Low psychological well-being in mothers of children with mental retardation can affect maternal mental health and quality of life. Psychological well-being of mothers depend on maternal coping strategies to overcome the burden of childcare. The religious background of Indonesian society makes mothers tend to use religious coping in handling the burden of nurturing their children. Aim of this study to determine the association between religious coping use and psychological well-being of mothers of children with mental retardation. This is an analytic descriptive study with cross-sectional design. Subjects were mothers of children with mild to moderate level of mental retardation, students of SLB Negeri 1 Bantul. The psychological well-being and religious coping of mother is assessed by Indonesian version of the Psychological Well-being Scale and Religious Coping Scale. The significance level of the statistical test is expressed at p < 0.05. Results of this study showed there is a significant association between religious coping and psychological well-being of mothers of children with mental retardation (X2: 17.897; C: 0.377; p: 0.000; RP: 5.65; 95% CI: 2.46-12.92). All dimensions of religious coping have a significant association with the psychological well-being of the mother (p: 0.000). The dimensions of achieving comfort and closeness to God have the highest closeness association with the psychological well-being among other dimensions of religious coping (X2: 39.041; C: 0.515). The confounding variables in this study are mother’s age, mother’s education, family income, marital status, mother’s employment status, family income, children’s gender, children's level of mental retardation and children’s class grade. Mother’s education has also a significant association with the psychological well-being of the mother (p: 0.021). Religious coping and mother’s education contribute 26.7% to the psychological well-being of mothers. This finding reveals that religious coping is important to improve the psychological well-being of mothers of children with mental retardation.
Mental health disorder could affect the physical, mental, social, and spiritual problems, leading to psychosocial issues such as body-image problem. Body-image is a basic need of human being to fulfill and therefore, the multidisciplinary team; physicians, nurses, and family should have adequate knowledge on the body-image. Increasing knowledge by training the nurses and community health volunteers can be performed to address body-image issues in patients with mental disorders among the community. This study held to identify the effects of community mental health nursing (CMHN) and Self-Concept Assessment Guidelines training on nurse and community health volunteer in increasing the body-image quality of patients with mental disorders. This study used pre and post quasi experimental test with nonequivalent control group design. By comparing the pre-test and post-test scores, nurse’s and community health volunteer’s knowledge were increasing after being given training. Data of body image was collected from 129 patients with mental disorder (treatment group of 69 and control group of 60) as volunteers. After the intervention, treatment group (p= 0.033) and control group (p= 0.075) show that significant increase in the quality of body-image only applies to the treatment group. Providing training on CMHN was effective to improve body-image quality of patients with mental disorders.
Medical students are often expected to have ideal appearance and thus, may be susceptible to body dysmorphic disorder (BDD). Limited data exist about the influence of demographic factors on the severity of BDD in this population, especially during the COVID-19 pandemic. We aimed to understand the association between demographic variables and severity of body image disturbance in Indonesian medical students. Second-year medical students of Islamic University of Indonesia participated in the study (n=116). Participants completed the informed consent form, self-reported demographic questionnaire, Body Image Disturbance Questionnaire (BIDQ), and additional questions about bullying, cyberbullying, videoconference, and COVID-19. Data were analyzed using Pearson’s correlation and linear regression. We found significant correlations between height, female gender, history of being bullied, history of being cyberbullied, history of being body-shamed, history of being sexually-harassed, lack of confidence about appearance during videoconference, and the behavior of comparing appearance during videoconference with total BIDQ score (|r|=0.304-0.433, p=0.000-0.002). Regression analysis showed that only history of being cyberbullied, lack of confidence about appearance during videoconference, and the behavior of comparing appearance during videoconference (p=0.009 – 0.037) significantly predicted BIDQ score. Internet-related factors such as cyberbullying and worrying or comparing appearance during teleconference could significantly affect body image of medical students.
The most People with Schizophrenia (PwS) experience a decline in social function caused by various factors. Clinical symptoms of PwS affect the social function of PwS, especially negative symptoms. The purpose of this study is to analyze the effect of negative symptoms on the social function of people with schizophrenia in the community. This is a cross-sectional study. Subjects of the study were people with schizophrenia aged 18-56 years who will follow Community-Based Rehabilitation activities in 10 areas of puskesmas in Yogyakarta Special Region. The study was conducted in February 2017. The social function and negative symptoms of PwS were measured using a validated measuring instrument. Hypothesis test using Anova test. The subjects of the study were obtained by purposive sampling technique of 100 PwS that fulfilled inclusion and exclusion criteria. Subjects with a PSP score of 0-30 (poor: someone who intensively needs care and social support) of 8 people (8%) had negative PANSS score of 28.50 ± 6.78. Subjects with a score of 31-70 (moderate: someone who occasionally needs care and social support) of 57 people (57%) had negative PANSS of 20.65 ± 8.18. Subjects with a score of 71-100 (mild: someone with mild disturbance, but able to perform individual functions) of 35 subjects (35%) had negative PANSS score of 12.49 ± 5.98. PwS which has a negative value of PANSS is greater, has a worse social function. The results showed that the negative symptoms had an effect on the social function of people with schizophrenia which was statistically significant (p <0.05). Negative symptoms affect the social function of PwS. PwS that has a high negative symptom score, has a worse social function. Keywords: social function, schizophrenia, negative symptoms
Latar belakang: Kekurangan kebermaknaan hidup bisa menjadi sebab maupun akibat kondisi depresi, baik kekurangan makna maupun kondisi depresi bisa ditimbulkan oleh penyebab-penyebab lainnya. Mengenali depresi pada lanjut usia memerlukan suatu keterampilan dan pengalaman, karena manifestasi gejala-gejala depresi klasik sering tidak muncul. Tujuan: Untuk mengetahui korelasi antara tingkat kebermaknaan hidup dengan depresi pada lansia di Posyandu Lansia Padukuhan Soro Padan, Sleman, Yogyakarta Metode: Penelitian non eksperimental dengan rancangan cross-sectional, subjek penelitian adalah lansia di Posyandu Lansia Padukuhan Soro Padan dengan menggunakan instrumen Meaning In Life Questionnaire (MLQ) versi Indonesia; tingkat depresi dinilai dengan menggunakan instrumen Geriatric Depression Scale (GDS-15) versi Indonesia. Analisis data univariat untuk mengetahui profil subjek penelitian, analisis bivariat untuk mengetahui kekuatan korelasi tingkat kebermaknaan hidup dan tingkat depresi pada lansia dianalisis dengan uji koefisien korelasi phi dan analisis multivariat untuk mengetahui kekuatan pengaruh dari faktor-faktor perancu dengan uji analisis multipel regresi. Hasil Penelitian: Terdapat korelasi yang bermakna antara tingkat kebermaknaan hidup dengan depresi pada lansia (r = -0,331, p = 0,007) di posyandu lansia Padukuhan Soro Padan dengan kekuatan korelasi yang cukup Kesimpulan : Terdapat korelasi yang bermakna antara tingkat kebermaknaan hidup dengan depresi pada lansia di Posyandu Lansia Padukuhan Soro Padan Saran: Ketua dan Kader lansia Posyandu Lansia Padukuhan Soro Padan lebih memberikan perhatian kepada lansia yang mengalami depresi, memberikan masukan bagi Puskesmas dan Dinas Kesehatan Kabupaten Sleman untuk memperhatikan kondisi psikologis lansia khususnya pada lansia yang depresi dan dalam membuat kebijakan terutama tentang kesehatan mental khususnya pada lansia. Kata kunci: kebermaknaan hidup-depresi-lansia, posyandu lansia Yogyakarta
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