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"Gangguan fungsi kognitif pada gangguan afektif bipolar timbul bersamaan dengan gejala episode mood dan diharapkan dapat pulih seiring remisi gejala episode mood. Penelitian-penelitian menemukan fungsi kognitif yang menetap pada fase remisi gejala dan diduga dapat memengaruhi fungsi psikososial. Salah satu fungsi kognitif yang terganggu selama fase remisi adalah memori verbal. Tujuan penelitian ini adalah untuk membuktikan hubungan antara fungsi memori verbal dengan fungsi psikososial pada pasien dengan gangguan afektif bipolar fase remisi dan nonremisi. Penelitian ini merupakan penelitian potong lintang yang dilakukan di Poli Psikiatri Dewasa RSCM. Subyek yag digunakan sebanyak 64 orang, terdiri atas 32 pasien fase remisi dan 32 pasien fase nonremisi. Memori verbal diukur dengan Rey Auditory Verbal Learning Test (RAVLT), fungsi psikososial diukur dengan The World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0). Kedua kelompok tidak memerlihatkan perbedaan performa fungsi memori verbal, kecuali pada performa fungsi pemanggilan kembali segera (p 0,046). Tidak didapatkan hubungan yang signifikan secara statistik antara memori verbal dengan fungsi psikososial pada pasien dengan gangguan afektif bipolar fase remisi dan nonremisi. Performa memori verbal yang sama antara kelompok pasien remisi dan nonremisi menunjukkan bahwa memori verbal pada gangguan afektif bipolar dapat terganggu meskipun gejala mood sudah remisi. Fungsi psikososial dapat dipengaruhi oleh berbagai faktor selain fungsi memori verbal yang perlu diteliti lebih lanjut.

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Cognitive impairment in bipolar affective disorders happens during mood epsisode symptoms and are expected to recover within remission of mood episode symptoms. Studies have found cognitive functions that settled during remission phase of symptoms and are thought to affect psychosocial function. One of the impaired cognitive functions during the remission phase is verbal memory. The purpose of this study was to prove the relationship between verbal memory and psychosocial function is patients with bipolar disorder currently in remission and nonremission ones. This study was a cross-sectional study conducted at Adult Psychiatry Policlinics at Ciptomangunkusumo Hospital. The subjects were 64 patients, consisting of 32 remitted patients, and 32 nonremitted patients. Verbal memory is measured using Rey Auditory Verbal Learning Test (RAVLT). Psychosocial functions were measured by the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0). The two groups showed no differences in the performance of verbal memory, eccet for immediate recall function (p 0,046). There was no statistically significant relationship between verbal memory and psychosocial function in both groups. Verbal memory performnace may still impaired bipolar disorder during remission. Psychosocial functions can be influenced by various factors other than verbal memory fucntion and need to be investigated further."

"Pendahuluan: Halusinasi auditorik verbal (HAV) merupakan merupakan kondisi dimana pasien mendengar suara-suara tanpa adanya stimulus atau sumber suara yang ditemukan pada 70% pasien skizofrenia. Hipotesis menyatakan kondisi tesebut dapat disebabkan gangguan proses pendengaran khususnya pada pusat bahasa dan bicara di hemisfer kiri. Tujuan dari penelitian ini adalah untuk mengetahui hubungan antara HAV dengan ganggguan pada proses pendengaran melalui tes dichotic listening. Metode: Penelitian ini menggunakan instrumen iDichotic, untuk menilai lateralisasi otak kelompok skizofrenia HAV, dan kelompok skizofrenia nonHAV. Kriteria inklusi mencakup pasien skizofrenia berusia 19-59 tahun dengan atau tanpa HAV yang mejalani terapi di RSCM. Penelitian ini juga menilai kelompok sehat sebagai kontrol. Tes dilakukan dalam tiga kondisi; kondisi spontan (non-forced attention condition), serta dua kondisi fokus dimana partisipan diminta untuk konsentrasi pada stimulus yang diperdengarkan di telinga kanan kemudian dilanjutkan pada telinga kiri. Hasil: Tidak ditemukan perbedaan proporsi lateralisasi otak yang signifikan antara kelompok sizkofrenia HAV dibandingkan dengan kelompok skizofrenia nonHAV. Hasil serupa juga ditemukan pada analisis antara kelompok sehat dengan kelompok skizofrenia HAV. Studi ini juga menunjukan tidak ada perbedaan proporsi yang signifikan fokus pendengaran dan perbedaan rerata skor antara pasien skizofrenia HAV dengan pasien skizofrenia nonHAV. Kesimpulan: Hasil penelitian menunjukan tidak ada hubungan antrara HAV dengan gangguan proses pendengaran yang diukur menggunakan tes dichotic listening. Diperlukan studi lebih lanjut menggunakan alat berbahasa Indonesia.

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Introduction: Auditory verbal hallucination (AVH) is one of the serious symptoms found in 70% of patients with schizophrenia disorder. It is characterized by the experience of hearing voices in the absence of stimuli. The prominent hypothesis suggests that AVH may results from atypical hearing process particularly in the speech and language regions of the left hemisphere. The purpose of this study is to examine the association between AVH and the atypical hearing process by conducting a dichotic listening test. Method: In this study, iDichotic a mobile device application that based on the consonant vowel version of Dichotic Listening Test was used to assess the integration of brain lateralization in hallucinating, non-hallucinating schizophrenic patients. Inclusion criteria were schizophrenic patients aged 19-59 with or without AVH at Psychiatry Clinic RSUPN. This research also recruit healthy participants as a control group. The test was performed under three conditions: non-forced attention condition and two-forced condition which the participants were asked to attend stimulus on the right ear and then the left ear and analyzed with chi-square test. Results: There was no significant difference between schizophrenia and normal subject brain lateralization (p=0,099) and auditory focus (0,196), but significant difference of average correct respond was showed (p=0,001). It also showed no difference between hallucinating and non-hallucinating patients brain lateralization (p=1,0) during the non-forced condition. There was no difference between hallucinating and non-hallucinating patients auditory focus (p=0,59) and difference average correct response (p=0,78). Conclusion: Results suggest there was no association between AVH and atypical hearing process which measured by dichotic listening. Further study needed with Indonesian language device."

"[ABSTRAKPendahuluan: Menurut World Health Organization, populasi orang denganskizofrenia (ODS) di dunia adalah tujuh dari 1000 orang. Kelly (2002)menyatakan bahwa 25% dari total 138 ODS mengalami gangguan fungsieksekutif. Pada metaanalisis Green (1996) dinyatakan bahwa fungsi eksekutifdapat memengaruhi performa fungsi. Telah ada penelitian Desmiarti (2010) yangmeneliti hubungan antara defisit fungsi memori verbal dengan performa fungsiODS. Namun belum ada penelitian yang meneliti hubungan antara fungsieksekutif dengan performa fungsi ODS di Indonesia.Metode: Penelitian menggunakan rancangan potong lintang pada 160 ODS diPoliklinik Jiwa Dewasa RSUPN Dr. Cipto Mangunkusumo Jakarta. Penelitian inimenggunakan instrumen Structured Clinical Interview For the DSM-IV Axis IDisorders, Positive and Negative Symptoms Scale Excitement Components,Extrapyramidal Syndrome Rating Scale, tes kemampuan membaca, Trail MakingTest (TMT) A dan B, Personal and Social Performance Scale (PSP).Hasil: Pada penelitian ini didapatkan adanya hubungan bermakna antara fungsieksekutif (TMT B) dengan performa fungsi (PSP) yaitu p=0.014 dengan hasilanalisis korelasi Spearman p=0.000 dan koefisien korelasi r=-0.345. Pada hasilanalisis multivariat didapatkan adanya hubungan bermakna antara pendidikan(OR=0.294, p=0.016), gejala penyakit (OR=0.271, p=0.006), status pernikahan(OR=0.166, p=0.002), pekerjaan (OR=0.079, p=0.000), jenis antipsikotika(OR=0.067, p=0.001) dengan performa fungsi (PSP).Simpulan: Semakin tinggi skor TMT B (fungsi eksekutif) maka semakin rendahskor PSP (performa fungsi) ODS. Defisit fungsi eksekutif (TMT B) berhubunganlangsung dengan performa fungsi (PSP). Faktor yang juga berpengaruh padaperforma fungsi (PSP) adalah pendidikan, gejala penyakit, status pernikahan,pekerjaan dan jenis antipsikotika. Instrumen TMT B dapat lebih spesifik menilaifungsi eksekutif pada kelompok ODS sehingga dapat digunakan sebagai alatdeteksi defisit fungsi kognitif di layanan psikiatri.

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ABSTRACTIntroduction: Based on World Health Organization, schizophrenia population inthe world is seven from 1000. Kelly (2002) said that 25% from 138 schizophreniapeople experiencing executive function disorder. Green metaanalysis (1996)stated that executive function can influence function performance. There is aDesmiarti?s research (2010) that examine relationship between verbal memoryfunction deficit with function performance in schizophrenia. However, there is noresearch that examine relationship between executive function with functionperformance in schizophrenia at Indonesia.Method: This research using cross-sectional design from 160 schizophreniapeople at Poliklinik Jiwa Dewasa RSUPN Dr. Cipto Mangunkusumo Jakarta. Thisresearch using instrument such as Structured Clinical Interview For the DSM-IVAxis I Disorders, Positive and Negative Symptoms Scale ExcitementComponents, Extrapyramidal Syndrome Rating Scale, reading ability test, TrailMaking Test (TMT) A and B, Personal and Social Performance Scale (PSP).Result: There is a significant relationship in this research between executivefunction (TMT B) with function performance (PSP) p=0.014 by Spearmancorrelation analysis result p=0.000 and correlation coefficient r=-0.345. There aresignificant relationship in this research multivariate analysis between education(OR=0.294, p=0.016), schizophrenia symptoms (OR=0.271, p=0.006), marriedstatus (OR=0.166, p=0.002), job (OR=0.079, p=0.000), antipsychotics(OR=0.067, p=0.001) with function performance (PSP).Conclusion: The higher TMT B score (executive function), the lower PSP score(function performance) of schizophrenia people. Executive function deficit (TMTB) have a direct relation with function performance (PSP). Another factors thathave influence to function performance (PSP) are education, schizophreniasymptoms, married status, job, antipsychotics. TMT B instrumen was morespecific to assess executive function at schizophrenia group so TMT B can beused as detection tool of cognitive function deficit on psychiatric care, Introduction: Based on World Health Organization, schizophrenia population inthe world is seven from 1000. Kelly (2002) said that 25% from 138 schizophreniapeople experiencing executive function disorder. Green metaanalysis (1996)stated that executive function can influence function performance. There is aDesmiarti’s research (2010) that examine relationship between verbal memoryfunction deficit with function performance in schizophrenia. However, there is noresearch that examine relationship between executive function with functionperformance in schizophrenia at Indonesia.Method: This research using cross-sectional design from 160 schizophreniapeople at Poliklinik Jiwa Dewasa RSUPN Dr. Cipto Mangunkusumo Jakarta. Thisresearch using instrument such as Structured Clinical Interview For the DSM-IVAxis I Disorders, Positive and Negative Symptoms Scale ExcitementComponents, Extrapyramidal Syndrome Rating Scale, reading ability test, TrailMaking Test (TMT) A and B, Personal and Social Performance Scale (PSP).Result: There is a significant relationship in this research between executivefunction (TMT B) with function performance (PSP) p=0.014 by Spearmancorrelation analysis result p=0.000 and correlation coefficient r=-0.345. There aresignificant relationship in this research multivariate analysis between education(OR=0.294, p=0.016), schizophrenia symptoms (OR=0.271, p=0.006), marriedstatus (OR=0.166, p=0.002), job (OR=0.079, p=0.000), antipsychotics(OR=0.067, p=0.001) with function performance (PSP).Conclusion: The higher TMT B score (executive function), the lower PSP score(function performance) of schizophrenia people. Executive function deficit (TMTB) have a direct relation with function performance (PSP). Another factors thathave influence to function performance (PSP) are education, schizophreniasymptoms, married status, job, antipsychotics. TMT B instrumen was morespecific to assess executive function at schizophrenia group so TMT B can beused as detection tool of cognitive function deficit on psychiatric care]"

"Latar Belakang: Penilaian kepatuhan minum obat adalah hal yang penting dalam tatalaksana pengobatan pasien psikosis. Penelitian ini bertujuan untuk mendapatkan instrumen untuk menilai kepatuhan minum obat pasien psikosis, yaitu MARS versi Bahasa Indonesia dan melakukan uji validitas dan reliabilitas instrumen tersebut. Metode: Penelitian potong lintang, diagnosis psikosis ditegakkan dengan SCID (Structured Clinical Interview and Diagnosis DSM IV di Unit Rawat Jalan Psikiatri Rumah Sakit Cipto Mangunkusumo pada Januari hingga Juli 2017 (N= 100, usia 18 hingga 59 tahun) dengan sampling konsekutif dan sampling sistematik untuk tes ulang (N=35), melakukan penerjemahan yang disesuaikan dengan budaya Indonesia, perjemahan balik, uji validitas isi dan reliabilitas instrumen MARS versi Bahasa Indonesia. Hasil: Uji validitas isi memperoleh koefisien 0,90 yang menunjukkan bahwa seluruh butir pertanyaan dalam instrumen sesuai dengan teori. Uji validitas konstruksi membuktikan bahwa butir-butir pertanyaan dalam instrumen mewakili konstruksi teoritis dan konseptual. Uji reliabilitas dengan penghitungan koefisien Cronbach's Alpha memperoleh hasil 0,80 dan test-retest 0.798 yang menunjukkan konsistensi internal instrumen adalah baik. Penelitian ini menghasilkan instrumen MARS versi Bahasa Indonesia yang sahih dan andal dalam menilai kepatuhan minum obat pasien psikosis. Diskusi: Belum ada instrumen pembanding kepatuhan minum obat pada pasien psikosis di Indonesia.

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Background: -Assessment of medication adherence is an important part of pharmacological treatment of psychotic disorders. This study aims to obtain an instrument to assess medication adherence in psychotic patients, MARS -- -Bahasa Indonesia version, - and to evaluate the validity and reliability of the instrument. -

Methods: This is a cross-sectional study conducted in the Psychiatric Clinic of Cipto Mangunkusumo Hospital from January to July 2017. Subjects were recruited through consecutive sampling (N = 100, aged 18-59 years old). Psychotic disorders were diagnosed using SCID (Structured Clinical Interview and Diagnosis DSM-IV). The instrument was translated, adapted to Indonesian culture, and back-translated. Content validity and test- retest reliability (N = 35 using systematic sampling) of MARS -- -Bahasa Indonesia version- were evaluated.

Results-: All items in the instrument are relevant to theory, as evidenced by content validity coefficient of 0,90. Construct validity test showed that the items represent theoretical as well as conceptual construction of medication adherence. Internal consistency reliability -was good, with Cronbach’s alpha of 0,80 and 0,798 in the test--retest evaluation. This study produced a valid and reliable MARS -- -Bahasa Indonesia Version. -

Discussion-: Currently there is no other instrument assessing medication adherence in psychotic patients in Indonesia. "

"Latar Belakang Orang dengan Gangguan Jiwa (ODGJ) berat seperti skizofrenia dan skizoafektif sering berada pada rentang usia produktif. Gangguan jiwa tersebut dapat berdampak pada tingginya beban biaya dan munculnya disabilitas, yang dapat lebih besar bila dibandingkan dengan beban biaya dan disabilitas yang disebabkan oleh keganasan dan Human Immunodeficiency Virus. Hal tersebut mendorong peneliti dan klinisi berupaya untuk dapat mengukur disabilitas pada ODGJ secara objektif agar dapat mengelola kasus secara lebih spesifik, termasuk dalam penentuan kebijakan secara luas. UCSD Performance-Based Skills Assesment (UPSA) II merupakan instrumen yang digunakan untuk mengukur disabilitas fungsional pada ODGJ berdasarkan performa. Penelitian ini bertujuan mendapatkan instrumen UPSA II versi Bahasa Indonesia yang sahih dan andal untuk menilai disabilitas fungsional pada ODGJ di Indonesia.Metode Desain pada penelitian ini adalah uji kesahihan isi dan keandalan konsitensi internal instrumen, dengan populasi target pasien skizofrenia dan skizoafektif berusia 18-59 tahun yang mengalami remisi.Hasil Pada uji kesahihan isi didapatkan nilai I-CVI 1,0 dan S-CVI 1,0 untuk semua ranah. Pada uji keandalan didapatkan nilai koefisien Cronbach’s Alpha 0,707 untuk skor total, dan kisaran 0,628-0,852 pada setiap subskala. Pada subjek penelitian dengan remisi parsial didapatkan nilai Cronbach’s Alpha 0,686 sedangkan pada subjek penelitian dengan remisi total didapatkan nilai Cronbach’s Alpha 0,755. Hasil nilai cronbach alpha yang didapat berbeda dengan penelitian yang dilakukan di Spanyol (α=0.9), Portugal (α=0.8) dan Brazil (α=0.8), dan hal tersebut dapat disebabkan status remisi dan tingkat pendidikan yang berbeda dengan subyek pada penelitian ini. Pada Uji T tingkat pendidikan rendah-menengah memiliki rerata yang lebih rendah (67.03 ±22.66) dibandingkan tingkat pendidikan tinggi (78.74 ±19.93), t(98)=-2.268, p=0.026.Kesimpulan Instrumen UPSA II versi Bahasa Indonesia merupakan alat yang sahih dan andal untuk mengukur disabilitas fungsional pada ODGJ.

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Introduction People with severe mental disorders such as schizophrenia and schizoaffective are often in the productive age range. Mental disorders can have an impact on the high cost burden and the emergence of disability, which can be greater when compared to the burden of costs disabilities caused by malignancy and the Human Immunodeficiency Virus. This encourages researchers and clinicians to strive to be able to objectively measure disability in ODGJ in order to manage cases more specifically, including in broad policy decisions. UCSD Performance-Based Skills Assessment (UPSA) II is an instrument used to measure functional disability in severe mental disorder patient based on performance. This study aims to obtain a valid and reliable Indonesian version of the UPSA II instrument to assess functional disability in people with severe mental disorder in Indonesia.Method The design in this study was to test the content validity and the instrument's internal consistency reliability, with a target population of schizophrenic and schizoaffective patients aged 18-59 years who had remission.Results Content validity test obtained I-CVI 1.0 and S-CVI 1.0 for all domains. In the reliability test, the Cronbach's Alpha coefficient value is 0.707 for the total score, and the range is 0.628-0.852 on each subscale. In subjects with partial remission Cronbach's Alpha values were 0.686 while subjects with total remission Cronbachs Alpha values were 0.755. The results of the Cronbach alpha values obtained differ from studies conducted in Spain (α = 0.9), Portugal (α = 0.8) and Brazil (α = 0.8), and this can be due to remission status and different educational levels with subjects in this study . In the T-Test the low-secondary education level has a lower mean (67.03 ±22.66) than the level of higher education (78.74 ± 19.93), t (98) = - 2.268, p = 0.026.Conclusion The Indonesian version of the UPSA II instrument is a valid and reliable tool for measuring functional disability in ODGJ."

"Penilaian kecakapan mental pasien dalam mengambil keputusan medis secara obyektif sangat penting untuk menyeimbangkan antara otonomi pasien dan melindungi pasien dari pilihan yang tidak dipahaminya. Saat ini di Indonesia, penilaian kecakapan bergantung pada penilaian klinis dokter, dan belum ada alat ukur untuk menunjang penilaian tersebut. Tujuan dari penelitian ini adalah mendapatkan alat ukur MacArthur Competence Assessment Tool for Treatment (MacCAT-T) versi Bahasa Indonesia yang valid dan reliabel. Uji validitas dan reliabilitas dilakukan pada MacCAT-T yang telah diterjemahkan dan disempurnakan dalam Bahasa Indonesia. Validasi isi melibatkan penilaian kualitatif setiap butir pertanyaan oleh tiga orang ahli, kemudian diukur dengan pendekatan kuantitatif content validity index. Validitas isi MacCAT-T versi Bahasa Indonesia menunjukkan nilai I-CVI maupun S-CVI/ave 1,00 yang menggambarkan alat ukur ini relevan dalam menilai kemampuan mengambil keputusan medis. Setelah itu peneliti yang terlatih merekam wawancara MacCAT-T kepada tiga subyek pasien, dan ketiga rekaman tersebut dinilai oleh enam subyek rater. Konsistensi internal dinilai dengan cronbach’s-alpha dan reliabilitas inter-rater dinilai dengan intraclass correlation coefficient. Konsistensi internalnya baik dengan skor cronbach’s-alpha 0,907. Derajat kesepakatan inter-rater secara umum baik dengan hasil ICC 0,915 (IK95% 0,857 – 0,955). Derajat kesepakatan yang paling tinggi terdapat pada domain apresiasi dengan nilai ICC 0,958 (IK95% 0,869-0,993), diikuti dengan penalaran dengan nilai ICC 0,910 (IK95% 0,799-0,977), dan yang paling rendah pada domain pemahaman dengan nilai ICC 0,870 (IK95% 0,672-0,966). Oleh karena itu, dapat disimpulkan bahwa MacCAT-T yang telah diterjemahkan ke dalam Bahasa Indonesia dapat digunakan oleh peserta didik spesialis Ilmu Kedokteran Jiwa tahap akhir dan psikiater yang terlatih karena valid dan reliabel untuk menilai kecakapan mental dalam mengambil keputusan medis

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Assessing a patient’s mental capacity to consent for treatment is necessary in order to equally consider maintenance of the patient’s autonomy and protect them from choices that they might not understand. Determination of a patient’s capacity in Indonesia relies solely on clinical judgment. Therefore, the objective of this study is to translate the MacArthur Competence Assessment Tool for Treatment (MacCAT-T) instrument into Bahasa Indonesia and evaluate the validity and reliability of the Indonesian version. Validity and reliability testing were carried out on MacCAT-T, which has been translated into Bahasa Indonesia. Content validity was assessed by three experts and calculated using the Content Validity Index (CVI). I-CVI and S-CVI/ave values of the Indonesian version of MacCAT-T are both 1.00, which shows that the instrument is relevant in assessing capacity to consent for treatment. The MacCAT-T was administered to three patients by a trained researcher and the results were recorded. All recordings were assessed by six trained raters. Afterwards, the reliability properties of MacCAT-T were examined by intra-class correlation coefficient and Cronbach’s alpha value. Cronbach’s alpha value was found to be 0.907. The degree of inter-rater agreement was generally good, with an overall ICC of 0.915 (95% CI 0.857–0.955). The highest degree of agreement was found in appreciation, with an ICC value of 0.958 (95% CI 0.869-0.993), followed by reasoning ICC 0.910 (95% CI 0.799-0.977), and understanding ICC 0.870 (95% CI 0.672-0.966). From this study, it can be concluded that the Indonesian version of MacCAT-T is a valid and reliable tool to assess mental capacity to consent to treatment and can be used by trained final-year psychiatric residents and psychiatrists in Indonesia."

"Latar Belakang: Dalam sejarahnya, skizofrenia merupakan suatu gangguan mental yang berat dan kompleks, dengan perjalanan penyakit yang kronis dan heterogen. Dengan perjalanan penyakit yang bersifat kronis, orang dengan skizofrenia akan dibayangi oleh kecacatan yang signifikan dan dikhawatirkan tidak dapat mencapai tujuan hidup di sebagian besar domain. Beberapa peneliti dan dokter menyatakan bahwa pemahaman yang ada tentang pemulihan didasarkan pada lingkungan budaya dan sosial-ekonomi 'Barat' dari mana gerakan pemulihan dalam kesehatan mental muncul. Dengan demikian, mungkin tidak dapat ditransfer ke dunia lain yang memiliki latar belakang sosial, budaya dan ekonomi yang sangat berbeda. Di Indonesia terdapat alat ukur penilaian pemulihan bagi orang dengan spektrum skizofrenia yang telah dikembangkan periode tahun 2019-2021 pada tahap uji kesahihan isi. Agar alat ukur dapat digunakan sesuai dengan praktik berbasis bukti, maka perlu dilakukan pengujian lainnya seperti, kesahihan konstruk dan keandalannya. Dengan mengetahui secara lebih mendalam khususnya mengenai kesahihan konstruk dan keandalannya, diharapkan alat ukur Skala Pemulihan Pasien Skizofrenia ini dapat dikembangkan dengan semakin baik dan dapat digunakan dalam pelayanan.Metode: Penelitian ini merupakan uji kesahihan dan keandalan alat ukur skala pemulihan pasien skizofrenia. Uji kesahihan yang dilakukan uji kesahihan konstruksi melalui analisis faktor eksploratori (EFA) dan analisis faktor konfirmatori (CFA). Untuk uji keandalan dinilai menggunakan konsistensi internal alpha-cronbach.Hasil: Uji kesahihan konstruksi EFA didapatkan adanya 28 butir pernyataan yang terdiri dari enam dimensi konstruk. Alat ukur terebut dilakukan uji CFA dan didapatkan memiliki goodness of fit yang baik (Chi-Square p-value 0,05329; RMSEA = 0,036; CFI= 0,9577; TLI/NNFI= 0,9523; SRMR= 0,045) dengan nilai loading factor berkisar 0,60-0,91. Nilai reliabilitas sedang dengan alpha-cronbach 0,959.Simpulan: Alat ukur skala pemulihan pasien skizofrenia sahih dan handal untuk digunakan untuk menilai kondisi pemulihan pada pasien spektrum skizofrenia.

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Historically, schizophrenia was a severe and complex mental disorder, with a chronic and heterogeneous disease course. With the chronic course of the disease, people with schizophrenia will be shadowed by significant disabilities and are worried about not being able to achieve life goals in most domains such as interpersonal relationships, performance at work and so far, clinicians have focused more on improving clinical symptoms. Some researchers and clinicians state that the existing understanding of recovery is based on the 'Western' cultural and socio-economic environment from which the recovery movement in mental health emerged. Thus, it may not be transferable to other worlds that have very different social, cultural and economic backgrounds so it may not be suitable for use in other countries due to differences in cultural, social and economic backgrounds. In Indonesia, there is a recovery assessment measuring tool for people with the schizophrenia spectrum which was developed for the 2019-2021 period at the content validity testing stage. This measuring tool is considered different because there are cultural values in Indonesia such as spirituality and religion that can help someone in the recovery process. To ensure the tool's applicability in evidence-based practice, further testing such as construct validity and reliability is necessary. This research focuses on the validation and reliability testing of the schizophrenia patient recovery scale. Construct validity testing, conducted through exploratory factor analysis (EFA) and confirmatory factor analysis (CFA), identified 28 statements comprising six construct dimensions. The measurement tool underwent CFA, showing good goodness of fit (Chi-Square p-value 0.05329; RMSEA = 0.036; CFI= 0.9577; TLI/NNFI= 0.9523; SRMR= 0.045) with loading factor values ranging from 0.60 to 0.91. The reliability value is moderate, with an alpha-Cronbach of 0.959. In conclusion, the Schizophrenia Patient Recovery Scale is both valid and reliable for assessing the recovery status of individuals within the schizophrenia spectrum."

"Peningkatan populasi lansia di Indonesia menimbulkan tantangan kesehatan, termasuk penurunan fungsi kognitif yang dapat memengaruhi kemandirian dan kualitas hidup. Stimulus kognitif, seperti permainan tradisional congklak, menawarkan solusi yang mudah diakses. Penelitian ini bertujuan mengevaluasi efek permainan congklak terhadap fungsi kognitif lansia menggunakan MoCA-Ina. Penelitian melibatkan 64 lansia yang dibagi menjadi kelompok intervensi dan kontrol. Kelompok intervensi memainkan congklak selama 10 sesi (45 menit per sesi) dalam dua minggu, sementara kelompok kontrol melanjutkan aktivitas rutin. Fungsi kognitif diukur pada empat waktu: sebelum intervensi, segera setelah intervensi, satu bulan, dan dua bulan pasca intervensi. Hasil menunjukkan peningkatan signifikan skor MoCA-Ina pada kelompok intervensi, dari rata-rata 15,1 menjadi 18,6 segera setelah intervensi. Efek positif ini bertahan hingga dua bulan, meski sedikit menurun. Permainan congklak efektif menjaga dan meningkatkan fungsi kognitif lansia, mendukung penerapan permainan tradisional dalam program kesehatan lansia.

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The increasing elderly population in Indonesia poses health challenges, including cognitive decline, which can affect independence and quality of life. Cognitive stimulation, such as the traditional congklak game, offers an accessible solution. This study aims to evaluate the effect of the congklak game on cognitive function in the elderly using MoCA-Ina. The study involved 64 elderly participants divided into intervention and control groups. The intervention group played congklak for 10 sessions (45 minutes per session) over two weeks, while the control group continued their routine activities. Cognitive function was measured at four time points: before the intervention, immediately after the intervention, one month, and two months post-intervention. The results showed a significant increase in MoCA-Ina scores in the intervention group, from an average of 15.1 to 18.6 immediately after the intervention. This positive effect persisted for up to two months, although slightly diminished. The congklak game effectively maintains and improves cognitive function in the elderly, supporting its inclusion in elderly health programs."

"[ABSTRAKLatar Belakang: Psoriasis adalah salah satu penyakit inflamasi kronis pada kulit yang dapat mengganggu penampilan. Pasien psoriasis seringkali komorbid dengan gangguan psikiatri seperti depresi, gangguan cemas, gejala psikotik, distimia dan gangguan tidur. Aspek psikiatri tersebut dapat memengaruhi kualitas hidup pasien psoriasis. Belum terdapat penelitian tentang perbedaan rerata kualitas hidup antara pasien psoriasis dengan psikopatologi dibandingkan dengan pasien psoriasis tanpa psikopatologi.Metode: Penelitian potong lintang deskriptif-analitik pada 25 pasien psoriasis yang memiliki psikopatologi dan 25 pasien psoriasis yang tidak memiliki psikopatologi di Poliklinik Ilmu Kesehatan Kulit dan Kelamin RSCM Jakarta menggunakan Symptom Checklist 90 (SCL 90) dan instrumen World Health Organization Quality Of Life (WHOQOL)-BREF.Hasil: Lima gejala psikiatri terbanyak yang dijumpai pada pasien psoriasis adalah sensitivitas interpersonal, obsesif kompulsif, gejala gangguan jiwa tambahan, gejala depresi dan ide paranoid. Terdapat perbedaan rerata kualitas kualitas hidup antara pasien psoriasis dengan psikopatologi dengan tanpa psikopatologi berdasarkan ranah kesehatan fisik (p < 0,05) dan ranah kesehatan psikologis (p < 0,05)Simpulan: Pasien psoriasis dengan psikopatologi cenderung memiliki rerata kualitas hidup yang lebih rendah bila dibandingkan dengan pasien psoriasis tanpa psikopatologi pada ranah kesehatan fisik dan kesehatan psikologis. Pengenalan dini dan tata laksana gejala klinis psikiatri dapat memperbaiki kualitas hidup pasien.

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ABSTRACTBackground: Psoriasis has been known as one of chronic inflammatory skin disease which represent the leading causes of morbidity and bad performance. Psoriasis can have psychiatric comorbidity like depression, anxiety, psychotic symptom, distimia and sleep disorder. This psychiatric aspect can impact quality of life psoriasis patients. In this study, we evaluated the mean difference of quality of life psoriatic patients with psychiatric symptoms and without psychiatric symptoms. Methods: Cross sectional study included 25 psoriatic pasients with psychiatric symptoms and 25 psoriatic patients without psychiatric symptoms. The patient in this study were subjected to quality of life assessment by World Health Organization Quality Of Life (WHOQOL)-BREF and psychiatric evaluation using Symptom Checklist 90 (SCL 90)Result: the most frequent psychiatric symptoms experienced by psoriatic patients were interpersonal sensitivity, obsessive compulsive, additional psychiatric symptom, depression and paranoid ideation. There is a difference quality of life in physical domain (p < 0,05) and psychological domain (p < 0,05) between psoriatic patients with psychiatric symptoms and without psychiatric symptoms.Conclusion: psoriasis with psychiatric symptoms can have a profound impact on patient's quality of life especially in physical domain and psychological domain. Early detection and treatment of psychiatric symptoms can improve quality of life of psoriatic patients., Background: Psoriasis has been known as one of chronic inflammatory skindisease which represent the leading causes of morbidity and bad performance.Psoriasis can have psychiatric comorbidity like depression, anxiety, psychoticsymptom, distimia and sleep disorder. This psychiatric aspect can impact qualityof life psoriasis patients. In this study, we evaluated the mean difference of qualityof life psoriatic patients with psychiatric symptoms and without psychiatricsymptoms. Methods: Cross sectional study included 25 psoriatic pasients with psychiatricsymptoms and 25 psoriatic patients without psychiatric symptoms. The patient inthis study were subjected to quality of life assessment by World HealthOrganization Quality Of Life (WHOQOL)-BREF and psychiatric evaluation usingSymptom Checklist 90 (SCL 90)Result: the most frequent psychiatric symptoms experienced by psoriatic patientswere interpersonal sensitivity, obsessive compulsive, additional psychiatricsymptom, depression and paranoid ideation. There is a difference quality of life inphysical domain (p < 0,05) and psychological domain (p < 0,05) between psoriaticpatients with psychiatric symptoms and without psychiatric symptoms.Conclusion: psoriasis with psychiatric symptoms can have a profound impact onpatient’s quality of life especially in physical domain and psychological domain. Early detection and treatment of psychiatric symptoms can improve quality of life of psoriatic patients.]"

"ABSTRAKLatar Belakang: Pada pasien dengan HIV/AIDS seringkali ditemukan adanya psikopatologi dan mekanisme koping maladaptif yang berpengaruh terhadap perkembangan penyakitnya. Terapi Kelompok Suportif Ekspresif (TKSE) merupakan salah satu bentuk terapi kelompok yang dapat dilakukan pada pasien dengan HIV/AIDS. Terapi kelompok menunjukkan hasil dalam perbaikan gangguan mood, respon koping yang maladaptif, fobia dan rasa sakit. Selain itu terapi kelompok juga telah terbukti efektif untuk mengatasi stres, memerbaiki persepsi yang salah, mengatasi krisis pribadi, memberikan harapan yang realistis, dan menunjukkan peningkatan yang signifikan dalam jumlah CD4 serta penurunan viral load HIV. Saat ini perlu dilakukan penelitian yang membuktikan bahwa TKSE yang dilakukan pada pasien dengan HIV/AIDS dapat mengubah psikopatologi dan mekanisme koping agar memerbaiki perkembangan penyakitnya.Metode: Penelitian eksperimental secara consecutive sampling pada pasien dengan HIV/AIDS di Pokdisus HIV-AIDS RSCM Jakarta menggunakan kuesioner SCL-90 dan penilaian mekanisme koping COPE.Hasil: Tidak terdapat perubahan nilai skor SCl-90 yang bermakna (p=1.000) dan tidak terdapat perbedaan perubahan mekanisme jenis koping (p=0.168) pada kelompok intervensi sebelum dan sesudah dilakukan TKSE) namun TKSE berpeluang sebagai faktor protektif terhadap kecenderungan subjek penelitian mengalami psikopatologi jika hanya mengikuti therapy as usual (TAU). Mekanisme koping utama yang dipakai adalah Active, Acceptance dan Religious. Pemberian TKSE pada kelompok intervensi dapat mempertahankan koping positif yang sudah dipakai dibandingkan bila hanya mendapatkan TAU seperti pada kelompok kontrol. Bila penggunan koping yang bersifat Emotion lebih menonjol, psikopatologi yang dialami oleh individu akan tampak lebih jelas.Simpulan: Pada penelitian ini tidak terdapat perubahan nilai skor psikopatologi dan mekanisme koping yang bermakna pada kelompok intervensi sebelum dan sesudah dilakukan TKSE tapi terlihat TKSE dapat berpeluang sebagai faktor protekktif. Pemberian TKSE pada kelompok intervensi tampaknya dapat mempertahankan koping positif yang sudah dipakai. dibandingkan bila hanya mendapatkan TAU seperti pada kelompok kontrol. Selain itu bila penggunan koping yang bersifat Emotion lebih menonjol, psikopatologi yang dialami oleh individu akan tampak lebih jelas.

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ABSTRACT

Background: Psychopathology and maladaptive coping mechanism were frequently found in HIV/AIDS patients which could influence the progression of the disease. Supportive Expressive Group Therapy (SEGT) is a form of group therapy which could be conducted on HIV/AIDS patients. Group therapy has been shown to improve mood disorders, maladaptive coping responses, phobias and pain. It was also effective in managing stress, false perception, overcome personal crisis, providing realistic expectation and significantly increasing CD4 cell count and reducing HIV viral load. A research is conducted on HIV/AIDS patients to prove that SEGT can alter psychopathology and coping mechanism in order to improve the development of the disease.

Methods: Experimental study with consecutive sampling on HIV/AIDS patients in Pokdisus HIV-AIDS RSCM Jakarta using SCL-90 questionnaire and coping mechanism assessment COPE.

Results: There were no significant change in SCL-90 score (p=1.000) and coping mechanism types (p=0.168) in the intervention group before and after SEGT but SEGT could act as a protective factor toward the tendency of research subject to have psychopathology when they only receive TAU. Three main coping mechanisms were Active, Acceptance and Religious. SEGT could maintain positive coping being used in the intervention group compare to only TAU which given to the control group. Psychopathologies were more prominent in individuals using Emotion coping mechanism.

Conclusion: In this study there was no significant difference in the change of SCL-90 scores and the types of coping mechanism in the intervention group before and after SEGT, but SEGT could act as a protective factor towards the tendency of psychopathology occurrence. SEGT could maintain positive coping being used in the intervention group. Psychopathologies were more prominent in individuals using Emotion coping mechanism."