Psychological Treatment in Early Adult Women with Major Depressive Disorder

Fairuz Ghina Mardhiyah, Endang R. Surjaningrum

Abstract


Major Depressive Disorder (MDD) is a form of an episode of mood disorder (mood) where feelings of pressure (depression) more dominate individual behavior. The individual who experiences this disorder will cause symptoms from cognitive, emotional, and motor behavior to motivational aspects. This paper presents a case of depression and management carried out on Client RAH a female and 23-year-old. Giving rise to a depressive disorder due to her inability to express the emotions she feels, feeling worthless, and several symptoms significantly affected her functioning capacity of the individual until she attempted suicide. The series of assessments carried out on RAH Clients aims to explore further related to their problems. The process of establishing diagnoses through a series of evaluations, namely clinical interviews, observations, Graphic Tests (BAUM, DAP, HTP), DASS (Depression Anxiety Stress Scale), SSCT (Sacks Sentence Completion Test), BDI (Beck Depression Inventory), and TAT (The Thematic Apperception Test). The results showed that the RAH Client met the criteria for diagnosing Major Depressive Disorder (MDD) with a moderate level based on the DSM-5 criteria. The treatment action that can be done based on the results of assessment and diagnosis is to use the Free Association technique, which aims to reduce the act of hurting herself and improve her decision-making ability.

Major Depressive Disorder (MDD) merupakan salah satu bentuk episode gangguan mood (suasana hati) dimana secara jelas perilaku individu lebih didominasi dengan perasaan tertekan (depresi). Individu yang mengalami gangguan ini akan memunculkan gejala dari aspek kognitif, emosional, perilaku motorik, hingga motivasi. Naskah ini menyajikan satu kasus depresi dan pengelolaan yang dilakukan terhadap Klien RAH berjenis kelamin perempuan dan berusia 23 tahun memunculkan gangguan depresi akibat kurang mampunya untuk mengeluarkan emosi yang dia rasakan, merasa tidak berharga, dan beberapa gejala yang signifikan mempengaruhi kapasitas fungsi individu hingga adanya usaha percobaan bunuh diri. Rangkaian asesmen yang dilakukan kepada Klien RAH bertujuan untuk menggali lebih jauh terkait permasalahan yang dihadapi olehnya. Proses penegakan diagnosa melalui serangkaian asesmen yaitu wawancara klinis, observasi, Tes Grafis (BAUM, DAP, HTP), DASS (Depression Anxiety Stress Scale), SSCT (Sacks Sentence Completion Test), BDI (Beck Depression Inventory), dan TAT (The Thematic Apperception Test). Hasil menunjukan bahwa Klien RAH memenuhi kriteria diagnosa Major Depressive Disorder (MDD) dengan tingkatan moderate berdasarkan kriteria DSM-5. Tindakan penanganan yang dapat dilakukan berdasarkan hasil asesmen dan diagnosa adalah dengan menggunakan teknik Free Association yang bertujuan untuk mengurangi tindakan menyakiti dirinya dan meningkatkan kemampuan dalam pengambilan keputusan.


Keywords


Free Association; Major Depressive Disorder; Woman; Young Adult

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References


American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, DSM-5 (Fifth). American Psychiatric Association.

Atika Sari, N. (2015). PSYCHOLOGICAL WELL-BEING PADA KEPALA KELUARGA YANG MENGALAMI PEMUTUSAN HUBUNGAN KERJA OLEH PERUSAHAAN BATU BARA DI DESA BUKIT PARIAMAN. 3(2), 213–223.

Bozoyan, C., & Schmiedeberg, C. (2022). What is Infidelity? A Vignette Study on Norms and Attitudes toward Infidelity. Journal Sex Res., 272–275.

Chhetri, B., Dem, U., Letho, Z., Tshering, K., & Skodlar, B. (2023). Prevalence of major depressive disorder in adult patients with alcohol use disorder admitted in the psychiatric ward at the Jigme Dorji Wangchuck National Referral Hospital, Thimphu, Bhutan. Population Medicine, 5(May), 1–8. https://doi.org/10.18332/popmed/166187

Christensen, L. B., Johnson, B., & Turner, L. A. (2014). Research Methods, Design, and Analysis: 12th Edition. Pearson Education.

Cody, R., Kreppke, J. N., Fischer, X., Faude, O., Beck, J., Brand, S., Hatzinger, M., Imboden, C., Kügerl, N., Lang, U. E., Mans, S., Maurer, R., Mikoteit, T., Oswald, A., Rhodius, L. S., Schweinfurth, N., Wechsler, L., & Gerber, M. (2023). An implementation evaluation of the physical activity counseling for in-patients with major depressive disorder (PACINPAT) intervention: a randomized controlled trial. BMC Psychiatry, 23(1). https://doi.org/10.1186/s12888-023-04834-5

Corey, G. (2009). Theory and Practice of Counseling and Psychotherapy, Eighth Edition.

Corey, Gerald. (2013). Case approach to counseling and psychotherapy. Brooks/Cole, Cengage Learning.

Dharmawijati, R. D. (2015). KOMITMEN DALAM BERPACARAN JARAK JAUH PADA WANITA DEWASA AWAL. 3(3), 331–342.

Fingerman, K. L., Cheng, Y., Tighe, L., Birditt, K. S., & Zarit, S. (2012). Early Adulthood in a Family Context. Early Adulthood in a Family Context. https://doi.org/10.1007/978-1-4614-1436-0

Fombonne, E. (1998). Increased Rates of Psychosocial Disorders in Youth. European Archives of Psychiatry and Clinical Neuroscience, 248, 14–21.

Gutiérrez-Rojas, L., Porras-Segovia, A., Dunne, H., Andrade-González, N., & Cervilla, J. A. (2020). Prevalence and correlates of major depressive disorder: A systematic review. Brazilian Journal of Psychiatry, 42(6), 657–672. https://doi.org/10.1590/1516-4446-2020-0650

Habibi, U. R. (2014). KEPUASAN PERNIKAHAN PADA WANITA YANG DIJODOHKAN OLEH ORANG TUA. 2(4), 274–279.

Jacobsson, G., Tysklind, F., & Werbart, A. (2011). Young adults talk about their problems. Scandinavian Journal of Psychology, 52(3), 282–289. https://doi.org/10.1111/j.1467-9450.2011.00874.x

Karimah, K. (2021). Kesepian dan Kecenderungan Perilaku Menyakiti Diri Sendiri pada Remaja dari Keluarga Tidak Harmonis. Jurnal Imiah Psikologi, 9(2), 367–380. https://doi.org/10.30872/psikoborneo

Ketter, T. A., & Wang, P. W. (2002). Predictors of treatment response in bipolar disorders: Evidence from clinical and brain imaging studies. Journal Clinic Psychiatry, 63(3), 21–25.

Lu, W. (2019). Adolescent Depression: National Trends, Risk, Factors and Healthcare Disparities. Am J Health Behav, 43(181–94).

Maulina, B. (2021). Gangguan Depresi Mayor-Single Episode (Major Depressive Disorder-Single Episode). In Penatalaksanaan Gangguan Psikologis (1st ed., Vol. 1, pp. 196–204). PUSTAKA PELAJAR.

McHale, S. M., Whiteman, S. D., Kim, J., & Crouter, A. C. (2007). Characteristics and Correlates of Sibling Relationships in African American Families. Journal of Family Psychology, 21(227–235). https://doi.org/10.1037/0893-3200.21.2.22 .

Prosser, J., & McArdle, P. (1996). The Changing Mental Health of Children and Adolescents: Evidence for a Deterioration? Psychological Medicine, 26, 715–725.

Purborini, N., Lee, M. B., Devi, H. M., & Chang, H. J. (2021). Associated factors of depression among young adults in Indonesia: A population-based longitudinal study. Journal of the Formosan Medical Association, 120(7), 1434–1443. https://doi.org/10.1016/j.jfma.2021.01.016

Rizky Azrul Daeng Rannu, A. (2020). Hubungan Antara Ekspektasi Terhadap Pernikahan Dengan Kepuasan Pernikahan. 8(2), 187–194.

Rokach, A., & Chan, S. H. (2023). Love and Infidelity: Causes and Consequences. International Journal of Environmental Research and Public Health, 20(5). https://doi.org/10.3390/ijerph20053904

Rutter, M., & Smith, D. (1995). Psychosocial Disorders in Young People: Time Trends and Their Causes. Wiley.

Santrock, J. W. (2019). Life-span development (Seventeenth). McGraw-Hill Education.

Suryaputri, I. Y., Mubasyiroh, R., Idaiani, S., & Indrawati, L. (2022). Determinants of Depression in Indonesian Youth: Findings from a Community-based Survey. Journal of Preventive Medicine and Public Health, 55(1), 88–97. https://doi.org/10.3961/JPMPH.21.113

Swartz, T. T. (2009). Intergenerational Family Relations in Adulthood: Patterns, Variations, and Implications in the Contemporary United States. Annual Review of Psychology, 35, 191–212. https://doi.org/10.1146/annurev.soc.34.040507.134615

Theory and Practice of Counseling and Psychotherapy. (2011).

Vasileva, M., Graf, R. K., Reinelt, T., Petermann, U., & Petermann, F. (2021). Research Review: A meta-analysis of the international prevalence and comorbidity of mental disorders in children between 1 and 7 years. Journal Child Psychology Allied Discipline, 62, 372–381.




DOI: http://dx.doi.org/10.30872/psikoborneo.v12i2.14092

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