Hubungan Kepribadian dengan Kontrol Glikemik Pasien Diabetes Mellitus Tipe 2 di RSUD Dr. Soetomo Surabaya

Latar Belakang: Diabetes Mellitus (DM) adalah penyakit kronis yang paling umum diderita orang dewasa dengan angka kematian yang besar akibat komplikasi, sehingga penting untuk mengidentifikasi faktor-faktor yang berhubungan dengan kontrol glikemik pada pasien DM, salah satunya faktor kepribadian. Selama ini, peran kepribadian relatif diabaikan. Penelitian ini bertujuan untuk menganalisis hubungan antara unsur kepribadian dengan kontrol glikemik pasien DM tipe 2 di Unit Rawat Jalan Poli Diabetes RSUD dr. Soetomo. Metode: Penelitian analitik observasional cross sectional dengan metode consecutive sampling terhadap pasien DM tipe 2 yang berkunjung ke Unit Rawat Jalan Poli Diabetes RSUD Dr Soetomo Surabaya. Instrumen yang digunakan meliputi skala Personality Psychopathology Five (PSY-5) Tes Kesehatan Mental Indonesia (TKMI), Perceived Stress Scale (PSS), dan kadar HbA1c darah. Data disajikan dalam tabel dan grafik dengan uji regresi logistik ganda dan analisis statistik menggunakan SPSS 19.0. Hasil: Skor unsur psychoticism pasien DM tipe 2 di Poli Diabetes RSUD Dr. Soetomo Surabaya lebih tinggi dari unsur kepribadian lain (mean 57,54; median 56; skor terendah 38; skor tertinggi 93); 59,8% pasien mempunyai tingkat perceived stress sedang; 77% pasien mempunyai kadar HbA1c yang tidak terkontrol; unsur kepribadian psychoticism secara bermakna berhubungan dengan perceived stress (p 0,031; β 0,064) dan unsur kepribadian discontraint secara bermakna berhubungan negatif dengan perceived stress (p 0,018; β -0,108); didapatkan hubungan negatif antara perceived stress dengan kontrol glikemik (p 0.001; β -3,571). Kesimpulan: Kepribadian berhubungan dengan kontrol glikemik pada pasien DM tipe 2 di unit rawat jalan Poli Diabetes RSUD Dr. Soetomo Surabaya melalui perceived stress.

The Role of Dimensional Personality Psychopathology in a Forensic Inpatient Psychiatric Setting

The Minnesota Multiphasic Personality Inventory-2 Restructured Form is a widely used measure of psychopathology and includes the Personality Psychopathology Five (PSY-5) scales, which measure dimensional maladaptive personality traits similar to those in the DSM-5 alternative model for personality disorder (PD) diagnosis. The current study evaluated the role of these dimensional personality psychopathology characteristics in a sample of 1,110 inpatients in a forensic psychiatric setting, where personality psychopathology plays a significant but understudied role. The authors examined the extent to which dimensional personality psychopathology characteristics (as measured by the PSY-5) were associated with borderline and antisocial PD diagnoses and institutional aggression. Results support the usefulness of measuring dimensional personality traits for understanding PD diagnoses, as well as incidents of institutional aggression. More specifically, the PSY-5 scales appear to measure the core features of borderline and antisocial PDs. This study supports the inclusion of dimensional personality assessment in understanding aggressive behavior in inpatient settings.

Childhood Maltreatment as Predictor of Pathological Personality Traits Using PSY-5 in an Adult Psychiatric Sample

Extant literature indicates that childhood maltreatment is significantly associated with personality disorders. With the recent call for a more dimensional approach to understanding personality and pathological personality traits, the aim of the present study was to examine whether the experience of childhood maltreatment is associated with pathological personality traits as measured by the Personality Psychopathology Five (PSY-5). We analyzed data from 557 adult psychiatric patients with diverse psychiatric diagnoses, including mood disorders, schizophrenia spectrum disorders, and anxiety disorders. Hierarchical multiple regression analyses were conducted to determine the degree to which childhood maltreatment explained the five trait dimensions after controlling for demographic variables, presence of psychotic symptoms, and degree of depressive symptoms. Childhood maltreatment significantly predicted all of the five trait dimensions of the PSY-5. This suggests that childhood maltreatment may negatively affect the development of an adaptive adjustment system, thereby potentially contributing to the emergence of pathological personality traits.

Profil PSY-5 scales dari MMPI-2 adaptasi Indonesia pada mahasiswa Semester 1 TA 2013/2014 Fakultas Kedokteran Universitas Sam Ratulangi Manado

A college student is constantly facing problems from internal source as well as external source that can affect both academic and non-academic field. Those problems can disturb the student’s mental health. One of the methods to identify a person’s mental status is a personality test. This study used Personality Psychopathology Five (PSY-5) scales from the Indonesian adaptation of MMPI-2 to obtain the mental status of college students of 1st semester academic year of 2013/2014 Medical Faculty University of Sam Ratulangi. This was a descriptive study with a cross sectional survey. The results showed that of 101 respondents based on the socio-demographic the majority were females (72.28%), aged 18 years (88.12%), originated from Sulawesi Utara (64.36%), belonged to a tribe from out of Sulawesi (53.47%), had a sibling (33.67%), first child of the family (40.59%), and parents worked at the private sector. The distribution based on the academic characteristics of the respondents showed that the majority applied with the T2 and had high prestation index varied from ordinary to high (32.68% to 33.66%). Based on the distribution of Psy-5 scales of 101 respondents, there were some PSY-5 sub-scales that had high values as follows: AGGR (5.94%), PSYC (6.93%), DISC (7.92%), NEGE (12.87%), and INTR (16.83%). College students with high values of PSY-5 scales could show particular types of personality that varied in every PSY-5 sub-scales. It is suggested that students who had high scale values should be paid attention from the head of the faculty to prevent the occurence of mental disorders.Keywords: personality test, PSY-5 scales, MMPI-2, college students Abstrak: Mahasiswa cenderung berhadapan dengan masalah baik yang berasal dari sumber internal maupun eksternal, yang dapat memengaruhi prestasi bidang akademis maupun non-akademis. Setiap masalah tersebut dapat menimbulkan pengaruh pada kesehatan mental mahasiswa. Salah satu cara untuk mengidentifikasi status mental seseorang ialah dengan menggunakan tes kepribadian. Penelitian ini menggunakan Personality Psychopathology Five (PSY-5) scales dari MMPI-2 adaptasi Indonesia untuk mengetahui status mental dari mahasiswa semester 1 TA 2012/2013 FK UNSRAT. Jenis penelitian ialah deskriptif dan dilakukan survei secara potong lintang. Hasil penelitian memperlihatkan 101 responden berdasarkan sosio-demografik terbanyak ialah perempuan (72,28%), usia 18 tahun (88,12%), asal daerah Sulawesi Utara (64,36%), suku di luar Sulawesi (53,47%), jumlah bersaudara 2 orang (33,67%), anak pertama dalam keluarga (40,59%), dan pekerjaan orang tua sebagai pekerja swasta (43,56%). Distribusi berdasarkan karakteristik akademis didapatkan dari 101 responden terbanyak mengikuti jalur T2 dan memiliki nilai indeks prestasi SMA sedang dan baik (32,68% dan 33,66%). Simpulan: Pada distribusi skala Psy-5 dari 101 responden ditemukan beberapa sub skala PSY-5 yang tinggi antara lain AGGR (5,94%), PSYC (6,93%), DISC (7,92%), NEGE (12,87%), dan INTR (16,83%). Mahasiswa dengan skala PSY-5 yang tinggi didapati beberapa jenis kepribadian khas yang berbeda-beda pada tiap sub skala PSY-5. Bagi setiap mahasiswa yang menunjukkan profil skala yang tinggi seharusnya mendapat perhatian dari pimpinan fakultas untuk mencegah tmbulnya gangguan jiwa. Kata kunci: tes kepribadian, PSY-5 scales, MMPI-2, mahasiswa