Pendahuluan: Salah satu masalah utama pada skizofrenia adalah potensi perilaku agresif, yang dapat bermanifestasi sebagai reaksi stres dan berupa tindakan yang membahayakan atau mengancam orang lain. Latihan fisik: pulkul bantaladalah teknik keperawatan yang dikembangkan dengan cara menggerakan tubuh klien dengan olahraga atau latihan fisik agar pikiran lebih rileks dan sehat. Dengan melakukan latihan fisik ini tubuh otomatis dapat meningkatkan kadar serotonin di dalam otak sehingga suasana hati klien membaik. Tujuan: studi kasus ini untuk menggambarkan asuhan keperawatan dengan penerapan latihan fisik: pukul bantal untuk mengontrol marah pada pasien risiko perilaku kekerasan di RSJD Dr Amino Gondohutomo Provinsi Jawa Tengah. Metode: penelitian ini menggunakan studi kasus deskriptif. Sampel terdiri dari 3 pasien Skizofrenia dengan core problem Risiko Perilaku kekerasan. Studi kasus dilaksanakan selama satu minggu (5-8 Februari 2026). Instrumen yang digunakan lembar asuhan keperawatan, SPO Latihan fisik: pukul bantal dan dianalisis secara deskriptif. Hasil: Setelah diberikan intervensi Latihan Fisik: pukul bantal dengan 3 kali pertemuan, ketiga responden dapat meningkatkan kemampuan mengontrol perilaku kekerasan. Kesimpulan: Latihan Fisik: pukul bantal efektif meningkatkan kemampuan pasien mengontrol perilaku kekerasan secara bertahap. Terapi ini dapat diterapkan di ruang perawatan pasien.

Background Self-harm, defined as non-fatal self-inflicted harm regardless of suicidal intent, is a critical global health issue influenced by the interaction between genetic and environmental factors. Aims This study investigates the causal effect of major depression polygenic risk scores (MD PRS) on self-harm in individuals of European ancestry and explores how environmental and personal factors moderate this effect. Methods Using data from 91,778 UK Biobank participants, we compared the top 10% with the highest MD PRS (the genetically vulnerable group) against the remainder. The causal relationship was examined using a causal forest approach to estimate average and heterogeneous treatment effects across non-genetic contributors. Results Higher MD PRS was associated with an increased risk of self-harm. Significant heterogeneity was observed: the association was stronger among individuals exposed to physical violence or partner belittlement, but weaker among older adults and those with higher income. Conclusions These findings highlight the importance of personalized prevention. Genetic vulnerability to depression reflects a heightened sensitivity to adverse environments, suggesting that genetic risk should be considered alongside trauma and socioeconomic contexts.

Background Mental health professionals have stressed the importance of terminology used to describe people with mental health conditions (MHCs) and its stigmatizing outcomes. Little research, however, has investigated the underlying processes by which terminology affects prejudice. Aims To investigate theoretical mechanisms by which the terms “mental illness,” “psychological problem,” and “mental disorder” influence prejudice via causal attributions. Methods An online experiment randomly assigned 765 U.S. participants from the general population to one of three conditions. Participants completed measures of hereditary/biological and social/stress attributions of MHCs and one of three 28-item measures of prejudice, which differed only in the terminology used to describe MHCs. Results Confirmatory factor analysis supported the four-factor structure of prejudice (Fear/Avoidance, Unpredictability, Authoritarianism, and Malevolence) for each measure. Although terminology did not directly affect prejudice, both hereditary/biological and social/stress attributions significantly decreased it. Mediation analyses demonstrated indirect effects of terminology on prejudice via causal attributions, with the term “mental illness” increasing it via reduced social/stress attributions but decreasing it via increased hereditary/biological attributions. Conclusions The results illustrate complex relationships between terminology, causal attributions, and prejudice, and are largely consistent with the mixed-blessings model. The study contributes to discussions about terminology suited for public discourse and prejudice-reduction campaigns.

Pendahuluan: Skizofrenia adalah gangguan jiwa kronis yang memerlukan perawatan jangka panjang, di mana keluarga berperan sebagai sistem pendukung utama di rumah. Tingginya risiko kekambuhan dan ketidakpatuhan terhadap pengobatan menjadikan dukungan keluarga sebagai faktor penting dalam menentukan kualitas perawatan pasien. Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan antara tingkat dukungan keluarga dengan perilaku perawatan pasien skizofrenia di rumah di wilayah kerja Puskesmas Warureja. Metode: Penelitian ini menggunakan desain studi korelasional dengan pendekatan cross-sectional. Sampel penelitian terdiri dari 40 responden yang dipilih dengan teknik total sampling, dengan kriteria inklusi yaitu keluarga yang tinggal serumah dengan pasien skizofrenia. Penelitian dilakukan di wilayah kerja Puskesmas Warureja, Kabupaten Tegal, pada bulan Januari–Februari 2026. Pengumpulan data dilakukan dengan menggunakan kuesioner yang menggunakan skala Likert. Data yang diperoleh dianalisis menggunakan uji korelasi Spearman dengan bantuan perangkat lunak SPSS. Hasil: Hasil penelitian menunjukkan adanya hubungan antara tingkat dukungan keluarga dengan perilaku perawatan pasien skizofrenia di rumah, dengan nilai koefisien korelasi (Spearman’s rho) sebesar 0,426 dan nilai signifikansi (p-value) 0,001. Kesimpulan: Terdapat hubungan signifikan antara dukungan keluarga dengan perilaku perawatan pasien skizofrenia di rumah. Dukungan keluarga yang baik dapat meningkatkan kualitas perawatan dan membantu proses kesembuhan pasien, serta mencegah kekambuhan. Saran: Disarankan agar keluarga memberikan dukungan yang maksimal dan melakukan perawatan yang optimal untuk pasien skizofrenia, guna meningkatkan kualitas pemulihan dan mengurangi risiko kekambuhan.

Background Although research has shown that stigma toward people with mental illness (PMI) differs among different types of healthcare providers, the direction and underlying mechanisms of the relationship between familiarity with PMI and stigma toward PMI remain unclear. Aims The aims were to examine the associations between familiarity with and stigma toward PMI among healthcare providers, explore the mediating role of mental health knowledge (MHK) and test whether the relationship varies among mental health care providers and general health care providers. Methods A total of 2874 healthcare providers from seven cities completed an online survey assessing familiarity, MHK, stigma. Moderated mediation analyses were conducted using PROCESS macro. Results Health providers who were more familiar with PMI knew more about mental illness, and those who knew more about mental illness had less stigma toward PMI. The effect of MHK on stigma was stronger in mental health care provider than general health care providers. Conclusions This study lends support to intergroup contact theory. When designing anti-stigma interventions for healthcare providers, their work experience and organizational context should be considered. Healthcare providers need to realize the effects that their stigma might have on PMI and the public.

Purpose We examined odds of anxiety and depression symptomology among sexual and gender minority (SGM) individuals compared to straight and cisgender individuals, stratified by race. Methods Data represented 918,892 households in the Household Pulse Survey from July 2021-October 2022. The Patient Health Questionnaire-2 measured depression symptoms (Scores >3 = depression symptoms). The Generalized Anxiety Disorder Scale-2 measured anxiety symptoms (Scores >3 = anxiety symptoms). Sexual orientation was categorical: “Gay/Lesbian,” “Straight,” “Bisexual,” “Something Else,” or “Don’t know.” Gender identity had 3 levels: “Cisgender Male,” “Cisgender Female,” or “Transgender/other gender identity.” Logistic regression estimated odds ratios(OR) and 95% confidence intervals(CI) for depression and anxiety among sexual minority individuals compared to straight individuals and transgender individuals compared to cisgender males. Intersection of sexual orientation/gender identity was also examined. Models (adjusted for sociodemographic factors) were stratified by race/ethnicity. Results Transgender individuals showed doubled odds of depression (OR:2.30 95%CI:1.98,2.67) and anxiety (OR:2.41 95%CI:2.23,2.61) versus cisgender individuals. Bisexual individuals had nearly tripled odds versus straight individuals. Transgender bisexual individuals showed highest odds versus cisgender males (depression OR:6.22 95%CI:5.06,7.64; anxiety OR:7.11 95%CI:6.13,8.24). Non-Hispanic White individuals typically showed highest symptomology. Conclusion SGM individuals showed increased anxiety and depression symptomology, with unexpected racial disparities warranting further intersectionality research.

Latar Belakang: Faktor kognitif muncul pada penderita gagal ginjal karena pasien mungkin mengalami kelelahan psikis akibat pengobatan hemodialisis yang harus dilakukan seumur hidup. Penatalaksanaan kecemasan dapat dilakukan dengan beberapa terapi, termasuk terapi relaksasi Benson. Tujuan: menurunkan kecemasan pada pasien gagal ginjal kronik yang sedang menjalani hemodialisa melalui terapi relaksasi benson. Metode: Studi kasus ini menggunakan metode deksriptif dengan one group pre-posttest design. Sampel pada 5 pasien gagal ginjal kronis di ruang Hemodialisa RSUD Dr Gondo Suwarno Ungaran. Instrument menggunakan menggunakan Hamilton Rating Scale Anxiety (HRS-A) dengan 14 pertanyaan. Data dianalisis secara univariat dalam bentuk distribusi frekuensi. Hasil: Tingkat kecemasan pada 5 pasien sebelum diberikan penerapan tindakan terapi benson didapatkan hasil nilai rata-rata berada pada tingkat kecemasan berat, setelah diberikan tindakan terapi benson selama 15-20 menit penerapan dilakukan hingga hari ke-2 didapatkan hasil sebagian besar pasien mengalami perubahan yaitu berada pada tingkat kecemasan ringan. Kesimpulan: Bagi pasien gagal ginjal menjalani hemodialisa yang mengalami kecemasan disarankan untuk melakukan terapi benson secara mandiri, untuk menurunkan kecemasan serta meningkatkan kenyamanan selama proses hemodialisa.