[ABSTRAK Pendahuluan: 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. ABSTRACT 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, 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] |