UI - Tesis Membership :: Kembali

UI - Tesis Membership :: Kembali

Uji diagnostik the neurological disorders depression inventory for epilepsy versi indonesia pada pasien epilepsi dewasa dengan gangguan depresi mayor = Diagnostic test study of indonesian version of the neurological disorders depression inventory for epilepsy in adult epilepsy patients with major depression disorders

Izati Rahmi; Diatri Nari Lastri, supervisor; Astri Budikayanti, supervisor; Herqutanto, supervisor (Fakultas Kedokteran Universitas Indonesia, 2013)

 Abstrak

[Latar belakang. Depresi merupakan salah satu gangguan psikiatri yang sering
terjadi pada pasien epilepsi. Prevalensinya adalah 20-80%. Depresi bukan
merupakan suatu pemeriksaan yang rutin dilakukan di poliklinik neurologi karena
membutuhkan waktu yang cukup lama, sehingga banyak pasien yang tidak
terdiagnosis dan akhirnya tidak terobati, untuk itu diperlukan pemeriksaan yang
singkat. The Neurological Disorders Depression Inventory for-Epilepsi (NDDI-E)
merupakan pemeriksaan skrining depresi yang terdiri dari 6-aitem.
Tujuan. Menentukan akurasi dan titik potong NDDI-E versi Indonesia sebagai
skrining depresi pada pasien epilepsi dewasa.
Metode. Penelitian uji diagnostik yang dilakukan di poliklinik epilepsi RSCM.
Pemeriksaan dilakukan pada semua pasien epilepsi yang memenuhi kriteria
inklusi. Pasien mengisi sendiri formulir NDDI-E tanpa bantuan orang lain.
Kemudian dilakukan pemeriksaan the International Neuropsychiatric Interview
Mini ICD-10 (MINI-ICD10) sebagai standar baku.
Hasil. Dari 105 orang subyek penelitian terdapat 23 orang mengalami gangguan
depresi mayor berdasarkan MINI-ICD 10. Didapatkan kurva Receiver Operating
Characteristic (ROC) yang mendekati 100%, titik potong 11, dengan Sensitifitas
91,3% Spesifisitas 89% PPV 70% dan NPV 97,3%. Secara statistik NDDI-E versi
Indonesia masuk dalam klasifikasi yang kuat, karena nilai Area Under the Curve
(AUC) 97,5% dengan interval kepercayaan (95%CI 95%-99%).
Kesimpulan. NDDI-E versi Indonesia memiliki nilai akurasi yang tinggi untuk
menentukan gangguan depresi mayor pada pasien epilepsi dewasa pada titik
potong 11.;Background. Depression is a common psychiatric disorder in epilepsy. The
prevalence is 20-80%. The depression is not a routinely assessed in neurology
clinics, because the assestment takes a long time. So, many patients are under
diagnosed and untreated. The Neurological Disorders Depression Inventory for-
Epilepsy (NDDI-E) is a depression screening examination consist of only 6-aitem.
Purpose. To determine the accuracy and cut-off point of NDDI-E Indonesian
version as a screening depression examination for adult epilepsy patients.
Method. Diagnostic test study was conducted at epilepsy clinic on RSCM. All the
epilepsy patient who met the inclusion criteria was examined. The patient took the
NDDI-E Indonesian version as a self assesment. Then there were assest with used
the International Neuropsychiatric Interview Mini ICD-10 (MINI-ICD10) as a
gold standar.
Results. From the 105 subjects, there were 23 people suffered from major
depression by MINI-ICD10. Receiver Operating Characteristic (ROC) curve
obtained which is close to 100%, cut-off point at 11, with Sensitivity 91.3%
Specificity 89% PPV 70% and NPV of 97.3%. It was statistically classified as
strong because the value of Area Under the Curve (AUC) is 97.5% with a
confidence interval (95% CI 95% -99%).
Conclusion. NDDI-E Indonesian version has a high accuracy to determine major
depressive disorder in adult epilepsy patients with the cut-off point at 11., Background. Depression is a common psychiatric disorder in epilepsy. The
prevalence is 20-80%. The depression is not a routinely assessed in neurology
clinics, because the assestment takes a long time. So, many patients are under
diagnosed and untreated. The Neurological Disorders Depression Inventory for-
Epilepsy (NDDI-E) is a depression screening examination consist of only 6-aitem.
Purpose. To determine the accuracy and cut-off point of NDDI-E Indonesian
version as a screening depression examination for adult epilepsy patients.
Method. Diagnostic test study was conducted at epilepsy clinic on RSCM. All the
epilepsy patient who met the inclusion criteria was examined. The patient took the
NDDI-E Indonesian version as a self assesment. Then there were assest with used
the International Neuropsychiatric Interview Mini ICD-10 (MINI-ICD10) as a
gold standar.
Results. From the 105 subjects, there were 23 people suffered from major
depression by MINI-ICD10. Receiver Operating Characteristic (ROC) curve
obtained which is close to 100%, cut-off point at 11, with Sensitivity 91.3%
Specificity 89% PPV 70% and NPV of 97.3%. It was statistically classified as
strong because the value of Area Under the Curve (AUC) is 97.5% with a
confidence interval (95% CI 95% -99%).
Conclusion. NDDI-E Indonesian version has a high accuracy to determine major
depressive disorder in adult epilepsy patients with the cut-off point at 11.]

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 Metadata

Jenis Koleksi : UI - Tesis Membership
No. Panggil : T58561
Entri utama-Nama orang :
Entri tambahan-Nama orang :
Program Studi :
Subjek :
Penerbitan : Jakarta: Fakultas Kedokteran Universitas Indonesia, 2013
Bahasa : ind
Sumber Pengatalogan : LibUI ind rda
Tipe Konten : text
Tipe Media : unmediated ; computer
Tipe Carrier : volume ; online resource
Deskripsi Fisik : xvii, 71 hlm. ; 30 cm. + lamp.
Naskah Ringkas :
Lembaga Pemilik : Universitas Indonesia
Lokasi : Perpustakaan UI, Lantai 3
  • Ketersediaan
  • Ulasan
  • Sampul
No. Panggil No. Barkod Ketersediaan
T58561 15-24-75513036 TERSEDIA
Ulasan:
Tidak ada ulasan pada koleksi ini: 20367175
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