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Effectiveness of Internet-Based Group Supportive Psychotherapy on Psychic and Somatic Symptoms, Neutrophil-Lymphocyte Ratio, and Heart Rate Variability in Post COVID-19 Syndrome Patients

ACTA MEDICA INDONESIANA · Vol. 55 No. 4 (2024)

ISSN
2338-2732, 0125-9326
Terbit
2024-01-12
Penerbit
The Indonesian Society of Internal Medicine
Bahasa
eng

Abstrak

Background: COVID-19 can have serious long term health consequences, which is called Post-COVID-19 Syndrome (PCS). Currently, the available evidence and understanding of PCS management is limited. Because one of the symptoms of PCS is associated to psychological symptoms, psychotherapy is believed to have a role in the management of PCS. This study aimed to identify the effectiveness of supportive psychotherapy in PCS patients at Cipto Mangunkusumo National General Hospital. Methods: This study was a single blind randomized clinical trial using a pre-and post-test with control group study design. Participants were randomly divided into two groups: a psychotherapy group with 40 participants and an education group with 37 participants. Each group was given internet-based psychotherapy or education three times a week in a form of group consisting of 6-8 participants. Symptom Checklist-90 questionnaire was used to evaluate somatic and psychological symptoms. Heart rate variability and neutrophil lymphocyte ratio were also investigated. Data analysis was performed using the independent T test. Results: An improvement in the SCL-90 score was found to be 17.51 (SD 30.52) in the psychotherapy group and 19.79 (SD 35.10) in the education group, although there was no significant difference between the two groups (p = 0.771). There was no significant difference between the two groups in decreasing NLR (p = 0.178) and improving HRV (p = 0.560). Conclusion: Both internet-based group supportive psychotherapy and education improved psychological and somatic symptoms in PCS patients, although there was no significant difference between the two groups. There was no significant difference between the two groups in decreasing NLR and improving HRV. Suggestions for further research regarding adding frequency of internet-based group psychotherapy in PCS patients and held in the morning to achieve more optimal results.

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Kuntjoro HarimurtiAfiliasi tidak diketahui27
Ikhwan RinaldiAfiliasi tidak diketahui22
Edward FaisalAfiliasi tidak diketahui20
Murdani AbdullahAfiliasi tidak diketahui15
Alvina WidhaniAfiliasi tidak diketahui15
Imam SubektiAfiliasi tidak diketahui14
Idrus AlwiAfiliasi tidak diketahui13
Sally Aman NasutionAfiliasi tidak diketahui12
Pringgodigdo NugrohoAfiliasi tidak diketahui11
Dadang MakmunAfiliasi tidak diketahui9
Rahmi IstantiAfiliasi tidak diketahui8
Jessica MarsigitAfiliasi tidak diketahui8
Rudy HidayatAfiliasi tidak diketahui8
Dyah PurnamasariAfiliasi tidak diketahui8
Muhammad YaminInstitut Agama Islam Negeri Bone8
Cosphiadi IrawanAfiliasi tidak diketahui8
Muhammad Khifzhon AzwarAfiliasi tidak diketahui7
Noto DwimartutieAfiliasi tidak diketahui7
Aulia RizkaAfiliasi tidak diketahui7
Ari Fahrial SyamAfiliasi tidak diketahui7
Arif MansjoerAfiliasi tidak diketahui7
Ika Prasetya WijayaAfiliasi tidak diketahui7
Evy YunihastutiAfiliasi tidak diketahui7
Simon SalimAfiliasi tidak diketahui6
Anshari Saifuddin HasibuanAfiliasi tidak diketahui6
Sukamto KoesnoeAfiliasi tidak diketahui6
Juferdy KurniawanAfiliasi tidak diketahui6
Roza MulyanaAfiliasi tidak diketahui5
Rensa RensaAfiliasi tidak diketahui5
Robert SintoAfiliasi tidak diketahui5

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Sumber metadata: OAI-PMH (metadata jurnal) http://www.actamedindones.org/index.php/ijim/oai, pertama di-harvest 8 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc)
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	<dc:title xml:lang="en-US">Effectiveness of Internet-Based Group Supportive Psychotherapy on Psychic and Somatic Symptoms, Neutrophil-Lymphocyte Ratio, and Heart Rate Variability in Post COVID-19 Syndrome Patients</dc:title>
	<dc:creator>Shatri, Hamzah</dc:creator>
	<dc:creator>Sinulingga, Dika Iyona</dc:creator>
	<dc:creator>Rumende, Cleopas Martin</dc:creator>
	<dc:creator>Setiati, Siti</dc:creator>
	<dc:creator>Putranto, Rudi</dc:creator>
	<dc:creator>Ginanjar, Eka</dc:creator>
	<dc:creator>Rengganis, Iris</dc:creator>
	<dc:creator>Yunir, Em</dc:creator>
	<dc:creator>Ismail, Raden Irawati</dc:creator>
	<dc:creator>Lukman, Petrin Redayani</dc:creator>
	<dc:subject xml:lang="en-US">psychosomatic disorder</dc:subject>
	<dc:subject xml:lang="en-US">post COVID syndrome</dc:subject>
	<dc:subject xml:lang="en-US">internet-based group supportive psychotherapy</dc:subject>
	<dc:subject xml:lang="en-US">neutrophil lymphocyte ratio</dc:subject>
	<dc:subject xml:lang="en-US">heart rate variability</dc:subject>
	<dc:description xml:lang="en-US">Background: COVID-19 can have serious long term health consequences, which is called Post-COVID-19 Syndrome (PCS). Currently, the available evidence and understanding of PCS management is limited. Because one of the symptoms of PCS is associated to psychological symptoms, psychotherapy is believed to have a role in the management of PCS. This study aimed to identify the effectiveness of supportive psychotherapy in PCS patients at Cipto Mangunkusumo National General Hospital. Methods: This study was a single blind randomized clinical trial using a pre-and post-test with control group study design. Participants were randomly divided into two groups: a psychotherapy group with 40 participants and an education group with 37 participants. Each group was given internet-based psychotherapy or education three times a week in a form of group consisting of 6-8 participants. Symptom Checklist-90 questionnaire was used to evaluate somatic and psychological symptoms. Heart rate variability and neutrophil lymphocyte ratio were also investigated. Data analysis was performed using the independent T test. Results: An improvement in the SCL-90 score was found to be 17.51 (SD 30.52) in the psychotherapy group and 19.79 (SD 35.10) in the education group, although there was no significant difference between the two groups (p = 0.771). There was no significant difference between the two groups in decreasing NLR (p = 0.178) and improving HRV (p = 0.560). Conclusion: Both internet-based group supportive psychotherapy and education improved psychological and somatic symptoms in PCS patients, although there was no significant difference between the two groups. There was no significant difference between the two groups in decreasing NLR and improving HRV. Suggestions for further research regarding adding frequency of internet-based group psychotherapy in PCS patients and held in the morning to achieve more optimal results.</dc:description>
	<dc:publisher xml:lang="en-US">The Indonesian Society of Internal Medicine</dc:publisher>
	<dc:date>2024-01-12</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>http://www.actamedindones.org/index.php/ijim/article/view/2452</dc:identifier>
	<dc:source xml:lang="en-US">Acta Medica Indonesiana; Vol. 55 No. 4 (2023): Acta Medica Indonesiana; 411</dc:source>
	<dc:source>2338-2732</dc:source>
	<dc:source>0125-9326</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>http://www.actamedindones.org/index.php/ijim/article/view/2452/pdf</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2024 Hamzah Shatri, Dika Iyona Sinulingga, Cleopas Martin Rumende, Siti Setiati, Rudi Putranto, Eka Ginanjar, Iris Rengganis, Em Yunir, Raden Irawati Ismail, Petrin Redayani Lukman</dc:rights>
</oai_dc:dc>