Andikawati Fitriasari, Ahmad Yusuf, Ririn Probowati


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 aims to determine the effect of Assertive Community Treatment on anxiety and depression of breast cancer clients.

Methods: The research design used was quasi-experiment with a pre-post test control group design. This research subject determines by using purposive sampling. The study population was breast cancer clients who seek treatment at Medokan Ayu Health Center 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. Data analysis uses paired T-Test and Independent T-Test.

Results: Paired T-test results anxiety value p = 0.732, depression value p = 0.689. Statistical results independent T-test obtained p-value = 0,000 showed a significant difference in anxiety and depression of breast cancer clients.

Conclusion: There is an effect of Assertive Community Treatment on anxiety and depression of breast cancer clients. Following research implementation of Assertive Community Treatment was conducted in a team and in a longer time.


Keywords : Assertive Community Treatment, Anxiety, Depression, Breast Cancer.

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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.

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.

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.

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.

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.


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