OBSTETRIC AND PSYCHOLOGICAL CARE FOR PREGNANT WOMAN WITH HYPEREMESIS GRAVIDARUM WITH MODERATE ANXIETY

Physical and psychological changes experienced by pregnant women, especially hormonal changes, cause symptoms of nausea and vomiting in early pregnancy. Excessive nausea and vomiting in early pregnancy and persist throughout pregnancy will cause physical and psychological complications. The existence of psychological problems in pregnant women can predispose to nausea and vomiting which then worsens. Emotional problems are also associated with the incidence of nausea and vomiting becoming more severe. Methods: the authors conducted extensive searches by scientific journals through trusted and frequently used databases, namely PubMed, Springer, and Science Direct. The keywords used were "hyperemesis" AND "psychological" with journal publication filters, the last 4 years, randomized clinical trials, systematic reviews, meta-analysis, human research subjects. Conclusion: care that focuses on mothers by applying the principles of holistic care, where patients not only receive midwifery care physically and biologically but include psychological, social, spiritual and cultural by involving their husbands in midwifery care is proven to accelerate the physical and psychological recovery of hyperemesis sufferers.

BORDERLINE PERSONALITY DISORDER DURING COVID-19 PANDEMIC

The COVID-19 pandemic has had a significant impact on patients diagnosed with Borderline Personality Disorder (BPD). BPD patients who are unable to see a therapist due to limitations during the pandemic may experience feelings of uncertainty, misperceptions, misunderstandings, and even paranoid ideas that are usually associated with stress. In patients who have previously undergone psychotherapy, there may be negative effects during this pandemic. The majority of providers/therapists, on the other hand, stated that their experience exceeded their expectations and that they had a favorable assessment of patient acceptance.

IMPULSIVITY AND SELF-HARM BEHAVIOR IN YOUNG ADULT WOMAN WITH AUTHORITATIAN PARENTING: A CASE REPORT

Authoritarian parenting is a risk factor for impulsive behavior and children's self-efficacy. The maladaptive behavior of a teenager is influenced by many factors, including parenting, family and friendships. This can cause various psychological problems. In this case, we had report woman (21 y.o) with impulsive behavior and selfharm turned out to have authoritarian parenting and a genetic history. Data were taken from interviews and mental status examinations in psychiatric clinics, then a literature review was carried out. Result revealed that permissive and authoritarian parenting styles lead to personality disorder. Authoritarian parenting has a negative impact on the adaptation of behavior and personality of children in adolescence and can persist into adulthood if not handled properly. In addition to parenting, genetics and the environment also influence adolescence

FACTORS AFFECTING ANXIETY OF MOTHERS WITH LOW-BIRTH-WEIGHT BABIES IN SOUTHWEST SUMBA DISTRICT, EAST NUSA TENGGARA PROVINCE

The World Health Organization (WHO) states that 60-80% of the infant mortality rate (IMR) occurs due to low birth weight. Low Birth Weight (LBW) contributes 60% -80% of neonatal mortality. The Indonesian Health Demographic Survey (IDHS) in 2017 showed that the incidence of LBW in Indonesia reached 6.2% with a fairly high prevalence. These various effects of LBW are what then causes babies to often require intensive care in the hospital. This condition can then lead to anxiety in parents. Therefore, this study was conducted to determine the factors that influence anxiety in mothers who have babies with LBW conditions in Southwest Sumba Regency. This research was conducted on 20-26 March 2021 with a qualitative approach through interviews and measuring anxiety levels using the HARS questionnaire. The study population was all mothers who had LBW babies in Southwest Sumba. The research subjects were 6 respondents who were selected through the purposive sampling technique. The results showed that there were several factors that influenced the anxiety of mothers with LBW babies, including the mother's age at pregnancy, the amount of parity, and education.

HABIT REVERSAL USED TO TREAT ONYCHOPHAGIA: A CASE REPORT

Chronic nail biting (onychophagia) is a common habit which negatively impacts on the quality of life of those affected, has a negative social impact, and is accompanied with disabling inflammatory processes like gingivitis and paronychia. Habit reversal is a behaviour treatment procedure used to help patients get rid of the habit. The presented case report describes how a six-month period of habit reversal prescribed by the dermatologist was used to treat a 42-year male suffering from life-long onychophagia. During the treatment period, the patient experienced both an improved growth of nails and an improvement in quality of life, but never got fully cured from the habit. Finally, suggestions for an improved treatment success by prescribing habit reversal in specialized onychophagia clinics run by a multidisciplinary team (consisting of e.g., dermatologists, psychiatrists, and psychologists) who ensure regular follow-ups and patient compliance is provided.

THE PREVALENCE OF BODY DYSMORPHIC DISORDER WITH A TENDENCY TO ANOREXIA NERVOSA IN ADOLESCENTS

Background: Anorexia nervosa (AN) and body dysmorphic disorder (BDD) are severe body image disorders that severely interfere with the daily functioning of the individual. They are separate but overlapping nosologically entities. There is a study on the tendency of wrong eating behaviour in adolescents with specifications for anorexia nervosa in Jakarta 11.6% and there is also a study at High School in Jakarta 88.5% of adolescents experience wrong eating behaviour with the specifications of anorexia nervosa. And the two largest epidemiological surveys regarding BDD, there were 2.5% women and 2.2% men. With a fairly high number of these two events, this has the potential to have a negative impact on someone’s health. This study aims to discuss the impact of anorexia nervosa. Methods: The researcher used several literature and scientific journals, which was based on 15 journals and literature, discussing a tendency to anorexia nervosa with the incidence of Body Dysmorphic Disorder and its medical emergencies. Conclusion: There is a correlation of anorexia nervosa among teenager especially girl teenage

MASS THERAPEUTIC EDUCATION FOR MONITORING SUICIDAL BEHAVIOR IN COMMUNITY

Background: Suicide is a worrying problem in Indonesia because of increase in case reported. There has been an increase in suicide rates both globally and in Indonesia. The negative stigma, lack of education, and lack of understanding of the role of the community make it difficult to reduce the number of suicides. This study aims to discuss mass therapeutic education for monitoring suicidal behavior in community. Method: Researchers used 15 journals and literature that discuss the impact and vulnerability of distance learning on students' mental health conditions. Conclusion: The role of society in reducing the suicide rate is very much needed. The community can help make early detection of suicide. Society can help prevent suicidal ideas from arising in those around them. The public can provide information to the authorities and give advice for suicide perpetrators to visit a health center. The role of the community can be integrated in a structured and neat system that can make suicide prevention efforts become optimal.

RELATIONSHIP BETWEEN DURATION OF UNTREATED PSYCHOSIS AND COGNITIVE FUNCTIONS USING MODIFIED SCORS (SCHIZOPHRENIA COGNITION RATING SCALE) IN SCHIZOPHRENIA PATIENTS IN SAIFUL ANWAR GENERAL HOSPITAL

Mental health is a significant health problem in the world, including Indonesia. Lack of understanding and concern for the community, limitations and unequal distribution of mental health service provider also contribute to obstacles to increase public understanding and concern for mental health. This problem will give an impact on the difficulty of patients in accessing care and treatment. The emergence of the phenomenon of Duration of Untreated Psychosis (DUP) or untreated psychosis in society contributes to the worsening of the disease course of schizophrenic patients. One of the main clinical manifestations seen in schizophrenic patients is a decline in cognitive function. SCoRS is present as an easy and effective instrument in quantitatively measuring cognitive function. In the study used a modified SCoRS instrument that was more adapted to Indonesian’s culture. This study was conducted to determine the relationship between the duration of untreated psychosis and cognitive function using modified SCoRS, especially in schizophrenic patients at Saiful Anwar General Hospital. The research method used observational analytic with cross-sectional approach. Selection of research subjects based on inclusion and exclusion criteria. Then do the appropriate history taking and psychiatric examination. Correlation analysis using Spearman to determine the relationship of variable duration of psychosis without therapy and cognitive function assessed using SCoRS modification (p <0.05). The results prove that there is a significant relationship between the variable duration of therapy without therapy and cognitive function variables assessed using SCoRS modification with a weak correlation level (correlation coefficient 0.340).

ADHD WITH NON-ORGANIC ENURESIS AND BORDERLINE INTELLIGENT QUOTIENT

Symptoms of Attention Deficit Hyperacitivity Disorder (ADHD) can be associated with nocturnal enuresis. Nocturnal enuresis cases are common occur in children with Mental Retardation. There are several hypotheses underlying this comorbidity, such as genetic, neurophysiological, environmental and psychosocial factors. We report the case of a 7 year old boy with symptoms such as inability to concentrate, active movement, talk a lot, unable to wait his turn, unable to delay desires, easy fighting and behaving and speaking harshly. Patients still wet the bed at night at least 3-4 times a week The Abbreviated Conners Score rating scale assessed by the mother at the start of treatment was 21. The IQ test score was 71 and the Strength and Difficulty Questionnaire (SDQ) score was 35. The patient's symptoms were reduced after 4-month therapy with 2x5mg of methylphenidate administration, psychoeducation of parents to implement toilet training and behavior therapy for patients, apply reward and punishment with the principle of token economy. In the development process of children and adolescents, parenting is an important factor. Many studies shows that parenting can impact the resilience and vulnerability of a child to behavioral disorders. In children with ADHD with borderline IQ and enuresis, parenting with a high parental control component can cause psychological symptoms to worsen without being balanced with the attitude of parents who are responsive to the psychological needs of the child.

IMPACT AND VULNERABILITY OF DISTANCE LEARNING ON THE MENTAL HEALTH CONDITIONS OF STUDENTS

Background: Since the first cases of COVID-19 were discovered, various countries have sought various methods and ways to deal with the pandemic. Some adaptations also need to be made to avoid further adverse effect, such as lockdown which has an impact in learning for all students around the world.. The face-to-face or offline learning system that has been applied as a learning method has also been changed to a distance or online lerning method. This has the potential to have a negative impact on the mental health of students . This study aims to discuss the impact and vulnerability of students to distance or online learning methods. Method: Researchers used 15 journals and literature that discuss the impact and vulnerability of distance learning on students' mental health conditions. Conclusion: Distance or online learning is one of the methods to reduce the spread of covid, but this has a negative impact on mental health especially on the students. The effects experienced by students include anxiety, mild to severe stress, social media fatigue, and depression. The things that underlie this impact have several factors such as unfamiliarity and time needed for adaptation , the ability to use technology, a heavy burden of responsibility, and concerns about the economic burden of parents to finance learning activities. In this pandemic condition, efforts from all parties are needed so that the bad impact on the mental health of students can be minimized.