THE EFFECT OF ASSERTIVE COMMUNITY TREATMENT TOWARDS ANXIETY AND DEPRESSION ON BREAST CANCER CLIENT

Andikawati Fitriasari, Ahmad Yusuf, Ririn Probowati

Abstract


Background: Breast cancer increases the occurrence of psychosocial problems, namely anxiety and depression. Anxiety and depression have shown an effect on the quality of life. Assertive Community Treatment is a psychosocial service that involves the family's role in overcoming breast cancer client anxiety and depression.

Objective: This study aimed to determine the effect of Assertive Community Treatment towards anxiety and depression of breast cancer clients.

Method: The research design used was quasi-experiment with a pre-posttest control group design. This research subject determines by using purposive sampling. The study population was breast cancer clients who seek treatment at Public Health Center of Medokan Ayu in Surabaya. The sample is breast cancer clients who have inclusion criteria a) age 30-60 years old, b) live with her partner, c) has chronic pain ± 1-5 years. The instrument is PDQBC (Psychosocial Distress Questionnaire Breast Cancer subscales anxiety and depression. Data analysis used paired T-Test and Independent T-Test.

Result: Paired T test results showed anxiety values in the treatment group p = 0.000, depression value p = 0.001. The results of the independent T test statistic obtained p value = 0.000 showed a significant difference between anxiety and depression of breast cancer clients in the control group and the treatment group.

Conclusion: Assertive Community Treatment provides a good impact in order to reduce the level of anxiety and depression in clients with breast cancer. Assertive Community Treatment (ACT) is recommended to be given by teams.

 

Key words: Assertive Community Treatment, Anxiety, Depression, Breast Cancer Clients, Palliative.


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References


Aly, H. Y., Eilateef, A. A. E. A., & Mohamed, A. E. S. (2017). Depression and anxiety among females with breast cancer in sohag university: results of an interview study. Remedy Open, 2(1080), 1-7.

Anindita, Y. P. C., Raymondalexas, M. C., & Suryo, P. Y. (2010). Hubungan antara Pemberian Radioterapi dengan Terjadinya Distress , Anxiety dan Depresi pada Penderita Kanker Payudara. Berita Kedokteran Masyarakat, 26(1), 1–6. https://doi.org/10.1007/978-3-319-12817-7

Chang, C., Lai, C., Hu, P., & Chin-hung, V. (2017). Depression and family support in breast cancer patients. 2389–2396.

Kortrijk, H. E., Staring, A. B. P., Van Baars, A. W. B., & Mulder, C. L. (2010). Involuntary admission may support treatment outcome and motivation in patients receiving assertive community treatment. Social Psychiatry and Psychiatric Epidemiology, 45(2), 245–252. https://doi.org/10.1007/s00127-009-0061-1

Oetami, F., Thaha, ida leida, & Wahiduddin. (2014). Psychological Impact of Breast Cancer Treatment in Hospital Dr. Wahidin Sudirohusodo Makassar. Analisis Dampak Psikologis Pengobatan Kanker Payudara Di Rs Dr. Wahidin Sudirohusodo Kota Makassar.

Pasaribu, J. (2012). PENGARUH TERAPI Kognitif Dan Terapi Penghentian Pikiran Terhadap Perubahan Ansietas, Depresi Dan Kemampuan Mengontrol Pikiran Negatif Klien Kanker Di Rs Kanker Dharmais Jakarta. Universitas Indonesia.

Penzenstadler, L., & Anci, E. (2019). Effect of Assertive Community Treatment for Patients with Substance Use Disorder : A Systematic Review. 56–67. https://doi.org/10.1159/000496742

Persons, J. B., & Therapy, C. B. (2017). Anxiety and depression change together during treatment. (July).

Peter, J., Østergaard, B., Nordentoft, M., & Hounsgaard, L. (2019). Cognitive adaptation training combined with assertive community treatment : A randomised longitudinal trial. Schizophrenia Research, 135(1–3), 105–111. https://doi.org/10.1016/j.schres.2011.12.014

Pratiwi, S. R., Widianti, E., & Solehati, T. (2017.). Gambaran Faktor-Faktor yang Berhubungan dengan Kecemasan Pasien Kanker Payudara dalam Menjalani Kemoterapi. 167–174.

Singh ThingbaijamB, and Singh, Laishram. (2012). Breast cancer and depression : issues in clinical care. Medical journal of Indonesia. Volume 21 : 240-246.

Sukma, D. M. (2018). Digital Digital Repository Repository Universitas Universitas Jember Jember Digital Digital Repository Repository Universitas Universitas Jember Jember. Universitas Jember.

Vijverberg, R., Ferdinand, R., Beekman, A., & Meijel, B. Van. (2017). The effect of youth assertive community treatment : a systematic PRISMA review. 1–18. https://doi.org/10.1186/s12888-017-1446-4




DOI: https://doi.org/10.36720/nhjk.v8i2.125

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