No abstract

Abstrak: Kehidupan remaja di Lembaga Pembinaan Khusus Anak (LPKA) merupakan bentuk dari konsekuensi hukuman atas perilaku melanggar hukum yang pernah dilakukan. Berbagai permasalahan dialami remaja dalam menjalani kehidupannya di LPKA, diantaranya perubahan hidup, hilangnya kebebasan dan hak-hak yang semakin terbatas, hingga perolehan label “panjahat” yang melekat pada dirinya.Oleh sebab itu, dibutuhkan terapi untuk meningkatkan harga diri pada remaja. Penelitian ini bertujuan melihat pengaruh terapi kognitif terhadap peningkatan harga diri remaja di LPKA. Penelitian ini menggunakan desain Quasi Experimental Pre-Post Test with Control Group. Jumlah sampel sebanyak 28 responden yang terdiri dari 14 kelompok perlakuan dan 14 kelompok kontrol dengan teknik purposive sampling. Instrument pengukuran harga diri menggunakan kuesioner yang di modifikasi dari Roserberg Self-Esteem Scale. Hasil penelitian ini menunjukkan terdapat perbedaan peningkatan harga diri remaja antara sebelum dan sesudah diberikan terapi generalis HDR dan terapi kognitif pada kelompok perlakuan (nilai p-value = 0,000). Pada kelompok kontrol terdapat perbedaan peningkatan harga diri antara sebelum dan sesudah diberikan terapi generalis HDR (nilai p-value= 0,000), sedangkan untuk harga diri remaja sesudah diberikan intervensi antara kelompok perlakuan dengan kelompok kontrol terdapat perbedaan peningkatan harga diri antara kelompok perlakuan dengan kelompok kontrol setelah diberikan intervensi (nilai p-value =0,006).Pemberian terapi generalis dan terapi kognitif memiliki pengaruh yang lebih bermakna terhadap peningkatan harga diri remaja dibandingkan dengan pemberian tindakan generalis saja. Kata kunci: harga diri, terapi kognitif, remaja

A woman's transition into motherhood brings about physical and psychological changes. The changes require adjustments to her daily roles and activities. If the postpartum mother is not able to adapt well, then there will be a mood disorder. Depression is a part of mood disorder. The impact of postpartum depression will disrupt the mother-infant bonding, breastfeeding self-efficacy and the changing of marriage partnership. The purpose of this research was to analyze the impacts most affected by the incidence of postpartum depression in the working area of public health Malang City. The research used descriptive correlational method with cross sectional, with purposive sampling of 70 respondents in the period April 26th, 2017 - May 30th, 2017. The results are 93% of post-partum mothers experience moderate depression affecting low breast-feeding ability 54.3%, poor marital relationship situation 52.9% and moderate emotional bonding disturbances 47.1%. The result of bivariate analysis is known to the effect of postpartum depression, namely breastfeeding ability (p value = 0,011), marital relationship situation (p value = 0.014), emotional bond (p value = 0,021). The results of logistic regression test showed that the impact most influenced by postpartum depression was the ability of breastfeeding (p value = 0,011; ExpB 6,394). Postpartum mothers can predict the incidence of depression by looking at three aspects directly including the breastfeeding self-efficacy, marriage partnership and mother-infant bonding. Of the three aspects of the most influential is the breastfeeding self-efficacy. In the next research should be done at a wider population level in order to be able to cover the area of Malang generally.

Childbirth is a stressfull event, frequently labor can result PTSD in post partum period. The impact of post partum PTSD is a bonding issue between mother and baby that can affect the mother's ability to adapt to her new role. To Adapting with a new role mother requires an effective coping mechanism that is supported by an adequate coping source that includes self efficacy, positive belief and social support. The study describe the effect of self efficacy, positive belief and social support on adaptation of post partum mother role with PTSD. The study used cross sectional design. The sampling technique was purposive sampling and the numbers of samples were 92 respondents. The instruments for evaluate PTSD and coping was Modified PPQ, Barkin Index, PMP-SE, PPSS and PBRS. Pearson correlation test showed that all variables have p value <0,05, which means that all variables have effect on mother role adaptation. Linear Regression Test showed that self efficacy with R square 0.487 is the variable that most contribute to the mother role adaptation than the others. All variables have contribution, but self efficacy has the most significant influence on mother role adaptation. Therapeutic Activity Therapy in primary setting is needed to help pregnant women prepared adaptation