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"Summary: It's been ten years since Nicolette Farrell left her rural hometown after her best friend, Corinne, disappeared from Cooley Ridge without a trace. Back again to tie up loose ends and care for her ailing father, Nic is soon plunged into a shocking drama that reawakens Corinne's case and breaks open old wounds long since stitched. The decade-old investigation focused on Nic, her brother Daniel, boyfriend Tyler, and Corinne's boyfriend Jackson. Since then, only Nic has left Cooley Ridge. Daniel and his wife, Laura, are expecting a baby; Jackson works at the town bar; and Tyler is dating Annaleise Carter, Nic's younger neighbor and the group's alibi the night Corinne disappeared. Then, within days of Nic's return, Annaleise goes missing. Told backwards Day 15 to Day 1 from the time Annaleise goes missing, Nic works to unravel the truth about her younger neighbour's disappearance, revealing shocking truths about her friends, her family, and what "really "happened to Corinne that night ten years ago."

"For anyone who has ever cared for a person with Alzheimer's, coping with the emotional, financial, and day-to-day issues can be grueling. In "The Alzheimer's Advisor," Vaughn E. James offers an empathetic and straightforward guide to the legal and ethical dilemmas associated with this disorder."

"Penelitian korelasional ini bertujuan untuk melihat hubungan antara beban pengasuhan dan resiliensi keluarga pada perempuan dari keluarga pengasuh lansia. Sebanyak 146 family caregiver perempuan yang sedang merawat lansia, baik yang tinggal bersama lansia maupun tidak, berpartisipasi dalam penelitian ini. Alat ukur Zarit Burden Interview (ZBI) digunakan untuk mengukur beban pengasuhan, sedangkan alat ukur Walsh Family Resilience Questionnaire (WFRQ) digunakan untuk mengukur resiliensi keluarga. Berdasarkan uji korelasi menggunakan teknik analisis Pearson Correlation dengan metode bootstrap, terdapat hubungan yang negatif dan signifikan antara beban pengasuhan dan resiliensi keluarga pada family caregiver perempuan yang mengasuh lansia (r(146) = 0,36; p < 0,01). Hasil penelitian menunjukkan bahwa semakin kuat resiliensi keluarga yang dimiliki oleh family caregiver, semakin rendah beban pengasuhan yang dipersepsikan. Begitu pula sebaliknya. Penelitian ini dapat menjadi acuan bagi para praktisi dalam mengembangkan intervensi beban pengasuhan yang fokus pada pengembangan resiliensi keluarga bagi family caregiver perempuan.

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This correlational research aims to examine the relationship between caregiver burden and family resilience on female family caregivers of elderly during the COVID-19 pandemic. A total of 146 female family caregivers participated in this research. Zarit Burden Interview (ZBI) is used to measure caregiver burden and Walsh Family Resilience Questionnaire (WFRQ) is used to measure family resilience. According to the correlation test using the Pearson Correlation technique with bootstrap method, it is found that there’s a significant, negative relationship between caregiver burden and family resilience amongst female family caregivers of elderly (r(146) = 0,36; p < 0,01). This result indicates that the higher family resilience, the lower caregiver burden will be perceived, and vice versa. Therefore, this research can be used as a reference for practitioners in developing caregiving interventions that focus on developing family resilience for female family caregivers."

"This book reviews the research and philosophical foundations for using mindfulness, acceptance, and Buddhist psychology in couple and family therapy. It also provides a detailed and practical approach for putting these ideas into action in the therapy room, including a mindful approach to therapeutic relationships, case conceptualization, treatment planning, teaching meditation, and intervention.;"

"There could be as many as 300 million caregivers in the global workforce providing care for loved ones -- elderly parents, a life-partner with a health condition, or a disabled child/sibling or close friend who needs support. As populations age around the world and welfare support declines, the number of people voluntarily caring for another will grow. However, despite the demands and pressures that caregivers are under, many organisations offer little practical support to employees -- support that, if provided correctly, will benefit both employee and employer. Take Care is a practical guide that enables employers to better understand and support employees with caring responsibilities. It presents this as part of good management practice that strengthens organizational resilience and sustainability, and also argues that this is now an integral element of being a responsible employer and organisation. The book includes practical examples from more than fifty employers around the world, from small businesses to global enterprises, as well as public sector and NGO examples. It also features the personal stories of individuals in the workplace who have successfully championed change."

"Latar belakang: Demensia adalah sindroma klinis ditandai dengan penurunan kemampuan kognitif dan defisit memori secara global. Pasien demensia 90% akan mengalami gejala perilaku dan psikologis. Pemberian obat psikotropika dipengaruhi oleh faktor dari pasien berupa gejalanya, faktor beban stres pelaku rawat, dan faktor tenaga kesehatan memberikan obat psikotropika jangka panjang.Tujuan: Mengetahui pengaruh pemberian modul psikoedukasi tentang obat psikotropika pada pelaku rawat dapat meningkatkan pengetahuan, menurunkan dan menghentikan obat psikotropika, menurunkan gejala, dan menurunkan distres pelaku rawat.Metode: Tahap persiapan dengan studi kualitatif untuk membuat modul psikoedukasi dan tahap kedua melakukan studi pre eksperimental (one grup pretes posttest study). Psikoedukasi diberikan dalam 2 minggu berturut-turut.Hasil: Terdapat 40 pelaku rawat pasien demensia dengan usia 41,3 (± 9,72) tahun. Pemberian psikoedukasi secara bermakna berhubungan dengan penurunan gejala dan penggunaan psikotropika, meningkatkan pengetahuan dan penurunan beban pelaku rawat. Pada akhir studi, 23% pasien dapat menghentikan penggunaan psikotropika dan sebanyak 62% pasien menurunkan dosis dan/atau jumlah obat psikotropika yang digunakan.Kesimpulan: Pemberian modul psikoedukasi pada pelaku rawat berhubungan dengan penurunan gejala pasien berhubungan dengan penurunan penggunaan obat psikotropika. Psikoedukasi juga meningkatkan pengetahuan pelaku rawat serta menurunkan beban pelaku rawat sehingga modul psikoedukasi ini dapat sebagai terapi tambahan pada pasien dengan demensia.

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Background: Dementia is a clinical syndrome characterized by a decline in cognitive abilities and memory deficits globally. About 90% of patients experience behavioral and psychological symptoms. The use of psychotropic drugs is influenced by the patient symptoms, burden of the caregiver, and the habit of health workers.

Objective: To determine the effect of psychoeducation modules to caregivers to increase knowledge, decrease of psychotropic drugs, reduce symptoms and burden of caregivers.

Methods: There are 2 steps of studies. The first was a qualitative study to create psychoeducation module and the second was to conduct a pre-experimental study (one group pretest-posttest study). Psychoeducation is given in 2 consecutive weeks.

Results: Fourty caregivers of dementia patients aged 41.3 (± 9.72) years. The psychoeducation modules is associated with decreasing symptoms and the use of psychotropic drugs, increasing knowledge and decreasing the burden of caregivers. At the end, 23% of patients were able to stop using psychotropic drugs and 62% of patients reduced their dose and/or the amount of psychotropic drugs.

Conclusion: The psychoeducation modules to caregivers is associated with a decrease of patient symptoms and the use of psychotropic drugs. Psychoeducation also increases the knowledge of the caregiver and decreases the burden of the caregiver so that this psychoeducation module can be an additional therapy for patients with dementia."

"Cancer caregiving in the United States illuminates these complex concerns with authoritative detail. This wide-ranging volume provides a comprehensive survey of cancer-related issues, including those affecting the care triad (patients-family members- professionals) and quality of care as well as the numerous physical, emotional, and financial challenges that caregivers may need to confront. Sources of caregiver difficulty at each stage of the disease, from diagnosis to end of life, are explored. Each chapter analyzes its topic in terms of practice, research, education, and policy, providing a wealth of literature reviews, assessment and care models, interventions, and recommendations for future study and practice. Coverage includes : caregiving issues for cancer patients with long-term, short-term, and intermittent needs. Family caregivers as members of the treatment team.The impact of health disparities on caregivers. Cancer care policy and advocacy. End-of-life issues for cancer caregivers. Legal, financial, and ethical issues. "

"Latar Belakang: Prevalensi anak dengan HIV/AIDS terus meningkat setiap tahunnya baik di dunia maupun di Indonesia. Caregiver anak dengan HIV/AIDS berisiko mengalami psikopatologi seperti kecemasan dan depresi. Penelitian ini bertujuan untuk mengetahui hubungan antara mekanisme koping dengan psikopatologi pada caregiver anak dengan HIV/AIDS.Metode: Pemeriksaan dilakukan pada 107 caregiver anak dengan HIV/AIDS yang datang ke Poliklinik Anak Divisi Alergi Imunologi Rumah Sakit Ciptomangunkusumo Jakarta. Mekanisme koping dinilai dengan instrumen Brief- Coping Orientation to Problem Experienced (Brief-COPE) untuk melihat jenis mekanisme koping dan kategori mekanisme koping. Psikopatologi dinilai dengan instrumen Symptom Checklist-90 (SCL-90).Hasil: Tidak terdapat hubungan bermakna secara statistik antara jenis mekanisme koping dan psikopatologi, namun terdapat korelasi bermakna (r = -0,291) antara kategori mekanisme koping dan psikopatologi. Dari 107 caregiver anak dengan HIV/AIDS didapatkan 29 (27,1%) caregiver mengalami psikopatologi. Psikopatologi terbanyak adalah somatik dan depresi.Simpulan: Jenis mekanisme koping (emotional dan problem focused coping) tidak berhubungan dengan psikopatologi. Kategori mekanisme koping yang menunjukkan banyaknya tingkatan mekanisme koping berkorelasi lemah dengan psikopatologi caregiver. Semakin banyak dan beragam mekanisme koping yang digunakan oleh caregiver anak dengan HIV/AIDS maka semakin rendah terjadinya psikopatologi dan sebaliknya semakin sedikit ragam mekanisme koping yang digunakan oleh caregiver anak dengan HIV/AIDS maka semakin tinggi terjadinya psikopatologi. Perlu ditingkatkan keterampilan mekanisme koping melalui psikoterapi dan psikoedukasi bagi para caregiver yang mengasuh anak dengan HIV/AIDS.

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Background: The prevalence of children with HIV / AIDS continues to increase every year in the world or in Indonesia. Caregivers of children with HIV / AIDS are at risk for psychopathtology such as anxiety and depression. This study aims to evaluate relationship between coping mechanisms and psychopathology in caregivers of children with HIV / AIDS.Methods: Assessment on 107 caregivers of children with HIV / AIDS at the The Allergic Immunology Pediatric Outpatient Clinic, Dr. Ciptomangunkusumo National Referral Hospital Jakarta. Coping mechanisms assessed by the instrument Brief -Coping Orientation to Problems Experienced (Brief-COPE) to evaluate the types of coping mechanisms and coping mechanisms categories. Psychopathology was assessed by the instrument Symptom Checklist-90 (SCL-90).Results: There was no relationship statistically significant between the types of coping mechanisms and psychopathology, but there is a significant correlation (r = -0.291) between categories of coping mechanisms and psychopathology. Of the 107 caregivers of children with HIV / AIDS found 29 (27.1%) experience psychopathology. Most psychopathology are somatic and depression.Conclusion: Type of coping mechanism (emotional and problem focused coping) was not associated with psychopathology. Categories coping mechanism that shows how many levels of coping mechanisms weakly correlated with psychopathology. The more numerous and diverse coping mechanisms used by caregivers of children with HIV / AIDS, the lower the occurrence of psychopathology and conversely the less diverse coping mechanisms used by caregivers, the higher occurrence of psychopathology. Skills of coping mechanisms need to be improved through psychotherapy and psychoeducation for caregivers of children with HIV / AIDS."

"Latar Belakang: Perawatan di ruang rawat inap dapat menimbulkan dampak negatif terhadap pasien geriatri dan pelaku rawatnya berupa peningkatan gejala ansietas dan depresi. Ansietas dan depresi yang dialami oleh pelaku rawat dapat mengganggu kualitas perawatan pasien geriatri yang dirawatnya. Tujuan: Mengetahui proporsi pelaku rawat pasien geriatri yang dirawat inap di rumah sakit yang mengalami peningkatan gejala ansietas dan depresi serta mengetahui faktor-faktor apa saja yang mempengaruhi peningkatan gejala ansietas dan depresi tersebut. Metode: Studi dengan desain kohort prospektif untuk meneliti faktor-faktor yang berhubungan dengan peningkatan gejala ansietas dan depresi pada pelaku rawat pasien geriatri yang dirawat inap di Rumah Sakit Cipto Mangunkusumo pada bulan Februari hingga Mei 2018 dengan membandingkan derajat gejala ansietas dan depresi pada hari pertama perawatan dengan hari ketujuh perawatan pasien menggunakan kuesioner Hospital Anxiety and Depression Scale (HADS). Analisis bivariat menggunakan uji Chi Square atau uji Fisher apabila persyaratan uji Chi Square tidak terpenuhi dan analisis multivariat menggunakan regresi logistik.Hasil: Sebanyak 58,1% pelaku rawat pasien geriatri mengalami peningkatan gejala ansietas dan 60,7% pelaku rawat mengalami peningkatan gejala depresi pada saat hari ketujuh perawatan pasien di ruang rawat inap. Berdasarkan analisis multivariat faktor-faktor yang mempengaruhi peningkatan gejala ansietas pelaku rawat pasien geriatri yang dirawat inap di rumah sakit adalah usia pelaku rawat ≥60 tahun (p=0,05; OR 4,167; IK 95% 1,554-11,171), durasi merawat pasien ≥8 jam dalam sehari (p=0,041; OR 4,228; IK 95% 1,060-16,860), lama merawat pasien di ruang rawat inap ≥6 hari (p=0,019; OR 2,500; IK 95% 1,163-5,375) serta merawat pasien geriatri dengan ketergantungan berat-total (p<0,001; OR 5,568; IK 95% 2,323-13,345). Faktor-faktor yang mempengaruhi peningkatan gejala depresi pelaku rawat pasien geriatri yang dirawat inap di rumah sakit di antaranya usia pelaku rawat ≥60 tahun (p=0,01; OR 9,333; IK 95% 2,638-33,018), durasi merawat pasien ≥8 jam dalam sehari (p=0,008; OR 8,392; IK 95% 1,723-40,880), lama merawat pasien di ruang rawat inap ≥6 hari (p<0,001; OR 4,184; IK 95% 1,982-9,256) serta merawat pasien geriatri dengan ketergantungan berat-total (p=0,007; OR 3,132; IK 95% 1,372-7,151). Kesimpulan: Usia pelaku rawat ≥60 tahun, durasi merawat pasien ≥8 jam dalam sehari, lama merawat pasien di ruang rawat inap ≥6 hari serta merawat pasien geriatri dengan ketergantungan berat-total mempengaruhi peningkatan gejala ansietas dan depresi pelaku rawat pasien geriatri yang dirawat inap di rumah sakit.

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Background: Hospitalization can cause negative impact on geriatric patients and also their caregivers such as increased symptoms of anxiety and depression. Anxiety and depression experienced by the caregivers can interfere the quality of care for the geriatric patients. Objectives: To determine the proportion of geriatric patients caregivers with increased anxiety and depression symptoms during hospitalization using Hospital and Anxiety Depression Scale (HADS) questionnaires and its associated factors. Methods: A prospective cohort study was conducted to determine the associated factors of increased anxiety and depression symptoms in caregivers of hospitalized geriatric patients at Cipto Mangunkusumo Hospital from February to May 2018 by comparing anxiety and depression symptoms level on the first day of hospitalization with the seventh day using HADS questionnaires. Bivariate analysis was done using Chi Square test or Fisher test when the requirement for Chi Square test was not fullfilled. Multivariate analysis was also done using logistic regression.Result: As many as 58.1% caregivers of hospitalized geriatric patients had an increased anxiety symptoms and 60.7% caregivers experienced increased depression symptoms on seventh day of hospitalization. Multivariate analysis showed that caregivers aged 60 years old or above (p=0.005; OR 4.167; 95% CI 1.554-11.171), duration of caregiving equal to or more than 8 hours in a day (p=0.041; OR 4.228; 95% CI 1.060-16.860), duration of caregiving equal to or more than 6 days in a week (p=0.019; OR 2.500; 95% CI 1.163-5.375) and caregiving for patient with severe to total dependency (p<0.001; OR 5.568; 95% CI 2.323-13.345) are significantly increased the anxiety symptoms. Factors that are significantly increased the depression symptoms including caregivers aged 60 years old or above (p=0.01; OR 9.333; 95% CI 2.638-33.018), duration of caregiving equal to or more than 8 hours in a day (p=0.008; OR 8.392; 95% CI 1.723-40.880), duration of caregiving equal to or more than 6 days in a week (p<0.001; OR 4.184; 95% CI 1.982-9.256) and caregiving for patient with severe to total dependency (p=0.007; OR 3.132; 95% CI 1.372-7.151). Conclusion: Caregiver aged 60 years old or above, duration of caregiving equal to or more than 8 hours in a day, duration of caregiving equal to or more than 6 days in a week, and caregiving for patient with severe to total dependency are significantly increased anxiety and depression symptoms in caregivers of hospitalized geriatric patients."

"Merawat anggota keluarga yang memiliki penyakit kanker dapat menjadi sebuah tantangan bagi seorang family caregiver. Tidak jarang family caregiver merasakan caregiver burden atau beban perawatan selama proses perawatan berlangsung. Caregiver self-efficacy atau kepercayaan diri caregiver terhadap kemampuannya dalam melakukan tugas perawatan dengan baik dipercaya dapat menjadi salah satu faktor protektif bagi family caregiver dari caregiver burden. Dengan begitu, penelitian korelasional ini bertujuan untuk menguji hubungan antara caregiver self-efficacy dan caregiver burden pada family caregiver pasien kanker. Penelitian ini melibatkan 86 family caregiver pasien kanker di Indonesia yang diperoleh dari convenience sampling dengan menyebarkan tautan kuesioner kepada teman, keluarga terdekat, dan beberapa komunitas kanker di Indonesia melalui media sosial. Hasil penelitian dengan menggunakan alat ukur Caregiver Inventory dan Zarit Burden Interview menunjukkan bahwa terdapat hubungan negatif yang signifikan antara caregiver self-efficacy dan caregiver burden pada family caregiver pasien kanker. Dengan arti, apabila family caregiver pasien kanker memiliki tingkat caregiver self-efficacy yang tinggi maka tingkat caregiver burden akan menurun dan sebaliknya. Peneliti menduga partisipan memiliki tingkat caregiver self-efficacy yang tinggi diakibatkan oleh beberapa faktor dan karakteristik partisipan, salah satunya adalah memiliki perasaan mampu untuk dapat menyelesaikan tugas perawatan dengan baik sehingga memiliki kemampuan untuk menghadapi situasi yang sulit dan mengalami caregiver burden yang lebih rendah. Temuan ini dapat menjadi landasan penelitian selanjutnya mengenai pentingnya caregiver self-efficacy pada family caregiver pasien kanker untuk mencegah dan menghadapi caregiver burden.

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Caring for a family member who has cancer can be a challenge for a family caregiver. It is not uncommon for the family caregiver to feel caregiver burden or burden of care during the treatment process. Caregiver self-efficacy or caregiver’s confidence in their ability to perform caring tasks well can be one of the protective factors for family caregiver from caregiver burden. Thus, this correlational study aimed to examine the relationship between caregiver self-efficacy and caregiver burden among family caregiver of cancer patient. This study involved 86 family caregivers of cancer patients in Indonesia obtained from convenience sampling by distributing questionnaires to friends, closest family, and several cancer communities in Indonesia through social media. The results of the study used the Caregiver Inventory and Zarit Burden Interview measuring instruments showed that there was a significant negative relationship between caregiver self-efficacy and caregiver burden among family caregiver of cancer patient. In other words, if the family caregiver of cancer patient has a high level of caregiver self-efficacy, the caregiver's burden will decrease and vice versa. Researchers suspected that participants have a high level of caregiver self-efficacy due to several factors and participant characteristics, one of which is having a feeling of being able to complete care tasks well so that they have the ability to be able to deal with difficult situations and experience a lower caregiver burden. This finding can be the basis for further research regarding the importance of caregiver self-efficacy for family caregiver of cancer patient to prevent and deal with caregiver burden."