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Journal : Scientia Psychiatrica

Diagnosis and Treatment of Antisocial Personality Disorder: A Case Report Patricia Wulandari
Scientia Psychiatrica Vol. 1 No. 3 (2020): Scientia Psychiatrica
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/scipsy.v1i3.15

Abstract

Introduction: Antisocial personality disorder (ASPD) defines patterns of behavior that are irresponsible for social, exploitative, and unproblematic issues that begin in early childhood or adolescence and are manifested by changes in the life phase. This case report aimed to describe antisocial personality disorder experienced by a girl in Aceh, Indonesia. Case presentation. A woman, 19 years old, a college student, living in a suburban area, came to consult to hospital with complaints of anxiety and difficulty sleeping. The patient claimed that she often wanted to hurt and persecute others. She often tries to hurt other people but does not get caught because she said the act was carried out accidentally. When she was a child, she liked to torture animals and she did it without guilt and pity. Lately patient felt the desire to hurt others is getting bigger. Conclusion: The management of antisocial personality disorder can be adjusted to the circumstances and background or risk factors of the disorder, and treatment is used to reduce symptoms.
Are Young Women More Potential to Commit Suicide? Patricia Wulandari; Rachmat Hidayat
Scientia Psychiatrica Vol. 1 No. 3 (2020): Scientia Psychiatrica
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/scipsy.v1i3.16

Abstract

Introduction: Convenience in various aspects of life in fact does not guarantee people live happier. Every year around the world around one million people die from suicide. One of the most consistent findings in suicide research is that women make more suicide attempts (tentament suicide) than men. This research is the first research conducted as an effort to increase the awareness of all medical potentials of young women to commit suicide. Methods: This research was qualitative research with an in-depth interview approach to respondents. The subjects of this study were patients with a diagnosis of tentamen suicide who consulted the Cattleya Consultation Center, Palembang, Indonesia. Results: All subjects with a tendency to commit suicide were female (100%) with a young age, ie the youngest age was 16 years and the oldest was 28 years. Women at this age are classified as young and productive age. It was found that most of the patients had avoidant personality traits (43%). In addition, the factors that triggered the emergence of tentamen suicide in some respondents were social and environmental factors (44%), namely in the form of friendship factors (peer groups), and the experience of bullying. Conclusion: Young women have the potential to do tentamen suicide.
An Overlap between Depression and Anxiety- A Literature Review Patricia Wulandari
Scientia Psychiatrica Vol. 2 No. 3 (2021): Scientia Psychiatrica
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/scipsy.v2i3.38

Abstract

Most studies show a high overlap between depression and anxiety syndromes. Relevant data come from representative studies. In clinical settings, the relative proportion of comorbid cases is even higher than that found in representative population surveys. Individuals with two concomitant disorders, suffering from a high overall burden, are more likely to seek treatment than individuals with only one disorder (Berkson’s paradox). Both depression and anxiety syndromes also co-occur with other psychiatric conditions such as substance abuse or personality disorders.
Profile of Personality and Psychopathology Dimensions of Indonesian Medical Students who Failed in Medical Doctor Competency Exams (UKMPPD) Patricia Wulandari; Rachmat Hidayat; Carla R Marchira
Scientia Psychiatrica Vol. 1 No. 2 (2020): Scientia Psychiatrica
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/scipsy.v1i2.7

Abstract

Introduction: Medical doctor competency exams (UKMPPD) in Indonesia is a final test that should be followed by medical student before being declared worthy of a medical doctor’s degree. This exam is certainly intended with good intentions, in order to improve the standards and quality of graduates of Indonesian doctors. However, each policy turns out to have two opposite sides of the situation, on the one hand it is profitable but on the other it often creates new problems. Students’ fear of the competency test often causes new psychological problems for students. No doubt the failure of the competency exam causes students to experience prolonged disappointment and sadness, which in turn will cause depression. This research is the first research that aim to present a description of personality and psychopathology dimension data from UKMPPD participants who failed the test. Method: This study was an exploratory descriptive study by presenting narratives of personality and psychopathology dimensions of unsuccessful UKMPPD participants. This research was conducted at the Faculty of Medicine, Universitas Sriwijaya Palembang, Indonesia. Each participant was assessed personality and psychopathology dimensions using MMPI-2 (Minnesota Multiaxial Personality Inventory-2). The results of analysis with MMPI-2 present data in the form of clinical psychic conditions, the work capacity, interpersonal relationships, the work abilities and the ability to change the self potential of the research subjects. Result: The research subjects were UKMPPD participants who did not successfully pass the first exam. From 7research subjects, there were 2 subjects who successfully passed the second exam (28.5%) and there were 3 people who successfully passed after the third exam (43%). Meanwhile, 2 research subjects have not successfully passed the UKMPPD exam until the fifth exam (28.5%). The results are quite surprising that of the 7 participants who failed to pass the UKMPPD exam, all of them felt depression. Conclusion: Medical students who experienced UKMPPD failures have an inability to develop their own potential which result in depression due to failure of the exam
Panic Disorder with Choking Phobia: A Case Report Patricia Wulandari
Scientia Psychiatrica Vol. 1 No. 2 (2020): Scientia Psychiatrica
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/scipsy.v1i2.11

Abstract

Panic disorder is a form of anxiety disorder characterized by repeated panic attacks and preoccupied with worrying that a panic attack will occur. Panic attacks are characterized by fears of a disaster or loss of self-control even though there is really nothing to worry about. Other symptoms experienced during a panic attack are heart palpitations (similar to a heart attack), shortness of breath, feelings of suffocation, and the body feels weak. If this disorder is not detected early, it will affect the daily life of the patient. This case report presents the case of a 34-year-old woman who experiences symptoms of panic disorder with choking phobia that is managed with antidepressants and cognitive behavior therapy. In addition, there is discussion of differential diagnosis and the role of cognitive behavior therapy in handling this case.
Evidence-Based Electroconvulsive Therapy for Major Depression Disorder Zahra D Khan; Carla Raymondalexas Marchira; Patricia Wulandari
Scientia Psychiatrica Vol. 1 No. 1 (2020): Scientia Psychiatrica
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (161.242 KB) | DOI: 10.37275/scipsy.v1i1.2

Abstract

Electroconvulsive Therapy (ECT) is a treatment that steals medical attention and the public. Memory disturbance after ECT is a special consideration for the Food and Drugs Administration (FDA) of the United States to classify ECT, whether it belongs to class III (high risk). Psychiatrists or anesthesiologists (who are experienced with ECT) tend to change this classification, while neurologists, psychologists, biostatistics experts, and public representatives agree to maintain ECT status in class III. Contrary to unexpected effects, ECT can induce a transition in severe melancholic patients and suicide to normal functioning humans, after other treatments have failed. With the aim of balancing effectiveness and safety, this paper provides modern evidence of the benefits and risks of ECT.
Video Game Increases Depression in Students Edith Humries; Budi Pratiti; Patricia Wulandari; Rachmat Hidayat
Scientia Psychiatrica Vol. 1 No. 1 (2020): Scientia Psychiatrica
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (148.035 KB) | DOI: 10.37275/scipsy.v1i1.3

Abstract

Introduction: The effects of exposure to violence in newspaper and electronic media to children and adolescents were being an awareness various parties, namely, researchers, health practitioners and policy makers. Depression is a mental problem that is always found due to exposure to video games. Methods: This study was an observational study with a cross-sectional research design. The subjects of the study were teenagers aged 15-18 years, students of Vocational School Yogyakarta, Indonesia. Data analysis was performed with IBM SPSS 16. Data analysis to assess the relationship between length and video game content with depression levels (Children’s Depression Inventory -2) used Independent student T-test analysis and linear regression analysis. Results: The study subjects consisted of 4.3% men and 95.7% women. There were no significant differences between subjects with male and female sex related to CDI-2 score, p> 0.05. The sexes of men and women have CDI-2 scores of 26.92 ± 5.02 and 26, 42 ± 3.32, respectively. There is a significant relationship between the intensity of playing video games with a CDI-2 score. Research subjects who had the intensity of playing video games for more than 2 hours a day had a higher mean CDI-2 score (28.62 ± 2.62, p <0.05) when compared to research subjects who played video games for less than 2 hours per day (26.13 ± 3.38, p <0.05). There was a significant relationship between video game content and the average CDI-2 score. Research subjects who played violent video games had higher CDI-2 scores (29.91 ± 2.07, p <0.05) when compared to groups who played video games with non-violent game themes (26, 29 ± 3.37 , p <0.05). Based on linear regression analysis, there is a relationship between the intensity of playing video games with the average CDI- 2 score (β = 1.87, SE = 0.72, p = 0.01). Meanwhile, for video game content there is no relationship between video game content containing violence and the average CDI-2 score (β = 1.91, SE = 1.21, p = 0.11). Conclusion: There is a relationship between the intensity of playing video games with the average CDI-2 score.
Co-occurring Toxoplasma Infection and Psychotic Symptoms: Case Report Carla R Marchira; Andrian F Kusumadewi; Patricia Wulandari
Scientia Psychiatrica Vol. 1 No. 1 (2020): Scientia Psychiatrica
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (41.958 KB) | DOI: 10.37275/scipsy.v1i1.4

Abstract

Introduction: Schizophrenia is a neuropsychiatric disease that is global and is experienced by 1% of the population in the United States and Europe. This study raises awareness of the role of infectious agents in the initiation of psychotic symptoms in schizophrenia. Case presentation: A 20-year-old man is taken by the family to the emergency department because he has decreased consciousness, and the body suddenly stiffens. Patients begin to experience changes in behavior in the form of difficulty sleeping, when invited to talk quietly, laughing alone, and whispering without the other person. TORCH examination found an increase in anti-toxoplasma IgM and IgG. This patient is then given basic life support in the form of ABC (airway, breathing, circulation support) and seizure management. Also given risperidone 2 mg / 12 hours, pyrimethamine 1-II (1x200 mg), pyrimethamine day III-XXI (1x 25 mg), intravenous Cefotaxime 2g / 8 hours, Clindamycin 500 mg / 8 hours. The patient experienced improvement after the second week of treatment. Conclusion: Toxoplasmosis causes lesions in the brain that cause changes in brain neurotransmitter pathways, which lead to changes in patient behavior.
Haloperidol and Risperidone Induce Apoptosis Neuronal Cell: In vivo Study Ester G Panserga; Cecep S Kristanto; Budi Pratiti; Patricia Wulandari
Scientia Psychiatrica Vol. 1 No. 1 (2020): Scientia Psychiatrica
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (271.205 KB) | DOI: 10.37275/scipsy.v1i1.5

Abstract

Introduction: Antipsychotics are drugs that are widely prescribed for mental disorders, such as schizophrenia and psychosis. Recent in vitro studies show antipsychotics play a role in the initiation of neuronal cell apoptosis. This study aims to determine the effect of haloperidol and risperidone on neuronal cell apoptosis in Wistar white rats. Methods: Male Wistar rats aged 8 weeks (n = 30) were used in this study. Wistar rats were randomized into 6 groups. Group A: 5 Wistar rats as the control without induced schizophrenia, aquadest, and drugs. Group B: 5 Wistar-induced psychotic mice (using 30 mg / kgBB ketamine, intraperitoneal injection for 5 days) and aquadest. Group C: 5 rats were induced psychotic and were given haloperidol or 0.05 mg / kgBB orally, for 28 days. Group D: 5 mice were induced psychotic and were given haloperidol 0.1 mg/kg orally, for 28 days. Group E: 5 mice were induced psychotic and were given risperidone 0.05 mg / kgBB orally, for 28 days. Group F: 5 mice were induced psychotic and given risperidone 0.1 mg / kgBB orally, for 28 days. Apoptosis of neuronal cells in the ventral tegmental area was assessed by caspase-3 immunohistochemistry. The colored area will be calculated as a total percentage using the ImageJ program. Results: Risperidone and haloperidol increase caspase-3 activity, but haloperidol increases caspase- 3 activity more than risperidone. Conclusion: Risperidone and haloperidol induce apoptosis of neuronal cells and tardive dyskinesia in Wistar rats with psychotic models.
Brain Development of Attachment Experience: How Does It Affects Our Brain? Rachmat Hidayat; Patricia Wulandari
Scientia Psychiatrica Vol. 2 No. 3 (2021): Scientia Psychiatrica
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/scipsy.v2i3.39

Abstract

Our infant experiences involve our emotions, behavior, perceptions, and our mental models of the world of others and ourselves. Implicit memories encode the early forms of our learning about the world. Implicit memories directly shape our experiences here and now with no clue as to their origins from past events. Attachment research, combined with independent findings from our modern studies of genetics and developmental neurobiology, suggests that certain types of communication in emotionally connected relationships offer an essential experience that a child's mind can develop. This literature review describes how our experience in childhood affects brain development.