Scientia Psychiatrica

Relationship between Neutrophil-Lymphocyte Ratio (NLR) and Self-Esteem in Patients with Borderline Personality Disorder

2024-03-19T10:47:49+00:00

Background: Borderline personality disorder (BPD) is a personality disorder that has low self-esteem, unstable emotions, high rejection, and is reactive to everyday interpersonal stress. The involvement of inflammatory factors in BPD has been widely reported by researchers. NLR is a specific inflammatory mediator in the adaptive immune response that can be examined through inexpensive and fast hematology tests. NLR is expected to be used as a marker of self-esteem in individuals with BPD. The study aimed to determine the relationship between NLR and self-esteem in patients with BPD.

Methods: This is a quantitative study with a cross-sectional design. The total sample is 37 respondents who have been diagnosed with BPD from several hospitals in Semarang. Collection data use questionnaire RSES and blood sampling for NLR examination.

Results: From 37 respondents, 27 (73.0%) subjects had low self-esteem, and 10 (27.0) subjects had high self-esteem. We found that the sensitivity of NLR was 50.00%, specificity 48.15%, positive predictive value 26.32%, negative predictive value 27.03%, and accuracy 48.65%. Area under curve (AUC) 0,537 and correlation cut off point NLR to self-esteem is no significant relationship because the p-value is 0,605 with RP 0.93(0,22-3,96) (95% CI).

Conclusion: NLR cannot be used as a marker of high or low self-esteem in individuals with BPD.

Depressive Symptoms in Heart Failure: Pathophysiology and Diagnosis

2024-03-19T10:48:31+00:00

Depression commonly affects individuals with heart failure and is associated with higher mortality rates, increased disability, healthcare costs, and reduced quality of life. Heart failure patients are more likely to experience depression. This study was aimed to describe pathophysiology and treatment of depression in heart failure patients. Both physiological and behavioral variables may influence the relationship between depression and the development and progression of heart failure, as well as increased rates of mortality. Because of the similarities between the symptoms of cardiac and mental illnesses, it may be difficult to make an appropriate diagnosis of depressive disorders in individuals who are suffering from heart failure. Further research is urgently needed to improve the diagnosis of these disorders and develop therapies that benefit patients with heart failure.

An Overview of Aggressive Behaviors in Children with Autism Spectrum Disorder

2024-03-19T10:49:14+00:00

Children and adolescents with autism spectrum disorder (ASD) frequently exhibit symptoms of irritability and aggression, which may appear as tantrums, self-injury, and violent behaviors. As a result, parents often bring their children to the emergency room or seek psychiatric treatment. Aggression refers to conduct that poses a threat or inflicts injury by bodily or verbal actions, such as striking, biting, hurling things, or using offensive language against another individual. Aggressive behaviors can detrimentally impact the patient's quality of life, increase their stress levels, and hinder their ability to get educational and social assistance. A multidisciplinary approach is crucial for assessing patients and selecting the most effective treatment. Both non-pharmacologic and pharmacologic treatments are available to address violent behavior in children with ASD. As a health practitioner, it is crucial to understand the circumstances that might trigger aggressiveness in children with ASD and possess the knowledge and skills to effectively manage and treat these patients. By doing so, we can optimize their outcomes and enhance their overall quality of life.

Parenting Patterns' Impact on the Likelihood of Mental Disorders in Palembang, Indonesia

2024-02-06T05:32:21+00:00

Introduction: Parenting style has a crucial role in shaping a child's physical and mental growth. The objective of this study is to assess the impact of parenting styles on the likelihood of developing mental problems in the urban area of Palembang, Indonesia.

Methods: This study employed a cross-sectional research methodology, encompassing a sample of 1,000 participants aged between 18 and 65 years. We categorized the participants based on the type of parenting style they experienced, namely authoritative, permissive, and authoritarian parenting. We used the Kessler Psychological Distress Scale (K10) questionnaire to assess the likelihood of mental illnesses.

Results: The study found that individuals raised with an authoritative parenting style had a lower vulnerability to mental problems compared to those raised with either a permissive or authoritarian parenting style.

Conclusion: The practice of authoritative parenting can serve as a safeguard against susceptibility to mental diseases.

Analysis of Factors Influencing Stigma Against Mental Disorders in Indonesia: Systematic Literature Review

2024-02-06T05:36:20+00:00

Introduction: Stigma towards mental disorders is an important public health problem in Indonesia. This stigma can have a negative impact on the lives of people with mental disorders (ODGM), such as discrimination, social isolation, and an increased risk of suicide. This research aims to analyze the factors that influence the stigma of mental disorders in Indonesia.

Methods: This research uses a systematic literature review method. Research data was obtained from electronic literature searches on PubMed, Medline, and Google Scholar. Research inclusion criteria were research published in reputable scientific journals, published in the 2010-2022 period, and discussing factors that influence the stigma of mental disorders in Indonesia.

Results: The research results show that there are five factors that influence the stigma of mental disorders in Indonesia, namely: low knowledge about mental disorders, negative views about mental disorders, negative experiences with people with mental disorders, cultural factors, and socioeconomic factors.

Conclusion: Negative views about mental disorders can come from various sources, including family, friends, society, and mass media. Education about mental disorders needs to be improved to increase public knowledge about mental disorders.