Flood disaster conduced 2375 refugees and traumatic in adolescent with symptoms of Post Traumatic Stress Disorder as many as 15 people in Garut regency. The impact of PTSD on adolescents reduced brain volume, behavioral changed and short-term memory lost. The psychotherapy that proved to be effective overcome PTSD was Cognitive Behavioral Therapy (CBT) 12 sessions but the empirical evidence in Indonesia, the 12 session of CBT intervention was too long, tedious, and caused doubts to the therapist so that 5 session CBT intervention was considered more flexible and efficient. The purpose of this study was compare the effectiveness of PTSD scores pre and post intervention of CBT 5 sessions and 12 sessions toward of PTSD on post flood disaster in adolescent. This research used Quasi Experiment Design with Pre test and Post test approach Two Group Design. The first group was given CBT 5 sessions and the second group was given CBT 12 sessions with the total number of adolescent respondents were 38 people (aged 12-18). The sample was chosen by used Consecutive Sampling at two evacuation sites in Cilawu and Tarogong Kidul subdistrict, Garut regency, West Java, Indonesia. The results of this study pre and post intervention in both groups decreased of PTSD score which difference of median value of 6.00 on CBT 5 session and average difference of 7.58 on CBT 12 session with significancy (p-value < 0.01) and the result analysis test on the effectiveness of both interventions (p-value > 0.05) with significancy number 0.648. The conclusion was no significant difference between the effectiveness of the CBT group of 5 sessions and the CBT group of 12 sessions. There needs comparison of more than 5 sessions and less than 12 sessions for next research.
Background: Female genital mutilation raises pros and cons among the community because of its impact. There are still many parents who perform genital mutilation on their daughters. In addition, some parents choose not to circumcise their daughters. Objective: To analyze the general impact and health impact of female genital mutilation. Methods: a literature review by searching related articles through the Google Scholar database, Researchget and Science Direct. The keywords used in Indonesian are "sunat” and "perempuan" and "dampak" while in English, they are "female" and "genital mutilation" or "circumcision" and "consequences". The search found seven related articles which were then analyzed in a narrative review. Result: Female genital mutilation impacts health, including bleeding, bacterial infection, urinary tract infection, complications during childbirth, tetanus and shock. In addition to health problems, female circumcision is also associated with early marriage. Female circumcision is also called a tradition and an act that violates human rights. Conclusion: All articles reviewed explained that female genital mutilation harms general health and well-being. Female circumcision can harm the woman herself. It is hoped that nurses will provide more comprehensive education to the community regarding the dangers and impacts of female circumcision. Keywords: female circumcision, female genital mutilation, the impact of female genital mutilation
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