Ikatan Dokter Anak Indonesia
Indonesian Pediatrics Society

Skrining Stres Pascatrauma pada Remaja dengan Menggunakan Post Traumatic Stress Disorder Reaction Index

Putu Dian Savitri Irawan, Soetjiningsih, IGA Trisna Windiani, I Gst Ag Sugitha Adnyana, IGA Endah Ardjana
Abstrak

Latar belakang. Stres pascatrauma (post traumatic stress disorder atau PTSD) merupakan suatu gangguan psikiatri fungsi sosial seseorang. Universitas California Los Angeles (UCLA) mengembangkan serangkaian self-report kuesioner yang disebut PTSD Reaction Index (PTSD-RI) untuk deteksi dini gangguan tersebut. Namun, kuesioner tersebut belum pernah digunakan di Indonesia.
Tujuan. Mengetahui reliabilitas instrumen post traumatic stress disoder reaction index (PTSD-RI) versi remaja, prevalensi, serta faktor yang berhubungan dengan PTSD.
Metode. Penelitian potong lintang dilaksanakan di enam SMUN di Denpasar. Digunakan kuesioner PTSD-RI versi remaja yang telah diterjemahkan ke dalam Bahasa Indonesia. Digunakan uji α Cronbach untuk menilai reliabilitas PTSD-RI. Analisis statistik menggunakan uji chi-square dan multivariat regresi logistik.
Hasil. Terdapat 300 pelajar SMUN yang mengikuti penelitian. Enam puluh orang (20%) dengan tersangka PTSD. Reliabilitas PTSD-RI baik (koefisien α 0,94). Tipe kepribadian tertutup sebagai faktor risiko PTSD [RP 3,55 (IK95% 1,46-8,66), p=0,01]. Keluarga yang harmonis [RP 0,35 (IK95% 0,08-0,78), p=0,02], adanya dukungan keluarga [RP 0,13 (IK95% 0,03-0,50), p=0,01], adanya dukungan sosial [RP 0,25 (IK95% 0,09-0,68), p=0,01], serta trauma tunggal [RP 0,02 (IK95% 0,14- 0,82), p=0,01] berperan sebagai faktor protektif PTSD.
Kesimpulan. Instrumen PTSD-RI memiliki reliabilitas yang baik sehingga dapat digunakan di Indonesia. Prevalensi PTSD pada remaja di Denpasar sebesar 20%. Sari Pediatri 2016;17(6):441-5.

 

Post Traumatic Stress Disorder Screening in Adolescent Using Post Traumatic Stress Disorder Reaction Index

Background. Post-traumatic stress disorder (PTSD) is a psychiatric disorder that can impair an individual’s social function. University of California Los Angeles (UCLA) have developed a series of self-report instruments named PTSD Reaction Index (PTSD-RI) to screen PTSD. Unfortunately, these instruments have never been used in Indonesia.
Objective. To determine the reliability of Post-Traumatic Stress Disorder Reaction Index (PTSD-RI) adolescent version, prevalence and factors associated with PTSD in public senior high school students in Denpasar, Bali, Indonesia.
Methods. We conducted a cross sectional study among six public senior high schools students in Denpasar. Questionnaire PTSD-RI adolescent version was translated into Indonesian language. Reliability of PTSD-RI was determined using alpha Cronbach test. Statistical analysis was done using Chi-Square test and multivariate logistic regression.
Results. A total of 300 eligible students were enrolled as study participants. Sixty students (20%) were found to have suspected PTSD. The reliability of PTSD-RI was good (alpha coefficient 0.94). Multivariate analysis showed that introvert personality increased the possibility of having PTSD [PR 3.55 (CI 95% 1.46 to 8.66), P=0.01]. On the other hand, strong family relation [PR 0.35 (CI 95% 0.08 to 0.78), P=0.02], family support [PR 0.13 (CI 95% 0.03 to 0.50), P=0.01], social support [PR 0.25 (CI 95% 0.09 to 0.68), P=0.01], and only single traumatic event [PR 0.02 (CI 95% 0.14 to 0.82), P=0.01] acted as protective factors.
Conclusion. Post-Traumatic Stress Disorder Reaction Index (PTSD-RI) adolescent version has a good reliability and could be used in Indonesia. The prevalence of PTSD among adolescents in Denpasar was 20%. Sari Pediatri 2016;17(6):441-5.


Kata kunci: post-traumatic stress disorder, prevalence, adolescent


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