The prevalence of Major Depressive Disorder (MDD) among students was the highest (18.5%), followed by anxiety (16.7%). Psychosocial stressors and academic pressure on students require them to be able to adjust themselves in order to cope with the mental stress that occurs. The aims to descriptions of mental health, especially depression, anxiety, and stress in students. An analytic observational study with a cross sectional design used. As much 1564 students from 10 faculties filled out the DASS-42 questionnaire distributed via social media in January 2020−24 August 2020. The analyzed using chi square, Mann Whitney, and binary logistic regression with significance of 0.05. Students who have a risk to depression, anxiety, and steress are 46%, 74.2%, and 57.9%. There is a significant relationship between the incidence of depression with GPA, faculty, semester and place of residence (p<0.05). Gender, faculty, and religion factors associated with the anxiety (p<0.05). While the gender, place of residence and faculty associated with stress (p<0.05). History of chronic illness and family history of mental disorders influenced the depression, anxiety disorders, and stress (p < 0.001). Mostly, Sriwijaya University students have an increase in depression, anxiety, and stress, especially during the Covid-19 pandemic. The gender, semester, marital status, history of chronic disease, and a history of mental disorders in the family affect the incidence of depression, anxiety, and stress. The mean GPA of students with a tendency to depression, anxiety, and stress was lower by ± 0.03 points. The university stakeholders needs to implement mental health interventions to maximize student potential.
ABSTRACT Suicide is a deliberate act to end one’s life. Suicidal incidents are often found among medical students. The suicide rate among medical students is very high when compared with students of other majors. A study in the United States stated that prevalence of suicidal ideation in medical students was 11%, twice of the general population, while the prevalence of attempted suicide was 6.9%. Several factors related to the academic situation that contribute to mental disorders among medical students include pressure in medical education, demand for good skills and long education time. These factors make them prone to depression, burnout, and various emotional and mental disorders that can trigger suicide. Therefore, efforts are needed to prevent and detect the possibility of suicidal behavior. This effort must be carried out in a multidisciplinary manner. Optimizing the academic atmosphere, family involvement, the social environment, and the ability of adequate health facilities are needed. Keywords: Suicide, Medical Students, Prevention
Background: The prevalence of vaginismus ranges from 1-6%, and the ratio becomes 5%-17% in clinical setting, although it varies widely worldwide. The main cause of vaginismus is not known, but is often considered multifactorial. This paper aims to describe the factors that contribute to vaginismus. Case: A 26 years old, married woman, health practitioner presented with the complaint of not being able to have sexual intercourse. About 1 month ago, since marriage, the patient was unable to have sexual intercourse with her husband. The patient feels guilty and anxious because of the inability to please her husband. The patient's father was very dominant and was a "religious" type of parent who always gave advice with religious aspects regarding all matters. The patient's mother was a nervous person and always said that what the father said was a law that had to be obeyed. Likewise, talk about sex is a taboo topic of discussion and is considered embarrassing. Discussion: Many factors need to be explored related vaginismus. In the case, the biological aspect can be ruled out because the patient has consulted with the ob-gyn doctor. from the psychological aspect; perceptions, attitudes and attitudes towards sex and the values held by parents contribute to vaginismus in this patient. Conclusion: a therapeutic approach which focuses on all aspects promises quite good therapeutic outcomes.
Background: The ability to speak in public needs to be mastered by anyone, including village government officials. Not only the apparatus, all elements involved in the village including the Karang Taruna, the Village Representative Body, and the Empowerment and Family Welfare (PKK) of the village need to improve public speaking skills in order to strengthen the village's potential and self-potential. The absence of public speaking learning facilities in the village environment limits the local community's opportunities to develop public speaking skills. Purpose: Therefore, this community service activity aims to improve the public speaking skills of South Tanjung Dayang village apparatus, Indralaya Selatan District, Ogan Ilir Regency, South Sumatra Province. Method: This activity is aimed at village government officials which is carried out using three methods: lectures and questions and answers regarding the basic aspects of public speaking; problem solving by opening discussions about the participants' concrete problems when speaking and solutions to overcome them, as well as demonstrations and simulations. Result: This community service shows that this activity succeeded in increasing participants' understanding of important aspects of public speaking. This can be seen from the average score of the participants during the pre-test which increased from 69.2 with the lowest score of 35 to 85.6 with the lowest score of 65 during the post-test. Statistical analysis using the Wilcoxon test showed that the Sig. (2-tailed) of 0.000 <0.05 which means the alternative hypothesis (Ha) that there is a significant difference between the average pre-test scores and post-test scores has been proven. This shows that public speaking training has a significant influence on increasing the understanding of the participants. Conclusion: The implementation of public speaking training for Tanjung Dayang Selatan village officials as a whole has been successful because there has been a significant increase in understanding.
Sindrom kelelahan (burnout) adalah sindrom yang muncul akibat stres interpersonal yang berkepanjangan akibat kerja. Sindrom kelelahan (burnout) ini dapat juga dikatakan sebagai kelelahan psikologis akibat kerja. Hal ini bisa terjadi akibat tuntutan yang tinggi dari perusahaan untuk memberikan hasil kerja yang optimal yang tidak mampu ditoleransi oleh karyawan. Ada tiga hal yang dapat memicu terjadinya sindrom kejenuhan ini, yaitu beban kerja yang berlebihan, pengabaian terhadap hasil kerja dan perasaan kurang dihargai di tempat kerja. Berdasarkan survey yang dilakukan di Amerika, penyebab stres terbesar adalah karena beban kerja yang berlebihan yaitu sekitar 46%, dan 1 dari 5 karyawan mengalami sindrom kejenuhan (burnout). Di Indonesia, hasil survey menyebutkan bahwa sekitar 64% karyawan mengalami peningkatan kelelahan akibat kerja, dan sekitar 20% karyawan percaya bahwa kelelahan psikologis menjadi penyebab tidak masuknya karyawan dengan alasan sakit di perusahaan. Pengabdian masyarakat ini dilakukan atas permintaan dari Perusahaan Pertamina Palembang. Sindrom kejenuhan (burnout) menjadi masalah yang serius bagi karyawan dan perusahaan. Jika tidak segera diatasi akan memicu timbulnya gangguan psikologis yang cukup berat pada karyawan seperti penurunan produktifitas, penarikan diri dari tempat kerja, depresi bahkan kecemasan, yang kemudian pada akhirnya bisa berdampak negatif bagi perusahaan. Untuk itulah diperlukan adanya monitoring dan evaluasi terkait dengan kondisi psikologis karyawan yang berkala.
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