Andrian Fajar Kusumadewi
Department Of Psychiatry, Faculty Of Medicine, Public Health And Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia

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Penanggulangan depresi anak pascaerupsi Gunung Merapi melalui pelatihan permainan berbasis kearifan budaya lokal pada guru dan orang tua murid taman kanak-kanak Sumarni Sumarni; Cecep Sugeng Kristanto; Andrian Fajar Kusumadewi; Santi Yuliani; Nanda Kusumaningrum
Journal of Community Empowerment for Health Vol 1, No 2 (2019)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (587.913 KB) | DOI: 10.22146/jcoemph.39742

Abstract

Child mental health is a top priority for the 2015 Indonesian National Child Program with the vision of enabling Indonesian children to grow and develop in good health, to be protected and to actively participate. The Mount Merapi eruption had a major impact on the lives of the people living nearby. Many livelihoods came to a halt, forcing some people to work as sand miners until late at night. As a result, children receive less time and attention from their mothers. The combination of traumatic events and unsuitable parenting increase the tendency for depression, a grave health problem in children. Lack of awareness among parents and teachers can cause a delay in the detection and treatment of depression in children, which will negatively affect the children’s school performance and future. This community service and research project held a training on childhood depression. Twelve teachers, 55 parents, and 55 students from Kuncup Mekar Kindergarten and Aisyiyah Bustanul Athfal (ABA) Kindergarten, Cangkringan, Sleman participated in the training. The training included early detection of childhood depression, game modules based on traditional games, game equipment, and the Child Depression Inventory (CDI). The output of the training was evaluated by comparing pre-test and post-test results, as well as interviews. The tendency of depression in the participating children before and after training was assessed using CDI. After the training, the average level of knowledge on early detection and prevention of depression in children increased from 33.7 to 68.0, while the average skill level in playing traditional games increased from 43.9 to 85.2. The number of students with depression tendencies declined from 37 children (67%) to 16 (39%). Traditional game training can increase the knowledge and skills of teachers and parents of kindergarten students in tackling depression in children after the eruption of Mount Merapi.
Organic Mental Disorder Accompanied with Anxiety and Depression in Diabetes Mellitus Type 1 Andrian Fajar Kusumadewi; Cecep Sugeng Kristanto; Inu Wicaksana; Edith Humris Pleyte
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.v1i3.17

Abstract

Introduction: Diabetes mellitus is a chronic disease that is often accompanied by psychiatric disorders. This mental disorder may be caused by the role of biological factors such as neurotransmitter disturbance, or psychological factors of patients who are less prepared to accept changes in conditions caused by this chronic disease. This case report was aimed to present reported cases of mixed anxiety disorders and depression that accompany organic mental disorders post epilepsy and type 1 diabetes mellitus. Case presentation: A girl, 12 years old, living in a rural area with, low socioeconomic background, was taken by her father to a psychiatric clinic with complaints of frequent seizures and feeling depressed and worried, especially when she was disappointed or there was pressure. Patients were also known to have type 1 diabetes mellitus since the previous year. The patient had been hospitalized and was suspected of suffering from atonic focal epilepsy disorders or periodic paralysis. From psychiatric anamnesis, there were depressive feelings, worrying about her mothers and family, and relevant thought progressions. Pharmacotherapy and psychotherapy were conducted to treat this patient. Conclusion: Anxiety disorders and depression are very common in patients with diabetes mellitus and other organic disorders. So clinicians are expected to detect psychiatric disorders early in patients with chronic diseases.
Relationship Between The Level of Alcohol Consumption to The Depression of Multiple Substance Users in Sleman Yogyakarta Kusumadewi, Andrian Fajar; Daniswara, Pambayung Caesaria Tiara; Ismanto, Silas Henry; Aulia, Afkar
Biomedical Journal of Indonesia Vol. 6 No. 3 (2020): Biomedical Journal of Indonesia
Publisher : Fakultas Kedokteran Universitas Sriwijaya (Faculty of Medicine, Universitas Sriwijaya) Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bji.v6i3.245

Abstract

Introduction: The problem of using addictive substances, especially alcohol in Indonesia, is still a serious health problem. Since 2013, data on the proportion of alcoholic drink consumption in Indonesia has been found to have increased in 32 provinces in Indonesia. Alcohol consumption not only causes physical problems, but also mental disorders, triggers acts of violence, and disturbs other aspects of life. One of the psychiatric disorders that arise due to the abuse of alcoholic beverages is depression. If not treated immediately, depression can lead to suicidal thoughts that threaten the individual and have an impact on those around him. The aim of this study was to examine the level of alcohol consumption and its relationship to the level of depression. Methods: This study is an analytical study with a quantitative cross-sectional survey design. The sampling technique was carried out by purposive sampling using the AUDIT questionnaire for the level of alcohol consumption, and BDI-II for the level of depression. Results: The research sample was obtained as many as 30 respondents. The results of the two-variable analysis using the somer test showed that there was no significant relationship between the level of alcohol use and the level of depression. Conclusion: In this study, there was no statistically significant relationship between the level of alcohol use and the level of depression in individuals who used multiple substances.
Case Report: Magic Mushroom (Psilocybe Cubensis) Intoxication Kusumadewi, Andrian Fajar
Archives of The Medicine and Case Reports Vol. 1 No. 2 (2020): Archives of The Medicine and Case Reports
Publisher : Hanif Medisiana Publisher - Faculty of Medicine Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/amcr.v1i2.13

Abstract

A B S T R A C TIntroduction Psilocybe mushroom, or widely known as the magic mushroom is avariety of mushroom commonly consumed because of hallucinogenic traits it causestoward its consumer. This hallucinogenic effect is caused by Psilocybin, ahallucinogenic substance often found within Psilocybe mushroom. This substanceaffects mental state of the consumer and has similar effect to those of LSD andMescaline. Aside from its effect to cause mental disturbance, consumption of thismushroom may cause acute renal injury which leads to a fatal and life-threateningsituation.Case presentation: A case of Psilocybe intoxication had been reported in a22 years old male with a confirmed history of consuming Psilocybe mushroom. Patientfirst came with a symptom of disorientation and restlessness. Patient also often shookhis head off, laughed out, screamed, and continuously making bizarre movements.Psychiatric examination confirmed a sign of auditory hallucination, unstable mood,and stereotypical behavior experienced by the patient. Conclusion: An approach isneeded in the form of a physical examination and support that supports a promptand precise diagnosis, as well as comprehensive management that focuses on thedirect management of life-threatening symptoms and symptomatic treatment, takinginto account the signs and symptoms of life-threatening nephrotoxicity
The Correlation between Alcohol Consumption with Anxiety Level on Multiple Drugs User in Sleman Kusumadewi, Andrian Fajar; Carissa Aulia Firliany; Silas Henry Ismanto; Afkar Aulia
Archives of The Medicine and Case Reports Vol. 1 No. 2 (2020): Archives of The Medicine and Case Reports
Publisher : Hanif Medisiana Publisher - Faculty of Medicine Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/amcr.v1i2.12

Abstract

A B S T R A C TBackground: Since 2013, data showed alcohol consumption in Indonesiaincrease from 3% to 3.3%, and 0.8% of it consume alcohol over the limit(Riskesdas 2018). Consuming alcohol over the limit not only impacted someonephysically but mentally. One of the mental impacts of alcohol consumption isover anxiety. If the anxiety not get treated properly, it can bring patient toconsume more alcohol and moreover to alcohol addiction. Purpose: To examinealcohol consumption level and its correlation to anxiety level.Material danMethod: This study is analytical research with quantitative cross-sectionalsurvey design. Sampling technique were done by consecutive sampling withAUDIT questionnaire survey to measure alcohol consumption level and T-MASquestionnaire survey to measure anxiety level of respondent. Research sampleconsist of 30 multiple drugs user respondents. Result: We got 0.569 p value scorewith Pearson Chi Square analysis which can be interpreted that there is nocorrelation between alcohol consumption with anxiety level. Patient with alcoholabuse mostly come from low to average academic group, in total 29 people, and notmarried group, in total 18 people.Conclusion: There is no correlation betweenalcohol consumption with anxiety level. Academic grade and married status aredeterminant factors of respondent’s anxiety level.
Case Report: Organic Hallucinosis in Viral Encephalitis Andrian Fajar Kusumadewi
Scientia Psychiatrica Vol. 2 No. 1 (2021): Scientia Psychiatrica
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/scipsy.v2i1.31

Abstract

Introduction: Organic mental disorders are diseases we need to put more attention to because they are related to systemic disorders or disorders of the brain and can cause high mortality. Organic mental disorders often manifest in the form of psychiatric symptoms so that they can be treated too late because the physician is not able to recognize the symptoms which can be fatal. Sequelae can be found in organic mental disorders and may affect the patient’s quality of life, so fast and proper management is needed to get a better outcome. Case presentation: A case of organic hallucinosis in viral encephalitis had been reported in an 18-year-old male with a history of sudden changes in behavior. The symptoms appeared after the patient had problems during OSPEK and was threatened by someone. The patient was the only child in the family and was often spoiled by his parents. Laboratory and imaging studies showed that there was a cerebritis in the CT scan result, a decrease in CD4 count, and an increase in anti-Rubella IgG titers in which the patient was finally diagnosed with viral encephalitis. Conclusion: The diagnosis of organic mental disorders can easily be overlooked in daily clinical practice so patients do not receive proper management.
Case Report: Magic Mushroom (Psilocybe cubensis) Intoxication Andrian Fajar Kusumadewi
Archives of The Medicine and Case Reports Vol. 1 No. 2 (2020): Archives of The Medicine and Case Reports
Publisher : HM Publisher

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

Abstract

Psilocybe mushroom, or widely known as the magic mushroom is a variety of mushroom commonly consumed because of hallucinogenic traits it causes toward its consumer. This hallucinogenic effect is caused by Psilocybin, a hallucinogenic substance often found within Psilocybe mushroom. This substance affects mental state of the consumer and has similar effect to those of LSD and Mescaline. Aside from its effect to cause mental disturbance, consumption of this mushroom may cause acute renal injury which leads to a fatal and life-threatening situation. A case of Psilocybe intoxication had been reported in a 22 years old male with a confirmed history of consuming Psilocybe mushroom. Patient first came with a symptom of disorientation and restlessness. Patient also often shook his head off, laughed out, screamed, and continuously making bizarre movements. Psychiatric examination confirmed a sign of auditory hallucination, unstable mood, and stereotypical behavior experienced by the patient. This case report was intended to elaborate the effects of Psilocybe mushroom consumption against physical and mental condition of the consumer, and its management in clinical settings.
The Correlation between Alcohol Consumption with Anxiety Level on Multiple Drugs User in Sleman Andrian Fajar Kusumadewi; Carissa Aulia Firliany; Silas Henry Ismanto; Afkar Aulia
Archives of The Medicine and Case Reports Vol. 1 No. 2 (2020): Archives of The Medicine and Case Reports
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/amcr.v1i2.8

Abstract

Since 2013, data showed alcohol consumption in Indonesia increased from 3% to 3.3%, and 0.8% of the population consumes alcohol over the limit (Riskesdas 2018). Consuming alcohol over the limit not only impacts someone physically but also mentally. One of the mental impacts of alcohol consumption is anxiety. If the anxiety is not treated properly, it can lead a patient to consume more alcohol and, moreover, develop an alcohol addiction. To examine alcohol consumption levels and their correlation to anxiety levels. This study is analytical research with a quantitative cross-sectional survey design. Sampling techniques were done by consecutive sampling with the AUDIT questionnaire survey to measure alcohol consumption level and the T-MAS questionnaire survey to measure anxiety level of respondents. The research sample consists of 30 multiple drug user respondents. We got a 0.569 p-value score with Pearson Chi-Square analysis, which can be interpreted to mean that there is no correlation between alcohol consumption and anxiety level. Patients with alcohol abuse mostly come from low-to-average academic groups, a total of 29 people, and not married groups, a total of 18. There is no correlation between alcohol consumption and anxiety levels. The respondent's anxiety level is influenced by his or her academic grade and marital status.
Self-Harm Inventory (SHI) Versi Indonesia Sebagai Instrumen Deteksi Dini Perilaku Self-Harm Andrian Fajar Kusumadewi; Bambang Hastha Yoga; Sumarni Sumarni; Silas Henry Ismanto
Jurnal Psikiatri Surabaya Vol. 8 No. 1 (2019): June
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (945.682 KB) | DOI: 10.20473/jps.v8i1.15009

Abstract

Background: Self-harming behavior (SHB) is an iceberg phenomenon commonly occurred in both normal population and patients with mental illness. This behavior showed an increase in trend and may develop into suicidal behavior if not treated properly. Therefore an effort in screening and prevention of self-harm is necessary to prevent early deaths caused by suicide. Currently Indonesian version of self-harm screening instrument has not been developed yet.Purpose: Conducting validity and reliability test of Indonesian version of self-harm questionnaire.Method: This research was a descriptive analytic study with cross-sectional design. We recruited 110 psychiatric outpatients from Bantul Hospital Yogyakarta (n=110). SHB was measured using Indonesian version of Self Harm Inventory (SHI). Internal validation was tested using Aiken's Validity Index (AVI) and Pearson Product Moment Correlation (PPMC). Reliability was tested using Cronbach Alpha (CA). Statistical significance was defined as p<0,05.Result: The respondents consisted of 57 men (51.8%) and 53 women (48.2%). Twenty four respondents had done more than 5 items of SHB. AVI value ranged from 0.83 to 0.97 which considered good. PPMC obtained 21 valid items with correlation coefficient >0.25 (p <0.05). Item number 22 was excluded because coefficient value was <0.25. Rresult of Keizer Meyers Oklin was 0,686 and Barlett Test of Spherecity 0,000 (p <0,05). CA was 0.831 which means very good.Conclusion: Indonesian version of Self-Harm Inventory is a valid and reliable screening tool against self-harm behavior in clinical setting.
Penanggulangan depresi lansia pascaerupsi Gunung Merapi melalui permainan humor berbasis kearifan budaya lokal pada kader yandu lansia Sumarni Sumarni; Triwirasto Triwirasto; Andrian Fajar Kusumadewi; Santi Yuliani; Dwi Dwi; Nanda Kusumaningrum
Journal of Community Empowerment for Health Vol 2, No 1 (2019)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1049.275 KB) | DOI: 10.22146/jcoemph.41290

Abstract

Mental health of elderly is a main priority which should be concerned of, in order to provide strength to obtain welfare in old age. Merapi eruption was a natural disaster that provided long-term psychological effects on elderly survivors. It is necessary to be handled with continuous support related to depression and life quality of elderly after Merapi eruption by providing training on humor games based on local cultural wisdom and management of depression in elderly in the manner of social spiritual to the cadres of integrated services for elderly in Hunian Tetap (Huntap) Kuwang, Cangkringa, Sleman, Daerah Istimewa Yogyakarta (DIY).  Data used in this research was secondary data taken from community service that conducted in May - September 2014. The community service involved 30 cadres of integrated services for elderly and 45 elderly in Huntap Kuwang. Tools used in this research were module of local wisdom games completed with its equipment and module of early detection and coping with depression. The data were presented in descriptive quantitative and qualitative. After being given training on humor games based on local wisdom, there were increased average score on cadres’ knowledge of humor games based on local wisdom (from 66.4 to 93.2.) and skill (from 64.1 to 87.6,) as well as knowledge of early detection of depression (from 47.6 to 84.4) and skill of social support providing (from 35.3 to 80.8). There were declining trend of depression in elderly from 36 people before training to 17 people after the training of humor games based on local wisdom and spiritual social support. Training on humor games based on local wisdom and early detection of depressive tendencies along with the coping to the cadres of integrated services can reduce depressive tendencies and improve life quality of elderly in Huntap Kuwang, Cangkringan, Sleman, DIY.