AAAA Kusumawardhani
Faculty of Medicine University of Indonesia, Jakarta

Published : 2 Documents
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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 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
Publisher : Journal of the Indonesian Medical Association

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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