Excessive Anxiety Research Articles

REM-Predominant Obstructive Sleep Apnea in Patients with Coronary Artery Disease.

Obstructive sleep apnea (OSA) is common in adults with coronary artery disease (CAD). OSA that occurs predominantly during rapid-eye movement (REM) sleep has been identified as a specific phenotype (REM-predominant OSA) in sleep clinic cohorts. We aimed to examine the association of REM-predominant OSA with excessive sleepiness, functional outcomes, mood, and quality of life in a CAD cohort, of whom 286 OSA patients with total sleep time ≥ 240 min, and REM sleep ≥ 30 min, were included. REM-predominant OSA was defined as a REM-apnea-hypopnea-index (AHI) /non-REM (NREM) AHI ≥ 2. In all, 73 (25.5%) had REM-predominant OSA. They were more likely to be female (26.0% vs. 9.9%; p = 0.001), and more obese (42.5% vs. 24.4%; p = 0.003) but had less severe OSA in terms of AHI (median 22.6/h vs. 36.6/h; p < 0.001) compared to the patients with non-stage specific OSA. In adjusted logistic regression models, female sex (odds ratio [OR] 4.64, 95% confidence interval [CI] 1.85–11.64), body-mass-index (BMI; OR 1.17; 95% CI 1.07–1.28) and AHI (OR 0.93, 95% CI 0.91–0.95) were associated with REM-predominant OSA. In univariate linear regression models, there was a dose-response relationship between REM-AHI and Zung Self-rated Depression Scale but not excessive sleepiness, functional outcomes, and anxiety scores. Among the Short Form-36 subdomains, Vitality, Mental Health, and Mental Component Summary (MCS) scores were inversely correlated with REM-AHI. In multivariate linear models, only MCS remained significantly associated with REM-AHI after adjustment for age, BMI, and sex (β-coefficient −2.20, %95 CI [−0.56, −0.03]; p = 0.028). To conclude, female sex and BMI were related to REM-predominant OSA in this revascularized cohort. MCS was inversely associated with REM-AHI in the multivariate model.

Post-traumatic Stress Disorder Experienced by Said and Safeya in Ghassan Kanafani’s Aid Ila Haifa Based on The Perspective of Gerald C. Davison

This study aims to determine the form, reveal the causes, and understand the impact of PTSD on Said and Safeya on individuals, families, and society in the novel Aid Ila Haifa. Data was collected using reading and note-taking techniques and analyzed descriptively qualitativelythat focusing on the problem of PTSD with a literary psychology approach. The primary data source used is Ghassan Kanafani’s Aid Ila Haifa. This study was using the theory of abnormal psychology by Gerald C. Davison. This study reveals that the form of PTSD included in re-experiencing symptoms are crying, overlapping memories, and a faster heart rate. Included in the avoidance symptoms are denying the traumatic event and keeping their mouth shut over the whereabouts of their child. Meanwhile, hyperarousal symptoms include sudden outbursts of anger, excessive anxiety, and feeling panicked. The cause is a conflict environment and the loss of a son. The impact of PTSD experienced by Said and Safeya on individuals is prolonged sadness, trapped in fear, and loss of zest for life. The impact on the family is a cold attitude. Meanwhile, the impact on society is Said's attitude which forbids his son from joining the front for the defense of the state.

Information needs scales and Preoperative Anxiety Levels Increase Postoperative Pain Intensity

Excessive preoperative anxiety can increase the occurrence of postoperative pain complications with severe intensity. The phenomenon in a private Hospital Surabaya there are still patients who tend to feel excessive fear and anxiety before surgery. The purpose of this study was to analyze the correlation between the level of anxiety preoperative patients and the pain intensity of postoperative. The study used correlation study with a cohort design with 34 respondents taken using consecutive sampling techniques. The level of preoperative anxiety was assessed using the Amsterdam Preoperative Anxiety Information Scale (APAIS) questionnaire and postoperative pain intensity was assessed using Visual Analog Scale (VAS). Statistical analysis relationship between preoperative anxiety levels and postoperative pain intensity using Spearman Rank test with p value= 0,000, and rs value +0.622. Relationship between the level of preoperative anxiety and the intensity of postoperative pain using the Spearman Rank with a value of p = 0.000, and a value of rs +0.804.

Model Matematika Penyebaran Nomophobia

Smartphone is a smart phone that has capabilities like a computer and is equipped with a sophisticated operating system. Smartphones provide many benefits for users, besides that smartphones can also cause psychological problems for users, namely nomophobia. Nomophobia is a feeling of dependence on smartphones and causes excessive anxiety in someone which is caused when the smartphone is not around. In this study, a mathematical model of the spread of nomophobia will be formed. The purpose of the formation of this mathematical model is to see how the spread of nomophobia. The method used in this study is a descriptive method, namely, analyzing the theories relevant to the problems discussed. The results of the analysis of the mathematical model of the spread of nomophobia obtained two equilibrium points which indicate that this model is asymptotically stable in the case of a disease-free equilibrium point and an endemic equilibrium point. The simulation results show that within a certain time the spread of nomophobia will disappear.

Strategies to Overcome Foreign Language Reading Anxiety among Globalized EFL Learners

Perhaps, one of the most well-articulated hurdles daunting globalized EFL learners’ academic literacy dynamics can be attributed to foreign language reading anxiety. Under the massive expansion of foreign language reading anxiety, EFL learners commonly experience a higher level of perturbation while attempting to comprehend the contents forming in their specific reading texts due to the inevitable complexities presented during this process. This current small-scale library study aimed to exhaustively investigate particular effective strategies to overcome foreign language reading anxiety among globalized EFL learners to provide some illuminations for ELT experts, practitioners, and educators to devise more sophisticated reading strategies that can potentially alleviate foreign language reading anxiety. There were three main themes inferred in this present small-scale qualitative study namely: (1) The internalization of more comprehensible reading materials, (2) the promotion of more enjoyable reading circumstances, and (3) the inducement of more relevant reading strategies. For the future betterment of worldwide L2 reading enterprises, second language teachers are strongly commissioned to identify particular situations provoking excessive foreign language reading anxiety among EFL teachers in order to progressively design more authentic and meaningful reading activities.

STUDY ON THE EFFECT OF PSYCHODRAMA THERAPY ON THE EMOTIONAL REGULATION OF COLLEGE TEACHERS DURING THE EPIDEMIC OF COVID-19 CORONAVIRUS DISEASE

BackgroundCoronavirus disease has appeared at home and abroad since December 2019. In order to effectively control the epidemic and save lives, the government has taken a series of isolation and family work measures. The sudden outbreak of the epidemic has disturbed normal life and had a great impact on the teaching of colleges and universities in China. The purpose of this study was to investigate the mental health status and emotional regulation ability of college teachers during the coronavirus epidemic in 2019.Research Objects and MethodsCluster sampling method was used to select 400 school groups from a university in Hunan Province. 363 valid data were collected, with an effective rate of 90.75%. There are 187 boys and 176 girls; 104 liberal arts students, 95 science students and 164 engineering students; 205 only children and 158 non only children; The age range was 17-22 years old, with an average age of 19.26 ± 0.93 years.ResultsParticipating in Psychodrama can effectively reduce the psychological pressure of college teachers and prevent depression. The data showed that the comprehensive score of DASS-21 of teachers who did not participate in Psychodrama was 1.7 times that of teachers who participated in psychodrama. In contrast, college teachers who do not participate in Psychodrama are more likely to show depression, anxiety and stress, and tend to be passive in simple coping styles. Participating in psychological drama can effectively alleviate the psychological pressure of college teachers and improve their ability to actively deal with the pressure during the epidemic. Because the path coefficient of emotional regulation self-efficacy to express positive emotional self-efficacy is small (γ= 0.15), therefore, the mediating role of the three components of emotion regulation self-efficacy is specifically analyzed. Correlation analysis found that only the self-efficacy of managing depression / pain and anger / anger were significantly correlated with social anxiety, aggression and depression (Ps < 0.01). According to the mediation effect test procedure [22], calculate the mediation effect and explain the total effect as β a ×β b/ β c. It can be seen from table 2 that social anxiety is the independent variable and aggression and depression are the dependent variables respectively. When the self-efficacy of managing depression / pain is the intermediary variable, the total effect of intermediary effect interpretation is 40.61% and 34.06% respectively; When the self-efficacy of managing anger / anger was the mediating variable, the total mediating effect was 55.77% and 31.81% respectively.ConclusionMost teachers have excessive psychological pressure and anxiety, and a few teachers have serious problems. Dass scored 21. At the same time, the comparative experimental study shows that participating in Psychodrama can alleviate the working pressure of teachers to a certain extent, effectively reduce the psychological pressure of college teachers during the epidemic and prevent depression. The data showed that during the epidemic period, the DASS-21 mental health score of teachers who did not participate in Psychodrama was 1.7 times that of teachers who participated in psychodrama. College teachers who did not participate in Psychodrama were more likely to show depression, anxiety and stress, and tended to be passive in simple coping styles.AcknowledgementsThe authors acknowledge the Medical Research Key Project of Chongqing Health and Family Planning Commission, 2016ZDXM003 and the Exploring self injury suicidal behavior and prevention strategies of depressed adolescents based on family factors, key project of Chongqing Municipal Education Commission, 19SKGH018; The effect of socialdrama group psychological counseling on the improvement of psychological elasticity and the prevention of job burnout of front-line medical workers in the fight against epidemic diseases, school level project of Chongqing Medical University, CQMUNCP0307.

THE BARRENNESS OF MODERN HUMAN SPIRITUALITY IN THE SEYYED HOSSEIN NASR'S PERSPECTIVE

Modern humans are human beings who are slaves to material things, are materialistic, hedonistic and want to overpower all aspects of life. Modern humans are also humans who deny the voice of conscience and the call of human nature. As a result, they suffer from multidimensional diseases such as excessive anxiety, life feels meaningless, suffers from isolation from themselves, from their social environment and from their God. To save such a situation, an Islamic intellectual figure, Seyyed Hosein Nasr, offers the concept of a perfect human being Islamically by returning to the nature that has been bestowed by Allah, namely integrating the three elements that have been possessed, body, mind and soul.

RANCANG FILTER AUGMENTED REALITY INSTAGRAM UNTUK EDUKASI KESEHATAN MENTAL DI KALA PANDEMI

Excessive anxiety can worsen the mental health of citizens and result in a decrease in their productivity in living life. Therefore, this research was conducted to educate the public on how important it is to encourage and support one another to maintain mental health in the face of a pandemic by using Instagram's augmented reality filter. However, the effectiveness of mental health education using Instagram's augmented reality filter is still unknown. The purpose of making this Instagram augmented reality filter is to make it easier to educate the public and reach a wider audience. The design method used for this research is the design thinking method. In this method there are 5 stages, namely empathize, define, ideate, prototype, and test. The reason for using this method is because the stages are very appropriate in conducting this research. The results show that this filter can be accepted by the community and the majority say that this filter is quite interesting to use.

A predictive model to estimate fever after receipt of the second dose of Pfizer-BioNTech coronavirus disease 2019 vaccine: An observational cohort study.

Background and AimsFever after coronavirus disease 2019 (COVID‐19) vaccination is generally a mild and benign event, but can cause excessive anxiety in younger adults. This study aimed to find key factors that include allergic diseases or physique that determine fever after vaccination.MethodsWe conducted an observational cohort study in our hospital to assess post‐COVID‐19 vaccination fever from April to June 2021. A total of 153 medical personnel aged 22–86 years of age were involved in the study to receive two doses, intramuscularly 21 days apart, of the Pfizer‐BioNTech COVID‐19 vaccine (30 μg per dose). Vaccination records were taken more than 72 h after vaccination. Clinical and laboratory variables (age, sex, allergy history, weight, height, serum hemoglobin concentration, and these derivatives) were examined by multivariable logistic regression analysis using the peak axillary temperature in the 4‐day period after the second vaccination as a dependent variable.ResultsNo serious safety problems were detected. The incidence of a postsecond vaccination fever of 37.3°C or above was 29.4%. Logistic regression analysis found age, history of perennial allergic rhinitis, body surface area, body weight, percent overweight, and serum hemoglobin concentration as independent predictors of postvaccination fever. The characteristics of this individual were incorporated into the numerical model of human thermoregulation. The evaluation of this model had a sensitivity of 66.1% and a specificity of 90.7% in the detection of postvaccination fever. The multiple coefficient of determination (R 2) was 0.410.ConclusionThe COVID‐19 vaccine induced higher rates of fever during the 4‐day period after the second vaccination. Younger age, part of the allergy history, small and light body, and concentrated blood were associated with postvaccination fever.

Analisis Faktor Untuk Pemetaan Karakteristik pada Percobaan Dekafeinasi Kopi Robusta

In recent years, there has been a positive trend in coffee consumption in Indonesia. Dringking coffee which were originally identical as oldmans drinks, is starting to be liked by teenagers to children. This is because coffee contains caffeine which can have an addictive effect. Drinking coffee in the right dose can have positive effects for the drinker, such as stimulating the ability of brain function and also as an antioxidant. However, if you drink more coffee than your body can tolerate, it will cause symptoms of insomnia, excessive anxiety and increased blood pressure. Various attempts have been made to reduce the caffeine content in coffee (decaffeination), one of which is by mixing coffee with chayote juice (Sechium edule) as has been done by Paramartha (2021). Furthermore, this article classifies the characteristics of decaffeinated products, caffeine content, moisture content, total acid content of titration, ash content, hue color, and L value. By using factor analysis, it is known that the characteristics can be mapped into three main factors, where the first main factor consists of variables of caffeine content, water content, and hue color value. The second main factor consists of variables of ash content, and total acid content titration, and the third major factor, this factor consists only of the characteristic L. It is also known that 74.2% of the diversity of origin can be explained by the three main factors.

Assessment of Anxiety and Factor Related among Main and Odayaa Campus, Dilla University Freshman Students, South, Ethiopia 2021

Background: Anxiety can disturb a student's academic success and his future, including withdrawal from classes. The dropout rate was found to be twice as high as in the 1st grade compared to the 2nd or 3rd grade. It also causes people around the world to feel excessive anxiety, fear, lack of self-confidence, and embarrassment. One of the key reasons for the current study is the lack of data on the degree of mental illness, especially in higher education institutions. Objective: To assess the anxiety and factors of Main and Odaya campus students. Methods: From April 21th to May 21, 2020, an organization-based cross-sectional survey was conducted in the city of Main and Odayaa. The survey used a structured questionnaire and a self-administered questionnaire ASQ tool. The stratified sampling method included 300 individuals in the study. Pre-test questionnaires that are also used for data collection, in addition data analysis was done using SPSS version 20. Result: There are 314 freshmen, students of these, 300 attended during the investigation. There are 162 (54%) male respondents and 138 (46%) female respondents in the study. The average student age and (SE) age are 21.6 (± 0.13) years old. The prevalence of anxiety was found to be 26.7% among first-year students. Compared with males (16.7%), female freshmen (40.6%) have a statistically higher incidence of anxiety. [AOR 95%CI=3.36 (1.88, 6.01) Conclusion: This study showed that anxiety is a common mental problem among college students calling for public intervention to prevent more serious forms of anxiety. This finding indicates that women and older students have a high chance of suffering from anxiety.

A virtual reality home-based training for the management of stress and anxiety among healthcare workers during the COVID-19 pandemic: study protocol for a randomized controlled trial

BackgroundHealthcare workers represent one of the most affected categories by the adverse effects of the COVID-19 pandemic on mental health. Excessive stress and anxiety are critical factors that could compromise work performance. Besides, high levels of stress and anxiety may have long-term physical and psychological consequences. Recent studies investigated virtual reality to reduce stress and anxiety among healthcare workers during the COVID-19 pandemic. However, the proposed virtual reality interventions have important limitations related to their location (i.e., research lab and hospitals) and content (i.e., virtual experiences only for relaxation). Within this context, this randomized controlled trial aims to investigate the efficacy and acceptability of a brief home-based virtual reality training for managing stress and anxiety during the COVID-19 crisis in a sample of Italian healthcare workers.MethodsThe study is a randomized controlled trial. It includes two groups of 30 individuals recruited from healthcare workers: (1) the experimental group and (2) the control group. Participants in the experimental group will receive a training consisting of three home sessions performed in a week. In each session, participants will try through an immersive virtual reality standalone system (i.e., Oculus Quest 2) a virtual psychoeducation experience on stress and anxiety (i.e., MIND-VR). Subsequently, they will try the virtual relaxation content (i.e., The Secret Garden). The control group will receive no training and will be reassessed one week and one month after the initial evaluation.DiscussionIf the proposed brief home-based virtual reality training will result helpful and easy to use, it could become an empirically assessed viable option for protecting healthcare workers’ mental health both during the COVID-19 pandemic and once it will be over. Furthermore, the intervention might be easily adapted for other categories of people who need support in managing stress and anxiety.Trial registrationClinicalTrials.gov NCT04611399.

Analysis of Factors Affecting Obedience of Pregnant Women in Conducting ANC Visits During the Covid-19 Pandemic

The Covid-19 pandemic has made many changes, especially in the health sector. During this Covid-19 pandemic, pregnant women are required to have their pregnancy checked by a midwife or doctor, at least 6 visits. The Covid-19 pandemic has led to a decrease in visits by pregnant women to facilities due to several factors. The purpose of the study was to analyze the factors that influence the compliance of pregnant women in conducting ANC visits during the Covid-19 pandemic. This type of research is a mixed method (mixed method). This research was conducted in the working area of ​​Batu-Batu Health Center Subulussalam City with a population of 36 people and all of them were used as samples. The research informants were 13 people. Quantitative data analysis was performed using univariate, bivariate using chi-square and multivariate using multiple logistic regression at 95% confidence level (=0.05). Qualitative data analysis was carried out by means of data reduction, data presentation, and drawing conclusions. The results showed that the factors that influenced the compliance of pregnant women in carrying out ANC visits during the Covid-19 pandemic in the Batu-Batu Health Center work area were attitude (p = 0.024), anxiety about infection (p = 0.020), information (p = 0.042), and communication/transportation infrastructure (p=0.045). Variables that have no effect are knowledge (p=0.197), and husband/family support (p=0.564). The most dominant factor influencing the compliance of pregnant women in conducting ANC visits during the Covid-19 pandemic in this study was the variable of anxiety about contracting Covid-19. Qualitatively, some pregnant women are worried about contracting Covid-19 because pregnant women are also vulnerable to contracting Covid-19 which poses a risk to pregnant women and the fetus they contain. What is unique is that pregnant women do not feel anxious because they do not have information about Covid-19 so that they continue to carry out pregnancy checks according to schedule. The leaders of the Batu-Batu Health Center are advised to socialize ANC visits at least 6 times with door to door counseling or create a WA or Facebook group so that correct information about ANC and Covid-19 is easier to reach and mothers do not experience excessive anxiety

Hypnotherapy Can Reduce Anxiety Score In High Risk Pregnant Women

Background: A high-risk pregnancy can affect the psychological, social, and emotional conditions, feel afraid and anxiety. Excessive anxiety can trigger uterine contractions, abortion, and hypertension that can trigger the occurrence of preeclampsia. Hypnotherapy is one of the relaxation techniques that are done by opening the subconscious so that all forms of positive affirmations given by the therapist can be absorbed properly. Techniques like this can become good habits by empowering pregnant women so that they can get used to making positive affirmations.&#x0D; Methods: This study uses quasy experimetal deisgn, respondents in the study were pregnant women who were at high risk based on the Poedji Rochyati scorecard and experienced anxiety based on the HARS questionnaire in July-August 2021. This intervention was given three sessions in 1 week for 40-50 minutes. This research process has been through informed consent from respondents. &#x0D; Results: After three sessions of hypnotherapy each sample showed an effect. This can be seen from the total number of anxiety scores after the final therapy session is given. At the end of the session, two pregnant women experienced a category decrease to mild anxiety, namely Mrs N and Mrs Q. The other three pregnant women did not experience a category decrease but experienced a decrease in anxiety scores. However, all pregnant women in the study sample experienced a decrease in anxiety scores. &#x0D; Conclusion: Hypnotherapy can be concluded that hypnotherapy can help pregnant women at high risk of reducing anxiety during the Covid-19 pandemic

A network analysis on the relationship between loneliness and schizotypy

BackgroundSchizotypy is a multidimensional personality trait related to the heightened risk for the development of schizophrenia spectrum disorders. While it has been suggested that loneliness may be associated with schizotypy in general, whether it relates to the specific schizotypal traits differentially remains unknown. Besides, as loneliness often co-occurs with depression and anxiety, it is important to delineate its relationship with schizotypy in consideration of these co-occurring emotional disturbances. MethodsA demographically diverse sample of young people was obtained from multiple sources. The validated sample consisted of 2089 participants (68.4% female, age range: 18–30). The structural relationship between loneliness and schizotypy was modelled using a network analytic approach. The Gaussian graphical model with loneliness and nine schizotypal traits as nodes was first estimated without, and then with adjustment for the levels of depressive and anxiety symptoms. Edges were estimated as unique associations between nodes. Results‘Suspiciousness’, ‘odd beliefs or magical thinking’, ‘no close friends’, ‘constricted affect’ and ‘excessive social anxiety’ were linked to loneliness directly. Loneliness was found to be more strongly associated with ‘suspiciousness’ and ‘no close friends’ than other schizotypal traits. After adjustment for the levels of depressive and anxiety symptoms, the above direct edges remained robust. LimitationsThe use of cross-sectional data indicated only undirected associations between variables. ConclusionsLoneliness was more strongly linked to some schizotypal traits than others, with the relationships maintaining above and beyond the effects of anxiety and depression. These findings warrant further investigation of the specific relationships between loneliness and individual schizotypal traits.

MO823: Psychological Impact of COVID-19 in Hemodialysis Patients

BACKGROUND AND AIMSThe COVID-19 pandemic has required containment measures in Morocco, as well as practice changes in haemodialysis centres. Haemodialysis patients are at risk of aggressive symptoms of COVID-19, which significantly increases mortality. This particular situation creates psychological disorders in those patients, such as anxiety, sleep disorders and irritability. The objective of our study is to assess the mental health status of haemodialysis patients during the pandemic and the psychological impact of confinement. This assessment will allow the adaptation of a supportive relationship with the patient through adequate psychological management.METHODThis is a mono-centric, non-interventional study that included all haemodialysis patients at the haemodialysis centre of the nephrology department at Ibn Rochd University Hospital during the confinement period (March 2020–June 2020).This study is based on a pseudonymized paper questionnaire, during confinement, based on two psychiatric scores (GAD-7, PHQ-9) that assess anxiety, depression as well as sleep disorders, which allowed us to collect socio-demographic data, anxiety depressive symptomatology and an assessment of sleep disorders.RESULTSThe average age of our population is 47.4 years old, 54% of whom are men. Almost 34.54% have a primary level of education The higher level of education was 14.45%, while 14.54% are illiterate. Regarding family status, 45% are married. Those who are living alone accounted for 55%. Before confinement, 57.15% patients were daily workers; 10 others had no work, among 3 of them were students; the 5 others were managers. After starting haemodialysis, 65.7% patients stopped their work.We noted that 38% of patients had a feeling of nervousness and anxiety for several days, while 9% had the same symptoms for more than half of the day. Concerning excessive anxiety, it was noted in 34% of patients for several days, while 16% showed excessive anxiety for more than half of the days. Concentration difficulties were noted in 41% of the patients for over several days and 5% more than half of days, while 58% of patients never had difficulties of concentration. The irritability feeling over several days was noted in 43% of patients, while 5.4% presented a feeling of irritability more than half of the days. Difficulty falling asleep is noted in 49% of patients, while 51% of patients have no difficulty falling asleep. The feelings of sadness, depression and despair are noted in 49% of patients for several days and 5% for more than half of the days. Sleep disorders were noted in 60% of patients on several days, while 40% had sleep disorders on more than half of the days. Loss of appetite was noted in 65% of patients. A lack of self-confidence was noted for several days in 43% of patients. 29% of patients lost the pleasure of having fun for several days. A total of 36% were slow or restless for several days. None of our patients expressed a desire to end their life, and 49% did not lose the pleasure of doing their daily activity.CONCLUSIONThe mental health of dialysis patients assessed appears to be unaffected during this first wave of the pandemic. This could be due to high resilience, higher unemployment among dialysis patients, a reduced impact of social distancing on the haemodialysis population, strict precautionary measures and perceived support from health workers, who can all contribute to addressing this pandemic.

Konseling Islam dengan Do’a dan Teknik Desensitisasi Sistematik untuk Mengurangi Phobia Kucing (Ailurophobia)

Phobia is quite serious problems that can be suffered by a person. Phobia will be dangerous if not treated immediately, which will cause muscle tension, panic, headaches, palpitations, hysterics, excessive fear etc. Phobia is a natural thing that some people have, this is caused by a fear or trauma of something that happened in the past. Phobia can be said to be unnatural if someone is afraid of certain objects that are considered by most people not scary, for example phobia of cats. This will be very dangerous if not addressed immediately, because these feelings and fears are very disturbing psychologically and very influential in everyday life. One of the efforts made to overcome the phobia of cats is through Islamic counseling with prayer and systematic desensitization techniques. Through prayer and surrender, the counselee is expected to be able to surrender to the Creator. By always remembering Allah SWT, surely all kinds of anxiety and fear will soon disappear. Through the systematic desensitization hoped that the client can overcome phobia by replacing excessive fear and anxiety with a calmer feeling. The counseling process is carried out with Treatment which is done by adding prayer to the systematic desensitization in the relaxation section to reduce phobia. This study uses a qualitative research method with the type of case study research. Data collection is done through interviews, observation, and documentation. While the data analysis technique used is comparative descriptive by comparing theoretical and field data and the results before and after counseling is done. The results of this study indicate that there is a change in the counselee's self, namely in the form of decreased Phobia symptoms which are characterized by self-control and changing behavior for the better.

FAKTOR-FAKTOR YANG MEMPENGARUHI KESIAPAN PEREMPUAN DALAM MENGHADAPI MASA MENOPAUSE

Based on data in 2020 on mothers aged 40-50 years visits, who experienced menopausal symptoms in the Balai Kota DKI Jakarta health service unit as many as 35 people among complaints such as irregularities of the menstrual cycle, sweat a lot, insomnia, hypertension, fatigue quickly, spinal pain, bone loss, blood circulation disorders, increased weight. Women who experience the premenopausal phase experience some physical and psychological changes (Rediyanati, 2011). The impact of changes in the climatterium phase in women is that women feel many complaints, but between one women and the other is different because of biological effects and individual reactions due to low estrogen that cause different symptoms. The impact caused is that women become less confident because they experience or lack of acceptance of the physical and psychic changes experienced. This excessive anxiety and fear can affect the level of readiness so that women need knowledge and readiness both related to physical and psychological changes that will be faced (Fitriani, 2012). Women of menopause age will experience many health risks so it is appropriate that great attention to prepare women for menopause should be given. The purpose of the study was to find out the factors that affect the readiness of mothers in facing menopause. This study used an analytical quantitative type with a Cross Sectional design with a sample of 32 mothers aged 40-50 years and purposive sampling techniques. The results of the study found a meaningful relationship between education (p value 0.039), knowledge level (value p 0.015) and complaints (value p 0.039) with the readiness of mothers facing menopause. Recommendations for Midwives and the government should provide better Health Education for woman with the age leading up to Menopause so that with increasing knowledge can make the mother better prepared for her menopause period.&#x0D; Key words : woman, menopause, readiness

Effects of Counseling on the Preparation of Labor For pain of Labor

Mothers who get additional information during pregnancy about how preparations and processes during labor later will greatly assist mothers in understanding kedaannya and reduce excessive anxiety. This study aims to analyze the influence of counseling on delivery preparation for labor pain in the intervention group and control group. This research is a kind of quasi experiment research, that is difference of mother primigravida given counseling about delivery preparation as intervention group and mother primigravida not given counseling about delivery preparation as control group. A sample of 15 people in the intervention group and 15 people in the control group. Then filled the questionnaire VAS (visual analogue scale) to assess pain after childbirth. Data were analyzed using mann-whitney test. The results showed that all control groups felt very severe pain level at the time of delivery of 15 people (60.0%) while the intervention group of pain level that was felt during the most labor was very heavy pain 10 people (40.0%), severe pain 4 people (100%) and moderate pain 1 person (100%).

Quranic mental health amidst pandemic: a cultural-hermeneutic reading to the Salawat community in Indonesia

ABSTRACT The COVID-19 pandemic has created excessive anxiety and psychological disaster globally. People try to calm their souls by performing religious rituals such as Salawat. This research explains the uniqueness of Quran and hadith-based mental health in dealing with pandemics using the Salawat tradition in Indonesia. This is qualitative research with data collected from the Salawat communities through in-depth interviews and observations, then analyzed using Cognitive Behavior Therapy (CBT) to determine the level of mental health and its relationship with the Quranic Mental Health concept. David Tracy's cultural-hermeneutic theory was used to understand how the Salawat community reaches good mental health in dealing with pandemics. It discusses the Quranic Mental Health from the perspective of hermeneutic and culture, examines links with psychological concepts such as religious phenomenon, and describes preliminary empirical evidence related to the mental construct. It has potentially valuable implications for researchers and clinicians interested in Islamic psychology.