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Journal : Journal of the Indonesian Medical Association

The Neurobiology of Borderline Personality Disorder: Biological Approach in Impulsive and Aggressive Behavior

Journal of the Indonesian Medical Association Vol. 57 No. 4 April 2007
Publisher : Journal of the Indonesian Medical Association

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Abstract

Borderline personality disorder is a type of personality disorder often found in everyday life and in clinical practice. One of the characteristic of such personality disorder is impulsive and aggressive behavior. Although the cause of borderline personality disorder has not been known yet, studies show, the relation between this disorder and neurobiology aspects. Many studies explain that some brains region, especially orbitofrontal cortex and degradation of system activity of serotonergic involved in the pathogenesis of impulsive and aggressive in borderline personality disorder. Therefore, nowadays the management of this kind of disorder is not limited to psychotherapy but also pharmacotherapy.Keywords: personality disorder,  psychopharmacotherapy

The Role of Psychiatric Geriatric in the Treatment of Delirium in Geriatric Patients

Journal of the Indonesian Medical Association Vol. 57 No. 7 July 2007
Publisher : Journal of the Indonesian Medical Association

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Abstract

Delirium is a neuropsychiatric disorder that often occurs in geriatric patients. The main clinical manifestations are disturbance of consciousness, deficit in cognition which is acute and generally affect attention, memory and the organization and planning ability. The fluctuation of the disturbance is an important indicator of this disturbance. Treatment of patient with delirium must involve interdisciplinary approach because in clinical practice geriatric patients have a complex health problems (multipathology) and need holistic care. Treatment by a team consists of psychiatrist specialized in geriatric, geriatric medic, medic rehabilitation, and nuticient consultant will produce the best result; this has been done at Cipto Mangunkusumo National Hospital. Although some studies suggest that delirium has no significant differences in treatment if already occured, but psychosocial approach or even psychopharmacotherapy has a benefit in reducing morbidity and mortality of the disturbance. It also has an important role in maintaining the quality of life of geriatric patients.Keywords: neuropsychiatric disturbance, geriatric, psychosocial approach

Treatment of Post-Stroke Depression

Journal of the Indonesian Medical Association Vol. 58 No. 3 March 2008
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Abstract

Depression may be an emotional disorder often related to cerebrovascular disease. About 25-50% stroke patient will suffer depression after stroke attack. Many studies said that post-stroke depression will raise the percentage of mortality in cerebrovascular patient. Even in younger patients who do not have any previous chronic disease, the mortality is still high in poststroke depression patient. Studies revealed that the location of ischemic or hemorrhagic of the brain has an important role in the prevalence of post-stroke depression. Right hemisphere hemorrhagic is considered a significant location in the prevalence of post-stroke depression. Poststroke depression can also occur as a result of the disability of daily activities. Conditions that make patients psychologically and physically impaired could lead to the feeling of incompetence and depressed. The treatment of post-stoke depression is a combination of psychopharmacotherapy and psychotherapy.Keywords: Post-stroke depression, psychotherapy, SSRI

Psychopharmacology Treatment in Managament of Psychotic Symptoms in Geriatric Patients

Journal of the Indonesian Medical Association Vol. 59 No. 9 September 2009
Publisher : Journal of the Indonesian Medical Association

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Abstract

Studies have showed that geriatric patients has high potential risk to have psychotic disorder. Prevalence of psychotic symptoms among geriatric patient is about 0.2-4.7%. Many factors contributed to this condition, one of them is the medically complex condition in geriatric patient. Thus, treatment of psychotic symptoms also reguire improvement of general giving antipsychotic drugs. The use of antipsychotic drugs in geriatric patients needs special concern. because geriatric patients are more vulnerable to the adverse effects of the drug compare to younger patient population. In recent years the use of atypical antipsychotic is effective to overcome the psychotic symptoms in geriatric patients and has less adverse effect. This paper will discuss some of atypical antipsychotic such as risperidone, quetiapine, olanzapine, aripriprazole and zotepine, which has potential effect in treating psychotic symptoms in geriatric patients.Keywords: psychotic symptoms, atypical antipsychotic, geriatric patient

The Association of Self-consciousness and Low Self Esteem to Quality of Life Among Acne Patients

Journal of the Indonesian Medical Association Vol. 60 No. 6 June 2010
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Abstract

Previous studies revealed the psychological impact of having acne vulgaris, such as the presence of self-consciousness and low self-esteem. Recently, enthusiasm in assessing different psychological effects of various types of skin diseases and their effects on patients’ quality of life, increased. The purpose of this study was to evaluate the association between the presence of selfconsciousness and low self-esteem with the quality of life among acne vulgaris patients. A cross sectional study was conducted in acne patients that came to cosmetic dermatology clinic at Cipto Mangunkusumo National Hospital. They were asked to fill in the World Health Organization Quality of Life (WHOQoL-BREF) and Rosenberg Test section A (self-consciousness) and section C (self esteem). Mann Whitney test was used to determine the WHOQOL-BREF score difference of each domain between self-conscious and non-self-conscious patients as well as between low self-esteem and non-low self-esteem patients. There were 107 participants: 28 (26.2%) males and 79 (73.8%) females. Ninety (84.1%) patients were still single. Twenty three (21.5%) patients aged d”18 years and 84 (78.5%) patients aged >18 years. There were significant mean score differences between patients who were self-consciousness and non-self-consciousness in psychological health (mean 21.6 versus 20.5, p = 0.015) and environment (mean 27.7 versus 25.8, p = 0.006) domains. There were also differences of mean score between patient who were low self esteem and non low self esteem in psychological health (mean 21.3 versus 19.7, p = 0.002) and social relationship (mean 10.8 versus 10.1, p = 0.026) domain. It was concluded that the quality of life in acne patients who were self-conscious were associated with psychological health and environment domains. The quality of life of the low self-esteem acne patients was also associated with psychological health and social relationship domain.Keywords: acne, quality of life, self-consciousness, self esteem

The Usage of Two Minutes Method (M2M) to Determine Mental Disorder Prevalence in Primary Care

Journal of the Indonesian Medical Association Vol. 60 No. 10 October 2010
Publisher : Journal of the Indonesian Medical Association

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Abstract

Two Minutes Method (M2M) is prepared as a method to assist primary care phycisian in health care service (not just as mental health care service) and it is used to determine mental disorder prevalance compared to conventional psychiatric interview using PPDGJ-III by psychiatrist which is founded to be valid and reliable. The aim of the study was to compare the usage of M2M by primary care physician and the usage of conventional psychiatric interview by psychiatrist in determining mental disorder prevalence in Puskesmas Kecamatan Grogol Petamburan. From 1052 patients visited Puskesmas kecamatan Grogol Petamburan, Jakarta Barat, the mental disorder prevalence was 31.8% which was founded by the pshysician as well as by the psychiatrist. Using M2M, neurosis was founded to be the most common mental disorder (28.5%). Meanwhile, by using diagnotic guideline of PPDGJ-III performed by psychiatrist, Anxiety Disorders were 14%, followed by 12.5% Psychosomatic Disorder, Eating Disorder, Sleep Disorder and Sexual Dysfunction, and 2% Depressive Disorder (total 28.5%).Keywords: diagnostic tool, psychiatry, mental disorder, prevalence, Puskesmas

Anxiety Theory Based On Classic Psychoanalitic and Types of Defense Mechanism To Anxiety

Journal of the Indonesian Medical Association Vol. 57 No. 7 July 2007
Publisher : Journal of the Indonesian Medical Association

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Abstract

Anxiety theory was introduced by Freud in 1890. It began with a thought that anxiety comes from the unrevealed libido. Afterward Freud than agree with his colleague, Otto Rank that the nature of anxiety begin from early birth traumatic. Freud divided anxiety into three categories; reality anxiety, neurotic anxiety, and moral anxiety. Then Freud divided again the neurotic anxiety into three different part; anxiety because of the frightened inside and outside factor, anxiety that related to specific object that manifested as phobia, and neurotic anxiety that has nothing to do with the inside and outside factor. There are some defense mechanism to anxiety situation; repression, reaction formation, projection, regression, rationalization, displacement, sublimation, isolation, undoing and intellectualization.Keywords: anxiety theory, Freud, defense mechanism

The Biopsychosocial Concept in Psychosomatic Complaints

Journal of the Indonesian Medical Association Vol. 61 No. 9 September 2011
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Abstract

Biopsychosocial concept introduced by George Engel to replace biomedic concept, which only see medical condition in terms of biological and medical aspects. Biologic, psychologic, and social appproach is a suitable approach for psychosomatic symptoms. Psychosomatic complaints are physical complaints that are based on psychological conditions. Psychosomatic complaints are usually experienced by patients who suffer from somatization disorder, hypochondriasis, anxiety disorders, and depressive disorders. Treatment in patients with psychosomatic complaints consist of combination between psychotherapy and psychopharmatherapy. Good patient-doctor relationship is always the main basis of therapy for psychosomatic complaints. J Indon Med Assoc. 2011;61:375-9..Keywords: psychosomatic, biopsychosocial, psychiatry, somatoform

Co-Authors A. Masyhur Effendi A. Suresti A.N. Yanti AAAA Kusumawardhani Agnes Clement AGUS AGUS Amir Hamzah Amir Hasan Anyan, Anyan Arief Setiawan Aryani Sudharmono Baibul Tujni, Baibul chansyanah diawati Charles E Damping Cut Aida Fitri Dan Hidayat Didin Syafrudin, Didin Didy Rachmadi Dionisius, Felix Djap Hadi Susanto Dodi Sofyan Arief, Dodi Sofyan Dyah Budiastuti Elly Ingkiriwang Endang Wahyuni Endramawan, Tito Evalina Asnawi F, Yusep Ahmadi Feriadi Feriadi, Feriadi Fitrini Fitrini Haris Haris, Haris Harmawan, Hari Haryono Haryono Hilarius Jago Duda, Hilarius Jago Ilham, Mhd Imanuel Sairo Awang, Imanuel Sairo Indrayani, I. Ira Devi Sara, Ira Devi Jos Istiyanto, Jos Juniati Juniati Kusandi, Kusandi Lambu Da Costa Laufried Laufried Lieke E.M. Waluyo Lubis, Rakhmad Syafutra Manalu, Ericko Lestranda Putra Mardi Susanto Margareta Andriani, Margareta Marlindawati Marlindawati, Marlindawati Marshell Tendean Melinda Rismawati, Melinda Muhammad Fadly Muhammad Irfan Nina Kadaritna Novita Pradani Olenggius Jiran Dores, Olenggius Jiran Olfebri Olfebri, Olfebri Poiwong Ng R. Wati Ratna Surya Widya Roro Isyawati Permata Ganggi, Roro Isyawati Permata Roswan Kasim, Roswan Sarry, Lenni Marsella SEMBIRING, DANIEL Setyawan Widyarto Sihombing, Galuh Leonardo Silitonga, Sutan Parasian Sinaga, Agustian Sri Murniati, Sri Sunda Ariana, Sunda Suparwan Cecep Kosasih, Suparwan Cecep Susanna Ndraha Suyandi Suyandi Teddy Chandra TRI SUTRISNO Win Win Yenny Dewi P Yesi Novaria Kunang, Yesi Novaria Zul Zagir, Zul Zulianto, Sugit