BOBOT PENGARUH RELAKSASI BENSON TERHADAP PENURUNAN SKOR PHQ-9 PADA MAHASISWA KEDOKTERAN UNIVERSITAS ISLAM INDONESIA

BINTA SETYA FEBRINA, dr. Irwan Supriyanto, Ph.D, SP,KJ dan dr. Andrian Fajar K, M.Sc, SP.KJ

2023 | Tesis-Spesialis | ILMU KEDOKTERAN JIWA

INTISARI Latar belakang: Mahasiswa kedokteran adalah populasi remaja yang mengalami berbagai kondisi dengan tingkat stres tinggi yang mengakibatkan depresi. Depresi terjadi pada sepertiga mahasiswa kedokteran di seluruh dunia. Dampak depresi pada mahasiswa dapat menimbulkan berbagai masalah. Terapi farmakologi cukup efektif menurunkan skor depresi, namun ada beberapa kekurangan. Kombinasi terapi farmakologi dan komplementer diharapkan mampu menghasilkan efek sinergis yang dapat meningkatkan efektivitas terapi. Pengobatan komplementer seperti Relaksasi Benson dapat menjadi pilihan dalam upaya memperbaiki skor depresi yang dapat dilakukan secara mandiri, mengingat hanya 15% mahasiswa kedokteran dengan depresi yang mencari perawatan psikiatri. Tujuan penelitian: Mengukur pengaruh Relaksasi Benson terhadap penurunan skor depresi pada mahasiswa kedokteran Universitas Islam Indonesia. Metode: Penelitian ini merupakan penelitian experimental dengan rancangan two group pretest posttest with control group design. Subjek penelitian adalah mahasiswa kedokteran Universita Islam Indonesia pada tahun pertama. Skor depresi diukur dengan Personal Health Questionnaire 9 (PHQ9), alat intervensi menggunakan video Relaksasi Benson dan tingkat kemaknaan uji statistik dinyatakan pada P < 0,05 dengan analisis Fisher Exact Test, Independent T Test, Paired Sample T Test, Mann Whitney, dan Uji Multivariat dengan regresi linear. Hasil: Terdapat perbedaan bermakna rerata skor depresi pada kelompok yang diberikan intervensi Relaksasi Benson selama 7 sesi dalam 1 minggu (t = 4,365, p =0,00) sedangkan pada kelompok kontrol, tidak didapatkan perbedaan bermakna antara rerata skor depresi pada pretest dan posttest (t = 1,43, p = 0,16). Dari uji Mann Whitney, didapatkan uji beda selisih penurunan skor depresi pada kelompok intervensi dan kelompok kontrol signifikan (p = 0,038). Kesimpulan: Intervensi Relaksasi Benson selama 7 sesi dalam 1 minggu berperan terhadap penurunan skor depresi pada mahasiswa kedokteran Universitas Islam Indonesia. Kata kunci: Relaksasi Benson, Depresi,Mahasiswa kedokteran

Background: Medical students are a teenage population who experience various conditions with high-stress levels that lead to depression. Depression occurs in a third of medical students worldwide. The impact of depression on students can cause various problems. Pharmacological therapy is quite effective in reducing depression scores, but there are some drawbacks. The combination of pharmacological and complementary therapy is expected to produce a synergistic effect that can increase the effectiveness of therapy. Complementary medicine such as Benson's Relaxation can be an option in an effort to improve depression scores that can be done independently, considering that only 15% of medical students with depression seek psychiatric treatment. Research purposes: Measuring the effect of Benson Relaxation on reducing depression scores in medical students at the Islamic University of Indonesia. Method: This research is an experimental study with a two-group pretest and post-test with a control group design. The research subjects were medical students at the Islamic University of Indonesia in their first year. The depression score was measured using the Personal Health Questionnaire 9 (PHQ9), an intervention tool using the Benson Relaxation video and the significance level of the statistical test was stated at P <0.05 using the Fisher Exact Test, Independent T-Test, Paired Sample T Test analysis. Mann Whitney, and Multivariate Test with linear regression. Results: There was a significant difference in the mean depression score in the group that was given the Benson Relaxation intervention during 7 sessions in 1 week ( t = 4.365, p = 0.00) whereas, in the control group, there was no significant difference between the mean depression scores at the pretest and posttest ( t = 1.43, p = 0.16 ). From the Mann-Whitney test, it was found that the difference in the decrease in depression scores in the intervention group and the control group was significant ( p = 0.0 38 ). Conclusion: Benson's Relaxation Intervention during 7 sessions in 1 week contributed to a decrease in depression scores among medical students at the Islamic University of Indonesia. Keywords: Benson Relaxation, Depression, Medical student

Kata Kunci : Relaksasi Benson, Depresi, Mahasiswa kedokteran