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All Journal Journal of Nutrition and Health Jurnal Kedokteran Diponegoro Journal of Biomedicine and Translational Research Medica Hospitalia Diponegoro International Medical Journal (DIMJ)
Titis Hadiati
Bagian Ilmu Kesehatan Jiwa, Fakultas Kedokteran, Universitas Diponegoro
Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health

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Perbedaan Tingkat Kecemasan dan Depresi pada Mahasiswa Sistem Perkuliahan Tradisional dengan Sistem Perkuliahan Terintegrasi Titis Hadiati
JNH (Journal of Nutrition and Health) Vol 5, No 1 (2017): JOURNAL OF NUTRITION AND HEALTH
Publisher : Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (556.67 KB) | DOI: 10.14710/jnh.5.1.2017.28-36

Abstract

Latar Belakang: Banyak faktor yang memengaruhi tingkat kecemasan dan tingkat depresi, salah satunya adalah sistem perkuliahan .Cenderung terjadi peningkatan kasus gangguan kejiwaan diantara para siswa dan mahasiswa pada tingkat pendidikan yang lebih tinggi. Salah satu penyakit kejiwaan yang paling sering ditemukan terutama pada masa dewasa muda adalah cemas dan depresi.Tujuan: Mengetahui perbedaan tingkat kecemasan dan depresi pada mahasiswa sistem perkuliahan tradisional dengan sistem perkuliahan terintegrasi.Metode: Desain penelitian adalah penelitian deskriptif analitik dengan menggunakan rancangan belah lintang (cross-sectional). Sampel adalah 368 orang mahasiswa Program Studi Pendidikan Dokter Fakultas Kedokteran Universitas Diponegoro yang terdiri dari178 orang angkatan 2012 dan 190 orang angkatan 2013. Responden diukur tingkat kecemasan dengan menggunakan kuesioner Zung Self-rating Anxiety Scale dan tingkat depresi dengan menggunakan  Zung Self-rating Depression Scale. Uji  yang digunakan adalah uji Chi-square.Hasil: Hasil uji statistik menunjukkan tidak ada perbedaan yang bermakna pada tingkat kecemasan (p=0,490) dan tingkat depresi (p=0,692) antara mahasiswa sistem perkuliahan tradisional dengan sistem perkuliahan terintegrasi.Kesimpulan: Perbedaan tingkat kecemasan dan tingkat depresi berdasarkan sistem perkuliahan memiliki nilai yang tidak bermakna.Kata Kunci: kecemasan, depresi, sistem perkuliahan, tradisional, terintegrasi.
Hubungan antara Pola Menyusui Ibu dengan Gangguan ADHD pada Anak Titis Hadiati
JNH (Journal of Nutrition and Health) Vol 6, No 1 (2018): JOURNAL OF NUTRITION AND HEALTH
Publisher : Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (534.48 KB) | DOI: 10.14710/jnh.6.1.2018.17-20

Abstract

Pendahuluan : Menyusui dikaitkan dengan risiko yang lebih rendah untuk masalah perilaku anak di masa kecil. Ada beberapa penelitian yang menyatakan bahwa attention-deficit hyperactivity disorder (ADHD) bisa dicegah dengan pemberian ASI (Air Susu Ibu). Dalam pemberian ASI ini ada beberapa pola menyusui yaitu menyusui eksklusif, menyusui predominan, dan menyusui parsial (WHO).Tujuan : Mengetahui hubungan antara pola menyusui Ibu dengan attention-deficit hyperactivity disorder (ADHD) pada anak.Metode : Penelitian analitik, dengan pendekatan cross-sectional. Sampel ibu-ibu dari anak-anak di TK Hidayatullah Semarang yang berumur 4 – 6 tahun dan alamat lengkap. Besar sampel sebanyak 71. Alat yang digunakan adalah catatan administrasi murid TK Hidayatullah Semarang selama periode 1 November 2016 - 25 April 2017, Blangko SPPAHI (Skala Penilaian Perilaku Anak Hiperaktif) dan Kuisioner Pola Menyusui Ibu. Uji statistik ini menggunakan sistem komputerisasi SPSS dengan Chi Square Tests dimana taraf signifikansi (α) yang digunakan adalah 5% (0,05).Hasil : Terdapat 71 data yang diproses, sehingga tingkat kevalidannya 100% (Tabel 1), yang mengalami ADHD sekitar 11 anak (15,5%) dan yang tidak mengalami ADHD sekitar 60 anak (84,5%) (Tabel 2). Hasil uji statistik dengan Chi Square Test pada SPSS versi 20 diperoleh hasil nilai p = 0,444 (Tabel 3). Karena nilai p lebih besar dari 0,05, sehingga dapat diartikan bahwa antara pola menyusui ibu dengan ADHD pada anak tidak terjadi hubungan yang signifikan atau bermakna dan besarnya nilai koefisien kontingensi (r) adalah 0,149 (Tabel 4) maka kekuatan korelasi tergolong sangat lemah.Kesimpulan : ADHD hanya terjadi pada 15,5% anak yang pernah mendapatkan ASI dengan berbagai macam pola menyusui ibu. Tidak ada hubungan antara pola menyusui Ibu dengan ADHD.Kata Kunci : menyusui, ADHD, ASI, Pola Menyusui, penelitian analitik, cross-sectional, Ibu, Anak
The Relationship between Body Image with Eating Disorder in Medical Student Devina Nahama Natarijadi; Titis Hadiati
JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL) Vol 10, No 3 (2021): JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL)
Publisher : Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dmj.v10i3.29376

Abstract

Background: Adolescence is a critical stage when a person experiences a fast and significant changes in their physic, cognitive, emotion and social. This changes affect their body image. Body image dissatisfaction leads them to do anything, even by changing their eating behaviour, to have a body goal. This behaviour can leads to an eating disorder.Objective: To know the relationship between body image perception with the incidence of eating disorders in medical students.Methods: An observational study with a cross sectional design on 240 students of the Medical Faculty of Diponegoro University 2019 using the Multidimensional Body-Self Relations Questionnaire-Appearance Scale (MBSRQ-AS) test for scoring the body image and Eating Attitude Test-26 (EAT-26) for scoring the eating disorder.Results : Body image perception, Negative evaluation appearance 148 persons (61,67%). Negative appearance orientation 199 persons (82.91%). Negative body area satisfaction 167 persons (69,58%). Negative overweight preoccupation 137 persons (57,08%). Negative self-classified weight 102 persons (42,50%). Eating disorders, 19 persons (7,9%) had risk of eating disorders. Positive appearance orientation had a significant effect on the incidence of eating disorders. p < 0,05, OR = 3, dan CI95% = 0.115 – 0.848. Positive overweight preoccupation had a significant effect on the incident of eating disorders. p < 0,05, OR = 4 , dan CI95% = 0.084 - 0.692.Conclusion: There is relation between body image on appearance orientation subscale and overweight preoccupation subscale with eating disorders.Keywords : adolescence, body image, eating disorder
The role of Zinc Intake in Serotonin and Cortisol Level in Patient with Depression Tanjung Ayu Sumekar; Innawati Jusup; Natalia Dewi Wardani; Titis Hadiati; Mohammad Sulchan; Alifiati Fitrikasari
Journal of Biomedicine and Translational Research Vol 8, No 1 (2022): April 2022
Publisher : Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jbtr.v1i1.13808

Abstract

Background: Low zinc levels affects the relationship between the glutamatergic and serotonergic systems in major depressive disorders that cause stress and inflammation. Decreased zinc in the hippocampus can activates the HPA axis associated with an increase in cortisol. Several studies documented the relationship between zinc and clinical depression, however further research including biological measurements is needed to support these studies.Objective: To observe the correlation between zinc intake with serotonin and cortisol serum in patient with depressionMethods: This was an observational study with cross sectional design. Subjects were patients with depression who came to Dr. Kariadi Hospital, Tugurejo Hospital, Diponegoro National Hospital and Permata Medika Hospital met the inclusion and exclusion criteria. The food frequency questionnaire (FFQ) was used to assess daily zinc intake. The levels of serum serotonin and cortisol were measured using ELISA technique.Results: Of the 53 subjects, there was significant correlation between zinc intake with serotonin serum level (p=0,038), however there was no correlation between zinc intake with cortisol serum level (p=0,845)Conclusion: The higher zinc intake the higher serotonin serum level, however there was no correlation between zinc intake with cortisol serum level in patients with depression. 
Perbedaan Skor BDI II (Beck depression Inventori) pada siswi dengan PMDD (Premenstrual Dysphoric Disorder) dan non PMDD Dina wimala; Titis Hadiati
Medica Hospitalia : Journal of Clinical Medicine Vol. 8 No. 1 (2021): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (293.212 KB) | DOI: 10.36408/mhjcm.v8i1.486

Abstract

Latar Belakang : Gangguan menstruasi dapat terjadi pada 90 % wanita dan 5-8% nya mengalami gangguan parah yaitu PMDD. 32% remaja perempuan usia 15-19 tahun dimana diagnosis depresi pada remaja lebih sering terlewatkan dibandingkan pada orang dewasa. PMDD dan depresi menyebabkan keluhan psikologis dan berdampak pada kualitas hidup seseorang, karena adanya emosi yang tidak terkontrol, terutama bila tejadi pada remaja. Deteksi PMDD dan depresi pada remaja sering terlewatkan hal ini disebabkan karena gejala yang menonjol adalah lekas marah, reaktivitas susasana hati dan gejala fisik yang tidak dapat dijelaskan sebabnya. Tujuan : Mengetahui perbedaan skor BDI-II pada siswi dengan PMDD dan non PMDD Metode : Penelitian ini merupakan penelitian kuantitatif dengan rancangan belah lintang. Sampel adalah siswi SMK yang memenuhi kriteria inklusi dan eksklusi. PMDD dinilai dengan kuesioner SPAF (Shortened Premenstrual Assessment Form) dan depresi dinilai dengan BDI-II (Beck Depression Inventory-II). Analisa data menggunakan uji Pearson Chi Square, Fisher’s Exact dan Mann Whitney. Hasil : Penelitian ini diikuti oleh 135 responden, 60 (44,4%) responden PMDD dan 75 (55,6%) responden non PMDD dengan median skor BDI-II untuk kelompok PMDD adalah 19 (2-39) dan non PMDD 11 (0-33). Terdapat perbedaan skor BDI-II yang signifikan pada siswi dengan PMDD dan non PMDD dengan p value <0,001. Simpulan : Terdapat perbedaan skor BDI-II yang bermakna pada siswi dengan PMDD dan non PMDD. Kata Kunci : BDI-II, PMDD, remaja
HUBUNGAN GANGGUAN MENTAL EMOSIONAL DENGAN KECANDUAN MEDIA SOSIAL PADA MAHASISWA SEMESTER 1 TAHUN AJARAN 2019 DAN SEMESTER 3 TAHUN AJARAN 2018 DI UNIVERSITAS DIPONEGORO SEMARANG Alain Stephano Mahardhika; Alifiati Fitrikasari; Natalia Dewi Wardani; Titis Hadiati; Witrie Sutaty; Hari Peni Julianti
Medica Hospitalia : Journal of Clinical Medicine Vol. 9 No. 1 (2022): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (287.178 KB) | DOI: 10.36408/mhjcm.v9i1.680

Abstract

Background: Currently the level of addiction to social media tends to increase, especially among students. 75% of individuals who experience internet addiction are caused by problems in their relationships with other people. One of the related factors is emotional mental disorder. Objective: To determine the relationship between mental emotional disorders and social media addiction in students in the 1st semester of the 2019 academic year and the 3rd semester of the 2018 academic year at Diponegoro University, Semarang. Methods: Research with cross sectional design. The research sample is Diponegoro University Semarang students in 1st semester of the 2019 academic year and 3rd of the 2018 academic year. The independent variable is mental emotional disorder, while the dependent variable is social media addiction. The research instrument used a sociodemographic questionnaire, the Bergen Social Media Addiction Scale (BSMAS) and the Self Reporting Questionnaire 20 (SRQ20). Research variables were analyzed by chi square test. Results: The majority of research subjects had normal emotional mental disorders as many as 140 (82.8%) and 29 (17.2%) indicated experiencing emotional disorders. The majority of social media addiction levels were normal as many as 113 (66.9%), while alerts were 56 (33.1%), There was a relationship between emotional mental disorders and social media addiction (p=0.019, PR=2.587 95%CI=1.146 – 5,840). Conclusion: There is a significant relationship between mental emotional disorders and social media addiction. Diponegoro University Semarang students in 1st semester of the 2019 academic year and 3rd semester of the 2018 academic year.
Correlation Between Level of Depression and Risk of Suicide in Elderly at Purwodadi, Grobogan Rilla Fiftina Hadi; Titis Hadiati; Natalia Dewi Wardani
Diponegoro International Medical Journal Vol 1, No 2 (2020): December
Publisher : Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dimj.v1i2.9585

Abstract

Background: According to WHO, the elderly people have physical and mental challenges, including depression. The incidence of depression lead to suicide on elderly is about 12.7%. In Grobogan Regency, Purwodadi, Central Java, there has been an increase of depression in the last 5 years. Purwodadi Subdistrict depends on the number of orders with the highest number of traffic cases and the elderly.Objective: To determine the correlation between depression level and the risk of suicide.Methods: This research is a quantitative study with cross sectional design in which all respondents were observed and variables were measured at one time. Samples were taken from elderly outpatient of primary health care and Posyandu lansia at Purwodadi, who met the inclusion and exclusion criterias. Research samples were selected based on nonprobability sampling method through purposive sampling. This research used the Indonesian version of the GDS (Geriatric Depression Scale) and CSSRS (Columbia Suicide Severity Rating Scale) questionnaire.Results: The prevalence of elderly depression is 63.3%, and a significant correlation was found between severe depression and low risk of suicide (p <0.05)Conclusion: significant correlation was found between severe depression and low risk of suicide.
The Correlation between Perceived Social Support with Suicide Ideation Prima Kusumastuti; Innawati Jusup; Alifiati Fitrikasari; Titis Hadiati
Diponegoro International Medical Journal Vol 2, No 2 (2021): December
Publisher : Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dimj.v2i2.10540

Abstract

Background: Based on data from WHO in 2015, it shows that the death rate due to suicide in the world was recorded to have increased by 23.2% compared to 2009. Research in 2016 shows that the largest age range who experienced suicide was from 15-29 years. Many things are predicted to be a protective factor against suicide, including social support. Research on suicide protection factors is useful in preventing the increasing number of suicides.Objective: To analyze the correlation between perceived social support with suicidal ideationMethods: This research is a quantitative study with cross sectional design. Samples were taken from vocational school and academy in Semarang, who met the inclusion and exclusion criterias. The sample selection was carried out by the simple random sampling method. This research used the Indonesian version of the SSI (Scale of Suicide Ideation) and the MSPSS (Multidimentional Scale of Perceived Social Support) questionnaires.Results: It was found that the prevalence of high suicidal ideation score was 50.8% while the low suicidal ideation score was 49.2%. There was a significant correlation between suicidal ideation with perceived of family support (p = 0.002) and peer support (p = 0.050). Meanwhile, there was no significant correlation between the suicidal ideation and the support from significant others (p = 0.154). Conclusion: There was a correlation between perceived of family and peer support with suicidal ideation
DIFFERENCES IN EMPATHY LEVEL BETWEEN JUNIOR AND SENIOR RESIDENTS, FACULTY OF MEDICINE, DIPONEGORO UNIVERSITY, DR. KARIADI HOSPITAL, SEMARANG Tatyana Santosa; Sigid Kirana Lintang Bhima; Julia Ike Haryanto; Titis Hadiati
JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL) Vol 10, No 3 (2021): JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL)
Publisher : Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dmj.v10i3.29442

Abstract

Background: The doctor-patient relationship has an important role in determining the diagnosis and patient management. In communicating with patients, as a doctor must show high empathy for patients. Therefore, it is important to assess the level of empathy for patients with Junior and Senior residents for patients. Aim: Understand the differences in the level of empathy towards patients with junior and senior residents at the Faculty of Medicine, Diponegoro University in Dr. Kariadi Hospital, Semarang. Method: Observational study with cross sectional design. The total sample size was 99 consisting of 35 junior residents and 64 senior residents. Nominal scale data, namely 35 junior residents and 64 senior residents were analyzed using the Kolmogorov-Smirnov normality test, while the interval scale data, namely the level of empathy, was analyzed using the unpaired t test. Results: Based on the Kolmogorov-Smirnov normality test. data distribution is normal (p = 0.091). In the unpaired t test, there was no significant difference (p = 0.501) between the level of resident education and the value of empathy. Conclusion: There is no significant difference between the education level of residents at the Faculty of Medicine, Diponegoro University in Dr. Kariadi Hospital, Semarang with the value of empathy, but from the value there is a decrease. Keywords: level of empathy; Junior residents; Senior residents; The Jefferson's Scale of Physician Empathy (JSPE).
Co-Authors Alain Stephano Mahardhika Alifiati Fitrikasari Devina Nahama Natarijadi Dina wimala Hari Peni Julianti Innawati Jusup Julia Ike Haryanto Linda Kartika Sari Mohammad Sulchan Muchlis Achsan Udji Sofro Natalia Dewi Wardani Prima Kusumastuti Rilla Fiftina Hadi Sigid Kirana Lintang Bhima Tanjung Ayu Sumekar Tatyana Santosa Tommy Raharja Witrie Sutaty