Art Therapy for Adjustment Disorders in Adolescent with Systemic Lupus Erythematosus (SLE) and Pulmonary Tuberculosis (TB)

Authors

  • Karina Oclaudya Faculty of Psychology, University of Islam Indonesia, Jalan Kaliurang Km. 14,5, Sleman, Daerah Istimewa Yogyakarta 55584, Indonesia
  • Rr Indah Ria Sulistyarini Faculty of Psychology, University of Islam Indonesia, Jalan Kaliurang Km. 14,5, Sleman, Daerah Istimewa Yogyakarta 55584, Indonesia

DOI:

https://doi.org/10.11113/sh.v13n2-3.1912

Keywords:

Adjustment disorders, anxiety, art therapy, pulmonary TB, systemic lupus erythematosus.

Abstract

This study presents an experimental Single Case-Single Subject ABA design of a 17-year-old female patient suffering from Systemic Lupus Erythematosus (SLE) and Pulmonary Tuberculosis (TB) who experience adjustment disorders. The purpose of this study is to reduce adjustment disorders in the patient with SLE and pulmonary TB by using art therapy. The assessment methods are observation, interviews, and psychological testing tools. Data analysis was carried out using the qualitatively and quantitatively. Quantitative analysis is performed using visual inspection by looking at the comparison of Depression Anxiety Stress Scale (DASS) scores. Initial measurements using DASS showed a level of depression with a score of 26 (severe), anxiety score at 23 (very severe), and stress score at 19 (moderate). Art therapy is given as a therapeutic intervention for the patient. After the therapy was given, there was a decrease in the DASS score with a depression score to 20 (moderate), anxiety score at 19 (severe), and stress score at 17 (mild). The patient also felt moreable to express and control emotions more precisely. These results indicate that art therapy is one of the interventions that can overcome psychological problems in the patient with adjustment disorders.

References

Adibah, A. S. M. & Zakaria, M. (2015). The Efficacy of Expressive Arts Therapy In The Creation Of Catharsis In Counseling. Mediterranean Journal of Social Sciences, 6(6), 298-306.

Adriani, S. N. & Satiadarma, M. P. (2011). Efektifitas Art Therapy Dalam Mengurangi Kecemasan Pada Remaja Pasien Leukemia. Indonesian Journal of Cancer, 5(1),31- 47.

Arief, A. R. (2010). Nefritis Lupus. Artikel Ilmiah. Fakultas Kedokteran Universitas Lampung, Lampung.

Carta, M.G., Balestrieri, M., Murru, A., & Hardoy, M.C. (2009). Adjustment Disorder: Epidemiology, Diagnosis, And Treatment. Clinical Practice and Epidemiology in Mental Health Review, 5(15), 1-15.

Cleanthous, S., Tyagi, M., Isenberg, D.A., & Newman, S.P. (2012). What Do We Know About Self-Reported Fatigue in Systemic Lupus Erythematosus? Lupus, 21(5), 465–476.

Edwards, D. (2004). Art Therapy. London: Sage Publications.

Ghufron & Risnawati. (2011). Teori-Teori Psikologi. Yogyakarta: Ar-Ruzz Media.

Helmi, L. (2008). Manifestasi Systematic Lupus Erythematosus pada Paru. Majalah Kedokteran Nusantara, 41(6), 65-70.

Hirawan, A. (2014). Art is Fun (Peony’s Busy Book). Jakarta: PT Elex Media Komputindo.

Hurlock, E. B. (2008). Psikologi Perkembangan Suatu Pendekatan Sepanjang Rentang Kehidupan (Istiwidayanti, Penerjemah). Jakarta: Penerbit Erlangga.

Kanugraha, R. M. (2012). Hubungan antara Penyesuaian Diri dengan Kecenderungan Baby Blues Syndrome pada Ibu Pasca Melahirkan: Studi Korelasi Pasien di RSIA Melati Husada Kota Malang dan RSIA IPHI Kota Batu (Unpublished master's dissertation). Universitas Islam Negeri Maulana Malik Ibrahim, Malang.

Karismatika, I. (2014). Laporan Kasus: Terapi Kognitif Perilaku Untuk Remaja Dengan Gangguan Tingkah Laku. Jurnal Sains dan Praktik Psikologi, 2(3), 296-301.

Latipun. (2010). Psikologi Eksperimen (2nd ed.). Malang: UMM Press.

Muchtar, N. M., Herman, D. & Yulistini. (2018). Gambaran Faktor Risiko Timbulnya Tuberkulosis Paru pada Pasien yang Berkunjung ke Unit DOTS RSUP Dr. M.

Djamil Padang Tahun 2015. Jurnal Kesehatan Andalas, 7(1), 80-87.

Poespitasari, V. I., Dinakrisma, A. A. & Anggoro, R. M. S. (2018). Tuberkulosis Sumsum Tulang Belakang Pada Lupus Eritematosus Sistemik Berat: Sebuah Studi Kasus. Jurnal Penyakit Dalam Indonesia, 5(2), 94-100.

Pusdatin. (2017). Situasi Lupus di Indonesia. Infodatin: Pusat dan Informasi Kementerian Kesehatan RI. Diunduh dari: https://pusdatin.kemkes.go.id/ tanggal 1 Desember 2019. Retrieved date: 01 January 2020.

Rahmawati, I., Hapsari, H. I., Suryani, E. (2019). Pengaruh Pemberian Art Therapy terhadap Self Esteem pada Pasien Anak dengan Leukimia di RSUD Dr. Moewardi Surakarta. Jurnal Ilmiah Kesehatan Media Husada, 8(1), 12-21.

Roviati, E. (2012). Systemic Lupus Erithematosus (SLE): Kelainan Autoimun Bawaan yang Langka dan Mekanisme Biokimiawinya, Jurnal Scientiae Educatia, 1(2), 113-118.

Safithry, E. A. (2015). Restrukturisasi Kognitif untuk Mengurangi Gangguan Penyesuaian pada Remaja. Pedagogik Jurnal Pendidikan, 10(2), 40-54.

Sismadi, S. (2005). Lupus & Stroke. Jakarta: Sisma DigiMedia.

Strain, J.J., & Friedman, M.J. (2011). Considering adjustment disorder as stress response syndromes for DSM-5. Depression & Anxiety Review, 28, 818- 823.

Wahyuningsih, E. (2014). Pola Klinik Tuberkulosis Paru di RSUP Dr. Kariadi Semarang periode Juli 2012-Agustus 2013. (Unpublished master's dissertation).

Fakultas Kedokteran Universitas Diponegoro, Semarang.

Wallin, K. & Durr, M. (2002). Creativity and Expressive Arts In Social-Emotional Learning. Journal of Reclaiming Children and Youth, 11(1), 30.

Wikstrom, B. M. (2005). Communicating Via Expressive Arts: The Natural Medium of Self-Expression for Hospitalized Children. Pediatr Nurs, 31(6), 480-5.

Zhang, L., Wang, D. X. & Ma, L. (2008). A Clinical Study of Tuberculosis Infec on in Systemic Lupus Erythematosus. Zhonghua Nei Ke Za Zhi, 47(10), 808-10.

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Published

2021-08-09

How to Cite

Oclaudya, K. ., & Sulistyarini, R. I. R. . (2021). Art Therapy for Adjustment Disorders in Adolescent with Systemic Lupus Erythematosus (SLE) and Pulmonary Tuberculosis (TB). Sains Humanika, 13(2-3). https://doi.org/10.11113/sh.v13n2-3.1912