Individualized metacognitive training is an effective therapy for reducing delusion severity and at the same time increasing metacognitive ability. Correlations emerged between delusion severity and metacognitive ability was needed to be established. Current research findings on cognitive biases and their link to schizophrenia/delusions are explained in a comprehensible and non-stigmatizing manner to patients and illustrated by multiple (everyday life) examples. The article is a report of a study conducted to explore the influence of individualized metacognitive therapy (MCT) on delusional severity and metacognitive ability. Delusional beliefs are at the core of schizophrenia. While there is emerging evidence on the usefulness treatment for psychosis of the group training MCT, so far only one study has investigated the effectiveness of individualized metacognitive training. A quasi experimental approach was adopted: The sample consisted of each 26 patients in the intervention group and in the control group. We found that delusion severity as assessed with the Psychosis Rating Scales and metacognitive abilities using the Metacognitive Ability Questionnaire improved significantly in the intervention group. Group differences achieved significance in favour of the MCT for all measures. Correlations that emerged between delusion severity and metacognitive ability were needed to be established. Metacognitive training appears to be effective in decreasing delusion severity and increasing metacognitive ability. We recommend that individualized MCT for a schizophrenic client should become a standard procedure in the treatment of psychosis, which can be administered by a qualified nurse.

AbstrakIbu nifas sering mengalami masalah menyusui diantaranya karena kurangnya produksi ASI. Penelitian ini bertujuan melihat keefektifan pemberian paket "SUKSES ASI" ibu menyusui dengan seksio sesarea terhadap produksi ASI di wilayah Depok. Penelitian ini menggunakan desain kuasi eksperimen dengan post test only design. Jumlah sampel adalah 29 orang kelompok intervensi dan 31 orang kelompok kontrol. Uji kesetaraan karakteristik didapatkan hasil tidak ada perbedaan bermakna antara kelompok intervensi dan kelompok kontrol (p> α, α< 0,05). Hasil uji analisis dengan Chi-Square didapatkan perbedaan yang bermakna antara kepuasan produksi ASI (p= 0,002, OR 95% CI 9,244), kelancaran produksi ASI dari indikator bayi (p= 0,000, OR 95 % CI 9,000) dan kelancaran produksi ASI dari indikator ibu (p= 0,004, OR 95 % CI 0,181) antara kelompok intervensi dan kontrol. Diharapkan paket "SUKSES ASI" ini dapat digunakan dalam intervensi keperawatan maternitas, serta pengembangan paket yang lebih sempurna melalui penelitian lanjutan dengan survei pengkajian kebutuhan ibu post seksio sesarea untuk kelancaran produksi ASI. AbstractPostpartum mothers often have feeding problems include lack of milk production. This study purposed to look at the effectiveness of the package "SUKSES ASI" nursing mother with caesarean section on milk production in the area of Depok. This study used quasi-experimental design with a post test only design. Number of samples was 29 intervention group and 31 control group. Equivalence test characteristics obtained results no significant difference between the intervention and control groups (p> α, α< 0,05). The results with the Chi-Square analysis found significant differences between milk production satisfaction (p= 0,002, OR 95% CI 9,244), the smooth production of the indicators of infant milk (p= 0,000, OR 95% CI 9,000) and lactation of indicators mothers (p= 0,004, OR 95% CI 0,181) between the intervention and control groups. Expected package "SUKSES ASI" can be used in maternity nursing interventions, as well as the development of a more complete package through continued research with the needs assessment survey of post-caesarean section for maternal lactation.

AbstrakAnsietas merupakan salah satu gangguan mental emosional yang dapat disebabkan karena pengalaman traumatis sepertibencana alam di Kabupaten Klaten. Melalui logoterapi diharapkan dapat membangkitkan optimisme seseorang dalam menghadapimasa depan. Tujuan penelitian adalah menjelaskan pengaruh logoterapi kelompok terhadap ansietas penduduk pascagempa.Penelitian dilakukan terhadap 42 responden kelompok intervensi dan 42 responden kelompok kontrol. Metode penelitian yaituquasi experimental pre-post test with control group dengan teknik simple random sampling. Analisis yang digunakan adalahuji chi squere, dependent, independent sample t-test, regresi linier ganda. Hasil uji statistik menunjukkan self evaluasi danobservasi terdapat perbedaan yang bermakna terhadap respon yang ditimbulkan dari ansietas (p= 0,00, α= 0,05). Rekomendasipenelitian diutamakan kepada Puskesmas agar memfasilitasi penerapan logoterapi kelompok dalam mengatasi ansietas.Kata kunci: ansietas, bencana, dampak psikologis, logoterapi kelompokAbstractAnxiety is one of the emotional mental disorders can be caused by traumatic experiences such as natural disasters in Klatenregency. The therapy arrouses their optimism about the future with any obstacles. The research’s goal was to explain the effectof group logotherapy to minimize clients anxiety post disasters. They were 42 respondents as intervention group and theothers control group. The research’s method used quasi experimental pre-post test with control group and sampling wassimple random. Analyze by Chi-square, dependent and independent sample t-test, and double linear regression. The resultsshowed that based on self evaluation and observation there was significance anxiety responses caused by anxiety (p= 0.00,α= 0.05). This research recommended that the public health should facilitate the application of group logotherapy to reduceanxiety.Keywords: anxiety, disaster, group logotherapy, psychological impact