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"ABSTRAK

Pendahuluan : Sindrom metabolik merupakan kumpulan kondisi medis yang dapat menyebabkan seseorang terkena diabetes melitus tipe 2 atau penyakit kardiovaskuler. Prevalensi sindrom metabolik pada populasi psikiatri memiliki hasil yang cukup bermakna yaitu sebanyak 3,3% sampai 68% pasien. Olanzapine dikatakan sebagai antipsikotik atipikal yang paling banyak menyebabkan sindrom metabolik, diikuti quetiapin dan risperidon. Metode: Penelitian observasional dengan rancangan studi potong lintang yang dilakukan pada Oktober 2017 hingga September 2018 di unit rawat inap dan rawat jalan Jiwa Dewasa RSCM. Subjek adalah pasien skizofrenia laki-laki dan perempuan dengan rentang usia 18-59 tahun yang mendapat terapi risperidon, quetiapin atau olanzapin. Pada subjek dilakukan wawancara karakteristik, pengukuran antropometri, pengisian food record 4x24 jam, serta pengambilan sampel darah puasa. Hasil: Pada karakteristik pengukuran sindrom metabolik didapatkan hasil bahwa 70,2% subjek mengalami obesitas sentral dan 79,1% subjek berada di dalam kelompok overweight-obesitas. Sebanyak 80,6% subjek memiliki gambaran pola diet dengan hasil kurang-cukup dari kebutuhan AKG, 89,6% dengan tingkat aktivitas rendah-sedang, 61,2% tidak merokok, 38,8% dengan riwayat obesitas keluarga, dan 59,7% berada dalam kelompok polifarmasi. Peneliti membagi sindrom metabolik menjadi dua kelompok, menurut kriteria IDF dan berdasarkan parameter klinis rutin. Terdapat perbedaan proporsi bermakna antara kelompok sindrom metabolik berdasarkan parameter klinis dengan kelompok obat risperidon, olanzapin, dan quetiapin dengan nilai p=0,017. Terdapat perbedaan proporsi secara bermakna antara kejadian sindrom metabolik kriteria parameter klinis dengan kebiasaan merokok (p=0,011). Diperoleh nilai p=0.012 yang menunjukkan bahwa korelasi antara perilaku merokok dan sindrom metabolik bermakna secara statistik. Nilai korelasi sebesar 0.293 menunjukkan korelasi positif dengan kekuatan korelasi lemah. Kesimpulan: Hasil yang bermakna didapatkan pada kelompok sindrom metabolik berdasarkan parameter klinis. Hasil pada kelompok sindrom metabolik berdasarkan IDF tidak bermakna secara statistik dimungkinkan karena parameter laboratorium berada dalam rentang normal, karena pada subjek telah mendapatkan terapi, dan modifikasi gaya hidup.

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ABSTRACT

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Introduction: The metabolic syndrome is a medical conditions that can cause a person to develop type 2 diabetes mellitus or cardiovascular disease. The prevalence of metabolic syndrome in the psychiatric population has significant results, which are 3.3% to 68% of patients. Olanzapine and clozapine are said to be atypical antipsychotics that cause the most metabolic syndrome, followed by quetiapin and risperidone. Method: Observational study with a cross-sectional study design conducted in October 2017 to September 2018 in the RSCM Adult Mental Health Inpatient and Outpatient Unit. The research subjects were male and female schizophrenic patients with an age range of 18-59 years who received risperidone, quetiapin or olanzapin therapy. Characteristic interviews, anthropometric measurements, 4x24 hour food record filling, and fasting blood sampling were conducted. Results: On the characteristics of the metabolic syndrome measurement, it was found that 70.2% of the subjects had central obesity and 79.1% of the subjects were in the overweight-obese group. As many as 80.6% of subjects had a description of diet patterns with results that were approximately the same as those of AKG requirements, 89.6% with low-moderate activity levels, 61.2% no smoking, 38.8% with a history of family obesity, and 59.7 % are in the polypharmacy group. The researchers divided the metabolic syndrome into two groups, according to IDF criteria and based on routine clinical parameters. There were differences in the significant proportions between the metabolic syndrome group based on clinical parameters with the drug group risperidon, olanzapin, and quetiapin with a value of p = 0.017. There was a significant difference in proportion between the incidence of metabolic syndrome criteria for clinical parameters and smoking habits (p = 0.011). Obtained p value = 0.012 which indicates that the correlation between smoking behavior and metabolic syndrome is statistically significant. The correlation value of 0.293 shows a positive correlation with the strength of a weak correlation. Conclusion: Significant results were obtained in the metabolic syndrome group based on clinical parameters. Results in the metabolic syndrome group based on IDF were not statistically significant because laboratory parameters were in the normal range, because the subjects had received therapy and lifestyle modification.

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"ABSTRAK Kekerasan dalam rumah tangga merupakan salah satu masalah yang dalam prevalensi masih terus meningkat. Dilaporkan bahwa Indonesia pada jenjang tahun 2000 hingga 2014 angka terjadinya KDRT naik secara stabil dan pada 2016 kasus KDRT kepada istri mencapai 6.725 kasus di Indonesia. KDRT dapat mempengaruhi kesehatan jiwa bukan hanya pada korban namun juga pada anaknya. Penelitian ini mengambil data dari laporan jaga Departemen Psikiatri RSCM dan juga rekam medis pasien yang sudah menikah dan telah mengalami kasus KDRT dari tahun 2013 hingga 2017. Metode yang digunakan adalah cross sectional study dan menggunakan data dari pasien yang sudah menikah dan mengalami kekerasan dalam rumah tangga dari suaminya. Data yang diolah dalam riset ini merupakan tingkat pendidikan dan mental status (Speech, Mood, Thought Process, dan Perception). Data dengan jumlah 41 data yang dapat digunakan. Semua subjek merupakan perempuan dan umur yang dominan merupakan kisaran 31-40 tahun. Subjek lebih dominan mempunyai pendidikan di tingkat primer dan sekunder (72.7%). Mayoritas subjek mengalami gangguan pada mental statusnya (70.7%). Hasil analisis data menggunakan Contigiency Coefficient ditemukan bahwa hubungan antara tingkat pendidikan dan mental status pada korban KDRT tidak membuahkan signifikansi (p = 0,73). Tingkat pendidikan tidak mempunyai korelasi yang signifikan dengan mental status yang ditimbulkan oleh pasien KDRT.

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ABSTRACT

Domestic violence cases are still increasing. In Indonesia, it is stated that in the range of 2000-2014 the prevalence of domestic violence is increasing and in 2016 domestic violence cases that happen to wives reach a number of 6.725 cases in Indonesia. Domestic violence may affect the mental health of not only the victim but also her surrounding. This research collects data from the Domestic Violence Report Book from Psychiatric Department of RSCM (Rumah Sakit Ciptomangunkusumo) and medical records of married patients that came due to domestic violence from the year 2013 until 2017. This research uses cross sectional method and only uses data from patients who are married and have experienced domestic violence from her husband. The data that will be analyzed are educational level and mental status. A number of 41 datas that can be used in this research. All of the subjects are woman and the dominant age is in the range of 31-40. Dominantly, subjects have pursued education at primary-secondary level (72.7%) and have their mental status disturbed (70.7%). Data analysis using Contigency Coefficient showed that there is no statistical significance between educational level and mental status among DV victims (p = 0,73)."

"Kekerasan Dalam Rumah Tangga (KDRT) merupakan isu yang penting di Indonesia, dengan penelitian yang sedikit. Beberapa faktor dianggap berkontribusi untuk memperparah kondisi pasien seperti usia ketika menikah (muda) dan lama kekerasan, serta rendahnya tingkat GAF score (fungsionalitas). Sehingga, penelitian ini bertujuan untuk mencari korelasi antara usia ketika menikah, lama kekerasan, dan current GAF scale saat pasien mengalami kondisi KDRT. Metode cross sectional digunakan serta data diambil dari Buku Laporan Jaga KDRT dan Rekam Medis pada Departemen Psikiatri RSCM-FKUI (2013-2017). Data yang digunakan sebanyak 50 pasien dengan kekerasan fisik dimana rerata (SD) usia ketika menikah adalah 25.45 (6.26) tahun, dengan 1921.10 (2554.51) hari rerata periode kekerasan, dan 69.10 (7.93) rerata dari GAF Score. Uji komparasi antara GAF dan periode kekerasan ditemukan rerata GAF lebih tinggi pada periode kekerasan berjangka panjang, juga periode kekerasan jangka panjang merupakan nilai tertinggi pada nilai rerata usia ketika menikah. Pada uji korelasi tidak ditemukan korelasi antara usia ketika menikah dan GAF (p = 0.975) serta periode kekerasan dengan GAF (0.132). Maka dari itu, usia ketika menikah dan periode kekerasan serta GAF tidak memiliki korelasi yang bermakna secara statistik. Menggunakan variabel yang berbeda serta kekuatan penilitian yang dikuatkan diharapkan dapat memberikan hasil yang lebih bermakna.

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Domestic Violence has become an important issue in Indonesia with limited research. Several factors that contributes in affecting the patient's condition are early age at marriage, long term period of abuse, and low GAF. This study aims to find the correlation between age at marriage, period of abuse, and current GAF scale in responding to the domestic violence. Cross sectional study and data collection from the DV Report Book of Psychiatric Department and medical records at RSCM-FKUI (2013-2017) used in this research. Among 50 subjects, the mean (SD) age at marriage is 25.45 (6.26), with 1921.10 (2554.51) mean of period of abuse, and 69.10 (7.93) GAF mean. The comparison between mean of GAF and period of abuse shown higher long term physical abuse (26.16), and long term abuse is high in mean age at marriage (27.68). Moreover, there are no correlation between age at marriage and current GAF (p = 0.975) with no correlation between period of abuse and current GAF (p = 0.132). Thus, age at marriage, period of abuse, and GAF have no statistical significant correlation. It is recommended to use different variable that correlate with GAF, and increasing the power of research to give more meaningful result."

"Latar Belakang: Halusinasi verbal auditori (HVA) adalah pengalaman mendengar suara tanpa stimulus eksternal dan sering dikaitkan dengan skizofrenia. HVA diperkirakan terjadi sebagai akibat dari ucapan internal yang disalahartikan sebagai bagian dari sumber eksternal karena gangguan pemantauan persepsi verbal pada orang dengan skizofrenia (ODS). Penelitian sebelumnya telah menyatakan bahwa ada aktivitas otot bicara ketika pasien skizofrenia berhalusinasi. Hingga saat ini, penelitian serupa belum pernah dilakukan di Indonesia.Tujuan: Untuk mengetahui hubungan antara halusinasi auditorik verbal dengan kejadian bicara internal yang digambarkan oleh aktivitas elektromiografi otot perioral.Metode: Penelitian ini menggunakan teknik potong lintang dan responden dengan HVA dipilih sebagai sampel dengan menggunakan teknik consecutive sampling. Kriteria inklusi adalah pasien skizofrenia dengan halusinasi auditorik verbal yang berobat di Poliklinik Jiwa dr. Cipto Mangunkusumo berusia antara 19 - 59 tahun. Dalam penelitian ini, responden yang sehat juga dimasukkan sebagai kelompok kontrol. Aktivitas otot perioral pada masing-masing responden akan direkam dengan elektromiografi selama fase istirahat dan HVA tanpa artikulasi. Pada responden sehat, aktivitas otot perioral dicatat dengan membaca tanpa artikulasi. Analisis data bivariat dilakukan dengan menggunakan uji Wilcoxon dengan nilai p < 0,05 menggunakan SPSS ver. 20.Hasil: Sebanyak 13 dari 21 responden dengan HVA sebagian besar berjenis kelamin laki-laki (61,9%) dengan rentang usia 18-25 tahun (38,1%) dan memiliki skor 2 (57,1%) pada skala uji P3 PANSS Wilcoxon. menunjukkan perbedaan yang signifikan (perbedaan: 0,0550mV, p=0,009) antara hasil aktivitas otot perioral awal dan hasil aktivitas otot perioral selama HVA. Selain itu, hasil uji chi-square antara HVA dan internal speech menunjukkan hubungan yang signifikan dengan p=0,007.Kesimpulan: Hasil analisis menunjukkan bahwa terdapat hubungan yang signifikan antara hasil aktivitas otot dasar perioral dengan hasil aktivitas otot perioral saat terjadi HVA. Hasil ini membuktikan bahwa pembicaraan internal terjadi selama halusinasi

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Background: Auditory verbal hallucinations (HVA) are experiences of hearing sounds without external stimuli and are often associated with schizophrenia. HVA is thought to occur as a result of internal speech being misinterpreted as part of an external source due to impaired monitoring of verbal perception in people with schizophrenia (ODS). Previous studies have suggested that there is speech muscle activity when schizophrenic patients hallucinate. Until now, similar research has never been conducted in Indonesia.

Objective: To determine the relationship between verbal auditory hallucinations and internal speech events described by electromyographic activity of perioral muscles.

Methods: This study used a cross-sectional technique and respondents with HVA were selected as samples using a consecutive sampling technique. Inclusion criteria were schizophrenic patients with verbal auditory hallucinations who were treated at the Mental Polyclinic of dr. Cipto Mangunkusumo is between 19 - 59 years old. In this study, healthy respondents were also included as a control group. Perioral muscle activity in each respondent will be recorded by electromyography during the resting phase and HVA without articulation. In healthy respondents, perioral muscle activity was recorded by reading without articulation. Bivariate data analysis was performed using the Wilcoxon test with a p value <0.05 using SPSS ver. 20.

Results: A total of 13 of the 21 respondents with HVA were mostly male (61.9%) with an age range of 18-25 years (38.1%) and had a score of 2 (57.1%) on the P3 PANSS test scale. Wilcoxon. showed a significant difference (difference: 0.0550mV, p=0.009) between baseline perioral muscle activity results and perioral muscle activity results during HVA. In addition, the results of the chi-square test between HVA and internal speech showed a significant relationship with p=0.007.

Conclusion: The results of the analysis showed that there was a significant relationship between the results of perioral muscle activity and the results of perioral muscle activity during HVA. These results prove that internal speech occurs during hallucinations"

"ABSTRAKLatar Belakang. Perbaikan fungsi sosial adalah salah satu tujuan tatalaksana skizofrenia. Beberapa studi menunjukkan fungsi sosial dipengaruhi oleh gejala positif, gejala negatif, dan gangguan neurokognitif. Tatalaksana secara farmakologis memiliki manfaat yang efektif untuk mengatasi gejala positif seperti halusinasi dan waham,namun tidak berpengaruh signifikan terhadap fungsi sosial. Demikian juga, rehabilitasi kognitif memiliki manfaat terbatas untuk meningkatkan fungsi sosial. Studi terbaru menunjukkan bahwa kognisi sosial menjadi salah satu faktor yang memengaruhi fungsi sosial. Pada pasien skizofrenia, terjadi penurunan beberada domain kognisi sosial.Terdapat berbagai metode untuk meningkatkan kognisi sosial, salah satunya adalah Social Cognition and Interaction Training (SCIT). Modul SCIT menargetkan tiga domain kognisi sosial pada skizofrenia, yaitu : emotional processing, theory of mind, dan bias atribusi. Penelitian ini merupakan penelitian awal untuk menilai keandalan antar penilai Modul SCIT untuk skizofrenia versi Indonesia.Metode. Studi ini merupakan uji keandalan antar penilai modul SCIT untuk skizofrenia versi Indonesia terhadap implementasi aktivitas dalam setiap sesi yang dilakukan oleh peneliti di modul SCIT pada kelompok sehat. Besar sampel ditetapkan berdasarkan jumlah orang dalam satu kelompok berdasarkan ketentuan dari modul yaitu 7 orang.Pengukuran dilakukan dengan menggunakan Intraclass Correlation Cofficient (ICC) dengan total nilai tiap sesi modul dibandingkan antar penilai.Hasil. Keandalan antar penilai pada modul SCIT versi Indonesia ini sangat baik, dengan nilai Intraclass Correlation Cofficient (ICC) sebesar 0.985.Kesimpulan. Pada penelitian ini dapat disimpulkan bahwa implementasi modul SCIT versi Indonesia memperlihatkan bahwa konsistensi antar penilai yang sangat baik. Modul pelatihan ini bisa diterapkan dengan menyesuaikan situasi dan budaya di Indonesia.

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ABSTRACTBackground. One of the goals of schizophrenia treatment is to improve the patient`s social functioning. Some studies show social function is influenced by positive symptoms, negative symptoms and neurocognitive disorders. Pharmacological treatment has effective benefits for dealing with positive symptoms such as hallucinations and delusions, but does not have a significant effect on social functioning. Likewise, cognitive rehabilitation has limited benefits for improving social functioning. Recent studies have shown that social cognition is one of the factors that influence social functioning. In schizophrenia patients, there are decrease some domain of social cognition. There are various methods to improve social cognition, one of which is Social Cognition and Interaction Training (SCIT). The SCIT module targetsthree domains of social cognition in schizophrenia, emotional processing, theory of mind, and attribution bias. This research is a preliminary study to assess the inter-rater reliability of SCIT module for schizophrenia in Indonesian version.Method. This study is an inter-rater reliability of SCIT module for schizophrenia in Indonesian version on the implementation of activities in each session conducted by researcher in SCIT module in healthy groups. The sample size is determined based on the number of people in one group based on the provisions of the module which is 7 people. Measurements were made using the Intraclass Correlation Cofficient (ICC) with the total value of each module session compared between raters.Results. The inter-rater reliability of SCIT module for schizophrenia in Indonesian version is very good, with the Intraclass Correlation Cofficient (ICC) value is 0.985.Conclusion. In this study, can be concluded that the implementation of the Indonesian version of SCIT module shows that the consistency among raters is very good. So that this training module can be implemented by adjusting to the situation and culture in Indonesia."

"Pendahuluan: Skizofrenia dapat mengganggu interpretasi ekspresi wajah sehingga berdampak negatif terhadap kehidupan pasien. Interpretasi ekspresi emosi wajah dipengaruhi oleh etnis dan budaya. Belum tersedia instrument interpretasi ekspresi wajah berdasarkan budaya Indonesia. Penelitian ini bertujuan melakukan standardisasi Instrumen Ekspresi Emosi Wajah Versi Indonesia di antara orang sehat. Metode: Mahasiswa kedokteran Universitas Indonesia yang memenuhi kriteria inklusi diminta untuk memilih jenis, valensi, dan arousal emosi dari 69 foto wajah yang divalidasi oleh psikiater. Foto wajah merupakan foto wajah dari sepuluh aktor yang menampilkan secara acak 7 jenis emosi dasar (netral, bahagia, sedih, marah, terkejut, jijik, takut). Hasil: Seratus enam mahasiswa kedokteran dengan rerata usia adalah 20 (18-22) tahun memiliki skor BAI (Beck Anxiety Inventory) yaitu 16.18±9.3 dan skor BDI (Beck Depression Inventory) yaitu 16 menginterpretasikan ekspresi emosi wajah dari 69 foto wajah untuk memperoleh nilai standar (rerata konsistensi, skor valensi dan arousal) dan confusion matrix Instrumen Ekspresi Emosi Wajah Versi Indonesia. Rerata konsistensi tiap jenis emosi yaitu senang (86.5%), terkejut (84.2%), marah (76.5%), netral (75.9%), jijik (71.6%), sedih (58.4%), dan takut (50%). Skor valensi tiap jenis emosi yaitu senang (4±0.4), netral (3±0.3), terkejut (2.7±0.2), jijik (2.2±0.1), sedih (2.1±0.2), marah (2.1±0.2), dan takut (2). Skor arousal tiap jenis emosi yaitu senang (3.6±0.3), takut (3.5), sedih (3.4±0.2), marah (3.4±0.2), terkejut dan jijik (3.3±0.2), netral (2.9±0.4). selain itu, berdasarkan confusion matrix, jenis emosi yang sering membuat partisipan bingung adalah takut 50% dan jijik (32.1%). Kesimpulan: Instrumen Ekspresi Emosi Wajah Versi Indonesia memiliki nilai standar berupa rerata konsistensi, valensi, dan arousal; dan confusion matrix dari 7 emosi dasar yaitu netral, senang, sedih, marah, terkejut, jijik, dan takut."

"Narsisisme berhubungan dengan berbagai aspek kehidupan seperti relasi, perilaku serta psikopatologi. Kepribadian narsisistik merupakan kondisi multidimensi dan didapatkan dua jenis narsisisme yaitu narsisisme grandiosa dan narsisime rentan. Sayangnya, kriteria Salah satu alat yang dapat menilai dua jenis narsisisme ini adalah The Five-Factor Narcissism Inventory-Short Form. Studi ini dilakukan untuk menilai kesahihan dan kehandalan instrumen FFNI-SF versi Indonesia. Penerjemahan dilakukan oleh dua orang penerjemah bersertifikasi. Pengambilan data dilakukan melalui pengisian kuesioner secara daring dengan sampel penelitian 220 orang dewasa di Indonesia yang mengisi kuesioner dan 60 di antaranya dilakukan penilaian SCID-II. Data dianalisis dengan uji content validity index (CVI) untuk validitas isi, exploratory factor analysis (EFA) dan confirmatory factor analysis (CFA) untuk validitas konstruk, uji korelasi untuk validitas konkuren serta uji konsistensi internal dengan metode Cronbach alpha untuk uji reliabilitas. Validitas isi mendapatkan nilai rerata I-CVI, dan S-CVI sebesar 0,88. Pada EFA didapatkan 2 faktor, narsisisme grandiosa dan rentan. Pada CFA didapatkan model 15 subskala dengan goodness of fit yang baik. Pada uji korelasi skor FFNI-SF dengan SCID-II/PQ NPD didapatkan r = 0.74. Konsistensi internal baik dengan alpha-cronbach 0,904. Instrumen FFNI-SF versi bahasa Indonesia sahih dan andal untuk menilai ciri kepribadian narsisistik pada orang dewasa dan dapat digunakan untuk pengembangan penelitian lanjutan maupun pemeriksaan klinis.

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Narcissism is associated with various aspects of life such as relationships, behavior, and psychopathology. Narcissistic personality is multidimensional, and two types of narcissism are identified: grandiose narcissism and vulnerable narcissism. The Five- Factor Narcissism Inventory-Short Form (FFNI-SF) can assess these two types of narcissism. This study was conducted to assess the validity and reliability of the FFNI- SF instrument in the Indonesian version. The FFNI– SF was independently translated by two certified translators. Data collection was conducted through online questionnaire with a sample of 220 adults in Indonesia, and among them, 60 underwent SCID-II assessments. Data were analyzed using the content validity index (CVI) for content validity, exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) for construct validity, correlation tests for concurrent validity, and internal consistency tests using Cronbach's alpha method for reliability. Content validity show an average I-CVI and S- CVI of 0.88. EFA revealed 2 factors: grandiose narcissism and vulnerable narcissism. CFA confirmed a 15-subscale model with a good goodness of fit. The correlation test between FFNI-SF scores and SCID-II/PQ NPD yielded r = 0.74. Internal consistency was good with Cronbach's alpha of 0.904. The FFNI-SF instrument in the Indonesian version is valid and reliable for assessing narcissistic personality traits in adults and can be used for further research development and clinical examinations."

"Tesis ini membahas uji validitas dan reliabilitas instrumen Triage Assestment System: Crisis Intervention Versi Bahasa Indonesia dalam mengukur derajat keparahan krisis psikologis yang dialami seseorang. Krisis psikologis merupakan kondisi yang dapat mengakibatkan timbulnya berbagai gangguan psikiatri. Diperlukan suatu instrumen untuk mendeteksi dan menentukan derajat keparahan krisis psikologis, yang akan digunakan sebagai dasar penentuan intervensi yang sesuai. Uji validitas dan reliabilitas instrumen TAS-CI dilaksanakan dengan subjek penelitian tenaga medis departemen Psikiatri RSCM (N=50), selanjutnya subjek diminta melakukan penilaian terhadap tayangan kasus video vignette krisis psikologis menggunakan instrumen TAS-CI.Penelitian ini menghasilkan uji konsistensi internal Cronbach's Alpha = 0,772-0,861, uji reliabilitas inter-rater membuktikan tidak ada perbedaan bermakna penilaian krisis oleh residen psikiatri, dokter muda dan perawat untuk kasus krisis derajat ringan dan sedang, namun terdapat perbedaan bermakna untuk kasus krisis derajat berat. Hasil uji validitas isi = 0,991 dan validitas konstruksi menunjukkan korelasi komponen dengan skor total TAS-CI yang baik (p <0.001). Instrumen TAS-CI terbukti kesahihan dan keandalannya dalam menentukan derajat keparahan krisis psikologis pasien untuk krisis derajat sedang dan ringan, namun berhati-hati untuk penilaian kasus krisis derajat berat.

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This thesis discusses the validity and reliability of Indonesian version of Triage Assestment System: Crisis Intervention (TAS-CI) instrument. Psychological crisis may cause many kind of psychological disorders to the patients. We need the valid and reliable instrument for assest the severity of psychological crisis as base to perform the apropriate interventions. For testing the validity and reliability TASCI, we used RSCM Psychiatry Departement medical staff (N=50) as subject, and ask them to rate the crisis cases from videos vignette by using TAS-CI.

The study resulted chronbach`s alpha score = 0,772-0,861, Inter-rater reability test resulted no significant different of rating by psychiatry residents, nurses, and junior clerkship doctors for light and mild crisis cases, but significant different for severe crisis. Content validity test resulted = 0,991 and construction validity test resulted the good correlation between components instrument to total score instruments (p<0,001). The study proved the validity and reliability instrumentnt for rating the severity of crisis for light and mild crisis case, but still needs carefully attention in rating severe crisis case."

"ABSTRAK Latar Belakang. Gangguan cemas menyeluruh (GCM) merupakan salah satu bentuk gangguan ansietas tersering pada populasi epilepsi yang dapat menurunkan kualitas hidup, sehingga deteksi dini sangatlah penting. Generalized Anxiety Disorder-7 (GAD-7) merupakan instrumen penapis GCM satu-satunya yang pernah divalidasi pada pasien epilepsi, yaitu di Korea dengan titik potong ≥7. Instrumen GAD-7 dapat dikerjakan pasien sendiri kurang dari 3 menit, sehingga cocok digunakan di poliklinik neurologi. Penelitian ini bertujuan untuk mendapatkan kuesioner GAD-7 versi bahasa Indonesia yang valid, reliabel dan akurat untuk menapis GCM pada pasien epilepsi dewasa.Metode Penelitian. Penelitian dibagi menjadi 2 tahap. Tahap pertama meliputi adaptasi lintas budaya berdasarkan ketentuan World Health Organization (WHO), uji validitas isi berdasarkan penilaian pakar mengenai relevansi butir pertanyaan GAD-7 hasil adaptasi, dilanjutkan uji validitas interna, reliabilitas interna dan reliabilitas test-retest pada 30 pasien epilepsi yang memenuhi kriteria inklusi. Tahap kedua adalah uji diagnostik. Hasil GAD-7 dengan titik potong ≥7 dibandingkan dengan wawancara Mini International Neuropsychiatric Interview International Classification of Diseases-10 (MINI ICD-10) sebagai baku emas.Hasil. Koefisien validitas isi berdasarkan metode Martuzua dari GAD-7 hasil adaptasi bahasa Indonesia adalah 0,847. Hasil uji validitas interna dengan korelasi Spearman didapatkan koefisien korelasi 0,648 hingga 0,800 (p<0,01). Uji reliabilitas konsistensi interna dengan Cronbach?s Alpha 0,867. Perbedaan nilai koefisien korelasi dan Cronbach?s Alpha antara pemeriksaan pertama dan retest menunjukkan reliabilitas test-retest yang baik. Dari 146 subyek uji diagnostik, prevalensi GCM hasil pemeriksaan MINI ICD-10 sebesar 16,4%. Dengan titik potong ≥7, GAD-7 memiliki sensitivitas 100% dan spesifisitas 84,4%. Kesimpulan. Kuesioner GAD-7 versi Indonesia terbukti valid dan reliabel sehingga dapat digunakan untuk menapis GCM. Dengan titik potong ≥7, GAD-7 memiliki nilai akurasi yang tinggi untuk menapis GCM pada pasien epilepsi dewasa.ABSTRACT Background. Generalized anxiety disorder (GAD) is one of the most common type among anxiety disorders in epilepsy population that can impaired patients quality of life. The Generalized Anxiety Disorder-7 (GAD-7) is a screening tool for detecting GAD that has been validated in epilepsy patients in Korea with cut-off point ≥7. The GAD-7 could be filled by the patients themselves in less than three minutes; hence, it is appropriate to be used in the neurology outpatient setting. The objective of this study is to obtain a valid, reliable, and accurate GAD-7 in Indonesian language as a screening tool of GAD in adult epilepsy patients.Method. The study was conducted in two phases. The first phase included transcultural adaptation based on World Health Organization standards, content validity test based on expert consideration regarding the relevance of GAD-7 question items, followed by internal validity test, internal reliability test and test-retest in 30 epilepsy patients. The second phase was diagnostic test, in which, the GAD-7 with cut off point ≥7 will be compared with Mini International Neuropsychiatric Interview International Classification of Diseases-10 (MINI ICD-10) as the gold standard examination for diagnosing GAD.Results. Content validity coefficient of GAD-7 adapted version based on Martuzua method was 0.847. Internal validity test with Spearman correlation obtained the correlation coefficient 0.648 to 0.800 (p< 0.01). Internal consistency reliability test with Cronbach?s Alpha was 0.867. The difference of correlation coefficient and Cronbach?s Alpha between the first and the retest showed good test-retest reliability. Out of 146 subjects of diagnostic test, the prevalence of GAD using MINI ICD-10 was 16.4%. With cut off point >7, GAD-7 had sensitivity 100% and specificity 84.4%.Conclusion. The Indonesian version of the the GAD-7 was proven to be valid and reliable, also was found to be accurate as a screening tool for GAD in adult epilepsy patient with cut off point ≥7.;Background. Generalized anxiety disorder (GAD) is one of the most common type among anxiety disorders in epilepsy population that can impaired patients quality of life. The Generalized Anxiety Disorder-7 (GAD-7) is a screening tool for detecting GAD that has been validated in epilepsy patients in Korea with cut-off point ≥7. The GAD-7 could be filled by the patients themselves in less than three minutes; hence, it is appropriate to be used in the neurology outpatient setting. The objective of this study is to obtain a valid, reliable, and accurate GAD-7 in Indonesian language as a screening tool of GAD in adult epilepsy patients.Method. The study was conducted in two phases. The first phase included transcultural adaptation based on World Health Organization standards, content validity test based on expert consideration regarding the relevance of GAD-7 question items, followed by internal validity test, internal reliability test and test-retest in 30 epilepsy patients. The second phase was diagnostic test, in which, the GAD-7 with cut off point ≥7 will be compared with Mini International Neuropsychiatric Interview International Classification of Diseases-10 (MINI ICD-10) as the gold standard examination for diagnosing GAD.Results. Content validity coefficient of GAD-7 adapted version based on Martuzua method was 0.847. Internal validity test with Spearman correlation obtained the correlation coefficient 0.648 to 0.800 (p< 0.01). Internal consistency reliability test with Cronbach?s Alpha was 0.867. The difference of correlation coefficient and Cronbach?s Alpha between the first and the retest showed good test-retest reliability. Out of 146 subjects of diagnostic test, the prevalence of GAD using MINI ICD-10 was 16.4%. With cut off point >7, GAD-7 had sensitivity 100% and specificity 84.4%.Conclusion. The Indonesian version of the the GAD-7 was proven to be valid and reliable, also was found to be accurate as a screening tool for GAD in adult epilepsy patient with cut off point ≥7.;Background. Generalized anxiety disorder (GAD) is one of the most common type among anxiety disorders in epilepsy population that can impaired patients quality of life. The Generalized Anxiety Disorder-7 (GAD-7) is a screening tool for detecting GAD that has been validated in epilepsy patients in Korea with cut-off point ≥7. The GAD-7 could be filled by the patients themselves in less than three minutes; hence, it is appropriate to be used in the neurology outpatient setting. The objective of this study is to obtain a valid, reliable, and accurate GAD-7 in Indonesian language as a screening tool of GAD in adult epilepsy patients.Method. The study was conducted in two phases. The first phase included transcultural adaptation based on World Health Organization standards, content validity test based on expert consideration regarding the relevance of GAD-7 question items, followed by internal validity test, internal reliability test and test-retest in 30 epilepsy patients. The second phase was diagnostic test, in which, the GAD-7 with cut off point ≥7 will be compared with Mini International Neuropsychiatric Interview International Classification of Diseases-10 (MINI ICD-10) as the gold standard examination for diagnosing GAD.Results. Content validity coefficient of GAD-7 adapted version based on Martuzua method was 0.847. Internal validity test with Spearman correlation obtained the correlation coefficient 0.648 to 0.800 (p< 0.01). Internal consistency reliability test with Cronbach?s Alpha was 0.867. The difference of correlation coefficient and Cronbach?s Alpha between the first and the retest showed good test-retest reliability. Out of 146 subjects of diagnostic test, the prevalence of GAD using MINI ICD-10 was 16.4%. With cut off point >7, GAD-7 had sensitivity 100% and specificity 84.4%.Conclusion. The Indonesian version of the the GAD-7 was proven to be valid and reliable, also was found to be accurate as a screening tool for GAD in adult epilepsy patient with cut off point ≥7.;Background. Generalized anxiety disorder (GAD) is one of the most common type among anxiety disorders in epilepsy population that can impaired patients quality of life. The Generalized Anxiety Disorder-7 (GAD-7) is a screening tool for detecting GAD that has been validated in epilepsy patients in Korea with cut-off point ≥7. The GAD-7 could be filled by the patients themselves in less than three minutes; hence, it is appropriate to be used in the neurology outpatient setting. The objective of this study is to obtain a valid, reliable, and accurate GAD-7 in Indonesian language as a screening tool of GAD in adult epilepsy patients.Method. The study was conducted in two phases. The first phase included transcultural adaptation based on World Health Organization standards, content validity test based on expert consideration regarding the relevance of GAD-7 question items, followed by internal validity test, internal reliability test and test-retest in 30 epilepsy patients. The second phase was diagnostic test, in which, the GAD-7 with cut off point ≥7 will be compared with Mini International Neuropsychiatric Interview International Classification of Diseases-10 (MINI ICD-10) as the gold standard examination for diagnosing GAD.Results. Content validity coefficient of GAD-7 adapted version based on Martuzua method was 0.847. Internal validity test with Spearman correlation obtained the correlation coefficient 0.648 to 0.800 (p< 0.01). Internal consistency reliability test with Cronbach?s Alpha was 0.867. The difference of correlation coefficient and Cronbach?s Alpha between the first and the retest showed good test-retest reliability. Out of 146 subjects of diagnostic test, the prevalence of GAD using MINI ICD-10 was 16.4%. With cut off point >7, GAD-7 had sensitivity 100% and specificity 84.4%.Conclusion. The Indonesian version of the the GAD-7 was proven to be valid and reliable, also was found to be accurate as a screening tool for GAD in adult epilepsy patient with cut off point ≥7."