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"[Pendahuluan: Obesitas adalah suatu permasalahan pandemik yang ditemukan dinegara maju maupun berkembang, dengan peningkatan prevalensi dalam duadekade terakhir. Obesitas pada anak dapat meningkatkan risiko berbagai penyakitkronik, baik fisik maupun psikis. Gangguan psikososial yang berkaitan denganobesitas pada anak meliputi: depresi, cemas, rendah diri, gangguan hiperkinetik,serta peningkatan agresivitas. Diperkirakan obesitas berhubungan dengangangguan perilaku dan emosional akibat ekspresi genetik rentan pada individuobes. Metode: Penelitian potong lintang dilakukan pada anak usia sekolah dasardi SDN 01 Menteng Jakarta untuk mengetahui hubungan tersebut. Penelitiandilakukan dengan membandingkan status gizi anak dengan skrining gangguanperilaku dan emosional melalui kuesioner PSC-17. Hasil: Sebaran anak obes diSDN 01 Menteng Jakarta mencapai 23,18%. Hasil analisis obesitas pada anakterhadap gangguan perilaku secara signifikan bermakna untuk subskalaeksternalisasi (p = 0,036). Sedangkan obesitas pada anak tidak memiliki hubunganbermakna secara statistik untuk subskala internalisasi (p = 0,428), perhatian (p =0,233), dan skor total PSC-17 (p = 0,824). Secara umum, obesitas tidakberhubungan dengan gangguan perilaku dan emosional pada anak (p = 0,602).Diskusi: Obesitas tidak berhubungan dengan gangguan perilaku dan emosionalpada anak secara general menunjukkan bahwa ada faktor-faktor lain yangberperan dalam menimbulkan gangguan psikis pada anak. Namun, penggunaankuesioner PSC-17 yang singkat dapat menunjukkan adanya kemungkinan negatifpalsu, terutama untuk gangguan cemas. Obesitas berhubungan dengan gangguansubskala eksternalisasi (agresivitas, dissosial) yang diduga berhubungan dengansosial stigma dari peer group;Introduction: Obesity has become a pandemic problem, which is common inboth developed and developing countries. The prevalence of obesity in childrenhas increased in the last two decades. Obesity in children can increase the risk ofvarious chronic diseases, both physically and mentally. Psychosocial disordersassociated with childhood obesity include: depression, anxiety, low self-esteem,hyperkinetic disorder, as well as increased aggressiveness. It is estimated thatobesity is associated with behavioral and emotional disorders are due tovulnerable genetic expression in obese individuals. Method: A cross-sectionalstudy conducted in primary school age children in SDN 01 Menteng Jakarta todetermine the relationship. The study was conducted by comparing the nutritionalstatus of children and behavioral/emotional disorders screening through PSC-17questionnaires. Result: Distribution of obese children in SDN 01 Menteng Jakartareached 23.18%. Association between childhood obesity and behavioral disordersis significant for externalizing subscale (p = 0.036). On the other side, childhoodobesity did not have a statistically significant relationship for internalizationsubscale (p = 0.428), attention (p = 0.233), and PSC-17 total score (p = 0.824). Ingeneral, obesity is not associated with behavioral and emotional disorders inchildren (p = 0.602). Discussion: No associations between obesity andbehavioral/emotional disorders in children suggest that there are other factorsplaying a role in causing mental disorders in children. However, the use of briefPSC-17 questionnaires may indicate the possibility of false negatives, especiallyfor anxiety disorders. Association between obesity and externalizing subscaledisorders (aggresiveness, dissocial behavior) may be caused by the social stigmaof the peer group, Introduction: Obesity has become a pandemic problem, which is common inboth developed and developing countries. The prevalence of obesity in childrenhas increased in the last two decades. Obesity in children can increase the risk ofvarious chronic diseases, both physically and mentally. Psychosocial disordersassociated with childhood obesity include: depression, anxiety, low self-esteem,hyperkinetic disorder, as well as increased aggressiveness. It is estimated thatobesity is associated with behavioral and emotional disorders are due tovulnerable genetic expression in obese individuals. Method: A cross-sectionalstudy conducted in primary school age children in SDN 01 Menteng Jakarta todetermine the relationship. The study was conducted by comparing the nutritionalstatus of children and behavioral/emotional disorders screening through PSC-17questionnaires. Result: Distribution of obese children in SDN 01 Menteng Jakartareached 23.18%. Association between childhood obesity and behavioral disordersis significant for externalizing subscale (p = 0.036). On the other side, childhoodobesity did not have a statistically significant relationship for internalizationsubscale (p = 0.428), attention (p = 0.233), and PSC-17 total score (p = 0.824). Ingeneral, obesity is not associated with behavioral and emotional disorders inchildren (p = 0.602). Discussion: No associations between obesity andbehavioral/emotional disorders in children suggest that there are other factorsplaying a role in causing mental disorders in children. However, the use of briefPSC-17 questionnaires may indicate the possibility of false negatives, especiallyfor anxiety disorders. Association between obesity and externalizing subscaledisorders (aggresiveness, dissocial behavior) may be caused by the social stigmaof the peer group]"

"Latar belakang. Gangguan perkembangan koordinasi GPK berdampak pada tumbuh kembang anak, dan saat ini belum ada penelitiannya di Indonesia. Tujuan. Mencari prevalens GPK, tersangka GPK, faktor risiko, serta dampak GPK terhadap tumbuh kembang anak usia sekolah. Metode. Potong lintang, deskriptif analitik di 4 sekolah dasar: SD Tiara Kasih, SDN 03 Menteng, SDN 01 Menteng di Jakarta dan SD Bina Pratama di Tangerang, pada Nopember 2015 - Nopember 2016. Menggunakan modifikasi terjemahan DCDQ untuk mencari prevalens, dan analisis statistik untuk menilai faktor risiko GPK. Potong lintang perbandingan untuk meneliti dampak GPK terhadap status gizi dengan IMT, perilaku menggunakan SDQ bahasa Indonesia, dan prestasi akademik nilai rapor sekolah. Didapat 27 anak GPK, terjaring dari tersangka GPK, dan dilakukan pemeriksaan BOTMP serta dipasangkan berdasarkan jenis kelamin, umur, dan tingkat kelas dengan 54 kontrol. Hasil. Dari 861 subyek terdapat 104 12 [IK95 9,92-14,28] anak tersangka GPK, dan 27 3,14 [Ik 95 1,98-4,30] anak GPK. Faktor risiko tersangka GPK adalah riwayat keluarga GPK dan keterlambatan perkembangan. Faktor risiko GPK adalah riwayat keluarga GPK. Anak GPK mempunyai kemungkinan peningkatan risiko untuk menjadi obesitas OR 8,31 IK 95 2,54-18,54, gangguan perilaku OR 13,43 IK 95 3,85 ndash;49,53, prestasi akademik lebih rendah OR 39,88 IK 95 6,30 ndash;253,46 dibandingkan kontrol. Kesimpulan. Prevalens tersangka GPK cukup tinggi dan GPK mempunyai dampak terhadap obesitas, gangguan perilaku, dan prestasi akademik yang rendah pada anak usia sekolah.

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Background. Developmental coordination disorder DCD is highly correlated to child 39 s growth and development, however there rsquo s no DCD data available in Indonesia.

Objective. To explore the prevalence and the risk factor of DCD at school age children and its impact on their growth and development.

Methods. Cross sectional descriptive analytic study, data were available from three elementary schools located in Jakarta Tiara Kasih, 03 Menteng, 01 Menteng and one elementary school located in Tangerang Bina Pratama. The Study was conducted between November 2015 and November 2016, to calculate the prevalence of probable DCD by using modified DCDQ Indonesian version. Cross sectional comparative study was also performed to explore the association between DCD and other factors nutritional status using IMT, behavior difficulties, and academic achievement at school age children. Behavior difficulties and academic achievement were assessed using SDQ Indonesian version and teacher reports respectively. Twenty seven children with confirmed DCD were retrieved from probable cases using BOTMP measurement. The confirmed DCD were paired with 54 controls based on gender, age and school grade.

Results. There were 104 probable DCD found from 861 children 12 95 CI 9,92 14,28, whereas only 27 confirmed cases were found 3,14 95 CI 1,98 4,3. The risk factors for probable DCD were delayed development and history of DCD in family, while for confirmed case only history of DCD in family. Children with confirmed DCD had significant increased risk for obesity OR 8,31 95 CI 2,54 18,54, behavior difficulties OR 13,43 95 CI 3,85 49,53, and poorer scores on academic achievement OR 39,88 95 CI 6,30 253,46 if compared to normal children.

Conclusion. The prevalence of DCD is quite high in school age children, and it has impact on their nutritional status, behavior difficulties, and academic achievement. "

"Osteogenesis Imperfecta OI adalah kelainan genetik pada gen pengkode kolagen yang menyebabkan kolagen tipe 1 tidak terbentuk. Manifestasi utama dari kelainan ini adalah pada jaringan ikat seperti tulang, dan kulit. Namun pada tipe yang parah ditemukan juga komplikasi pada sistem saraf, seperti hidrosefalus dan kraniosinostosis. Gangguan pada sistem saraf pusat dalam menyebabkan masalah pada berbagai fungsi otak, seperti perilaku. Penelitian ini bertujuan mengetahui hubungan dari keparahan klinis OI dengan gangguan perilaku pada anak usia 5-12 tahun. Sebuah studi potong lintang, menggunakan rumus analitik korelatif numerik-numerik dibutuhkan jumlah sampel minimum 38 orang. Namun hanya 20 anak yang bisa dikumpulkan dari daerah Jakarta dan sekitarnya. Keparahan klinis diukur menggunakan Clinical Scoring System CSS untuk Osteogenesis Imperfecta dan gangguan perilaku anak diukur menggunakan subskala kesulitan dari Parent-Rated Strength and Difficulties Questionnaires SDQ . Subskala kesulitan terdiri dari 4 buah komponen: emotional problem, conduct problem, hyperactivity, peer problem. Uji korelasi juga dilakukan antara skor keparahan klinis dengan keempat komponen ini. Tergantung persebaran data, dilakukan uji pearson atau spearman antara variabel-variabel tersebut. Analisa dilakukan menggunakan perangkat lunak SPSS versi 20. Hasil menunjukkan tidak ada korelasi bermakna dari keparahan klinis Osteogenesis Imperfecta dengan gangguan perilaku anak pada usia 5-12 tahun p > 0,05 . Akan tetapi ditemukan korelasi dengan kemaknaan rendah antara keparahan klinis OI dengan fungsi psikomotor hyperactivity p=0,049, r=0,446 . Perlu diperhatikan jumlah sampel yang didapatkan tidak memenuhi jumlah minimum, sehingga dapat memengaruhi nilai uji statistik.

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Osteogenesis Imperfecta OI is a genetic disorder in the collagen coding gene that causes defect in type 1 collagen formation. The main manifestation of this disorder are in connective tissue, such as bone and skin. However in cases with high severity, neurological complications are often found, such as hydrocephalus and craniocytosis. Disorders of the central nervous system will cause various disturbances in brain functions, such as the process of behavior. This study will aim to find the correlation between clinical severity of OI with behavioral disorders in children at 5 12 years of age. A cross ndash sectional study, using numerical analytic correlation formula, minimum sample size of 38 subject was obtained. However only 20 children were able to be collected from Jakarta and the surrounding areas. The clinical severity was measured using Clinical Scoring System CSS for Osteogenesis Imperfecta and children 39 s behavioral disorders were measured using the difficulties subscales of Parent Rated Strength and Difficulties Questionnaires. This subscales consists of four components emotional problem, conduct problem, hyperactivity and peer problem. Correlation test was also performed between clinical severity with these components. Using SPSS version 20, Pearson or Spearman correlation test were conducted depending on the data distribution of the variables. The results showed no significant correlation between clinical severity of Osteogenesis Imperfecta with behavioral disorders of children age 5 12 years p 0.05 . However, correlation with low significance was found between clinical severity of OI with psychomotor function hyperactivity p 0.049, r 0.446 . The number of samples obtained does not meet the minimum number needed, therefore can affect the significance of the statistical test."

"Demensia merupakan salah satu penyakit degeneratif yang secara progresif menyebabkan turunnya fungsi kognitif otak, hal ini membuat orang dengan demensia ODD akan semakin bergantung pada caregiver-nya. Manifestasi klinis yang diakibatkan dari turunnya fungsi kognitif ini dikenal sebagai Gangguan Perilaku dan Psikologis Demensia GPPD . Ada 12 gejala GPPD yaitu delusi, halusinasi, agitasi, depresi, euforia, ansietas, apatis, iritabilitas, disinhibisi, perilaku motorik abnormal, gangguan tidur, dan gangguan napsu makan. GPPD pada ODD dapat menjadi beban bagi caregiver yang berpotensi mengganggu kesehatan mental caregiver. Tujuan dari penelitian ini adalah untuk mencari hubungan antara GPPD pada ODD dengan kesehatan mental caregiver. Penelitian ini menggunakan desain potong lintang dan dilakukan di Poliklinik Geriatri Terpadu Rumah Sakit Cipto Mangunkusumo serta Caregiver Meeting Yayasan Alzheimer Indonesia dari Maret-September 2017. Penilaian GPPD dan distress yang disebabkan GPPD menggunakan kuesioner Neuropsychiatry Inventory, sementara penilaian kesehatan mental caregiver menggunakan kuesioner kualitas hidup Short-Form 36. Terdapat 42 subjek dalam penelitian ini. Dari hasil penelitian, diperoleh gangguan perilaku dan psikologis demensia paling banyak adalah iritabilitas sebanyak 24 subjek 57,1 , diikuti oleh apatis 22 subjek 52,3 dan agitasi 19 subjek 45,2 . Nilai rerata Mental Component Score dari subjek adalah 46,23 dengan standar deviasi 6,98. GPPD memiliki hubungan bermakna hanya dengan kesehatan mental caregiver utama dengan nilai p 0,044 p.

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Dementia is one of degenerative diseases that causes a cognitive impairment progressively. Therefore, as the disease worsens, the person with dementia PWD will be more dependent to his caregiver. Clinical manifestation that occurs because of the cognitive impairment is known as Behavioral and Psychological Symptoms of Dementia BPSD . There are 12 symptoms of GPPD including delusion, hallucination, agitation, depression, euphoria, anxiety, apathy, iritability, disinhibition, aberrant motoric behavior, sleeping disturbance, and eating problem. BPSD can bring burden to caregivers and eventually affect caregivers rsquo mental health. The purpose of this study is to find the correlation between BPSD and caregivers rsquo mental health. This is a cross sectional study which took place in Poliklinik Geriatri Terpadu Rumah Sakit Cipto Mangunkusumo and Caregiver Meeting Yayasan Alzheimer Indonesia during March September 2017. We used Neuropsychiatry Inventroy to assess BPSD and the distress caused by it, whereas Short Form 36 was used to assess the caregivers rsquo mental health. There were 42 subjects included in this study. The results of the study showed that the three most common BPSD were iritability occuring in 24 subjects 57.1 , apathy occuring in 22 subjects 52.3 , and agitation occuring in 19 subjects 45.2 . The mean value of Mental Component Score in subjects was 46.23 with standard deviation of 6,98. BPSD had statistically significant correlation only with main caregivers rsquo mental health with the value of p 0.044 p."

"Remaja mengalami pertumbuhan dan perkembangan fisik serta psikologis yang pesat. Hal ini membuat remaja rentan mengalami masalah kesehatan, salah satunya gangguan perilaku makan. Salah satu faktor yang mempengaruhi yaitu peer attachment dan parent attachment. Tujuan penelitian untuk mengetahui adanya hubungan peer dan parent attachment dengan gangguan perilaku makan pada remaja SMA. Penelitian menggunakan desain cross sectional kepada 65 responden yang diambil berdasarkan purposive sampling. Kriteria responden penelitian yaitu remaja usia 15-17 tahun dan mengalami gangguan perilaku makan. Gangguan perilaku makan diidentifikasi menggunakan alat ukur The Eating Attitudes Test-26 EAT-26, sedangkan attachment diukur dengan mengadakan penyuluhan secara berkala berkaitan dengan berat badan ideal, perilaku makan yang baik, dan gizi seimbang. The Inventory of Peer and Parent Attachment IPPA yang valid dan reliabel. Penelitian ini telah dinyatakan lolos kaji etik oleh Komite Etik Penelitian Fakultas Ilmu Keperawatan Universitas Indonesia.Hasil penelitian menunjukkan ada hubungan peer attachment dengan gangguan perilaku makan p=0,000;r=0,459, dan ada hubungan parent attachment dengan gangguan perilaku makan p=0,020;r=0,288. Rekomendasi adalah sekolah dapat memaksimalkan upaya membangun perilaku hidup sehat dengan mengadakan penyuluhan secara berkala berkaitan dengan berat badan ideal, perilaku makan yang baik, dan gizi seimbang.

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The growth and development on adolescent changes rapidly. It makes adolescent become more vulnerable with health problems, one of them is disordered eating behaviors. Peer attachment and parent attachment are factors that influence the problem. This study is aimed to determine the correlation between peer and parent attachment with disordered eating behaviors in high school adolescents. Its design was cross sectional with 65 samples and selected through purposive sampling. technique.The Criteria of respondents were adolescent aged 15 17 years and experienced disodered eating behaviors. Disordered eating behaviors were identified using the The Eating Attitudes Test 26 EAT 26, while attachments were measured by The Inventory of Peer and Parent Attachment IPPA. Both of them are valid and reliable. This research has been declared escaped ethical review by Research Ethics Committee Faculty of Nursing University of Indonesia.The results showed there were a correlation between peer attachment and disordered eating behaviors p 0,000 r 0,459 . Also, there were a correlation between parent attachment and disordered eating behaviors p 0,020 r 0,288 . This study recommends that schools can maximize efforts to build healthy lifestyles by conducting periodic counseling related to ideal body weight, good eating behavior, and balanced nutrition."