Karimah, Azimatul
Departemen/ SMF Ilmu Kedokteran Jiwa Fakultas Kedokteran Universitas Airlangga/ RSUD Dr. Soetomo Surabaya

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PENGARUH FAKTOR DEMOGRAFI TERHADAP TINGKAT STRES PENGASUHAN PADA ORANG TUA ANAK USIA SEKOLAH DASAR Shabahati, Tijani Zakirah; Irwanto, Irwanto; Karimah, Azimatul; Setiawati, Yunias
(Jurnal Ilmiah Mahasiswa Kesehatan Masyarakat) Vol 7, No 1 (2022): JIMKesmas (Jurnal Ilmiah Mahasiswa Kesehatan Masyarakat)
Publisher : Universitas Halu Oleo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37887/jimkesmas.v7i1.23091

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AbstrakSetiap orang dewasa yang memiliki tanggung jawab untuk mengasuh seorang anak memiliki kemungkinan untuk mengalami stres pengasuhan yang timbul akibat adanya ketidak seimbangan antara kebutuhan dalam proses tersebut dengan kemampuan seseorang sebagai orang tua untuk memenuhinya. Sejauh ini beberapa penelitian telah menunjukkan tingkat stres pengasuhan yang tinggi dapat memberikan dampak negatif seperti depresi pada orang tua dan timbulnya kekerasan terhadap anak. Faktor internal orang tua dan anak serta peristiwa kehidupan eksternal yang dapat memengaruhi stabilitas keluarga merupakan sumber utama stres pengasuhan, namun beberapa penelitian juga menunjukkan adanya dampak parameter demografis terhadap stres pengasuhan. Untuk itu dilaksanakanlah penelitian ini untuk mengetahui adakah pengaruh karakteristik demografi orang tua terhadap tingkat stres yang dialaminya dalam mengasuh anak. Penelitian ini memiliki rancangan studi cross-sectional dengan melibatkan 35 orang tua sebagai subjek yang datanya diambil menggunakan pengisian kuisioner PSI. Subjek dalam penelitian ini sebagian besar adalah perempuan, berpendidikan akhir perguruan tinggi atau sederajat, bekerja, berpenghasilan lebih dari upah minimum regional (UMR), dan memiliki dua anak, dengan rerata usia 37,46 ± 5,52 (mean ± SD). Sebagian besar individu dalam penelitian ini memiliki tingkat stres pengasuhan yang berada dalam rentang normal, dengan hanya sebagian kecil (11,4%) yang memiliki stres pengasuhan tinggi. Analisis bivariat menunjukkan bahwa hubungan antara faktor demografi dengan tingkat stres pengasuhan tidak signifikan dalam penelitian ini. Kata Kunci  : Stres pengasuhan, Anak usia sekolah dasar, Faktor Demografi, PSI
Screening of Bipolar Disorders and Characteristics of Symptoms in Various Populations in Surabaya, Indonesia Margarita M. Maramis; Azimatul Karimah; Erikavitri Yulianti; Yulia F. Bessing
ANIMA Indonesian Psychological Journal Vol. 32 No. 2 (2017): ANIMA Indonesian Psychological Journal (Vol. 32, No. 2, 2017)
Publisher : Laboratory of General Psychology, Faculty of Psychology, Universitas Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (369.14 KB) | DOI: 10.24123/aipj.v32i2.587

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Although Bipolar Disorder (BD) is a common mental illness worldwide (1-3%), there was no data about the prevalence of BD or bipolar spectrum disorder in Indonesia. This study aimed to screen bipolar disorders in various communities Surabaya and its variations of symptoms characteristics. Through a cross-sectional design and non-random sampling survey (N = 1,104) was conducted using the Mood Disorder Questionnaire (MDQ), a screening tool for BDs, and validated self-report instrument. The SPSS 17.0 and chi square was used for analysis. Results showed the lifetime proportion of MDQ positive was 10.7% (n = 118). The proportions of MDQ positive by gender were 4.8% males and 5.9% females, no gender (p = .444) and educational background differences (p = .470). The highest proportions of MDQ positive were 4.4% in the 25-60 year group, 4% having an education level of senior high school and 6.7% having unmarried status. Among participants who had MDQ positive, 22% had an awareness of having psychological problems, unfortunately only 5.9% had visited a medical professional. Overall, the lifetime proportion of suspected bipolar disorder spectrum in Surabaya was higher than that reported in other studies. Conducting a periodic research regarding other psychosocial-cultural backgrounds will help clinicians and government identify the exact prevalence of bipolar disorder in the society and their risk factors. Furthermore, it will help to prevent the increased rate of bipolar disorders.
ORIGINAL ARTICLE: CAUSE OF STRESS AND COPING MECHANISM AMONG MEDICAL STUDENTS YEAR 2013 – 2015 IN UNIVERSITAS AIRLANGGA Aulia Rahmi; Azimatul Karimah; Nancy Margarita Rehatta
Jurnal Kedokteran Syiah Kuala Vol 19, No 2 (2019): Volume 19 Nomor 2 Agustus 2019
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jks.v19i2.18056

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Abstract. Background: Stress is response and acknowledged as a natural respond to problems in daily life. Coping is defined as a process used to confront stress with various degree of effectiveness. Purpose: To correlate cause of stress and coping mechanism based on sex and year of admission among Universitas Airlangga medical students year 2013, 2014, and 2015. Method: This study was observational analytic study. Data were taken by self-administrated questionnaires (demographic, Medical Student Stressor Questionnaire, and BriefCOPE)  Result: Respondents were dominated by female (60%) and  out of 90 answers, the most frequent stressor was Academic Relater stressor (45.12%) regardless of the gender and admission year, and the most frequent coping mechanism is Planning (79.50%)  and Religion for female students (80.75%) and 2013 students (78.75%). There was a significant correlation between stressor Intrapersonal and Interpersonal and Teaching and Learning Related also coping mechanism Planning, Humor, and Religion between male and female participants. There was also significant correlation between different admission year for coping mechanism Denial, Humor, and Self Blame. Conclusion: The most common stressor of the student year 2013, 2014, and 2015 with medical major in Universitas Airlangga is Academic Related and the most common coping mechanism is Planning.Keywords: medical student, academic stressor, coping mechanism, observational analytic study
Depression Level Difference Between Gifted and Non-gifted Medical Students Firas Farisi Alkaff; Adila Taufik Syamlan; Michael Jonatan; Ricardo Adrian Nugraha; Tan Nicko Octora; Azimatul Karimah
Biomolecular and Health Science Journal Vol. 1 No. 2 (2018): Biomolecular and Health Science Journal
Publisher : Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (172.711 KB) | DOI: 10.20473/bhsj.v1i2.9716

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Introduction: Depression is a common mental health conditions in the world. Compare to general population, the prevalence of depression in medical students are higher. There are several risk factors that might contribute to the higher rate of depression in medical students, including being a gifted student. However, no study has been published regarding the depression of the gifted medical students until now.Aim: To find out the difference in the level of depression between gifted and non-gifted medical students. Methods: This study was a descriptive cross-sectional study, conducted from October to December 2016. Subjects were third year medical students from Faculty of Medicine Universitas Airlangga. There were 2 groups in this study. Samples from gifted students group was obtained using total sampling method, while number of samples from non-gifted students group was equated with gifted students group. Depression was measured using Beck Depression Inventory (BDI). Mann-Whitney U test was used for statistical analysis.  Results: 34 students, 17 students in the gifted students group and 17 students in the non-gifted students group, were included in this study. Based on the BDI score results category, 2 students from the gifted students group and 1 student from non-gifted students group were in the mild category, and 1 student from the gifted students group was in the borderline category. The highest BDI score in gifted students group were 14, while in non- gifted students group were 17. There was no significant difference of the BDI score and BDI category between groups (p = 0.154; 0.951, respectively).Conclusion: There was no significant difference of depression level between gifted and non-gifted medical students.
Does mental health literacy influence help-seeking behavior in medical students? Nandini Amithya Pramesi Lumaksono; Pudji Lestari; Azimatul Karimah
Biomolecular and Health Science Journal Vol. 3 No. 1 (2020): Biomolecular and Health Science Journal
Publisher : Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bhsj.v3i1.19093

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Introduction: Medical students are experiencing uncertainty in finding the appropriate help for their mental health problems. When they finally decide to seek help, some of them are already in a mental crisis. The suitable indicator for early identification of mental disorder is mental health literacy. Mental health literacy also functions as a tool to decrease stigma towards people with mental illness and to improve help-seeking behavior. The purpose of this study is to determine the influence of mental health literacy to help-seeking behavior and to describe mental health literacy and help-seeking behavior of the medical students.Methods: The study design was observational analytical. Participants filled demographic data and answered questionnaire via an online file sharing platform. The questionnaires used in this study were Mental Health Literacy Scale (MHLS) and Attitudes Toward Seeking Professional Psychological Help Short Form (ATSPPH-SF). The influence of mental health literacy to help-seeking behavior was analyzed using logistic regression analysis.  Results: The respondents were 60 medical students. No differences of literacy and attitude were found across the admission years. Overall, the students had good literacy and attitude. Students showed lower scores in the MHLS attributes containing ideas about self-treatments, confidentiality, social distance, and reliance on self. Being literate in the total score of MHLS did not influence on having a good attitude in ATSPPH-SF (p=0.303). Only by being literate in attitudes that promote recognition and help-seeking, the students showed a good attitude in ATSPPH-SF (p-value=0.027).  Conclusion: There was no influence on mental health literacy to help-seeking behavior.
CORRELATION BETWEEN SERUM VITAMIN D LEVELS AND SEVERITY OF SCHIZOPHRENIA PATIENTS IN THE DR. SOETOMO HOSPITAL Adil Dinata Simangunsong; Aryati Aryati; Azimatul Karimah; Ferdy Royland Marpaung
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol 25, No 3 (2019)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v25i3.1361

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Introduction. Vitamin D deficiency is a common health problem that occurs in various countries. Vitamin D deficiency is linked to various diseases such as kidney failure, liver damage, atherosclerosis, obesity and psychiatric disorders such as depression and schizophrenia. This study aimed to analyze the correlation between serum vitamin D levels and schizophrenia severity. Methods. Schizophrenia patients who visited the Inpatient and Outpatient Clinic Department of Psychiatry of the Dr. Soetomo Hospital Surabaya. This was a cross-sectional observational study, conducted in December 2017 - April 2018 . The subjects consisted of 53 schizophrenia patients, vitamin D levels < 30 ng /mL (35 (66.04%); > 30 ng/mL (18 (33.96%). Serum vitamin D levels test by enzyme linked fluorescent assay (ELFA) method using Vidas. The severity of schizophrenia was measured using a positive and negative syndrome scale (PANSS) score. Results. Mean serum vitamin D levels in schizophrenia were 23.45 ± 9.16 ng / mL, serum vitamin D levels in males were 24.36 ± 9.80 ng / ml and females 21.96 ± 7.98 ng / ml. The mean serum vitamin D level and PANSS scores of positive symptoms was 16.42 ± 8.50. The mean serum vitamin D level and PANSS scores of negative symptoms was 15.60 ± 6.12. The mean serum vitamin D level and PANSS scores of general psychopathology symptoms was 29.51 ± 10.29. The statistical results showed no association between vitamin D levels and PANSS scores. Conclusion. The results of this study indicated low serum vitamin D levels in schizophrenia. There was no association between serum vitamin D levels and the severity of schizophrenia using PANSS scores.
Neuroleptisasi Cepat, Masih Relevankah Saat Ini ? Maya Indrawati; Azimatul Karimah
Jurnal Psikiatri Surabaya Vol. 6 No. 2 (2017): Desember
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1322.103 KB) | DOI: 10.20473/jps.v6i2.19430

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Kegawatdaruratan di bidang psikiatri terutama agitasi menimbulkan cara baru untuk mengatasi gangguan perilaku. Agitasi adalah kumpulan ketidaksesuaian perilaku yang beresiko pada keamanan pasien dan orang yang merawat. Neuroleptisasi cepat adalah terapi yang segera dapat menenangkan pasien dengan menggunakan neuroleptik dosis tinggi dan berulang. Pemberian intramuskular dan pemberian oral sama efektifnya. Haloperidol lebih efektif dengan efek merugikan yang rendah. Antipsikotik generasi kedua mampu mengatasi gejala dengan baik meskipun perlu perhatian pada efek samping. Golongan benzodiazepin mampu menurunkan agitasi dan mengurangi penggunaan antipsikotik pada terapi kombinasi. Penggunaan antipsikotik generasi kedua mempunyai kemampuan yang kurang lebih sama dengan antipsikotik generasi pertama dalam mengatasi agitasi pada pasien dengan demensia.
Efek Probiotik Terhadap Interleukin-6 Serum dan Skor Depresi pada Pasien Luka Bakar Nur Aida; Azimatul Karimah; Iswinarno Doso Saputro
Jurnal Psikiatri Surabaya Vol. 6 No. 2 (2017): Desember
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1440.63 KB) | DOI: 10.20473/jps.v6i2.19433

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Latar Belakang: Luka bakarmerupakan respon lokal suatu jaringan dengan atau tanpa respon sistemik terhadap suatu perpindahan energi dari sumber fisik atau kimia. Perawatan luka bakar memerlukan waktu yang lama. Dampak pada individu karena luka bakar dirasakan sejak awal cedera dan meluas di seluruh kehidupan seseorang. Pada luka bakar tejadi pelepasan mediator inflamasi khususnya interleukin-6 dan terganggunya berbagai faal tubuh, salah satunya homeostasis mikrobiota usus. Komorbiditas psikiatrik yang terjadi berkisar 45,5 %, dimana depresi yang hadir akan memperberat kondisi pasien. Probiotik dapat menurunkan kadar interleukin-6 dan mencegah gejala depresi secara langsung maupun tidak langsung. Studi ini untuk menilai efek suplementasi probiotik pada gejala depresi, parameter menggunakan biomarker IL-6 serum.Tujuan: Membuktikan efek probiotik terhadap interleukin-6 serum dan skor depresi pada pasien luka bakar.Metode: Desain penelitian adalah non randomized control trial. Sampel diambil dengan consequtive sampling. Pemberian probiotik pada hari ke 4 sampai hari ke 19 perawatan, kadar interleukin-6 serum diukur pada hari ke-4 (sebelum pemberian probiotik) dan hari ke 19 (setelah pemberian probiotik) dengan ELISA. Kelompok kontrol tidak menerima probiotik. Kriteria depresi diukur dengan Hamilton Depression Rating Scale (HDRS). Kedua alat ukur tersebut telah melalui uji validitas dan reliabilitasnya dari penelitian sebelumnya dan HDRS telah diadaptasi ke dalam bahasa Indonesia. Analisis data menggunakan uji komparatif.Hasil: Hasil uji statistik menunjukkan tidak ada perbedaan yang bermakna antara kelompok perlakuan dan kontrol.Kesimpulan: Pemberian probiotik tidak berpengaruh terhadap kadar interleukin-6 serum dan derajat depresi dibandingkan kontrol.
Community Based Pasung Release on Schizophrenia Titik Dyah Agustini; Azimatul Karimah; Ivana Sajogo
Jurnal Psikiatri Surabaya Vol. 10 No. 1 (2021): May
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jps.v10i1.20638

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Schizophrenia is a severe mental disorder, persistent, chronic, easy to relapse. Schizophrenics at risk of becoming victims of pasung. Confinement is any form of limitation of movement of people with mental illness by families and/or communities. The government has launched the program to end pasung, but the incidence of pasung in the community is still quite high. Liberation of community-based pasung includes prevention of pasung, handling of pasung and rehabilitation of post-pasung. The method of community-based pasung release at the rehabilitation stage that is widely used is Assertive Community Treatment (ACT) and has been proven to reduce recurrence and hospitalization rates in schizophrenics so as to reduce the incidence of pasung and prevent re-pasung.
Neuroinflammation in Schizophrenia Feytie Magda Mawey; Azimatul Karimah; Erlyn Limoa; Muhammad Nazmuddin
Jurnal Psikiatri Surabaya Vol. 10 No. 1 (2021): May
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jps.v10i1.20871

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Schizophrenia is a chronic debilitating mental illness. In many aspects, the neuropathology of schizophrenia is closely associated with neuroinflammation, especially microglial activation. Microglial hyperactivity, which is characterized by the predominant release of proinflammatory cytokines serves as the basis of the neuroinflammation hypothesis in schizophrenia. The enhanced inflammatory induce neuronal susceptibility to oxidative stress and trigger, glutamatergic synaptic dysregulation, especially in the mesolimbic and mesocortical pathways. Many in vitro studies, in vivo animal evidence, post-mortem examinations, neuroimaging evaluations with Positron Emission Tomography (PET), anti-inflammatory and antipsychotic use converge upon the central role of microglial activation and proinflammatory cytokines as common of features schizophrenia.