhadap kondisi infertilitasnya, serta religious coping positif yang dilakukan oleh pasangan dalam memaknai hasil dari terapi yang mereka jalani.
In vitro fertilization (IVF), is a method of therapy which was done after other methods to overcome infertility problems had failed (end of the line treatment). This therapy is time-, cost-, energy-consuming, and also described as an emotional roller-coster for the couples.
This research is a quantitative and qualitative study to discover psychological phenomenon that occurs in couples with infertility problems who underwent the program in Yasmin Clinic at RSCM Kencana and to explore how the couples experience this problem and IVF therapy. The results showed that anxiety are the most common symptoms.
The statistical test found no significant association between demographic factors (race and religion), duration of infertility, history of previous treatment and the stages of IVF in relation with the presence of psychopathology. This is most likely related to the mental preparation of couples before undergoing IVF, partner acceptance of the condition of infertility, and positive religious coping were performed by couples in defining the outcome of their treatment."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2014
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UI - Tugas Akhir  Universitas Indonesia Library
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Dimas Wirawan Wicaksono
Faktor-Faktor yang Memengaruhi Kepatuhan Psikoterapi pada Pasien dengan Gangguan Depresi di Poli Jiwa Dewasa RSUPN dr. Cipto Mangunkusumo = Factors Affecting Psychotherapy Adherence in Patient with Depression Disorder in Adult Psychiatric Polyclinic Dr. Cipto Mangunkusumo National Central Public Hospital
"Gangguan depresi merupakan salah satu gangguan jiwa terbanyak yang meningkatkan angka morbiditas dan mortalitas penderitanya. Gangguan ini sebenarnya bisa diberikan tatalaksana berupa farmakologis dan non farmakologis, salah satunya adalah psikoterapi. Sayangnya, banyak pasien yang menderita gangguan ini tidak mendapatkan layanan ini secara adekuat. Pasien-pasien yang sudah mendapatkan psikoterapi pun ternyata banyak yang tidak patuh terhadap psikoterapi. Hal ini tentunya memengaruhi luaran dari psikoterapi tersebut. Fenomena ini tentunya dipengaruhi oleh berbagai macam faktor. Namun, masih sangat sedikit penelitian mengenai faktor-faktor yang memengaruhi kepatuhan psikoterapi ini, khususnya di Indonesia. Oleh karena itu, penelitian ini dilakukan untuk mengetahui faktor-faktor yang memengaruhi kepatuhan psikoterapi pada pasien dengan gangguan depresi, khususnya di Poli Jiwa Dewasa (PJD) RSCM.
Penelitian dilakukan dengan desain potong lintang dari Desember 2022 hingga Desember 2023. Sampel penelitian adalah pasien dewasa dengan gangguan depresi yang mendapatkan psikoterapi di PJD RSCM. Sebanyak 82 subjek penelitian terpilih berdasarkan metode purposive sampling. Data diambil dengan menggunakan beberapa kuesioner serta data rekam medis pasien. Analisis data digunakan dengan SPSS untuk melihat karakteristik dasar subjek yang diteliti, analisis bivariat hingga multivariat dari berbagai faktor yang diteliti dengan kepatuhan psikoterapi.
Hasil penelitian menunjukkan bahwa proporsi kepatuhan psikoterapi sebesar 0,73 (CI95% = 0,62 – 0,82). Dari 82 orang subjek yang diteliti, mayoritas adalah perempuan (84,1%) dengan pendidikan tinggi (63,4%) dan status ekonomi menengah (72,0%). Hasil analisis bivariat menunjukkan hubungan yang signifikan secara statistik antara stigma dan konsistensi terapis (p<0,05). Lebih lanjut lagi, stigma yang rendah dan terapis yang tetap memiliki subjek yang patuh pada psikoterapi lebih banyak dibandingkan dengan stigma yang tinggi dan terapis yang tidak tetap. Dari analisis multivariat, didapatkan faktor yang paling memengaruhi kepatuhan psikoterapi adalah konsistensi terapis (p=0,045).
Depressive disorders are one of the most common mental disorders that increase the morbidity and mortality rates of its sufferers. This disorder can actually be treated by pharmacological and non-pharmacological approach, one of which is psychotherapy. Unfortunately, many patients who suffer from this disorder do not receive adequate services. It turns out that many patients who have received psychotherapy are not compliant with psychotherapy. This condition will affect the outcome of psychotherapy. This phenomenon is influenced by various factors. However, research regarding the factors that influence psychotherapy adherence is currently scarce, especially in Indonesia. Therefore, this research was conducted to determine the factors that influence psychotherapy compliance in patients with depressive disorders, especially at the Adult Psychiatric Polyclinic RSCM.
The research was conducted with a cross-sectional design from December 2022 to December 2023. The research sample was adult patients with depressive disorders who received psychotherapy at Adult Psychiatric Polyclinic RSCM. A total of 82 research subjects were selected based on the purposive sampling method. Data was taken using several questionnaires and patient medical record. Data analysis was used with SPSS to look at the basic characteristics of the subjects studied, bivariate to multivariate analysis of various factors studied and psychotherapy compliance.
The results showed that the proportion of psychotherapy compliance was 0.73 (CI95% = 0.62 – 0.82). Of the 82 subjects studied, the majority were women (84.1%) with higher education (63.4%) and middle economic status (72.0%). The results of bivariate analysis showed a statistically significant relationship between stigma and therapist consistency (p<0.05). Furthermore, low stigma and permanent therapists had more subjects who adhered to psychotherapy compared to high stigma and non-permanent therapists. From multivariate analysis, it was found that the factor that most influenced psychotherapy compliance was therapist consistency (p=0.045)."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2024
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UI - Tugas Akhir  Universitas Indonesia Library
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Shabrina Herdiana Putri
Hubungan antara kesepian dengan terjadinya gangguan depresi pada lansia yang tinggal di Panti Sosial Tresna Wredha di Jakarta = Association between loneliness and depression in Institutionalized Elderly in Jakarta
"Latar Belakang: Kesepian adalah perasaan negatif subyektif yang berhubungan dengan pengalaman pribadi seseorang dalam kurangnya hubungan sosial dan dialami oleh sepertiga lansia. Kesepian dapat menjadi faktor risiko terjadinya depresi. Penelitian ini bertujuan untuk mengetahui hubungan antara kesepian dengan terjadinya gangguan depresi pada lansia yang tinggal di panti sosial di Jakarta dan faktor-faktor yang memengaruhi kesepian.
Metode: Desain penelitian adalah kohort prosepektif selama tiga bulan (Juli-November 2023). Kesepian diukur dengan kuesioner De Jong Gierveld Loneliness Scale yang valid dan reliabel di Indonesia. Subyek penelitian adalah lansia berusia ≥ 60 tahun yang tinggal di panti sosial di Jakarta. Pemeriksaan dilakukan dua kali, yaitu awal dan akhir evaluasi. Hubungan antara kesepian dengan terjadinya gangguan depresi diuji menggunakan uji Chi-Square. Risk relative diuji menggunakan Chi Square dan untuk analisis faktor yang memengaruhi kesepian diuji dengan bivariat dan multivariat.
Hasil: Terdapat 21,5% (40 dari 186 subyek) lansia yang mengalami kesepian berat, yang berhubungan bermakna secara statistik (p=0,002) dengan terjadinya gangguan depresi. Lansia dengan kesepian berat memiliki risiko 2,36 kali menjadi gangguan depresi. Faktor-faktor yang berhubungan dengan kesepian pada lansia yang tinggal di panti sosial adalah aktivitas rutin (p=0,004), alasan tinggal (p=0,006), lama tinggal (p=0,011), dan stresor psikososial (p=0,014).
Simpulan: Terdapat hubungan antara kesepian dengan terjadinya gangguan depresi pada lansia yang tinggal di panti sosial. Orang lansia dengan kesepian berat memiliki risiko menjadi gangguan depresi sehingga perlu dilakukan deteksi kesepian dan intervensi dengan membuat program aktivitas rutin di panti sosial untuk mencegah terjadinya gangguan depresi.
Background: Loneliness is a subjective negative feeling related to a person's personal experience of lack of social relationships and is experienced by one third of elderly people. Loneliness can be a risk factor for depression. This study aims to determine the relationship between loneliness and the occurrence of depressive disorders in elderly people living in social institutions in Jakarta and the factors that influence loneliness.
Methods: This research design is a prospective cohort within three months (July-November 2023). Loneliness was measured using the De Jong Gierveld Loneliness Scale questionnaire which is valid and reliable in Indonesia. The research subjects were elderly people aged ≥ 60 years who lived in social institutions in Jakarta. The examination was carried out twice, namely at the beginning and at the end of the evaluation. The relationship between loneliness and the occurrence of depressive disorders was tested using the Chi-Square test. Relative risk was tested using Chi Square and analysis of factors influencing loneliness was tested using bivariate and multivariate.
Results: There were 21.5% (40 of 186 subjects) of elderly people who experienced severe loneliness, which was statistically significantly related (p=0.002) to the occurrence of depressive disorders. Elderly people with severe loneliness have a 2.36 times risk of developing a depressive disorder. Factors associated with loneliness in elderly people living in social institutions were routine activities (p=0.004), reason for staying (p=0.006), length of stay (p=0.011), and psychosocial stressors (p=0.014).
Conclusion: There is a relationship between loneliness and the occurrence of depressive disorders in elderly people living in social institutions. Elderly people with severe loneliness are at risk of developing depressive disorders, so it is necessary to detect loneliness and intervene by creating routine activity programs in social institutions to prevent depressive disorders."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2024
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UI - Tugas Akhir  Universitas Indonesia Library
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Agung Wiretno Putro
Hubungan antara gangguan depresi dengan kualitas hidup, stresor psikososial, dan tingkat kontrol asma pada pasien asma di RSUPN Dr. Cipto Mangunkusumo = Relationship between depressive disorder and quality of life psychosocial stressors level of asthma control in asthmatic patients at Dr. Cipto Mangunkusumo Hospital
"[ABSTRAK
Latar Belakang: Pasien asma dengan tingkat kontrol yang buruk dan adanya
komorbiditas seperti gangguan depresi dan stres psikososial akan memengaruhi
kualitas hidup pasien asma serta meningkatkan beban dan biaya ekonomi yang
harus ditanggung oleh pasien dan keluarganya. Untuk itu perlu diketahui
hubungan antara gangguan depresi dengan kualitas hidup, stresor psikososial, dan
tingkat kontrol asma pada pasien asma.
Metode: Penelitian cross-sectional deskriptif-analitik pada 37 pasien asma yang
memiliki gangguan depresi dan 37 pasien asma yang tidak memiliki gangguan
depresi di Poliklinik Alergi dan Imunologi RSUPN Dr. Cipto Mangunkusumo
Jakarta menggunakan Structured Clinical Interview for DSM IV Disorder(SCID)1,
instrumen World Health Organization Quality Of Life (WHOQOL)-BREF,
instrumen stresor psikososialHolmes & Rahe, dan kuesioner Ashtma Control Test
(ACT).
Hasil: Terdapat hubungan antara ada tidaknya gangguan depresi pada pasien asma
dengan skor kualitas hidup berdasarkan kesehatan fisik (p < 0,001), skor kualitas
hidup berdasarkan kesehatan psikologis (p < 0,001), skor kualitas hidup
berdasarkan relasi sosial (p = 0,023), skor kualitas hidup berdasarkan lingkungan
(p = 0,022), stresor psikososial (OR 3,85; p = 0,005), dan tingkat kontrol asma (p
= 0,001).
Simpulan: Pasien asma yang memiliki gangguan depresi cenderung memiliki
skor kualitas hidup yang lebih rendah pada domain kesehatan fisik, kesehatan
psikologis, relasi sosial, dan lingkungan dibandingkan pasien asma yang tidak
memiliki gangguan depresi. Pasien asma yang mengalami stresor psikososial yang
tinggi berisiko 3,8 kali untuk memiliki gangguan depresi. Pasien asma yang
memiliki gangguan depresi cenderung memiliki skor tingkat kontrol asma yang lebih rendah dibandingkan pasien asma yang tidak memiliki gangguan depresi. ABSTRACT Background: Asthmatic patients with poor control level and the presence of
comorbid disorders such as depression and psychosocial stress will affect the
quality of life of asthmatic patients and increases the burden and economic costs
for patient and his family. We investigated the correlation between depressive
disorders, quality of life, psychosocial stressors, and level of asthma control in
asthmatic patients.
Methods: The study was cross-sectional descriptive-analytic in 37 asthmatic
patients with depressive disorder and 37 asthmatic patients without depressive
disorder in the Allergy and Immunology Clinic RSUPN Dr. Cipto
Mangunkusumo using the Structured Clinical Interview for DSM-IV Disorder
(SCID)-1, World Health Organization Quality of Life (WHOQOL)-BREF
questionnaire, Holmes & Rahe psychosocial stressors questionnaire, and Ashtma
Control Test (ACT) questionnaire.
Results: There is arelation between the presence of depressive disorders and
lower quality of life scores based on physical health (p <0.001), quality of life
scores based on psychological health (p <0.001), quality of life scores based on
social relations (p = 0.023), quality of life scores based on the environment (p =
0.022), psychosocial stressors (OR 3.85; p = 0.005), and the level of asthma
control (p = 0.001) in asthmatic patients.
Conclusion: Asthmatic patients with depressive disorders tend to have lower
quality of life score in all domains (physical health, psychological health, social
relationships, and environment) than asthmatic patients without depressive
disorders. Asthmaticpatients who have psychosocial stressors have risk 3.8 times
higher to have depressive disorders. Asthmatic patients with depressive disorders tend to have lower level of asthma control scores than asthmatic patients without depressive disorders.;Background: Asthmatic patients with poor control level and the presence of
comorbid disorders such as depression and psychosocial stress will affect the
quality of life of asthmatic patients and increases the burden and economic costs
for patient and his family. We investigated the correlation between depressive
disorders, quality of life, psychosocial stressors, and level of asthma control in
asthmatic patients.
Methods: The study was cross-sectional descriptive-analytic in 37 asthmatic
patients with depressive disorder and 37 asthmatic patients without depressive
disorder in the Allergy and Immunology Clinic RSUPN Dr. Cipto
Mangunkusumo using the Structured Clinical Interview for DSM-IV Disorder
(SCID)-1, World Health Organization Quality of Life (WHOQOL)-BREF
questionnaire, Holmes & Rahe psychosocial stressors questionnaire, and Ashtma
Control Test (ACT) questionnaire.
Results: There is arelation between the presence of depressive disorders and
lower quality of life scores based on physical health (p <0.001), quality of life
scores based on psychological health (p <0.001), quality of life scores based on
social relations (p = 0.023), quality of life scores based on the environment (p =
0.022), psychosocial stressors (OR 3.85; p = 0.005), and the level of asthma
control (p = 0.001) in asthmatic patients.
Conclusion: Asthmatic patients with depressive disorders tend to have lower
quality of life score in all domains (physical health, psychological health, social
relationships, and environment) than asthmatic patients without depressive
disorders. Asthmaticpatients who have psychosocial stressors have risk 3.8 times
higher to have depressive disorders. Asthmatic patients with depressive disorders tend to have lower level of asthma control scores than asthmatic patients without depressive disorders.;Background: Asthmatic patients with poor control level and the presence of
comorbid disorders such as depression and psychosocial stress will affect the
quality of life of asthmatic patients and increases the burden and economic costs
for patient and his family. We investigated the correlation between depressive
disorders, quality of life, psychosocial stressors, and level of asthma control in
asthmatic patients.
Methods: The study was cross-sectional descriptive-analytic in 37 asthmatic
patients with depressive disorder and 37 asthmatic patients without depressive
disorder in the Allergy and Immunology Clinic RSUPN Dr. Cipto
Mangunkusumo using the Structured Clinical Interview for DSM-IV Disorder
(SCID)-1, World Health Organization Quality of Life (WHOQOL)-BREF
questionnaire, Holmes & Rahe psychosocial stressors questionnaire, and Ashtma
Control Test (ACT) questionnaire.
Results: There is arelation between the presence of depressive disorders and
lower quality of life scores based on physical health (p <0.001), quality of life
scores based on psychological health (p <0.001), quality of life scores based on
social relations (p = 0.023), quality of life scores based on the environment (p =
0.022), psychosocial stressors (OR 3.85; p = 0.005), and the level of asthma
control (p = 0.001) in asthmatic patients.
Conclusion: Asthmatic patients with depressive disorders tend to have lower
quality of life score in all domains (physical health, psychological health, social
relationships, and environment) than asthmatic patients without depressive
disorders. Asthmaticpatients who have psychosocial stressors have risk 3.8 times
higher to have depressive disorders. Asthmatic patients with depressive disorders tend to have lower level of asthma control scores than asthmatic patients without depressive disorders., Background: Asthmatic patients with poor control level and the presence of
comorbid disorders such as depression and psychosocial stress will affect the
quality of life of asthmatic patients and increases the burden and economic costs
for patient and his family. We investigated the correlation between depressive
disorders, quality of life, psychosocial stressors, and level of asthma control in
asthmatic patients.
Methods: The study was cross-sectional descriptive-analytic in 37 asthmatic
patients with depressive disorder and 37 asthmatic patients without depressive
disorder in the Allergy and Immunology Clinic RSUPN Dr. Cipto
Mangunkusumo using the Structured Clinical Interview for DSM-IV Disorder
(SCID)-1, World Health Organization Quality of Life (WHOQOL)-BREF
questionnaire, Holmes & Rahe psychosocial stressors questionnaire, and Ashtma
Control Test (ACT) questionnaire.
Results: There is arelation between the presence of depressive disorders and
lower quality of life scores based on physical health (p <0.001), quality of life
scores based on psychological health (p <0.001), quality of life scores based on
social relations (p = 0.023), quality of life scores based on the environment (p =
0.022), psychosocial stressors (OR 3.85; p = 0.005), and the level of asthma
control (p = 0.001) in asthmatic patients.
Conclusion: Asthmatic patients with depressive disorders tend to have lower
quality of life score in all domains (physical health, psychological health, social
relationships, and environment) than asthmatic patients without depressive
disorders. Asthmaticpatients who have psychosocial stressors have risk 3.8 times
higher to have depressive disorders. Asthmatic patients with depressive disorders tend to have lower level of asthma control scores than asthmatic patients without depressive disorders.]"
Fakultas Kedokteran Universitas Indonesia, 2015
SP-PDF
UI - Tugas Akhir  Universitas Indonesia Library
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Caroline Saputro
Uji Validitas dan Reliabilitas The Barratt Impulsiveness Scale 11 Versi Bahasa Indonesia = The Validity and Reliability Testing of The Barratt Impulsiveness Scale 11 (BIS-11) Indonesian Version
"Impulsivitas, kecenderungan untuk bertindak tanpa pemikiran matang, berpotensi menimbulkan bahaya dan terkait dengan berbagai gangguan jiwa. BIS-11, sebagai alat ukur impulsivitas, terbukti memiliki sifat psikometrik yang baik. Penelitian menggunakan desain uji validitas dan reliabilitas instrumen. Kuesioner BIS-11 versi Bahasa Indonesia disebarkan secara daring kepada individu dewasa muda di Indonesia. Pengambilan data dilakukan dari bulan Juli 2023 hingga September 2023. Populasi target adalah individu dewasa, dengan metode consecutive sampling, melibatkan 300 subjek. Hasil pilot testing menunjukkan pemahaman yang baik terhadap kuesioner, meskipun beberapa item memerlukan klarifikasi. Uji validitas isi menunjukkan sebagian besar item relevan, namun beberapa perlu revisi. Uji reliabilitas konsistensi internal dengan Cronbach’s Alpha menunjukkan nilai 0,787, menandakan reliabilitas yang baik. Analisis faktor konfirmatori menunjukkan model BIS-11 versi Bahasa Indonesia memiliki goodness of fit yang baik, dengan kesesuaian yang signifikan pada faktor pertama, faktor kedua, dan saat kedua faktor digabungkan. Uji validitas konstruk juga mendukung validitas instrumen. BIS-11 versi Bahasa Indonesia memiliki validitas dan reliabilitas yang cukup baik untuk mengukur impulsivitas. Meskipun beberapa item memerlukan perbaikan, hasil ini menunjukkan bahwa instrumen ini dapat digunakan secara efektif dalam konteks klinis, akademik, dan penelitian. Rekomendasi untuk penelitian lebih lanjut termasuk penentuan nilai batas, dan evaluasi lebih lanjut terhadap struktur faktorial instrumen.
Impulsivity, characterized by acting without thorough consideration, poses potential risks and links to various mental disorders. The BIS-11, a tool for measuring impulsivity, exhibits strong psychometric qualities. A study employed a method to test the instrument's validity and reliability. The BIS-11 questionnaire, adapted into Bahasa Indonesia, was distributed online to young adults in Indonesia from July to September 2023, involving 300 subjects selected through consecutive sampling. Pilot testing revealed a solid comprehension of the questionnaire, though some items required clarification. Content validity testing highlighted the relevance of most items, albeit some needing revision. Internal consistency reliability testing, using Cronbach's Alpha, yielded a value of 0.787, indicating reliability. Confirmatory factor analysis indicated a good fit for the BIS-11 model in Bahasa Indonesia, both individually and when combining factors. Construct validity testing also supported the instrument's validity. The Bahasa Indonesia version of BIS-11 demonstrates adequate validity and reliability for assessing impulsivity. Despite potential item improvements, the results suggest its effective use in clinical, academic, and research settings. Future research should focus on establishing cutoff scores and further evaluating the instrument's factorial structure."
Fakultas Kedokteran Universitas Indonesia, 2024
SP-pdf
UI - Dokumentasi  Universitas Indonesia Library
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Hasya Layalia Lahino
Hubungan antara Depresi dan Cadangan Kognitif terhadap Kualitas Hidup Pasien Lanjut Usia dengan Penyakit Ginjal Kronik = Quality of Life in Geriatic Patient with Chronic Kidney Disease and Its Correlation with Depression and Cognitive Reserve
"Latar Belakang: Penyakit ginjal kronik (PGK) pada lanjut usia dapat mempengaruhi fungsi sehari-hari dan kualitas hidupnya. Penurunan kualitas hidup dapat ditemukan sejak awal diagnosis PGK hingga stadium akhir, salah satunya berkaitan dengan gangguan depresi yang dialami. Meskipun demikian, dikatakan kualitas hidup seorang lanjut usia berkaitan dengan cadangan kognitif yang dapat membantu lanjut usia untuk berkompensasi terhadap penurunan fungsi secara patologis.
Metode: Penelitian ini merupakan sebuah studi potong lintang untuk mengetahui hubungan antara depresi dan cadangan kognitif terhadap kualitas hidup pada lanjut usia dengan penyakit ginjal kronik di RS Cipto Mangunkusumo, Jakarta. Penilaian depresi menggunakan geriatric depression scale (GDS), cadangan kognitif (Kuesioner Indeks Cadangan Kognitif/ KICK) dan kualitas hidup dengan WHOQOL-BREF. Analisis bivariat dengan uji korelasi dilakukan untuk mengetahui adanya hubungan antara depresi dan cadangan kognitif terhadap kualitas hidup.
Hasil: Gambaran demografi pada studi ini adalah perempuan (60%), usia 60 – 74 tahun (73%), pendidikan tinggi, berobat PGK di atas 5 tahun (52.5%), stadium PGK 3A (43.75%), dengan komorbiditas hipertensi (22%). Kejadian depresi pada pasien lanjut usia dengan PGK 71.25% dengan mayoritas depresi ringan (36.25%) sedangkan cadangan kognitif memiliki skor tinggi yaitu di atas 131 (47.5%). Kualitas hidup didapatkan skor paling tinggi pada domain lingkungan (60) dan paling rendah domain fisik (49). Depresi berkolerasi kuat dengan penurunan kualitas hidup domain psikologis (r = -0.702, p<0.001) namun tidak didapatkan hubungan bermakna antara cadangan kognitif dengan kualitas hidup pada studi ini.
Simpulan: Gangguan depresi pada lanjut usia dengan PGK dapat menurunkan kualitas hidup domain fisik, psikologis, sosial dan lingkungan secara bermakna. Skrining kondisi psikologis sejak awal stadium PGK perlu dilakukan agar gangguan depresi dapat ditangani secara adekuat dan meningkatkan derajat kualitas hidup lanjut usia.
Background: Chronic kidney disease (CKD) in geriatric patients might impaired their daily functions and quality of life. From the early stage of the disease, neuropsychiatric disorder such as depression could arise, declining the quality of life (QoL), however, cognitive reserve is believed to compensate such pathology and improving their quality of life.
Method: This is a cross-sectional study conducted in outpatient geriatric clinic in Cipto Mangunkusumo Hospital to find correlation between depression and cognitive reserve with quality of life. Self-rated questionnaire was used to measure depression (GDS), cognitive reserve (KICK) and quality of life (WHOQOL-BREF). Bivariate correlation was used to explore the correlation between depression and cognitive reserve with quality of life.
Results: The samples were mostly women (60%), 60 – 74 years of age (73%), with high educational degree, have undergone treatment for CKD for more than 5 years (52.5%), stage 3A CKD (43.75%), mostly with hypertension (22%). There were 71% depression in this study and mostly mild depression (36.25%) dan good score on cognitive reserve index (47.5%). In this study, mean score of QoL domain was highest in environment (60) and lowest in physical (49). There was strong correlation between depression and poor psychological domain in quality of life (r = -0.702, p<0.001) but no statistically significant correlation between cognitive reserve and quality of life.
Conclusion: In geriatric patients with CKD, depression could impair every domain of their quality of life significantly. Screening and management for depression become important since the early stage of disease and help to improve their Quality of Life."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2024
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UI - Tugas Akhir  Universitas Indonesia Library
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Mutiara Anissa
Perbedaan rerata skor kualitas hidup pada pasien penyakit paru obstruksi kronik (PPOK) dengan gangguan depresi dan tanpa gangguan depresi di Klinik Asma/PPOK RSUP Persahabatan = Mean difference of quality of life scores between chronic obstructive pulmonary disease copd patients who have depressive disorder and without depressive disorder at asthma copd clinic at Persahabatan Hospital
"Latar Belakang: Komorbiditas depresi pada PPOK dapat memengaruhi kepatuhan pengobatan, hospitalisasi dan kualitas hidup. Salah satu target tatalaksana PPOK adalah meningkatkan kualitas hidup penderitanya. Pasien PPOK dengan gangguan depresi memiliki kualitas hidup yang buruk dibandingkan pasien PPOK tanpa gangguan depresi. Untuk itu perlu diketahui perbedaan rerata skor kualitas hidup pasien PPOK dengan gangguan depresi dan pasien PPOK tanpa gangguan depresi.
Metode: Penelitian potong lintang deskriptif-analitik pada 40 pasien PPOK dengan gangguan depresi dan 40 pasien PPOK tanpa gangguan depresi di klinik Asma/PPOK RSUP Persahabatan menggunakan Mini-International Neuropsychiatric Interview International Classification Of Diseases (MINI ICD 10) dan instrumen World Health Organization Quality Of Life (WHOQOL)-BREF.
Hasil: Terdapat perbedaan median skor kualitas hidup pada pasien PPOK dengan gangguan depresi dan pasien PPOK tanpa gangguan depresi berdasarkan domain kesehatan fisik (p = 0,005), domain relasi sosial (p < 0,001) dan domain lingkungan (p = 0,005). Tidak terdapat perbedaan median skor kualitas hidup berdasarkan domain kesehatan psikologis ( p = 0,421) namun rerata skor domain kesehatan psikologis pasien dengan PPOK lebih rendah dibanding pasien tanpa gangguan depresi.
Simpulan: Pasien PPOK dengan gangguan depresi cenderung memiliki rerata skor kualitas hidup yang lebih rendah pada domain kesehatan fisik, kesehatan psikologis, relasi sosial, dan lingkungan dibandingkan pasien PPOK tanpa gangguan depresi.
Background: Comorbid depression in COPD affects patient’s medical adherence, hospitalization and quality of life. One of the COPD management is improving the patient’s quality of life. COPD patients who have depression disorder have lower quality of life scores compared to COPD patients who do not have depression disorder. We investigated the difference quality of life scores in COPD patients who have depression disorder and COPD patients who do not have depression disorder.
Methods: The study was cross-sectional descriptive-analytic in 40 COPD patients who have depression disorder and 40 COPD patients who do not have a depression disorder in the Asthma and COPD Clinic RSUP Persahabatan using the Mini-International Neuropsychiatric Interview International Classification Of Diseases (MINI ICD 10) and World Health Organization Quality Of Life (WHOQOL)-BREF.
Results: There is a score difference between COPD patients who have depression disorder and COPD patients who do not have depression disorder based on physical health domain (p = 0.005), social relationship domain (p < 0.001) and environment domain (p = 0.005). There is no score difference between COPD patients who have depression disorder and COPD patients based on psychological domain (p = 0,421). COPD patients who have depression disorder have lower mean score compared to COPD patients who do not have depression based on psychological domain.
Conclusion: COPD patients who have depression disorder tend to score lower quality of life in the domains of physical health, psychological health, social relationships, and environment than COPD patients who do not have depression disorder."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2015
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UI - Tesis Membership  Universitas Indonesia Library
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Umie Faizah
Gambaran gangguan psikiatri pada pasien TB-MDR (Multi Drug Resistant) dan stres psikososial yang memengaruhi di RSUP Persahabatan = Psychiatric disorders in patients with Multi Drug Resistance Tuberculosis and psychosocial stress influences in RSUP Persahabatan
"[ABSTRAK
Latar Belakang. Pasien TB-MDR sedang menjalankan pengobatan akan memengaruhi kondisi kejiwaan yang dapat disebabkan dari obat-obatan TB-MDR dan atau stres psikososial. Tujuan penelitian adalah mendapatkan gambaran gangguan psikiatri pada pasien TB-MDR dan stres psikososial yang memengaruhi.
Metode. Penelitian ini menggunakan desain potong lintang dengan subjek penelitian berjumlah 50 orang. Pengambilan sampel pada subjek menggunakan metode konsekutif. Instrumen yang digunakan pada penelitian ini adalah MINI ICD-10 dan Life Experiences Survey (LES) dari Irwin G. Sarason yang terdiri dari 60 item yang dinilai dengan skala likert -3 sampai 3. Pada subjek dinilai dampak positif dan negatif stresor menggunakan instrumen LES. Data demografi meliputi usia, jenis kelamin, status pernikahan, jumlah anak, agama, suku, agama, pendapatan, tingkat pendidikan, obat-obatan yang digunakan dan jangka waktu pengobatan. Data dianalisis dengan menggunakan program SPSS untuk windows versi 20. Tingkat kemaknaan yang digunakan untuk uji statistik adalah p < 0,05.
Hasil. Proporsi gangguan psikiatri pada subyek TB-MDR adalah 62%. Proporsi gangguan psikiatri pada subjek TB-MDR terbanyak pada gangguan depresi (32%) diikuti dengan risiko bunuh diri (26%), gangguan panik (24%), gangguan anxietas menyeluruh (20%), gangguan depresi berulang (12%), gangguan psikotik (12%), gangguan agorafobia (8%), gangguan obsesif kompulsif (8%), agorafobia dengan gangguan panik (4%), anorexia nervosa (2%) dan gangguan berkaitan dengan zat psikoaktif (2%). Sebagian besar subjek mendapatkan regimen standar pengobatan TB-MDR mengalami gangguan psikiatri sebesar 58,1%. Terdapat hubungan yang bermakna antara usia subjek dengan gangguan psikiatri sebesar <0,001, antara obat TB-MDR yang didapatkan dengan risiko bunuh diri (p<0,005) dan antara stresor psikososial dengan gangguan psikiatri.
Kesimpulan. Terdapat gangguan psikiatri pada subjek TB-MDR selama menjalani pengobatan. Kelompok subjek TB-MDR dengan gangguan psikiatri cenderung memiliki skor stres negatif yang lebih tinggi (lebih banyak yang mengalami stresor negatif) dibandingan dengan subjek tanpa gangguan psikiatri.ABSTRACT Background. Patients with Multi Drug Resistance Tuberculosis (MDR-TB) during treatment can influence psychiatric conditions caused by MDR-TB drugs and psychosocial stress. The objective of this research is to describe various psychiatric disorders in patients with MDR-TB and various psychosocial stress during the treatment.
Methods. Design of this study is a cross-sectional design with total 50 subjects. Subjects were selected through consecutive sampling methods. Instruments used in this study were the MINI ICD-10 and Life Experiences Survey (LES) of Irwin G. Sarason which consists of 60 items of Likert scale ranging from -3 to 3. Subjects were assessed using the positive and negative impacts of stressors with LES instrument. Demographic data observed consist of age, gender, marital status, number of children, religion, ethnicity, religion, income, education level, drugs taken and the length of treatment. Data were analyzed using SPSS for Windows version 20. The level of significance used for the statistical tests was p <0.05.
Results. Proportion of psychiatric disorders in subjects with MDR-TB is 62%. Proportion of psychiatric disorders in subjects with MDR-TB are depressive disorders (32%) followed by risk of suicide (26%), panic disorder (24%), anxiety disorder (20%), recurrent depressive disorder (12%), psychotic disorder (12%), agoraphobia disorders (8%), obsessive compulsive disorder (8%), agoraphobia with panic disorder (4%), anorexia nervosa (2%) and psychoactive substances associated disorders (2%). Proportion of psychiatric disorders in subjects getting standard treatment regimen for MDR-TB are 58.1%. A significant relationship is made statistically between age of subjects with psychiatric disorders, MDR-TB drugs with suicide risk and psychosocial stressors with psychiatric disorders.
Conclusions. Psychiatric disorders were found in subjects with MDR-TB during treatment. Subject groups of MDR-TB with psychiatric disorders have higher negative stress score (more likely to have a negative stressor) than subjects without psychiatric disorders. ;Background. Patients with Multi Drug Resistance Tuberculosis (MDR-TB) during treatment can influence psychiatric conditions caused by MDR-TB drugs and psychosocial stress. The objective of this research is to describe various psychiatric disorders in patients with MDR-TB and various psychosocial stress during the treatment.
Methods. Design of this study is a cross-sectional design with total 50 subjects. Subjects were selected through consecutive sampling methods. Instruments used in this study were the MINI ICD-10 and Life Experiences Survey (LES) of Irwin G. Sarason which consists of 60 items of Likert scale ranging from -3 to 3. Subjects were assessed using the positive and negative impacts of stressors with LES instrument. Demographic data observed consist of age, gender, marital status, number of children, religion, ethnicity, religion, income, education level, drugs taken and the length of treatment. Data were analyzed using SPSS for Windows version 20. The level of significance used for the statistical tests was p <0.05.
Results. Proportion of psychiatric disorders in subjects with MDR-TB is 62%. Proportion of psychiatric disorders in subjects with MDR-TB are depressive disorders (32%) followed by risk of suicide (26%), panic disorder (24%), anxiety disorder (20%), recurrent depressive disorder (12%), psychotic disorder (12%), agoraphobia disorders (8%), obsessive compulsive disorder (8%), agoraphobia with panic disorder (4%), anorexia nervosa (2%) and psychoactive substances associated disorders (2%). Proportion of psychiatric disorders in subjects getting standard treatment regimen for MDR-TB are 58.1%. A significant relationship is made statistically between age of subjects with psychiatric disorders, MDR-TB drugs with suicide risk and psychosocial stressors with psychiatric disorders.
Conclusions. Psychiatric disorders were found in subjects with MDR-TB during treatment. Subject groups of MDR-TB with psychiatric disorders have higher negative stress score (more likely to have a negative stressor) than subjects without psychiatric disorders. , Background. Patients with Multi Drug Resistance Tuberculosis (MDR-TB) during treatment can influence psychiatric conditions caused by MDR-TB drugs and psychosocial stress. The objective of this research is to describe various psychiatric disorders in patients with MDR-TB and various psychosocial stress during the treatment.
Methods. Design of this study is a cross-sectional design with total 50 subjects. Subjects were selected through consecutive sampling methods. Instruments used in this study were the MINI ICD-10 and Life Experiences Survey (LES) of Irwin G. Sarason which consists of 60 items of Likert scale ranging from -3 to 3. Subjects were assessed using the positive and negative impacts of stressors with LES instrument. Demographic data observed consist of age, gender, marital status, number of children, religion, ethnicity, religion, income, education level, drugs taken and the length of treatment. Data were analyzed using SPSS for Windows version 20. The level of significance used for the statistical tests was p <0.05.
Results. Proportion of psychiatric disorders in subjects with MDR-TB is 62%. Proportion of psychiatric disorders in subjects with MDR-TB are depressive disorders (32%) followed by risk of suicide (26%), panic disorder (24%), anxiety disorder (20%), recurrent depressive disorder (12%), psychotic disorder (12%), agoraphobia disorders (8%), obsessive compulsive disorder (8%), agoraphobia with panic disorder (4%), anorexia nervosa (2%) and psychoactive substances associated disorders (2%). Proportion of psychiatric disorders in subjects getting standard treatment regimen for MDR-TB are 58.1%. A significant relationship is made statistically between age of subjects with psychiatric disorders, MDR-TB drugs with suicide risk and psychosocial stressors with psychiatric disorders.
Conclusions. Psychiatric disorders were found in subjects with MDR-TB during treatment. Subject groups of MDR-TB with psychiatric disorders have higher negative stress score (more likely to have a negative stressor) than subjects without psychiatric disorders. ]"
Fakultas Kedokteran Universitas Indonesia, 2015
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UI - Tugas Akhir  Universitas Indonesia Library
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Rina Amtarina
Perbedaan rerata kualitas hidup antara pasien psoriasis dengan psikopatologi dan pasien psoriasis tanpa psikopatologi di Poliklinik Ilmu Kesehatan Kulit dan Kelamin RSCM = The mean difference of quality of life between psoriatic patients with psychopathology and psoriatic patients without psychopathology at Dematology and Venerology Clinic at Dr. Ciptomangunkusumo Hospital
"[ABSTRAK
Latar Belakang: Psoriasis adalah salah satu penyakit inflamasi kronis pada kulit yang dapat mengganggu penampilan. Pasien psoriasis seringkali komorbid dengan gangguan psikiatri seperti depresi, gangguan cemas, gejala psikotik, distimia dan gangguan tidur. Aspek psikiatri tersebut dapat memengaruhi kualitas hidup pasien psoriasis. Belum terdapat penelitian tentang perbedaan rerata kualitas hidup antara pasien psoriasis dengan psikopatologi dibandingkan dengan pasien psoriasis tanpa psikopatologi.
Metode: Penelitian potong lintang deskriptif-analitik pada 25 pasien psoriasis yang memiliki psikopatologi dan 25 pasien psoriasis yang tidak memiliki psikopatologi di Poliklinik Ilmu Kesehatan Kulit dan Kelamin RSCM Jakarta menggunakan Symptom Checklist 90 (SCL 90) dan instrumen World Health Organization Quality Of Life (WHOQOL)-BREF.
Hasil: Lima gejala psikiatri terbanyak yang dijumpai pada pasien psoriasis adalah sensitivitas interpersonal, obsesif kompulsif, gejala gangguan jiwa tambahan, gejala depresi dan ide paranoid. Terdapat perbedaan rerata kualitas kualitas hidup antara pasien psoriasis dengan psikopatologi dengan tanpa psikopatologi berdasarkan ranah kesehatan fisik (p < 0,05) dan ranah kesehatan psikologis (p < 0,05)
Simpulan: Pasien psoriasis dengan psikopatologi cenderung memiliki rerata kualitas hidup yang lebih rendah bila dibandingkan dengan pasien psoriasis tanpa psikopatologi pada ranah kesehatan fisik dan kesehatan psikologis. Pengenalan dini dan tata laksana gejala klinis psikiatri dapat memperbaiki kualitas hidup pasien.
ABSTRACT
Background: Psoriasis has been known as one of chronic inflammatory skin disease which represent the leading causes of morbidity and bad performance. Psoriasis can have psychiatric comorbidity like depression, anxiety, psychotic symptom, distimia and sleep disorder. This psychiatric aspect can impact quality of life psoriasis patients. In this study, we evaluated the mean difference of quality of life psoriatic patients with psychiatric symptoms and without psychiatric symptoms.
Methods: Cross sectional study included 25 psoriatic pasients with psychiatric symptoms and 25 psoriatic patients without psychiatric symptoms. The patient in this study were subjected to quality of life assessment by World Health Organization Quality Of Life (WHOQOL)-BREF and psychiatric evaluation using Symptom Checklist 90 (SCL 90)
Result: the most frequent psychiatric symptoms experienced by psoriatic patients were interpersonal sensitivity, obsessive compulsive, additional psychiatric symptom, depression and paranoid ideation. There is a difference quality of life in physical domain (p < 0,05) and psychological domain (p < 0,05) between psoriatic patients with psychiatric symptoms and without psychiatric symptoms.
Conclusion: psoriasis with psychiatric symptoms can have a profound impact on patient's quality of life especially in physical domain and psychological domain. Early detection and treatment of psychiatric symptoms can improve quality of life of psoriatic patients., Background: Psoriasis has been known as one of chronic inflammatory skin
disease which represent the leading causes of morbidity and bad performance.
Psoriasis can have psychiatric comorbidity like depression, anxiety, psychotic
symptom, distimia and sleep disorder. This psychiatric aspect can impact quality
of life psoriasis patients. In this study, we evaluated the mean difference of quality
of life psoriatic patients with psychiatric symptoms and without psychiatric
symptoms.
Methods: Cross sectional study included 25 psoriatic pasients with psychiatric
symptoms and 25 psoriatic patients without psychiatric symptoms. The patient in
this study were subjected to quality of life assessment by World Health
Organization Quality Of Life (WHOQOL)-BREF and psychiatric evaluation using
Symptom Checklist 90 (SCL 90)
Result: the most frequent psychiatric symptoms experienced by psoriatic patients
were interpersonal sensitivity, obsessive compulsive, additional psychiatric
symptom, depression and paranoid ideation. There is a difference quality of life in
physical domain (p < 0,05) and psychological domain (p < 0,05) between psoriatic
patients with psychiatric symptoms and without psychiatric symptoms.
Conclusion: psoriasis with psychiatric symptoms can have a profound impact on
patient’s quality of life especially in physical domain and psychological domain. Early detection and treatment of psychiatric symptoms can improve quality of life of psoriatic patients.]"
Fakultas Kedokteran Universitas Indonesia, 2015
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UI - Tugas Akhir  Universitas Indonesia Library
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