Background: Anxiety and depression in pregnancy can lead to low fetal quality, increased risk of pregnancy complication and developmental disorder of the child. Antidepressant treatment may cause recurrence or addiction rate of up to 50%. In theory, yoga can relieve undesirable psychic symptoms such as anxiety and depression during pregnancy. This study aimed to determine the effect of prenatal yoga on anxiety and depression. Subjects and Method: This study was a randomized controlled trial, conducted at Budi Luhur clinic in Kudus, Central Java, from 27 December 2017 to 7 February 2018. A total of 102 pregnant women was selected for this study by simple random sampling. This sample was allocated at random into the intervention group (n1=51) and control group (n2=51). The independent variable was prenatal yoga as the intervention under study. The dependent variables were anxiety and depression. The data were collected by questionnaire. Difference in the dependent variables between the two groups was tested by Mann-Whitney test and a multiple linear regression. Results: The mean level of anxiety was lower in the intervention group than the control group both at two weeks after the intervention (b= -9.25; 95% CI= -10.22 to -8.28; p< 0.001) and four weeks after the intervention (b= -5.79; 95% CI= -7.68 to -3.90; p< 0.001). The mean level of depression was lower in the intervention group than the control group both at two weeks after the intervention (b= -10.82; 95% CI= -12.29 to -9.35; p< 0.001) and four weeks after the intervention (b= -2.58; 95% CI= -3.98 to -1.18; p< 0.001). Conclusion: Prenatal yoga intervention can reduce anxiety and depression during pregnancy.

Background: Studies have investigated the effects of obesity on cancer development. However, the relationship between obesity and cervical cancer risk is unclear. This study aimed to determine the effect of obesity, oral contraceptive and passive smoking on the risk of cervical cancer. Subjects and Method: A case control study was conducted at Dr. Moewardi Hospital, from October to December 2018. A sample of 200 patients was selected by fixed disease sampling, consisting of 100 cervical cancer patients and 100 non cervical cancer patients. The dependent variable was cervical cancer. The independent variables were obesity, oral contraceptive use, smoking exposure, parity, age at first sexual intercourse, and family history. The data were obtained from medical record. The data were analyzed by a multiple logistic regression. Results:The risk of cervical cancer increased with obesity (OR= 6.83; 95%CI= 2.44 to 19.17; p<0.001), cigarette smoke exposure (OR= 12.57; 95% CI= 4.59 to 34.41; p<0.001),oral contraceptive use (OR= 3.43; 95%CI= 1.27 to 9.25; p= 0.015), parity (OR= 3.94; 95%CI= 1.47 to 10.59; p= 0.006), and family history (OR= 5.63; 95%CI= 1.94 to 16.34; p= 0.001).The risk of cervical cancer decreased with delayed menarche (OR= 0.24; 95%CI= 0.09 to 0.68; p= 0.007) and delayed age at first sexual intercourse (OR= 0.21; 95%CI= 0.86 to 0.53; p= 0.001). Conclusion:The risk of cervical cancer increases with obesity, oral contraceptive use, smoking exposure, parity, and family history.The risk of cervical cancer decreases with delayed menarche and delayed age at first sexual intercourse.

Background: Postpartum depression is one of the emotional disturbances that results from failure to postpartum psychological adaptation process. The global prevalence of postpartum depression is 10-15%. This study aimed to analyze the risk factors of pregnancy on the incidence of postpartum depression. Subjects and Method: This was an analytic and observational study with a cross-sectional design. The study was conducted at Dr. Moewardi hospital, from December 2017 to January 2018. A total sample of 150 postpartum mothers was selected for this study by exhaustive sampling. The dependent variable was postpartum depression (PPD). The independent variables were maternal age, stress, parity, unwanted pregnancy, type of labor, family income, family support, and domestic violence. The data were collected by questionnaire and analyzed by path analysis model. Results: Postpartum depression was directly and positively affected by psychological stress (b= 2.15; 95% CI= 1.17 to 3.13; p<0.001), delivery type (b= 1.27; 95% CI= 0.32 to 2.21; p= 0.008), and unwanted pregnancy (b= 1.57; 95% CI= 0.57 to 2.58; p= 0.002). Postpartum depression was directly but negatively affected by family income (b= -1.52; 95% CI= -2.51 to -0.54; p= 0.002), parity (b= -1.24; 95% CI= -2.21 to -0.28; p= 0.011), and family support (b= -1.31; 95% CI= -3.28 to -0.24; p= 0.016). Psychological stress increased with domestic violence (b= 2.68; 95% CI= 0.64 to 4.73; p= 0.010) and decreased with maternal age (b= -0.91; 95% CI= -1.68 to -0.13; p= 0.022). Parity increased with maternal age (b= 1.66; 95% CI= 0.79 to 2.53; p<0.001). Domestic violence decreased with maternal age (b= -1.34; 95% CI= -2.85 to 0.16; p= 0.081). Conslusion: Psychological stress, delivery type, unwanted pregnancy, family income, parity, and family support, are direct risk factors for postpartum depression.

Introduction:  Shackling still poses a significant obstacle to rehabilitate patient with mental disorder and often resorted by family or community. Shackling could have a negative impact toward patient’s mental health and often resorted due to lack of information. Therefore, this study aimed to evaluate the effect of multilevel health promotion to shackling prevention (MHPSP) toward the behavioral component of family/caregivers, neighbors, cadres, and health workers (stakeholders) and also evaluating its effect toward patient’s quality of life. Method:  This study uses a quasi exeperimental method with pre-test and post-test model with repetead measures design. The research subjects were 32 post-shackling patients lived in Sukoharjo Regency and 31 from Klaten Regency as well as. MHPSP was given to 32 caregivers and stakeholders who come from Sukoharjo Regency as a treatment group and psychoeducation only to 31 caregivers of control group from Klaten Regency. Quality of life measurments were carried out before treatment and four months after giving MHPSP.Result : The result showed that MHPSP significantly enhance the behavioral component of the family/caregivers as well as neighbors, cadres and health workers (p<0.05). Furthermore, patient quality of life was significantly improved in the treatment group (MHPSP) compared to the control. Conclusion: It can be concluded that MHPSP could significantly enhance the behavioral aspects of the families, neighbors, and health workers toward post-shackled PMD patients and significantly improved their quality of life. Therefore, MHPSP is needed to be implemented not only to the patient but also to the people that directly interact with them.

Background:The aging population is increasing in Indonesia and worldwide. Indonesia is one of the countries that has high aging population structure. As such, the quality of life of the elderly is of major concern. This study aimed to determine the effect of dementia, family support, peer support, type of residence, and marital status on quality of life of the elderly in Surakarta, Central Java. Subjects and Method: This was an analytical observational study with cross-sectional design. A total sample of 218 elderly people in Surakarta, Central Java, was selected for this study by fixed exposure sampling, with 1:3 ratio consisting of 50 elderly people living in Dharma Bakti nursing home and 168 elderly people living with their families in the community. The dependent variable was health-related quality of life. The independent variables were dementia, family support, peer support, type of residence, and marital status. The data were collected by questionnaire and analyzed by path analysis. Results: Better quality of life of the elderly was directly increased by strong peer support (b= 0.25, p<0.001), strong family support (b= 0.59, p= 0.002), mild dementia (b= 1.79, p<0.001), and being married (b= 12.73, p= 0.039). Better quality of life was also increased indirectly by strong peer support (b= 0.67, p= 0.012) and living with families (b= 22.93, p<0.001), through family support. Conclusion:Better quality of life of the elderly is directly increased by strong peer support, strong family support, mild dementia, and being married. It is indirectly increase by strong peer support and living with families.