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"[ABSTRAKPendahuluan: Gangguan cemas dan depresi merupakan global burden of disease.Prevalensi gangguan cemas dan depresi untuk penduduk Indonesia sebesar 11,6%,di DKI Jakarta sebesar 14,1% dengan angka tertinggi ada di Jakarta Pusat sebesar23,0%. Meskipun angkanya besar, namun banyak orang dengan gangguan cemasdan depresi mengalami kesenjangan pengobatan (treatment gap) yang disebabkanoleh berbagai faktor. Penelitian ini bertujuan untuk mendapatkan gambaranmendalam tentang ungkapan stres (idiom of distress) untuk gejala cemas dandepresi juga tentang perilaku mencari pertolongan terkait dengan ungkapan strestersebut pada pasien yang datang berobat ke layanan kesehatan primer.Metode: Penelitian ini merupakan studi kualitatif dengan wawancara mendalampada responden yang telah diketahui mengalami gejala cemas dan depresi melaluipenapisan dengan menggunakan instrumen Self-Reporting Questionnaire (SRQ).Penelitian dilakukan di Puskesmas Gambir dan waktu pelaksanaan pada bulanSeptember 2013 sampai Juli 2014.Hasil: Data penelitian diperoleh dari tiga orang responden yang ketiganyatergolong dalam initial somatizer dengan keluhan somatik multipel. Ungkapanyang diberikan berupa bahasa daerah, bahasa Indonesia, peribahasa, bahasa asing(Belanda, Inggris). Ketiganya juga diketahui memiliki stresor biologis, psikologis,sosial-ekonomi, dan agama/ budaya. Seluruh responden memilih untuk memintapertolongan ke fasilitas kesehatan, namun tidak pernah mengungkapkan keluhanterkait perasaannya dan tenaga kesehatan tidak pernah menanyakan.Pembahasan: Keluhan somatik multipel mungkin merupakan suatu bentukungkapan stres terkait gejala cemas dan depresi yang lebih dapat diterima secarasosial. Ungkapan stres ini juga dipengaruhi oleh bahasa atau kebudayaanseseorang. Pola perilaku mencari dipengaruhi keluhan fisiknya sehingga mencaripertolongan medis dan tidak pernah mengakses ke layanan kesehatan jiwa.

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ABSTRACTIntroduction: Anxiety and depression disorders are the global burden of disease.The prevalence of anxiety and depression disorders of Indonesia's population is11.6%. In Jakarta it is 14.1% and the highest rate in Central Jakarta is amounted to23.0%. Although it is high prevalence, many people with anxiety and depressiondisorders have treatment gap caused by various factors. This study aims to gain adeeper understanding of the idiom of distress for anxiety and depression?ssymptom, also for help-seeking behavior related to the idiom of distress onpatients who come for a treatment to primary health care.Method: This study is a qualitative with in-depth interviews in respondents whohave been known to have symptoms of anxiety and depression through ascreening using the instruments of Self-Reporting Questionnaire (SRQ). Thestudy was conducted at the Gambir Primary Health Care from September 2013until July 2014.Result: The data was obtained from three respondents who were classified in theinitial somatizer with multiple somatic complaints. The phrase is given in theform of the local language, Indonesian, proverbs, and foreign languages (Dutch,English). All three respondents are known to have biological stressors,psychological, socio-economic, and religious/ cultural. All respondents chose toask for help at a health facility, but never revealed their feelings and healthpersonnel never asked about their feelings.Discussion: Multiple somatic complaints may constitute the idiom of distressrelated to the symptoms of anxiety and depression that is socially moreacceptable. The idiom of distress is also influenced by the personal language orthe culture. The help-seeking behavior is influenced by the physical complaints toseek medical help and not to have an access to the mental health services., Introduction: Anxiety and depression disorders are the global burden of disease.The prevalence of anxiety and depression disorders of Indonesia's population is11.6%. In Jakarta it is 14.1% and the highest rate in Central Jakarta is amounted to23.0%. Although it is high prevalence, many people with anxiety and depressiondisorders have treatment gap caused by various factors. This study aims to gain adeeper understanding of the idiom of distress for anxiety and depression’ssymptom, also for help-seeking behavior related to the idiom of distress onpatients who come for a treatment to primary health care.Method: This study is a qualitative with in-depth interviews in respondents whohave been known to have symptoms of anxiety and depression through ascreening using the instruments of Self-Reporting Questionnaire (SRQ). Thestudy was conducted at the Gambir Primary Health Care from September 2013until July 2014.Result: The data was obtained from three respondents who were classified in theinitial somatizer with multiple somatic complaints. The phrase is given in theform of the local language, Indonesian, proverbs, and foreign languages (Dutch,English). All three respondents are known to have biological stressors,psychological, socio-economic, and religious/ cultural. All respondents chose toask for help at a health facility, but never revealed their feelings and healthpersonnel never asked about their feelings.Discussion: Multiple somatic complaints may constitute the idiom of distressrelated to the symptoms of anxiety and depression that is socially moreacceptable. The idiom of distress is also influenced by the personal language orthe culture. The help-seeking behavior is influenced by the physical complaints toseek medical help and not to have an access to the mental health services.]"

"Tesis ini membahas uji validitas dan reliabilitas instrumen Triage Assestment System: Crisis Intervention Versi Bahasa Indonesia dalam mengukur derajat keparahan krisis psikologis yang dialami seseorang. Krisis psikologis merupakan kondisi yang dapat mengakibatkan timbulnya berbagai gangguan psikiatri. Diperlukan suatu instrumen untuk mendeteksi dan menentukan derajat keparahan krisis psikologis, yang akan digunakan sebagai dasar penentuan intervensi yang sesuai. Uji validitas dan reliabilitas instrumen TAS-CI dilaksanakan dengan subjek penelitian tenaga medis departemen Psikiatri RSCM (N=50), selanjutnya subjek diminta melakukan penilaian terhadap tayangan kasus video vignette krisis psikologis menggunakan instrumen TAS-CI.Penelitian ini menghasilkan uji konsistensi internal Cronbach's Alpha = 0,772-0,861, uji reliabilitas inter-rater membuktikan tidak ada perbedaan bermakna penilaian krisis oleh residen psikiatri, dokter muda dan perawat untuk kasus krisis derajat ringan dan sedang, namun terdapat perbedaan bermakna untuk kasus krisis derajat berat. Hasil uji validitas isi = 0,991 dan validitas konstruksi menunjukkan korelasi komponen dengan skor total TAS-CI yang baik (p <0.001). Instrumen TAS-CI terbukti kesahihan dan keandalannya dalam menentukan derajat keparahan krisis psikologis pasien untuk krisis derajat sedang dan ringan, namun berhati-hati untuk penilaian kasus krisis derajat berat.

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This thesis discusses the validity and reliability of Indonesian version of Triage Assestment System: Crisis Intervention (TAS-CI) instrument. Psychological crisis may cause many kind of psychological disorders to the patients. We need the valid and reliable instrument for assest the severity of psychological crisis as base to perform the apropriate interventions. For testing the validity and reliability TASCI, we used RSCM Psychiatry Departement medical staff (N=50) as subject, and ask them to rate the crisis cases from videos vignette by using TAS-CI.

The study resulted chronbach`s alpha score = 0,772-0,861, Inter-rater reability test resulted no significant different of rating by psychiatry residents, nurses, and junior clerkship doctors for light and mild crisis cases, but significant different for severe crisis. Content validity test resulted = 0,991 and construction validity test resulted the good correlation between components instrument to total score instruments (p<0,001). The study proved the validity and reliability instrumentnt for rating the severity of crisis for light and mild crisis case, but still needs carefully attention in rating severe crisis case."

"Latar Belakang: Perilaku kekerasan yang berpotensi membahayakan diri sendiri dan orang lain banyak dijumpai pada orang dengan gangguan psikotik. Salah satu penyebab terjadinya perilaku kekerasan adalah gejala positif yang dialami mereka. Dengan mengetahui hubungan antara gejala positif dan perilaku kekerasan, diharapkan dapat mencegah terjadinya perilaku kekerasan dan dapat dilakukan penatalaksaan yang sesuai. Penelitian ini dilakukan untuk mengetahui hubungan antara gejala positif dengan perilaku kekerasan pada gangguan psikotik.Metode: Penelitian ini adalah penelitian analitik potong lintang. Pengambilan sampel dilakukan dengan simple random sampling pada warga binaan Panti Sosial Bina Laras Harapan Sentosa 2 Cipayung, sebanyak 90 orang, yang dirawat selama periode April-Mei 2014. Pada subyek penelitian dilakukan wawancara penapisan gejala psikotik menggunakan MINI ICD 10 yang dilanjutkan dengan pemeriksaan gejala positif menggunakan PANSS skala positif dan penilaian perilaku kekerasan menggunakan OAS.Hasil: Pada hasil analisis, terdapat hubungan antara gejala positif dengan perilaku kekerasan (p<0,001; r = 0,629). Gejala positif yang memiliki hubungan sedang dengan perilaku kekerasan antara lain gaduh gelisah dan kejaran. Sedangkan waham, permusuhan dan perilaku halusinasi memiliki hubungan lemah dengan perilaku kekerasan. Gejala positif berupa kekacauan proses pikir dan waham kebesaran memiliki hubungan sangat lemah dengan perilaku kekerasan.Kesimpulan: Terdapat hubungan yang bermakna antara gejala positif dengan perilaku kekerasan pada gangguan psikotik.

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Background: Violent behaviors which potentially harmful to self and others are found usually in people with psychotic disorder. One of the reasons for the behavior to take place is the positive symptoms experienced by these individuals. By determining the association between positive symptoms and violent behaviors, it is hoped that these behaviors can be prevented and managed appropriately. This research is conducted to find association between positive symptoms and violent behaviors in psychotic behavior disorder.

Method: This is an analytical cross sectional research. Samples were taken by means of simple random sampling from residents of Bina Laras Harapan Sentosa 2 Cipayung Social Rehabilitation center, with 90 subjects cared for during the period of April to May 2014. Subjects were given screening interview for psychotic symptoms using MINI ICD 10, then proceed to positive symptoms examination using positive scale of PANSS and rating of violent behavior using OAS.

Result: The coefficient correlation between positive symptoms and violent behaviors was r = 0,629 (p<0,001). Positive symptoms with moderat correlation with violents behaviors are agitation and paranoia. Meanwhile delusion, hostility and hallucinatoric behaviors have weak correlation with violent behaviors. Positive symptoms such as disorganized thought process and grandiose delusion have very weak correlation with violent behaviors.

Conclusion: Significant correlation is found between positive symptoms and violent behaviors in psycotic disorder."

" Latar Belakang: Layanan primer memiliki peran utama dalam mendeteksi adanya gangguan jiwa berat. Deteksi dini dan penatalaksanaan yang baik di tingkat pelayanan primer akan berdampak terhadap luaran orang dengan gangguan jiwa berat. Untuk meningkatkan penatalaksanaan gangguan jiwa berat di layanan primer, Kemenkes RI menyadur pedoman dari WHO tentang penanganan gangguan jiwa, neurologis, dan penyalahgunaan obat-obatan di layanan non spesialistik ke dalam bahasa Indonesia, salah satunya adalah dengan dibuatnya modul lsquo;Diagnosis dan Penatalaksanaan Gangguan Psikotik rdquo;. Tujuan penelitian ini adalah menilai efektivitas modul Diagnosis dan Penatalaksanaan Gangguan Psikotik dengan Modifikasi terhadap pengetahuan dokter untuk mengidentifikasi gejala psikotik, menegakkan diagnosis, dan memberikan tatalaksana psikofarmaka dan nonpsikofarmaka pada pasien psikotik di layanan primer. Metode Penelitian: Penelitian ini adalah penelitian dengan desain Quasi Experiment Pre-PosTest. Hasil: Sampel penelitian terbagi kelompok intervensi 17 subyek dan kelompok kontrol 20 subyek. Kelompok intervensi mendapatkan pelatihan modul Diagnosis dan Penatalaksanaan Gangguan Psikotik dengan Modifikasi. Peningkatan pengetahuan pada kedua kelompok intervensi dan kontrol secara keseluruhan dengan p=0,402, domain gejala p=0,630, domain diagnosis p=0,117, domain farmakologi p=0,2014, dan domain nonfarmakologi p=0,815. Kesimpulan:Tidak terdapat perbedaan yang bermakna antara peningkatan pengetahuan pada kelompok intervensi dibandingkan kelompok kontrol.Kata Kunci: Efektivitas Pelatihan, Modul Diagnosis dan Penatalaksanaan Gangguan Psikotik, Pengetahuan Dokter Puskesmas.

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ABSTRACT Background Primary services have a major role in detecting serious mental disorders. Early detection and good management at the primary care level will have an impact on the outcomes of people with severe mental disorders. To improve the management of severe mental disorders in primary care, RI Health Ministry adopted WHO guidelines on the handling of psychiatric, neurological, and drug abuse in non specialist services into the Indonesian language, one of which is the creation of Diagnosis and Management of Psychotic Disorders Module. The objective of this study was to assess the effectiveness of the Diagnosis and Management of Psychotic Disorders with Modification Module to physician knowledge to identify psychotic symptoms, diagnose, and administer psychopharmaceutical and nonpsychopharmaca management in psychotic patients in primary care. Research Methods This research used research type of Quasi Experiment Design Pre Post Test. Results The sample was divided into 17 subjects in the intervention group and 20 subjects in the control group. The training used Diagnosis and Management of Psychotic Disorders with Modification Module. Increased overall knowledge in the intervention group and in control group with p 0.402, symptom domain with p 0.630, diagnosis domain with p 0.117, pharmacological domain with p 0.2014, and nonpharmacological domain with p 0,815. Conclusion There was no significant difference between increased knowledge in the intervention group over the control group. Keywords Training Effectiveness, Module of Diagnosis and Management of Psychotic Disorder, Knowledge of Primary Care Doctor. "

"Pola kelekatan merupakan salah satu faktor yang diduga memengaruhi munculnya distres psikologis pada remaja usia transisi. Mahasiswa kedokteran merupakan kelompok remaja transisi yang perlu menjalani proses pendidikan kedokteran yang sulit dan penuh tuntutan sehingga rentan mengalami distres psikologis. Penelitian ini bertujuan untuk mengetahui gambaran pola kelekatan, distres psikologis, dan mengetahui hubungan pola kelekatan dengan distres psikologis pada mahasiswa Fakultas Kedokteran Universitas Indonesia (FKUI). Penelitian ini dilakukan secara potong lintang pada sampel yang ditentukan secara stratified random sampling dari seluruh mahasiswa FKUI. Subjek mengisi kuesioner yang terdiri dari kuesioner sosiodemografik, pengukuran pola kelekatan dengan Relationship Questionnaire (RQ), dan pengukuran distres psikologis dengan Kessler Psychological Distress Scale (K10). Pada mahasiswa FKUI, prevalensi pola kelekatan aman sebesar 41,4%, diikuti dengan pola kelekatan tidak aman, yaitu dismissing 21,9%, fearful 19,8%, dan anxious 16,9%. Prevalensi distres psikologis didapati sebesar 31,8%. Pola kelekatan tidak aman memiliki hubungan yang bermakna dengan distres psikologis, yaitu 3,57 kali lipat lebih berisiko untuk mengalami distres psikologis. Berdasarkan jenis pola kelekatannya, pola kelekatan anxious 4,74 kali lipat lebih berisiko untuk mengalami distres psikologis, sedangkan pola kelekatan fearful 5,43 kali lipat lebih berisiko untuk mengalami distres psikologis bila dibandingkan dengan pola kelekatan aman. Program kesehatan jiwa yang bersifat promotif dan preventif untuk memperbaiki pola kelekatan dan distres psikologis diharapkan dapat membekali mahasiswa FKUI untuk memiliki relasi interpersonal yang lebih baik dengan orang lain, termasuk juga dengan pasien.

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The pattern of attachment is one of the factors thought to influence the emergence of psychological distress in adolescents of transition age. Medical students are a group of transitional adolescents who will undergo a difficult and demanding medical education process, hence are vulnerable to psychological distress. This study aims to describe the attachment patterns, psychological distress, and determine the association between attachment pattern and psychological distress in medical students of Faculty of Medicine, Universitas Indonesia (FMUI). This study was conducted cross-sectionally on a sample that was determined by stratified random sampling. Subject filled the research questionnaire which consisted of sociodemographic questionnaire, attachment measurement using Relationship Questionnaire (RQ), and measuring psychological distress using Kessler Psychological Distress Scale (K10). The prevalence of secure attachment pattern was 41.4%, followed by insecure attachment patterns, in the form of dismissing 21.9%, fearful 19.8%, and anxious 16.9%. The prevalence of psychological distress was found to be 31.8%. The insecure attachment pattern has a significant association with psychological distress, which is 3.57 times more at risk for experiencing psychological distress. Based on the type of attachment pattern, the anxious attachment pattern is 4.74 times more at risk, while fearful attachment pattern is 5.43 times prone to experiencing psychological distress when compared to secure attachment pattern. Promotional and preventive mental healthiness program can be provided to the students of FMUI to help them in improving attachment pattern and psychological distress. This program could help the students to have a better interpersonal relation with their colleagues and also patients."

"Mentalisasi merupakan kemampuan seseorang untuk mengerti perasaan, pikiran dan perilaku diri dan orang lain. Pemeriksaan kemampuan mentalisasi memerlukan wawancara beberapa sesi sehingga waktu yang dibutuhkan cukup lama dan dipengaruhi oleh keadaan emosi dan tingkat resistensi pasien. Reflective Functioning Questionnaire (RFQ) merupakan instrumen yang praktis dan dapat mempercepat waktu pemeriksaan pasien, namun RFQ versi bahasa Indonesia belum ada dan diperlukan untuk mengatasi masalah ini. Tujuan penelitian ini adalah mendapatkan instrumen RFQ versi bahasa Indonesia. Tujuan khusus penelitian ini adalah menentukan nilai kesahihan dan keandalan RFQ54 versi bahasa Indonesia. Penerjemahan instrumen RFQ bahasa Inggris menjadi bahasa Indonesia oleh dua penerjemah independen. Kemudian dilakukan uji kesahihan isi, tampilan dan konstruksi analisis faktor konfirmatorik dengan nilai kecocokan model. Bila belum cocok, dilakukan modifikasi sampai mendapatkan RFQ dengan nilai kecocokan yang sesuai. Uji keandalan dilakukan dengan pengukuran konsistensi internal dengan nilai Cronbach s Alpha. RFQ54 versi bahasa Indonesia kurang baik yang ditandai dengan hasil indeks kecocokan model yakni nilai X 2= 2,44 (X2>2), nilai p <0,001 (P<0,05) dan RMSEA 0,121(RMSEA > 0,06) namun setelah dilakukan modifikasi didapatkan model akhir dengan skala RFQ dibentuk dari 11 butir dengan indeks kecocokan model X 2= 1,16 (X2<2), nilai p = 0,55 (P > 0,05) dan RMSEA 0,041 (RMSEA < 0,06). Keandalan RFQ54 versi bahasa Indonesia untuk subskala RFQc memiliki nilai Cronbach s Alpha 0,821 (α > 0,75), sedangkan untuk keandalan RFQu adalah Cronbach s Alpha 0,857 (α > 0,75). RFQ dengan 11 butir diuji dan didapatkan nilai keandalan Cronbach s Alpha 0,890 (α > 0,75), sedangkan untuk RFQu didapatkan nilai Cronbach s Alpha 0,87 (α > 0,75). Uji kesahihan isi dan tampilan RFQ54 baik namun uji kesahihan konstruksi RFQ54 kurang baik walaupun nilai keandalan RFQ54 untuk subskala yang bersangkutan baik. Modifikasi RFQ menjadi RFQ11 memiliki uji kesahihan konstruksi yang lebih baik dibanding Hasil ini menunjukkan keandalan 11 butir RFQ versi bahasa Indonesia yang membentuk model yang cocok dan memiliki nilai yang baik untuk subskala RFQc maupun RFQu.

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Mentalization is a person capability to understand emotion, belief and behavior of himself and others. The assessment of mentalization take a long time and depend on the emotion and the resistence of the patient. Reflective Functioning Questionnaire (RFQ) is a practical instrument and can accelerate the assessment time, but RFQ Indonesian version not available yet it is needed to solve the problem. The objectives of this study is to get RFQ Indonesian version. Specific objectives of this study is to determine the validation and reliability of RFQ54 Indonesian version. Translating the RFQ English version into Indonesian language by two independent translator. The validation method including content validation, face validation and construct validation which is confirmatory factor analysis with goodness of fit value. If the model not fit, modification was done by finding the RFQ model with good fitness. Reliability test was done by assess the internal consistency of the Cronbach s Alpha. RFQ54 Indonesian version has a not fit with index value X 2= 2,44 (X2>2), p value <0,001 (P<0,05) and RMSEA 0,121(RMSEA > 0,06). After model modification, the fit model of 11 items has good value which are X 2= 1,16 (X2<2), p value = 0,55 (P > 0,05) dan RMSEA 0,041 (RMSEA < 0,06). Reliability test of RFQ54 Indonesian Version for RFQc has Cronbach s Alpha value 0,821 (α > 0,75), then for RFQu value is 0,857 (α > 0,75). RFQ of 11 items are tested and the value for RFQc are Cronbach s Alpha 0,890 (α > 0,75), and for RFQu the value is Cronbach s Alpha 0,87 (α > 0,75). Content and face validation of RFQ54 is good but the construction validation of RFQ54 is not fit, the reliability test of RFQ54 for the related subscale is good. RFQ modification of RFQ to 11 items has a good fit value and has a good reliability test for RFQc and RFQu."

"Depresi banyak ditemui pada orang dengan penyakit kronis, antara lain diabetes mellitus tipe 2. Salah satu penelitian menemukan bahwa sekitar 45% dari seluruh menderita diabetes mellitus tipe 2 yang mengalami gangguan depresi namun tidak menjadi perhatian. Pasien diabetes mellitus tipe 2 yang depresi mengalami dampak yang cukup besar terhadap kualitas hidup. Penelitian ini merupakan penelitian analitik kuantitatif potong lintang (cross sectional) untuk mengetahui adanya hubungan antara gangguan depresi dengan kualitas hidup pasien diabetes mellitus tipe 2 di Poliklinik Endokrin RSCM. Hasil dari penelitian ini menyatakan kualitas hidup pasien diabetes mellitus tipe 2 yang mengalami gangguan depresi secara keseluruhan lebih buruk dibandingkan yang tidak mengalami gangguan depresi. Pasien diabetes mellitus tipe 2 yang mengalami gangguan depresi memiliki dampak yang cukup besar terhadap kualitas mereka.

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Depression is commonly found in people with chronic diseases, such as diabetes mellitus type 2. One study found that approximately 45% of all diabetes mellitus type 2 who suffered from depression but was not a concern. Type 2 diabetes mellitus patients with depression experience a considerable impact on quality of life. The methodology of this study is a cross-sectional quantitative analytic to investigate the relationship between depression and quality of life of patients with diabetes mellitus type 2 in the Endocrine Clinic RSCM. The results of this study states the quality of life of patients with type 2 diabetes mellitus who have depressive disorders are generally worse than that is not experiencing depression. Patients with type 2 diabetes mellitus who experience depression have a considerable impact on their quality of life."

"[ABSTRAKLATAR BELAKANG. Rasa takut jatuh merupakan gejala psikologis yang umum terjadi pada usia lanjut. Faktor-faktor yang berkontribusi terhadap rasa takut jatuh merupakan multifaktorial antara lain kecemasan, depresi, aktivitas dasar sehari-hari dan penyakit kronis yang dimiliki. Rasa takut jatuh yang menimbulkan efek negatif akan menyebabkan menurunnya mobilitas fungsional dan kualitas hidup. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan mobilitas fungsional dan kualitas hidup pada populasi usia lanjut dengan rasa takut jatuh serta faktor mana yang paling mempengaruhi.METODE. Disain observasional potong lintang. Penelitian dilakukan terhadap 108 usia lanjut yang didapat secara konsekutif. Analisis bivariat dengan uji Chi-Square dan analisis multivariat dengan regresi logistik. Penilaian rasa takut jatuh dengan kuesioner Falls Efficacy Scale-International (FES-I), tingkat kognisi dengan kuesioner Mini Mental State Examination (MMSE), rasa depresi dengan kuesioner Geriatric Depression Scale (GDS), rasa cemas dengan kuesioner Hamilton Rating Scale for Anxiety (HAM-A), aktivitas dasar dengan kuesioner Barthel Index, mobilitas fungsional dengan uji Timed Up and Go (TUG) dan kualitas hidup dengan European Quality of Life ? 5 Dimensions (EQ-5D).HASIL. Subyek penelitian memiliki median Barthel Index 20 (15-20), median GDS 2 (0-13), dan median HAM-A 2 (0-22). Berdasarkan analisis bivariat, didapatkan hubungan yang bermakna secara signifikan antara variabel aktivitas dasar dengan mobilitas fungsional (OR 3.421; IK95% 1.324-8.841). Juga didapatkan hubungan yang bermakna secara signifikan antara variabel aktivitas dasar dan depresi dengan kualitas hidup (OR 4.789; IK95% 1.836-12.497 dan OR 3.000; IK95% 1.172-7.682) . Hasil analisis multivariat dengan regresi logistik menunjukan variabel aktivitas dasar merupakan variabel yang paling berpengaruh terhadap mobilitas fungsional (OR 3,421; IK95% 1,324-8,841) dan kualitas hidup (OR 4,789; IK95% 1,836-12,497).KESIMPULAN. Faktor aktivitas dasar merupakan faktor yang paling berpengaruh terhadap mobilitas fungsional dan kualitas hidup pada usia lanjut dengan rasa takut jatuh.

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ABSTRACTBACKGROUND.Fear of falling is one of psychological symptom which is common among older adults. Factors which is contributed to fear of falling are multifactorial such as anxiety, depression, basic activity daily living (ADL) and chronic disease. Negative effect caused by fear of falling will lead to decreasing in functional mobility and quality of life. The purpose of this study is to find factors that affects functional mobility and quality of life in elderly population and also to find which factors that most affect it.METHODS.Cross-sectional observasional study design in 108 subjects taken consecutively. Bivariat analysis use chi-square test and multivariat analysis use logistic regression. Fear of falling assessed with Falls Efficacy Scale-International (FES-I) questionnaire, cognitive state with Mental State Examination (MMSE), depression with Geriatric Depression Scale (GDS), anxiety with Hamilton Rating Scale for Anxiety (HAM-A), basic ADL with Barthel Index, functional mobility with Timed Up and Go test (TUG) and quality of life with European Quality of Life ? 5 Dimensions (EQ-5D).RESULTS. Median of Barthel Index, GDS and HAM-A are 20 (15-20), 2 (0-13) and 2 (0-22). Bivariat analysis show that there is significantly relationship between basic ADL variable and functional mobility (OR 3.421; IK95% 1.324-8.841). There are also significantly relationship between basic ADL variable, depression variable and quality of life (OR 4.789; IK95% 1.836-12.497 dan OR 3.000; IK95% 1.172-7.682). Multivariat analysis show that basic ADL is the most influence variable to functional mobility (OR 3,421; IK95% 1,324-8,841) and to quality of life (OR 4,789; IK95% 1,836-12,497).CONCLUSIONS. Basic activity daily living of elderly with fear of falling is the most influence factor to functional mobility and quality of life.;BACKGROUND.Fear of falling is one of psychological symptom which is common among older adults. Factors which is contributed to fear of falling are multifactorial such as anxiety, depression, basic activity daily living (ADL) and chronic disease. Negative effect caused by fear of falling will lead to decreasing in functional mobility and quality of life. The purpose of this study is to find factors that affects functional mobility and quality of life in elderly population and also to find which factors that most affect it.METHODS.Cross-sectional observasional study design in 108 subjects taken consecutively. Bivariat analysis use chi-square test and multivariat analysis use logistic regression. Fear of falling assessed with Falls Efficacy Scale-International (FES-I) questionnaire, cognitive state with Mental State Examination (MMSE), depression with Geriatric Depression Scale (GDS), anxiety with Hamilton Rating Scale for Anxiety (HAM-A), basic ADL with Barthel Index, functional mobility with Timed Up and Go test (TUG) and quality of life with European Quality of Life ? 5 Dimensions (EQ-5D).RESULTS.Median of Barthel Index, GDS and HAM-A are 20 (15-20), 2 (0-13) and 2 (0-22). Bivariat analysis show that there is significantly relationship between basic ADL variable and functional mobility (OR 3.421; IK95% 1.324-8.841). There are also significantly relationship between basic ADL variable, depression variable and quality of life (OR 4.789; IK95% 1.836-12.497 dan OR 3.000; IK95% 1.172-7.682). Multivariat analysis show that basic ADL is the most influence variable to functional mobility (OR 3,421; IK95% 1,324-8,841) and to quality of life (OR 4,789; IK95% 1,836-12,497).CONCLUSIONS.Basic activity daily living of elderly with fear of falling is the most influence factor to functional mobility and quality of life.;BACKGROUND.Fear of falling is one of psychological symptom which is common among older adults. Factors which is contributed to fear of falling are multifactorial such as anxiety, depression, basic activity daily living (ADL) and chronic disease. Negative effect caused by fear of falling will lead to decreasing in functional mobility and quality of life. The purpose of this study is to find factors that affects functional mobility and quality of life in elderly population and also to find which factors that most affect it.METHODS.Cross-sectional observasional study design in 108 subjects taken consecutively. Bivariat analysis use chi-square test and multivariat analysis use logistic regression. Fear of falling assessed with Falls Efficacy Scale-International (FES-I) questionnaire, cognitive state with Mental State Examination (MMSE), depression with Geriatric Depression Scale (GDS), anxiety with Hamilton Rating Scale for Anxiety (HAM-A), basic ADL with Barthel Index, functional mobility with Timed Up and Go test (TUG) and quality of life with European Quality of Life ? 5 Dimensions (EQ-5D).RESULTS.Median of Barthel Index, GDS and HAM-A are 20 (15-20), 2 (0-13) and 2 (0-22). Bivariat analysis show that there is significantly relationship between basic ADL variable and functional mobility (OR 3.421; IK95% 1.324-8.841). There are also significantly relationship between basic ADL variable, depression variable and quality of life (OR 4.789; IK95% 1.836-12.497 dan OR 3.000; IK95% 1.172-7.682). Multivariat analysis show that basic ADL is the most influence variable to functional mobility (OR 3,421; IK95% 1,324-8,841) and to quality of life (OR 4,789; IK95% 1,836-12,497).CONCLUSIONS.Basic activity daily living of elderly with fear of falling is the most influence factor to functional mobility and quality of life., BACKGROUND.Fear of falling is one of psychological symptom which is common among older adults. Factors which is contributed to fear of falling are multifactorial such as anxiety, depression, basic activity daily living (ADL) and chronic disease. Negative effect caused by fear of falling will lead to decreasing in functional mobility and quality of life. The purpose of this study is to find factors that affects functional mobility and quality of life in elderly population and also to find which factors that most affect it.METHODS.Cross-sectional observasional study design in 108 subjects taken consecutively. Bivariat analysis use chi-square test and multivariat analysis use logistic regression. Fear of falling assessed with Falls Efficacy Scale-International (FES-I) questionnaire, cognitive state with Mental State Examination (MMSE), depression with Geriatric Depression Scale (GDS), anxiety with Hamilton Rating Scale for Anxiety (HAM-A), basic ADL with Barthel Index, functional mobility with Timed Up and Go test (TUG) and quality of life with European Quality of Life – 5 Dimensions (EQ-5D).RESULTS.Median of Barthel Index, GDS and HAM-A are 20 (15-20), 2 (0-13) and 2 (0-22). Bivariat analysis show that there is significantly relationship between basic ADL variable and functional mobility (OR 3.421; IK95% 1.324-8.841). There are also significantly relationship between basic ADL variable, depression variable and quality of life (OR 4.789; IK95% 1.836-12.497 dan OR 3.000; IK95% 1.172-7.682). Multivariat analysis show that basic ADL is the most influence variable to functional mobility (OR 3,421; IK95% 1,324-8,841) and to quality of life (OR 4,789; IK95% 1,836-12,497).CONCLUSIONS.Basic activity daily living of elderly with fear of falling is the most influence factor to functional mobility and quality of life.]"