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"Gangguan kepribadian ambang (GKA) merupakan gangguan jiwa dengan dampak psikososial yang bermakna dan umumnya lebih sulit ditata laksana dibandingkan dengan gangguan psikiatri lainnya. Sebagian besar Peserta Program Pendidikan Spesialis Kedokteran Jiwa (PPDS-KJ) menyatakan sulit melakukan psikoterapi pada pasien GKA dan belum ada metode pengajaran psikoterapi psikodinamik yang khusus dan terstruktur untuk kasus GKA. Tujuan penelitian adalah menghasilkan Modul Pendidikan Psikoterapi Psikodinamik untuk kasus GKA (PP-GKA) beserta instrumen untuk mengevaluasi hasil pembelajaran PPDS-KJ setelah mengikuti modul pada domain pembelajaran kognitif, afektif, dan psikomotor. Penelitian dilakukan pada Januari–Desember 2023 di sembilan institusi pendidikan psikiatri di Indonesia menggunakan mixed method kualitatif dan kuantitatif dengan desain exploratory sequential, terdiri dari tahap pengembangan modul, pengembangan instrumen evaluasi, dan uji efektivitas modul. Penelitian ini juga mengadaptasi Kuesioner Kirkpatrick level 1 untuk mengevaluasi reaksi peserta terhadap modul. Pengembangan modul dan instrumen dilakukan secara saksama melalui tahapan focus group discussion, survei Delphi, diskusi panel ahli, uji validasi isi modul dan instrumen, serta uji reliabilitas instrumen dengan narasumber dari kalangan PPDS-KJ, psikiater, ahli psikoterapi, dan staf pengajar psikoterapi dari institusi pendidikan psikiatri di Indonesia. Modul yang dihasilkan bersifat valid (S-CVI/Ave = 1), berbentuk pembelajaran daring dengan durasi 12 kali pertemuan. Penelitian juga menghasilkan instrumen evaluasi hasil belajar berupa 50 butir soal pilihan ganda, rubrik penilaian formulasi psikodinamik (RP-FP), dan rubrik penilaian praktik psikoterapi psikodinamik (RP-PPGKA). RP-FP dan RP-PPGKA juga valid (S-CVI/Ave RP-FP = 0,981, RP-PPGKA = 1) dan reliabel (ICC RP-FP = 0,879, RP-PPGKA = 0,727). Uji efektivitas modul dengan pre-test post-test control group design dilakukan kepada 33 orang PPDS-KJ semester 6–7 dari sembilan institusi pendidikan PPDS-KJ di Indonesia yang direkrut berdasarkan stratified random sampling. Berdasarkan hasil analisis instrumen soal pilihan ganda, RP-FP, RP-PPGKA, dan Kuesioner Kirkpatrick level 1 versi Indonesia, Modul Pendidikan PP-GKA efektif memberikan perubahan dalam aspek kognitif, afektif, dan psikomotor serta mendapatkan reaksi yang positif dari peserta. Modul Pendidikan PP-GKA dapat diimplementasikan pada pendidikan PPDS-KJ di Indonesia sebagai panduan pengajaran dan membantu meningkatkan kompetensi PPDS-KJ dalam melakukan psikoterapi psikodinamik untuk kasus GKA di Indonesia.

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Borderline personality disorder (BPD) is a mental disorder with significant psychosocial impacts and is difficult to manage compared to other psychiatric disorders. The majority of psychiatry residents in Indonesia stated that it was difficult to carry out psychotherapy on BPD patients and that there was no specific and structured psychodynamic psychotherapy teaching method for BPD cases. The aim of this study is to produce a Psychodynamic Psychotherapy Module for BPD cases (PP-BPD) along with the instruments to evaluate the residents’ learning outcomes in the cognitive, affective and psychomotor learning domains after receiving the module. The research was conducted in January–December 2023 at nine psychiatric educational institutions in Indonesia using mixed qualitative and quantitative methods with a sequential exploratory design, consisting of module development stages, evaluation instruments development, and module effectiveness testing. This study also adapted the Kirkpatrick Questionnaire level 1 to evaluate participants' reactions to the module. The development of the module and instruments was carried out carefully through the stages of focus group discussions, Delphi surveys, expert panel discussions, content validation testing of the module and scales, as well as inter-rater reliability testing of the scales with psychotherapy experts and teaching staff as participants. The resulting module, in the form of online learning with a duration of 12 meetings, is valid, (S-CVI/Ave = 1). The learning outcomes evaluation instruments were 50 multiple choice questions, Psychodynamic Formulation Competency Assessment scale (PF-CAS), and a Practical Competency Assessment Scale (PC-CAS) for psychodynamic psychotherapy for BPD. PF-CAS and PC-CAS were valid (S-CVI/Ave PF-CAS = 0.981, PC-CAS = 1) and reliable (ICC PF-CAS = 0.879, PC-CAS = 0.727). The module effectiveness test with a pre-test post-test control group design was carried out on 33 PPDS-KJ students in semesters 6–7 from nine psychiatric educational institutions in Indonesia who were recruited based on stratified random sampling. Analysis of the multiple choice exam, PF-CAS, PC-CAS, and Kirkpatrick Questionnaire level 1 Indonesian Version showed that the PP-BPD Education Module was effective in inducing changes in cognitive, affective and psychomotor aspects and received positive reactions from participants. The PP-BPD Education Module can be implemented in resident education in Indonesia as a teaching guide and to help improve residents’ competency in conducting psychodynamic psychotherapy for BPD cases in Indonesia."

"Permintaan layanan psikiatri forensik di Indonesia terus meningkat. Namun, psikiater di Indonesia merasa kurang kompeten dan kurang percaya diri dalam melakukan analisis psikomedikolegal dan melaporkan hasil pemeriksaannya, karena ketiadaan pedoman dan metode pendidikan yang belum seragam. Penelitian ini terdiri atas tiga tahap yang bertujuan untuk mengidentifikasi komponen Kemampuan Berpikir Analisis Psikomedikolegal (KBAP) dan mengembangkan modul pengajaran yang sahih dan mampu laksana. Penelitian menggunakan desain exploratory sequential mixed method. Pada tahap 1, dilakukan penelusuran kepustakaan dan penilaian kebutuhan dari pemangku kepentingan untuk mengidentifikasi komponen KBAP, dilanjutkan dengan teknik delphi melibatkan pakar psikiatri, hukum, dan bidang lain yang relevan. Hasilnya diadaptasi menjadi instrumen penilaian KBAP beserta panduan penilaiannya. Pada tahap 2, dilakukan studi potong lintang terhadap psikiater Indonesia untuk mengetahui skor KBAP dan faktor-faktor yang memengaruhinya. Pada tahap 3, dilakukan pengembangan dan uji coba Modul KBAP. Penelitian tahap 1 menghasilkan 60 butir KBAP yang dibagi empat tahap: persiapan, pemeriksaan, penulisan laporan, serta persiapan dan pemberian keterangan di pengadilan. Instrumen penilaian, berupa rubrik yang dilengkapi panduan pengisian, memiliki validitas isi dan reliabilitas antarpenilai yang baik. Median skor KBAP dari 165 subjek sebesar 37 (rentang nilai 5 sampai 89). Tidak didapatkan faktor yang berhubungan dengan skor KBAP. Modul KBAP yang dikembangkan pada tahap 3, berdasarkan temuan dari tahap 1 dan 2, berlangsung secara daring selama 6 minggu, terdiri atas kegiatan pembelajaran dan evaluasi yang dilakukan secara asinkronus dan sinkronus. Modul KBAP secara keseluruhan dinilai mampu laksana dan sahih. Selain itu, peserta menunjukkan hasil yang baik dalam evaluasi hasil pembelajaran modul. Secara keseluruhan, penelitian ini dirancang untuk dapat menjawab kebutuhan dalam peningkatan keterampilan psikiatri forensik Indonesia dengan memberikan pedoman konkret dan modul pengajaran yang berpotensi untuk dikembangkan lebih lanjut baik dalam aspek pendidikan, penelitian, maupun pelayanan.

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Requests for forensic psychiatry assessments have consistently increased. However, Indonesian psychiatrists still view themselves as incompetent, and thus, unconfident in conducting psychomedicolegal analysis and reporting the results, which may stem from a lack of concrete guidelines and uniform teaching methods throughout the country. Furthermore, psychomedicolegal analysis as a form of clinical reasoning can be influenced by cognitive and emotional factors. Thus, this study aims to identify components of psychomedicolegal analysis competency and to develop its educational module. This study used an exploratory sequential mixed method design. In Part 1 of the study, literature review and needs analysis from stakeholders were conducted to identify components of psychomedicolegal analysis, which were then refined through Delphi technique involving experts from psychiatry, law, and other relevant fields. The components are adapted into a scoring instrument and its user manual. In Part 2, a cross-sectional study was conducted among Indonesian psychiatrists to estimate the level of psychomedicolegal analysis of competence and related factors. In Part 3, a module for psychomedicolegal analysis was developed and tested. Part 1 of this study resulted in 60 items of psychomedicolegal analysis competency, divided into 4 domains: preparation, assessment, report writing, and giving expert testimony. The scoring instrument was designed as a rubric and complemented by a manual containing item explanations and operational definitions. The instrument has acceptable content validity and inter-rater reliability. In Part 2, a sample of 165 psychiatrists had a median psychomedicolegal analysis score of 37 (range 5 to 89). No factors are significantly associated with it. In Part 3, the psychomedicolegal analysis module, formulated from the findings of Part 1 and 2, was conducted as an online course for 6 weeks, consisting of asynchronous and synchronous activities. The module was considered feasible and valid. Also the participants showed good results in evaluation of the module. Overall, the psychomedicolegal analysis scoring instrument and the resulting module were able to answer the need for skill development in Indonesian forensic psychiatry by providing concrete guidelines and teaching methods that have the potential to be further developed as educational innovation, research, and services."