scholarly journals KEGAWATDARURATAN PSIKOLOGIS BERUPA TINGKAT STRES, KECEMASAN DAN DEPRESI KORBAN GEMPA, TSUNAMI DAN LIKUIFAKSI DI WILAYAH PANTOLOAN KABUPATEN DONGGALA PALU SULAWESI TENGAH

Masker Medika ◽  
2020 ◽  
Vol 8 (1) ◽  
pp. 46-52
Author(s):  
Miranti Florencia Iswari

Pendahuluan: Korban bencana tidak hanya mengalami masalah darurat seperti pembangunan, makanan, kondisi fisik akibat gempa namun juga masalah kesehatan mental. Setelah peristiwa bencana, sebagian besar populasi korban bencana tetap memiliki reaksi psikologis yang normal, akan tetapi 15-20% akan mengalami gangguan mental ringan atau sedang yang merujuk pada kondisi PTSD (Post Traumatic Stress Disorder), sementara 3-4% akan mengalami gangguan berat seperti psikosis, depresi berat dan kecemasan yang tinggi. Tujuan penelitian: untuk menjelaskan tentang kegawatdaruratan psikologis berupatingkat stress, kecemasan dan depresi yang terjadi pada korban bencana gempa, tsunami dan likuifaksi wilayah pantoloan Kabupaten Donggala Palu Sulawesi Tengah. Populasi dalam penelitian ini adalah para pengungsi di tenda-tenda pengungsian di wilayah Pantoloan Kabupaten Donggala dan sampel berjumlah 33 responden ditentukan dengan teknik total sampling. Metode: yang digunakan yaitu kuantitatif dengan rancangan penelitian deskriptif. Pengumpulan data menggunakan Instrumen penelitian questioner DASS 42 dengan teknik wawancara dan observasi. Hasil penelitian: didapatkan tingkat stress terbanyak pada kategori berat yaitu 17 orang (51.5%), tingkat kecemasan terbanyak kategori berat yaitu 30 orang (90.9%), dan tingkat depresi terbanyak kategori ringan yaitu 22orang 66.7%).   Introduction: Disaster victims not only experience emergency problems such as construction, food, physical condition due to the earthquake but also mental health problems. After a catastrophic event, the majority of the disaster victims population still has a normal psychological reaction, but 15-20% will experience mild or moderate mental disorders that refer to the condition of PTSD (Post Traumatic Stress Disorder), while 3-4% will experience severe disorders like psychosis, major depression and high anxiety. The purpose of the study: to explain the psychological emergencies in the form of stress, anxiety and depression that occur in victims of the earthquake, tsunami and liquefaction of the Pantoloan area, Donggala Palu, Central Sulawesi. The population in this study wererefugees in refugee tents in the Pantoloan area of Donggala Regency and a sample of 33 respondents was determined by total sampling technique. Method: used is quantitative with descriptive research design. Data collection using the DASS 42 questioner research instrument with interview and observation techniques. Results: the highest levels of stress were found in the severe category of 17 people (51.5%), the most severe level of anxiety was 30 people (90.9%), and the mildest level of depression was 22 people 66.7%).

2020 ◽  
Vol 13 (1) ◽  
pp. 213-222
Author(s):  
Nandang Rusmana ◽  
Anne Hafina ◽  
Dodi Suryana

Background: This study was motivated by the failure of coping and adaptation to traumatic experiences that cause a wide, deep, and long-term snowball effect that may not be reversible. Objective: This study aims to test the effectiveness of the implementation of group play therapy in dealing with post-traumatic stress disorder (PTSD) victims of natural disasters in three provinces in Indonesia. Materials and Methods: The study employed an explanatory mixed methods design. The procedures and steps taken in this study refer to the research and development cycle. The subjects and objects of the study were 106 male and 92 female preadolescent students of junior high school in three provinces in Indonesia. Results: Traumatic counselling through group play therapy techniques has the effect of reducing post-traumatic stress disorder on victims of the tsunami disaster in three provinces in Indonesia. The first study conducted in Lombok West Nusa Tenggara province obtained the results of the calculation of the value μ2 = 0.021 for the value of μ1> 0.05. The second study in Palu, Central Sulawesi Province obtained the results of the calculation of the value of μ2 = 0.018 for the value of μ1> 0.05, and the third study in Anyer, Banten province obtained the results of the calculation of the value of µ2 = 0.011 for the value of µ1 > 0.05. Conclusion: Teaching and practising the skills of traumatic counselling using using Group Play Therapy can handle PTSD victims of natural disasters that significantly change victims.


2003 ◽  
Vol 1 (2) ◽  
pp. 5-6 ◽  
Author(s):  
Panos Vostanis

Children exposed to violence are at high risk of developing a range of mental health problems, predominantly post-traumatic stress disorder (PTSD) and depression (Yule, 1999). Children in war zones can be affected not only directly but also indirectly, for example through their basic health needs not being met, the loss of family members, disruption of social networks, internal displacement and their parents’ responses.


2011 ◽  
Vol 198 (4) ◽  
pp. 317-322 ◽  
Author(s):  
Annelieke N. Drogendijk ◽  
Peter G. van der Velden ◽  
Berthold P. R. Gersons ◽  
Rolf J. Kleber

BackgroundDisaster research suggests that immigrant groups who are affected by a disaster receive less emotional support than their native counterparts. However, it is unclear to what extent these differences can be attributed to post-disaster mental health problems or whether they were present before the event.AimsTo examine the association between lack of social support, immigration status and victim status, as well as differences in support between immigrants and Dutch natives with disaster-related post-traumatic stress disorder (PTSD).MethodSocial support and psychological distress were assessed among immigrants and Dutch natives, among affected and non-affected individuals 4 years post disaster. Post-traumatic stress disorder was examined in the affected groups.ResultsAffected immigrants more often lacked various kinds of perceived social support compared with affected Dutch natives. Remarkably, we found no differences in support between affected immigrants and non-affected immigrants. Immigrants with PTSD differ on only two out of six aspects of support from the Dutch natives with PTSD.ConclusionsResults clearly indicate that differences in support between immigrants and Dutch natives are not so much a consequence of the disaster but were largely present before the disaster.


2009 ◽  
Vol 11 (1) ◽  
pp. 91-99 ◽  

Children and adolescents experience high rates of potentially traumatic experiences. Many children subsequently develop mental health problems, including post-traumatic stress disorder (PTSD) symptoms. Accurately diagnosing PTSD in children is challenging. This paper reviews the following important issues: (i) the specificity of the PTSD diagnosis; (ii) children who are symptomatic and impaired but do not have enough symptoms for the diagnosis of PTSD; (iii) developmental considerations for preschool and school-age children; and (iv) a variety of assessment challenges that reflect the difficulty and complexity of interviewing children and caregivers about these symptoms. Despite these challenges, PTSD remains the best construct for clinical and research work with trauma survivors. Pediatric PTSD criteria are valuable for identifying children at risk and in need of treatment, and can be even more helpful when developmentally modified in ways that are discussed.


2018 ◽  
Vol 1 (3) ◽  
pp. 95
Author(s):  
Del Fatma Wati ◽  
Winda Ratna Wulan

<p><em>Disasters can cause trauma to individuals who experience direct events or as witnesses, which is one of the psychological impacts that are often encountered in disaster victims is Post-Traumatic Stress Disorder or PTSD. Pharmacological therapy in disaster victims with PTSD can be more effective if combined with psychotherapy interventions. One of the psychotherapy therapies that can be done using the CBT method. The goal of CBT is to improve psychosocial function, restore thinking ability, reduce the impact of traumatic events. The aim of this literature review is to determine the effectiveness of the application of CBT to disaster victims with PTSD, by using a database that is used as a search source related to research, namely "ncbi," google scholar ","msjonline.org"," national library ", and "Researchgate". Research data on databases using the keywords "disaster", "Post-Traumatic Stress Disorder (PTSD)", "Cognitive Behavior Therapy (CBT)", and "the influence of CBT". The results show that the CBT method used in disaster victims with PTSD is effective in reducing levels of anxiety, discomfort, depression, helplessness, and behavioral problems of various types of measuring instruments and different patient populations. This literature study reports that the positive influence of the CBT method used on disaster victims with PTSD can maintain adaptive coping, improve socialization and train courage of independence.</em></p><p><em>Keywords: Disaster, Post-Traumatic Stress Disorder (PTSD), Cognitive Behavior Therapy (CBT), Effect of CBT</em></p>


1995 ◽  
Vol 167 (2) ◽  
pp. 228-232 ◽  
Author(s):  
C. Duggan ◽  
J. Gunn

BackgroundOur aim was to describe the medium-term course (2–3 years) in a series of victims who had experienced severe trauma.MethodWe selected a consecutive series of 31 trauma victims and applied a structured clinical schedule (CAPS-2) to their psychiatric evaluations prepared for the court on two separate occasions approximately one year apart.ResultsPost-traumatic stress disorder and depression were the commonest diagnoses, occurring in 39% and 16% of the victims respectively when they were first assessed. Most had improved between the assessments and this was especially the case for the re-experiencing of the trauma and over-arousal, but less so for avoidance; 20% of subjects showed no improvement, often being handicapped by secondary psychiatric illness.ConclusionTraumatised victims generally showed recovery in the 2–3 years after the trauma, but this was slow and was not universal.


2017 ◽  
Vol 4 (2) ◽  
Author(s):  
Mridula.C.Jobson ◽  
Dr. R. Subhashini

Background: Chronic Illness is disorders or diseases that compromise well-being, either temporarily or chronically. Identifying related risk factors is of theoretical and practical relevance. It helps to understand psychosocial consequences of chronic diseases and provide valuable information for clinicians regarding who should be screened for what kind of problems. These children undergo a silent development of stress which occur Post Trauma. Post Traumatic Stress (intrusive memories, avoidance, and distress) is a condition of persistent mental and emotional stress occurring as a result of injury or severe psychological shock. Aim and Objective: To determine level of post traumatic stress faced by adolescent children with chronic illness. Samples and Methods: The study was carried out in 75 samples under treatment for Chronic illness in MMM hospital between age group 1 to 20 years. The samples were selected through convenient sampling technique. The Tool used for data collection and assessment of Post traumatic stress level is a Semi structured questionnaire which includes: Demographic details-: Socio demographic profile (age, gender, place of residence, religion, education, occupation, type of family etc) and .Post traumatic stress scale-Manual for the Administration and Scoring of the PTSD(Post Traumatic stress disorder) Symptom Scale – Interview for DSM-5 (PSS-I-5) Result: PTSD (Post Traumatic stress disorder) was significantly observed in all the respondents’ with chronic illness. Conclusion: The preliminary study concludes the presence of post traumatic stress disorder among adolescence with chronic illness. This particularly emphasizes on multidimensional   assessment and treatment.


2020 ◽  
Vol 8 (4) ◽  
pp. 469
Author(s):  
Febri Tri Andini ◽  
Yulastri Arif ◽  
Feri Fernandes

Victims of violence such as children who experience psychic trauma when not properly handled can experience Post Traumatic Stress Disorder (PTSD). Post-Traumatic Stress Disorder is a result of disasters or calamities such as accidents, natural disasters, war or violence that cause disruptions such as anxiety and impaired self-integrity. There are several factors that cause a person to experience PTSD, one of which is a factor associated with traumatic events. This research aims to know the education of mental health needed by children of violence with PTSD. The design of this research uses a type of quantitative research that is descriptive. The location of this research is six regencies/cities in West Sumatra province, namely Padang City, Agam Regency, Solok Regency, Solok City, Pariaman Regency and District 50 Kota. The sample samples amounted to 106 students taken using the Multistage Sampling technique. The measuring instrument used is a violent questionnaire, Mini ICD10 Questionnaire, DSM V questionnaire and questionnaire to determine the mental health education that children need with PTSD. Data analysis using the SPSS application and research results in the form of frequency distribution.The results of this study were 34.9% of children's violent victims with PTSD chose positive thinking education as a form of education needed..


2020 ◽  
Vol 6 (2) ◽  
Author(s):  
Osman Mahmoudi ◽  
Mohammad Rauf Amini

Background: The post-traumatic stress disruption checklist (PCL) is a reliable self-assessment measure for post-traumatic stress disorder (PTSD). Recently, the PCL has been updated based on the DSM-5 criteria for PTSD Objectives: The present study aimed to determine the psychometric properties and diagnostic capability of the PCL as a screening tool in an earthquake-stricken population in Kermanshah, Iran. Methods: This cross-sectional study was conducted on 200 injured earthquake victims in Sales and Javanrud counties. The subjects were selected via purposive sampling. The PCL was translated into Kurdish (Surani), and trained interviewers run the translated version for 200 individuals manifesting the symptoms of post-earthquake stress in the earthquake-stricken cities of Javanrud and Sales located in Kermanshah province. After two weeks, 100 participants were randomly selected, and the questionnaire was completed again. Results: The internal consistency of the PCL (α = 85%) was indicative of the validity of the checklist. The Youden’s index with the cutoff point of 23 was considered optimal for the PCL tool. The diagnostic values of sensitivity and specificity were estimated at 0.82 and 0.81, respectively (P < 0.001). In addition, the test-retest results were equal after two weeks (α = 87%), indicating the high reliability of the checklist. Conclusions: According to the results, the PCL is a sensitive and accurate tool for assessing the status of PTSD in disaster victims and accidents and could be used in the screening of PTSD in the health monitoring programs for these victims.


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