scholarly journals Terapi aktivasi perilaku untuk mengurangi perilaku menarik diri pada pasien skizofrenia

2021 ◽  
Vol 9 (4) ◽  
Author(s):  
Aisyah Putri Rawe Mahardika
Keyword(s):  
Family Involvement ◽  
Negative Symptoms ◽  
Self Care ◽  
Social Function ◽  
Work Relationships ◽  
Daily Activities ◽  
Functional Impairments ◽  
Withdrawn Behavior ◽  
Activation Therapy ◽  
Life Work

Subject in the this study experienced withdrawn behavior that is one of the negative symptoms of schizophrenia. Withdrawing is characterized by decrease in initiative behavior that can create functional impairments in life, work, relationships, social function, and self-care. The intervention used to reduce withdrawn behavior was Behavior Activation Therapy which arranged for nine sessions. The purpose of intervention was to increase daily activities by scheduling activities with monitoring. The results of the intervention showed an increase in the daily activities of the subjects. Subject begins to be able to carry out activities such as bathing, eating, taking regular medication, and cleaning the house. The success of interventions is also supported by family involvement in monitoring the activities and providing support to carry out the intervention well.

scholarly journals Terapi Aktivasi Perilaku dapat mengurangi simtom anhedonia pasien skizofrenia ?

2021 ◽  
Vol 9 (2) ◽  
pp. 43-49
Author(s):  
Tri Wiganti Andayani ◽  
Uun Zulfiana
Keyword(s):  
Daily Activity ◽  
Negative Symptoms ◽  
Behavioral Activation ◽  
Psychological Tests ◽  
Daily Activities ◽  
Activity Schedule ◽  
Behavioral Activation Therapy ◽  
Daily Activity Schedule ◽  
Activation Therapy

The goal of the intervention is to reduce the negative symptoms of people with schizophrenia. The assessments used were interviews, observations, and psychological tests which included graphic tests (BAUM, DAP, HTP), WAIS, and SSCT. The client’s problem is that he loses the pleasure of doing daily activities that used to be fun or made him happy. The intervention uses Behavioral Activation Therapy by providing a daily activity schedule. The results of the intervention show a decrease in symptoms of anhedonia, marked by an increase in daily client activities including bathing twice a day, being on time in taking medication, praying and helping with homework

scholarly journals The Relationship between Hemophilia A Severity and Hemophilia Activities List

2021 ◽  
Author(s):  
Faizal Muhammad
Keyword(s):  
High Risk ◽  
Hemophilia A ◽  
Bleeding Event ◽  
Clinical Manifestations ◽  
Self Care ◽  
Daily Activities ◽  
Clotting Factors ◽  
Household Tasks ◽  
The Relationship ◽  
Lying Down

Hemophilia is a hereditary bleeding disorder due to clotting factors deficiency. Its clinical manifestations including spontaneous and recurrent joints and muscle bleeding. Thus, hemophilia can limit the patients’ daily activities. This study aims to assess the relationship of hemophilia A severity on daily activities and the Hemophilia Activities List (HAL). The research subjects were thirty men with hemophilia A aged 18 years old or older who went to the Hematology-Oncology Clinic of Dr. Moewardi General Hospital during February - September 2020. Standardized seven aspects of routine activities with high-risk for bleeding event were assessed using the HAL questionnaire including lying down/ sitting/ kneeling/ standing, functions of the legs, functions of the arms, use of transportation, self-care, household tasks, leisure activities and sports. Based on the frequency of activity difficulty due to hemophilia A, each average score of HAL aspect was categorized into never (100% - 76%); rarely (75% - 51%), sometimes (50% - 26%), and impossible (25% - 0%). Based on Factor VIII level, hemophilia A severity was categorized into mild, moderate, and severe. Spearman’s correlation test was used for statistical analysis. The result showed significant correlation (p < 0.05) on five aspects, including lying down/ sitting/ kneeling/ standing, functions of the legs, use of transportation, self-care, and household tasks. The aspects of arms functions and leisure sports activities were not significantly correlated (p > 0.05). Nevertheless, these two aspects showed positive sufficient (r = 0.330) and weak (r = 0.177) correlation respectively. Joint and muscle bleeding are an undeniable pathological event in hemophilia patients. Hemophilia A severity positively correlates with the bleeding event frequency in the essential routine musculoskeletal activities. According to the HAL questionnaire, it needs to be a concern for clinicians and patient education to prevent bleeding in any high-risk musculoskeletal activities.

Fatigue

2019 ◽  
pp. 132-139
Author(s):  
Edith O’Neil-Page ◽  
Grace E. Dean ◽  
Paula R. Anderson
Keyword(s):  
End Of Life ◽  
Side Effect ◽  
Healthcare Providers ◽  
Self Care ◽  
Significant Others ◽  
Daily Activities ◽  
Course Of Disease ◽  
Cancer Related Fatigue ◽  
Care Requirements ◽  
The Impact

Individuals suffering from chronic or malignant disease may experience overwhelming and debilitating symptoms of extensive tiredness or sleepiness or an inability to meet daily self-care requirements and maintain personal interaction with significant others. However, they may be unable to verbalize the impact of fatigue on their daily activities. Fatigue is both personal and communal, affecting all aspects of life. Fatigue is often unrecognized by family and healthcare providers or is accepted as a “side effect” of disease and treatment. Cancer-related fatigue affects all aspects of life, at all ages, and may remain unacknowledged by healthcare providers. Yet with recognition and intervention, fatigue can be successfully managed throughout the course of disease, recovery, or through end of life.

scholarly journals Investigating Cognitive and Clinical Predictors of Real-Life Functioning, Functional Capacity, and Quality of Life in Individuals at Ultra-High Risk for Psychosis

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Louise Birkedal Glenthøj ◽  
Tina Dam Kristensen ◽  
Christina Wenneberg ◽  
Carsten Hjorthøj ◽  
Merete Nordentoft
Keyword(s):  
Quality Of Life ◽  
Social Skills ◽  
High Risk ◽  
Functional Capacity ◽  
Processing Speed ◽  
Negative Symptoms ◽  
Role Functioning ◽  
Functional Impairments ◽  
Ultra High Risk

Abstract A substantial proportion of individuals at ultra-high risk (UHR) for psychosis show long-term functional impairments, which may have profound consequences for the individual and society. Finding predictors of these functional impairments is critical to inform on the individual’s functional prognosis and potentially develop targeted interventions. This study used data from 91 UHR individuals participating in a randomized, clinical trial, that were followed up at 12 months, to elucidate on clinical, neuro- and social-cognitive predictors of UHR individuals’ functional outcome in the domains of social- and role functioning, quality of life, and functional capacity. The proportion of UHR individuals showing a poor social- and role outcome at 12-month follow-up was 50% and 63%, respectively. Worse social outcome was predicted by higher levels of negative symptoms, reduced processing speed, and impaired baseline social functioning explaining 52% of the variance. Worse role outcome was predicted by impaired role functioning at baseline, explaining 25% of the variance. Quality of life impairments were predicted by better theory of mind explaining 4% of the variance, and functional capacity social skills deficits were predicted by impaired baseline social skills explaining 20% of the variance. Our findings indicate that processing speed and negative symptoms may contribute to social- and role-functioning deficits, and while aspects of social cognition may also relate to social- and role functioning, baseline-functional impairments seem to be a strong contributor to persistent impairments in functioning and quality of life. If replicated, our findings suggest the need for future studies investigating the effect of pro-functional interventions targeting baseline functioning and targeted cognitive domains in UHR.

scholarly journals Duration of untreated psychosis and social function: 1-year follow-up study of first-episode schizophrenia

2008 ◽  
Vol 193 (3) ◽  
pp. 203-209 ◽  
Author(s):  
Thomas R. E. Barnes ◽  
Verity C. Leeson ◽  
Stanley H. Mutsatsa ◽  
Hilary C. Watt ◽  
Sam B. Hutton ◽  
...  
Keyword(s):  
Negative Symptoms ◽  
Social Function ◽  
First Episode ◽  
Duration Of Untreated Psychosis ◽  
Clinical Difference ◽  
Path Analyses ◽  
First Episode Schizophrenia ◽  
The Relationship ◽  
Positive And Negative Symptoms

BackgroundIn first-episode schizophrenia, longer duration of untreated psychosis (DUP) predicts poorer outcomes.AimsTo address whether the relationship between DUP and outcome is a direct causal one or the result of association between symptoms and/or cognitive functioning and social functioning at the same time point.MethodSymptoms, social function and cognitive function were assessed in 98 patients with first-episode schizphrenia at presentation and 1 year later.ResultsThere was no significant clinical difference between participants with short and long DUP at presentation. Linear regression analyses revealed that longer DUP significantly predicted more severe positive and negative symptoms and poorer social function at 1 year, independent of scores at presentation. Path analyses revealed independent direct relationships between DUP and social function, core negative symptoms and positive symptoms. There was no significant association between DUP and cognition.ConclusionsLonger DUP predicts poor social function independently of symptoms. The findings underline the importance of taking account of the phenomenological overlap between measures of negative symptoms and social function when investigating the effects of DUP.

Independence through Community Access and Navigation in adults with schizophrenia spectrum disorders Part 1: Theoretical and practical foundations

2011 ◽  
Vol 10 (1) ◽  
pp. 25-33
Author(s):  
Gretchen Snethen, PhD, LRT/CTRS ◽  
Bryan P. McCormick, PhD, CTRS ◽  
Marieke Van Puymbroeck, PhD, CTRS
Keyword(s):  
Community Participation ◽  
Negative Symptoms ◽  
World Health ◽  
International Classification Of Functioning ◽  
Population Increase ◽  
Positive Symptom ◽  
Schizophrenia Spectrum Disorders ◽  
Functional Impairments ◽  
Schizophrenia Spectrum ◽  
Spectrum Disorders

Negative symptoms and cognitive dysfunction are two symptomatic categories of schizophrenia spectrum disorders (SSDs) that significantly impair functioning. Treatment for adults with SSDs continues to focus primarily on medication adherence and positive symptom reduction, despite the fact that medication has little impact on negative and cognitive symptoms within this population and, thus, little impact on improving community functioning. This two-part series presents an intervention developed to increase community participation in adults with SSDs. This article presents a comprehensive description of the functional impairments experienced by this population, framed within the World Health Organization’s International Classification of Functioning, Disability, and Health. This article will also apply Self-Determination Theory to this population of adults with SSDs as a foundation to help this population increase community participation and successful integration.

Social Withdrawal of Persons With Vascular Dementia Associated With Disturbance of Basic Daily Activities, Apathy, and Impaired Social Judgment

2013 ◽  
Vol 14 (2) ◽  
pp. 108-113 ◽  
Author(s):  
Yukiko Honda ◽  
Kenichi Meguro ◽  
Mitsue Meguro ◽  
Kyoko Akanuma
Keyword(s):  
Vascular Dementia ◽  
Cognitive Abilities ◽  
Negative Symptoms ◽  
Social Withdrawal ◽  
Self Care ◽  
Elderly Subjects ◽  
Social Activities ◽  
Explanatory Variables ◽  
Frontal Lobe Function ◽  
Institutionalized Patients

Patients with vascular dementia (VaD) are often isolated, withdrawn from society because of negative symptoms and functional disabilities. The aim of this study was to detect factors associated with social withdrawal in patients with VaD. The participants were 36 institutionalized patients with VaD. Social withdrawal was assessed with the social withdrawal of the Multidimensional Observation Scale for Elderly Subjects (MOSES). Possible explanatory variables were the MOSES items depression and self-care, Cognitive Abilities Screening Instrument (CASI), apathy evaluation scale (AES), and Behavioral Pathology in Alzheimer’s Disease Frequency-Weighted Severity Scale (BEHAVE-ADFW). Multiple regression analyses were conducted for two groups: Analysis 1 was performed in all patients (N = 36) and Analysis 2 was performed in the patients with the ability to move by themselves (i.e., independent walking or independent movement with a cane or a wheelchair; n = 28). In Analysis 1, MOSES item social withdrawal was correlated with AES and MOSES item self-care. In Analysis 2, MOSES item social withdrawal was correlated with AES and CASI domain abstraction and judgment. Decreased social activities of VaD were not related to general cognitive function or depression. Disturbed activities of daily living (ADLs) for self-care may involve decreased frontal lobe function, indicating that comprehensive rehabilitation for both ADL and dementia are needed to improve the social activities of patients with VaD.

scholarly journals Pengaruh token ekonomi untuk meningkatkan kemampuan rawat diri pada individu dengan gangguan skizoafektif

2021 ◽  
Vol 9 (4) ◽  
Author(s):  
Rullita Aristya Mintarsih
Keyword(s):  
Behavior Modification ◽  
Schizoaffective Disorder ◽  
Self Care ◽  
Token Economy ◽  
Psychological Tests ◽  
Assessment Methods ◽  
Daily Activities ◽  
Care Assessment ◽  
The Subject ◽  
Self Cleaning

The subject was a 41-year-old woman with a diagnosis of schizoaffective disorder. Subjects showed the symptoms of schizoid that made them less interested in daily activities, less concerned with hygiene and self-care. Assessment methods used are observations, interviews, and psychological tests in the form of WAIS, graphic tests (DAP, BAUM, &HTP), TAT, WWQ and WHODAS questionnaire. Interventions are made to deal with the lack of ability in self-care, using behavior modification therapy with the token economy method. The results showed that Token Economy was effective to improve the subject's ability to care for themselves, they became more motivated to perform basic activities such as self-cleaning.

scholarly journals From the concept of Independence to the questioning of its use in practice: scoping review

2022 ◽  
Vol 21 (1) ◽  
pp. 625-654
Author(s):  
Andreia Lima ◽  
Maria Manuela Ferreira da Silva Martins ◽  
Maria Salomé Martins Ferreira ◽  
Carla Sílvia Fernandes ◽  
Soraia Dornelles Schoeller ◽  
...  
Keyword(s):  
Scoping Review ◽  
Daily Living ◽  
Conceptual Analysis ◽  
Health Knowledge ◽  
Self Care ◽  
Cognitive Capacity ◽  
Daily Activities ◽  
Analysis Method ◽  
Inclusion Criteria ◽  
Subsequent Application

Background: Independence is a widely used concept by the most practical areas of health knowledge, being essential to know its real meaning for subsequent application. Method: Scoping review based on the recommended principles by Joanna Briggs Institute and by the conceptual analysis method from Walker and Avant. Careful research was realized in the databases: Scopus, CINAHL complete, and MEDLINE. Two independent reviewers evaluate the relevance of the articles' understudy, the extraction, and article synthesis.Results: One hundred and two articles were included, after the application of the inclusion criteria. The majority of the authors define independence as the physical capacity for self-care and for the realization of the daily activities. Other authors, confuse independence with autonomy, referring to independence as the cognitive capacity, financial capacity, social capacity, and decision capacity.Conclusions: Independence includes the ability to perform self-care and daily living activities. Introducción: La independencia es un concepto muy utilizado por las áreas más prácticas del conocimiento en salud, siendo fundamental conocer su significado real para su posterior aplicación.Método: Revisión de alcance basada em los princípios recomendados por el Instituto Joanna Briggs y por el método de análisis conceptual de Walker y Avant. Se realizó uma cuidadosa investigación en las bases de datos: Scopus, CINAHL complete y MEDLINE. Dos revisores independientes evalúan la relevancia de los artículos en estudio, la extracción y síntesis del artículo.Resultados: Se incluyeron ciento y dos de los artículos, luego de la aplicación de los criterios de inclusión. La mayoria de los autores definen la independencia como la capacidad física para el autocuidado y para la realización de las actividades diarias. Otros autores confunden independencia com autonomia, refiriéndose a la independencia como capacidad cognitiva, capacidade financiera, capacidad social y capacidad de decisión.Conclusiones: La independencia incluye la capacidad para realizar actividades de autocuidado y de la vida diaria. Antecedentes: Independência é um conceito amplamente utilizado pelas áreas mais práticas do conhecimento em saúde, sendo essencial conhecer o seu real significado para posterior aplicação. Método: Scoping review baseada nos princípios recomendados pela Joanna Briggs Institute e pelo método de análise conceitual de Walker e Avant. Uma pesquisa cuidados foi realizada nas bases de dados: Scopus, CINAHL complete, and MEDLINE. Dois revisores independentes avaliaram a relevância dos artigos em estudo, a extração e síntese dos artigos.Resultados: Cento e dois artigos foram incluídos, após a aplicação dos critérios de inclusão. A maioria dos autores define independência como a capacidade física para o autocuidado e para a realização das atividades de vida diárias. Outros autores confundem independência com autonomia, referindo-se à independência como a capacidade cognitiva, capacidade financeira, capacidade de sociabilizar e capacidade de decisão. Conclusions: Independência inclui a capacidade para o autocuidado e para as atividades de vida diária.

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