scholarly journals PUSAT REHABILITASI KAUM MILENIAL DEPRESI DI JAGAKARSA

Author(s):  
Aghnia Lovita ◽  
Andi Surya Kurnia

Millenials are this generation’s young adults who are very vulnerable to an anxiety and depression, which if this disorder no immediately treated, it would impact to psychiatric disorders (schizophrenia and even suicide). However, many mild – depressed people doesn’t want to seek treatment immediately because lack of knowledge about depression so there’s negative stigma. There are many assumptions where depression is considered “crazy” so which then that patients don’t seek any help, close themselves, and deny. In fact, a few mental hospital in Indonesia doesn’t even meet the proper standards to be called a recovery center. But, seeing from the side of psychology, environment factor has a huge role in recovery process. Therefore, there is a need for a vessel of support for those people who need help on mental health and realizing a comfortable environment for those who are recovering. And improving the perspective of people on the negative stigma about mental disorder and supporting the realization of a strong, comfortable social relation between people and depression sufferers. By using healing environment method, Sanctuary for Depression aims to respond toward all problems which patients acquire a various of health facilities which are needed accordingly and a broader knowledge about  depression, so that the negative stigma which has been planted for a long time could be corrected. Abstrak Milenial merupakan generasi yang sangat rentan terkena gangguan kecemasan dan depresi dimana bila tidak segera ditangani akan berdampak serius (skizofrenia hingga bunuh diri). Tetapi, banyak penderita depresi ringan atau sedang yang tidak mau langsung berobat dikarenakan kurangnya pemahaman terhadap depresi sehingga munculnya stigma negatif. Banyaknya asumsi dimana depresi dianggap “gila” sehingga penderita tidak mencari pertolongan, menutup diri, dan menyangkal. Bersamaan dengan itu juga, kurangnya fasilitas dan perhatian serius terhadap masalah  kesehatan mental (depresi) yang ada di Indonesia. Beberapa rumah sakit jiwa di Indonesia bahkan tidak layak untuk digunakan sebagai tempat pemulihan. Sedangkan dilihat dari sisi psikologis, faktor lingkungan memiliki peran besar dalam proses penyembuhan. Maka dari itu, dibutuhkannya wadah yang memberikan support kepada masyarakat akan kesehatan mentalnya dan mewujudkan lingkungan yang nyaman untuk penderita gangguan mental dalam berobat. Serta meningkatkan kesadaran masyarakat dan memperbaiki stigma terhadap gangguan mental sehingga mendukung terjadinya ikatan sosial yang kuat dan nyaman antara masyarakat dan penderita depresi. Dengan menggunakan metode healing environment, maka Pusat Rehabilitasi Kaum Depresi bertujuan untuk menyikapi semua masalah tersebut dimana pasien mendapatkan berbagai fasilitas kesehatan yang sesuai dibutuhkan dan pengenalan lebih luas mengenai depresi kepada masyarakat sehingga memperbaiki stigma yang sudah tertanam sejak lama.

2021 ◽  
Vol 27 (Supplement_1) ◽  
pp. S55-S55
Author(s):  
Nicole Neiman ◽  
Ann Ming Yeh ◽  
Rachel Bensen ◽  
Elvi Sanjines ◽  
Anava Wren

Abstract Background Adolescents and young adults (AYA) with Inflammatory Bowel Disease (IBD) are at increased risk for poor psychological and physical well-being. Self-compassion (i.e., understanding and acceptance towards oneself) has been associated with better psychological and physical outcomes in AYA with chronic health conditions. There is limited research exploring self-compassion in AYA with IBD. Aims To examine: 1) the reliability of a Self-Compassion Scale (SCS-SF), and 2) how self-compassion relates to physical (i.e., pain interference, fatigue) and psychological (i.e., stress, anxiety, depression) outcomes in a sample of AYA with IBD. Methods This study was a collaboration with ImproveCareNow, and all procedures were approved by Stanford’s Institutional Review Board. Study participants included 85 AYA (mean=18 yrs) with IBD (52% Crohn’s; 55% female; 61% White). Participants completed a one-time online survey. The internal reliability of SCS-SF was a = 0.88, indicating high internal consistency. Hierarchical linear regression (HLR) analyses examined the unique contribution of self-compassion to pain interference, fatigue, physical stress, psychological stress, anxiety, and depression after controlling for significant demographic and medical variables (sex, IBD diagnosis, mental health diagnosis). Results The overall HLR models were significant for all dependent variables. For physical outcomes, the overall model examining pain interference was significant (F(3, 72) = 4.517; P = 0.003), with sex, IBD diagnosis, and mental health diagnosis accounting for 13% of the variance in pain interference. Self-compassion accounted for an additional 20% of the variance in pain interference over and above demographic/medical variables. For psychological outcomes, the overall model examining anxiety was significant (F(3, 73) = 15.54; P < 0.001), with sex, IBD diagnosis, and mental health diagnosis accounting for 33% of the variance in anxiety. Self-compassion accounted for an additional 46% of the variance in anxiety over and above demographic/medical variables. HLR also demonstrated that self-compassion was a significant independent predictor of pain interference (b = -0.30, P = 0.015), fatigue (b = -0.38, P = 0.001), psychological stress (b = -0.51, P = < 0.001), anxiety (b = -0.41, P = < 0.001), and depression (b = -0.59, P = < 0.001). Participants reporting higher levels of self-compassion had less pain interference, fatigue, stress, anxiety, and depression. Conclusion Preliminary results suggest self-compassion may be an important factor in explaining the variability of key physical and psychological outcomes among AYA with IBD. Research should investigate self-compassion in diverse IBD populations, and explore if feelings of kindness and acceptance towards oneself can be a protective factor for AYA by supporting positive coping and adjustment to IBD.


Author(s):  
Argyroula Kalaitzaki

Cyberstalking is becoming more common among young adults. The aim of this study was to investigate (1) the prevalence, behaviours, and tactics of both victims and perpetrators of cyberstalking among a sample of Greek undergraduate students; (2) the correlates of victimization and perpetration of cyberstalking to personality, attachment style, and relating to others; and (3) the impact of cyberstalking on victims' mental health. Results showed that 23.9% of the students were victims and 9% were perpetrators, with females, disproportionately experiencing and inflicting cyberstalking. Negatively close relating (i.e., intrusive and possessive relating) increased the risk of perpetration, whereas relating to others distantly (suspicious and avoidant relating) decreased the risk of victimization. Agreeableness decreased the risk of perpetration. Mother's affectionless control increased the risk of both perpetration and victimization, and mother's neglectful parenting increased the risk of perpetrating cyberstalking. Fear, anxiety, and depression were reported by the victims.


2008 ◽  
Vol 39 (9) ◽  
pp. 1527-1531 ◽  
Author(s):  
D. W. O'Connor ◽  
R. A. Parslow

BackgroundEpidemiological surveys based on complex diagnostic interviews, such as the Composite International Diagnostic Interview (CIDI), report very low rates of anxiety and depressive disorders in older age groups. Mental health checklists show much less change over the lifespan. This paper explores the possibility that complex interviews present a special challenge to older respondents and thereby exaggerate the decline in mental disorder with age.MethodAnalysis of data from an Australian national mental health survey with 10 641 community-resident adult respondents. Measures of interest included ICD-10 anxiety and depression diagnoses, scores on the Kessler Psychological Distress Scale (K-10), agreement between K-10 and CIDI anxiety and depressive questions, and changes in agreement with age.ResultsLevels of inconsistency between simple and complex questions about anxiety and depression rose with age.ConclusionsOlder people may have difficulty attending to and processing lengthy, complex questionnaires. When in doubt, their preferred response may be to deny having experienced symptoms, thus deflating rates of diagnosed mental disorder. We recommend that simple mental health scales be included in epidemiological studies involving older age groups.


2019 ◽  
Vol 47 (2) ◽  
pp. 275-292 ◽  
Author(s):  
Azeesat Babajide ◽  
Ana Ortin ◽  
Chiaying Wei ◽  
Laura Mufson ◽  
Cristiane S. Duarte

2021 ◽  
Author(s):  
Catherine Porter ◽  
Marta Favara ◽  
Annina Hittmeyer ◽  
Douglas Scott ◽  
Alan Sánchez Jiménez ◽  
...  

ABSTRACTObjectiveTo provide evidence on the effect of the COVID-19 pandemic on the mental health of adolescents and young adults who grew up in poverty in Low and Middle Income Countries (LMICs).DesignA phone survey implemented August-October 2020 to participants of a population-based cohort study since 2002 comprising two cohorts born in 1994-5 and 2001-2 in Ethiopia, India (Andhra Pradesh and Telangana), Peru and Vietnam. We examined associations between mental health and pandemic-related stressors, as well as structural factors (gender, location, wealth); and lifelong protective/risk factors (parent and peer relationship, past household wealth, long-term health problems, past emotional problems and subjective well-being) measured at younger ages.SettingA diverse, poverty focused sample, reaching those without mobile phones or internet access.Participants10,496 individuals were approached, 9,730 participated. Overall, 8,988 individuals were included in this study, 4,610 (51%) male and 4,378 (49%) female. Non-inclusion was due to non-location or missing data.Main outcome measuresAt least mild anxiety and depression were measured by Generalized Anxiety Disorder-7 (GAD-7, ≥5) and Patient Health Questionnaire-8 (PHQ-8, ≥5).ResultsRates of symptoms of at least mild anxiety (depression) were highest in Peru at 41% (32%) [95% CI, 38.63-43.12; (29.49-33.74)], and lowest in Vietnam at 9% (9%) [95% CI, 8.16-10.58; (8.33-10.77)], mirroring COVID-19 mortality rates. Females were most affected in all countries but Ethiopia. In all countries, pandemic-related stressors were associated with increased rates of anxiety and depression, though with varying levels of importance across countries. Prior parent and peer relationships were protective factors for mental health while having a long-term health problem or prior emotional problems were risk factors.ConclusionThe COVID-19 pandemic presents significant risks to the mental health of young people. Mental health support is limited in LMICs and young people have to date been lower priority for COVID-19 interventions.Strengths and limitations of this studyThe study uses data from adolescents and young adults who grew up in poverty in four LMICs which were diversely affected by the COVID-19 pandemic, therefore investigating a globally vulnerable, but understudied group both in terms of age and wealth.This study reaches a broad sample of young people who grew up in poverty, including those without internet or mobile phone access.A key strength is combining a broad range of pandemic-related stressors from survey data on experiences of COVID-19 with previously measured information on longer-term risk and protective factors, therefore contributing to a more complete picture of COVID-19 effects.A limitation of the study is that it does not have a directly comparable pre-COVID baseline for depression/anxiety, however, proxy variables are used as a baseline and the explanatory variables capture dynamics that happened during the pandemic.A further limitation is possible underreporting due to stigma associated with mental health, despite piloting and validation, as well as possible bias in self-reported experiences of pandemic-related stressors due to feelings of anxiety or depression.


2015 ◽  
Vol 32 (1) ◽  
pp. 79-91 ◽  
Author(s):  
M. E. Harley ◽  
D. Connor ◽  
M. C. Clarke ◽  
I. Kelleher ◽  
H. Coughlan ◽  
...  

BackgroundThere is a lack of epidemiological research on the mental health of young adults in Ireland.ObjectivesTo determine prevalence of psychiatric disorders in a cohort of young Irish adults.MethodsThe Challenging Times study was a landmark study of the prevalence of psychiatric disorders in adolescents in North Dublin, Ireland: 212 school children aged 12-15 years were recruited through schools and interviewed using the K-SADS semi-structured diagnostic instrument. This cohort was traced again at age 19-24 years (mean age 20.8 years) and interviewed using SCID I & II. Main outcome measures were current and lifetime Axis I and Axis II psychiatric disorders.ResultsFollow-up rate was 80%. Using a weighted population prevalence analysis 19.8% of the cohort had a current mental disorder, 56.0% had a lifetime mental disorder of whom 28.4% had mood disorders, 27.1% had anxiety disorders, 22.7% had substance use disorders; 25.4% had lifetime multi-morbidity. Cluster A personality disorders were found in 2.3%. Lifetime prevalence of binge-drinking was 75.0%, cannabis use 65% and 17% of young adults had fulfilled criteria for an alcohol use disorder at sometime in their life. Lifetime prevalence of suicidal thoughts/behaviour was 21.1%.ConclusionsLifetime prevalence of psychiatric disorder and substance use were high in this sample of young Irish adults. Mental Health service provision for this age group is a priority. Larger studies of nationally representative samples are needed to inform service development.


2015 ◽  
Vol 32 (1) ◽  
pp. 155-160 ◽  
Author(s):  
E. Power ◽  
M. Clarke ◽  
I. Kelleher ◽  
H. Coughlan ◽  
F. Lynch ◽  
...  

ObjectivesIncreasing rates of young people not in education, employment or training (NEETs) are a cause of concern both in Ireland and internationally, but little longitudinal research has examined the link between psychiatric disorder in young people and NEET status.MethodsThe Challenging Times (CT) Study is a longitudinal, population-based study of psychopathology among 212 young Irish people. Clinical interviews were performed at two time points: 12–15 years and 19–24 years.ResultsNEET status in young adulthood was associated with a sevenfold increased risk of current suicidal ideation. This result was independent of prior adolescent mental disorder. NEET young people had a fourfold increased odds of being diagnosed with a mental disorder in childhood or early adolescence compared with their economically active peers. NEET young people were at an almost threefold increased risk of any mental health disorder a twofold increased risk of anxiety disorder and threefold increased odds of suicide attempts over their lifetime compared with economically active peers.ConclusionsNEET young people are at increased risk for mental disorder and suicidal ideation. The association is bidirectional, as prior mental disorder in adolescence appeared to account for much of the association between NEET status and current mental health problems. However, economic inactivity conveys an increased risk for suicidal ideation over and above that due to prior disorder. Our findings provide a compelling economic and societal argument for early intervention and treatment of mental disorder and the importance of vocational interventions for reducing suicide risk in young adults.


Autism ◽  
2020 ◽  
pp. 136236132096778
Author(s):  
Hillary K Schiltz ◽  
Alana J McVey ◽  
Bridget Dolan Wozniak ◽  
Angela D Haendel ◽  
Rachel Stanley ◽  
...  

Autistic adults commonly experience anxiety and depression. These mental health concerns are often tied to social experiences, such that mental well-being can be supported by social connection and deteriorated by loneliness. The mediating role of social and emotional loneliness (i.e. social isolation and lack of emotional attachment, respectively) between autism features and mental health has yet to be empirically tested among autistic adults. Here, 69 autistic young adults completed self-report questionnaires assessing social contact (Friendship Questionnaire), autism features (Autism Quotient), mental health (Liebowitz Social Anxiety Scale, Social Phobia Inventory, Beck Depression Inventory), and loneliness (Social and Emotional Loneliness Scale for Adults). Positive associations emerged between autism features, social loneliness, family loneliness, social anxiety, and depression. In addition, more social contact was related to less social and family loneliness and less social anxiety but was not related to depression. Mediation analyses indicated significant indirect effects of social contact and autism features on mental health through social loneliness. Indirect effects partially held substituting family loneliness for social loneliness and did not hold using romantic loneliness. In light of these results, the scientific and clinical implications of the role of loneliness for autistic young adults are discussed and recommendations provided. Lay abstract Autistic adults commonly experience mental health concerns including social anxiety and depression, which can have negative effects on their quality of life. It is not completely clear, however, why rates of mental health concerns are so high. Some evidence suggests that social connectedness might play a key role. The goal of this study was to explore links between loneliness, mental health concerns, autism features, and social contact among autistic adults and test whether the links between mental health with autism features and social contact can be explained by loneliness. Researchers in this study collected data using questionnaires completed by 69 autistic young adults. Autistic adults who reported more autism features also reported more social and family loneliness, higher levels of social anxiety and depression, and fewer initiated social contacts. In addition, adults with more social contact initiations were likely to report lower levels of social and family loneliness and social anxiety but not depression. Results showed that the link from social engagement and autism features to social anxiety and depression symptoms could be mostly explained by loneliness. The results of this study expand previous findings by illustrating one factor (loneliness) that might be responsible for the high rates of mental health concerns among adults on the autism spectrum. These findings highlight the importance of studying factors related to mental health concerns among autistic adults and ways to best support social connectedness for the mental well-being of autistic young adults.


2021 ◽  
Vol 18 (4) ◽  
pp. 702-708
Author(s):  
Durga Khadka Mishra ◽  
Urusha Shakya

Background: Family take the role of caregivers and provide the mentally ill member with help, care and support. Caregivers are at the high risk to anxiety and depression. The main objective of the research was to assess anxiety and depressive status among caregivers of mentally ill patients attending Mental Hospital, Lalitpur, Nepal.Methods: A cross sectional study based on clinical setting was conducted among 184 caregivers of mentally ill patients attending outpatient department of Mental Hospital, Lagankhel, Lalitpur, Nepal. Purposive sampling technique was used for the study. Pre-tested semi-structured questionnaire and validated Nepali translated version of hospital anxiety and depression scale was used to assess anxiety and depressive status among caregivers. The collected data was entered in Microsoft Excel 2013 and data analysis was done in Statistical Package for Social Sciences (SPSS) international business machine version 25. Ethical consideration was maintained during the study. Results: Anxiety and depressive symptoms among caregivers of mentally ill patients was 24.5% and 19.6% respectively. Risk factors significantly associated with anxiety and depressive symptoms in caregivers were sex of caregiver, socio-economic status and sex of patient. Types of mental illness of patient was also significantly associated with anxiety while educational status was significantly associated with depressive symptoms in caregivers.Conclusions: Anxiety and depressive symptoms were found among caregivers of mentally ill patients. It is high time to consider mental health of caregiver and mental health promotion programs and policies for caregivers should be implemented.Keywords: Anxiety; caregiver; depression; mentally ill patient; Nepal


2021 ◽  
Vol 28 (1) ◽  
Author(s):  
Areeba Shaikh ◽  
Ellen Peprah ◽  
Rawan Hamed Mohamed ◽  
Abeeha Asghar ◽  
Noor Viresh Andharia ◽  
...  

Abstract Background Lockdown conditions due to the COVID-19 pandemic have affected the mental health of people, especially the youth. This study examined the effect of lockdown on mental health of Egypt, Ghana, India, Pakistan, and the Philippines and assessed the coping strategies in practice by youth. Results Philippines had the highest mean score in all three domains followed by Egypt, Pakistan, India, and then Ghana. There was a significant association of gender with stress, educational status with depression, and anxiety with stress. Students were associated with anxiety, and the history of close friends/family infected with COVID-19 was found to be associated with depression and stress scores. The most common coping strategy for the Philippines was self-destruction; for Pakistan was religion; and for Egypt, India, and Ghana was acceptance. Using linear regression model, the highest scores observed in all three domains were associated with avoidant coping. Conclusions The findings of the study confirm that COVID-19 lockdown has affected the mental health of young adults. In particular, the presence of negative coping strategies used by the youth tends to be an indicator of increased levels of stress, anxiety, and depression and it should be considered when planning interventions within this population.


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