Inggris 3-I (Ppt)

Embed Size (px)

Citation preview

  • 7/27/2019 Inggris 3-I (Ppt)

    1/14

    030.08

    Jakarta, 6th July 2011

  • 7/27/2019 Inggris 3-I (Ppt)

    2/14

    A number of long-term demographic studies

    have indicated that there is a longitudinal

    relationship between insomnia anddepression.

  • 7/27/2019 Inggris 3-I (Ppt)

    3/14

    Common Causes of Depression

    Biology

    Genetics

    Gender

    Age

    Health

    conditions

    Changes andstressful events

    Medicationsand substances

  • 7/27/2019 Inggris 3-I (Ppt)

    4/14

    2. Interest

    Criteria for the diagnosis of MDD (DSM-IV-TR).

    At least 1+2 and 5 of the following symptoms have been present duringthe same 2-weeks period :

    Energyy

    Concentration

    AppetitechangesSleep

    disordersPsychomotor

    disorders

    Suicide

    Guilty

    1. Mooddepressive

  • 7/27/2019 Inggris 3-I (Ppt)

    5/14

    People with insomnia have one or more of thefollowing symptoms:

    Difficulty fallingasleep

    Feeling tired uponwaking

    Waking up oftenduring the night and

    having troublegoing back to sleep

    Waking up tooearly in the

    morning

  • 7/27/2019 Inggris 3-I (Ppt)

    6/14

  • 7/27/2019 Inggris 3-I (Ppt)

    7/14

    earlymorning

    awakenings

    an inabilityto fall back

    asleepDepression

  • 7/27/2019 Inggris 3-I (Ppt)

    8/14

    Insomnia wastypically seen as a

    symptom ofdepression

    New research showsthat insomnia is not just

    a symptom ofdepression

    Insomnia anddepression are two

    overlapping disorders.

  • 7/27/2019 Inggris 3-I (Ppt)

    9/14

    Depressed people suffer from

    insomnia

    Risk of recurringdepression is greater than

    that of patients who donthave insomnia.

    So, insomnia may serve as a trigger for depression,but it also appears to perpetuate depression.

  • 7/27/2019 Inggris 3-I (Ppt)

    10/14

    Treated with both an antidepressantand a sleep medication

    than only with antidepressants.

    The latest findings have helped improve

    treatment strategies.

  • 7/27/2019 Inggris 3-I (Ppt)

    11/14

    A complex relationship exists between insomnia and

    depressive disorders. Treatment strategies should

    address both depressive symptoms and insomnia andshould consider use of both pharmacologic and

    nonpharmacologic strategies.

  • 7/27/2019 Inggris 3-I (Ppt)

    12/14

    1. Halverson JL. Background of Depression. Available athttp://emedicine.medscape.com/article/286759-overview. Accessed on June 12th 2011.

    2. Andreasen NC, Black DW. Introductory Textbook of

    Psychiatry. 3rd

    edition. London : American PsychiatricPublishing ; 2001. p 272-4.3. Doghramji K. Insomnia and Depression. Available at

    http://www.medscape.org/viewarticle/501334. accessedon June 14th 2011.

    4. Sadock BJ, Sadock VA. Synopsos of Psychiatry. 9th edition.

    USA : Lippincott Williams and Wilkins ; 2002. p 534.5. Chang L. Common Causes of Depression.

    http://www.webmd.com/depression/recognizing-depression-symptoms/common-causes. accessed onJune 12th 2011.

    http://emedicine.medscape.com/article/286759-overviewhttp://emedicine.medscape.com/article/286759-overviewhttp://emedicine.medscape.com/article/286759-overviewhttp://www.medscape.org/viewarticle/501334http://www.medscape.org/viewarticle/501334http://www.webmd.com/depression/recognizing-depression-symptoms/common-causeshttp://www.webmd.com/depression/recognizing-depression-symptoms/common-causeshttp://www.webmd.com/depression/recognizing-depression-symptoms/common-causeshttp://www.webmd.com/depression/recognizing-depression-symptoms/common-causeshttp://www.webmd.com/depression/recognizing-depression-symptoms/common-causeshttp://www.webmd.com/depression/recognizing-depression-symptoms/common-causeshttp://www.webmd.com/depression/recognizing-depression-symptoms/common-causeshttp://www.webmd.com/depression/recognizing-depression-symptoms/common-causeshttp://www.webmd.com/depression/recognizing-depression-symptoms/common-causeshttp://www.webmd.com/depression/recognizing-depression-symptoms/common-causeshttp://www.medscape.org/viewarticle/501334http://emedicine.medscape.com/article/286759-overviewhttp://emedicine.medscape.com/article/286759-overviewhttp://emedicine.medscape.com/article/286759-overview
  • 7/27/2019 Inggris 3-I (Ppt)

    13/14

    6. Halverson JL. Depression Clinical Presentation. Availableat http://emedicine.medscape.com/article/286759-clinical#showall. Accessed on June 12th 2011.

    7. Chanin LR. An Overview of Insomnia. Available athttp://www.webmd.com/sleep-disorders/guide/insomnia-symptoms-and-causes.accessed on 18th June 2011.

    8. Benbadis SR. Insomnia Clinical Presentation. Available athttp://emedicine.medscape.com/article/1187829-overview. accessed on 19th 2011. Accessed on June 20th2011.

    9. Benbadis SR. Insomnia Due to Mental Disorder. Availableat http://emedicine.medscape.com/article/1187829-overview#showall. Accessed on June 20th 2011.

    10. Jaret P. Depression and Insomnia. Available at

    http://emedicine.medscape.com/article/1187829-overview. Accessed on June 20th 2011.11. McCall WP. Exploring the Relationship Between Insomnia

    and Depression Insomnia as a Precursor of Depression.Available athttp://www.medscape.org/viewarticle/581779_2.

    Accessed on June 2o

    th

    2011.

    http://emedicine.medscape.com/article/286759-clinicalhttp://emedicine.medscape.com/article/286759-clinicalhttp://emedicine.medscape.com/article/286759-clinicalhttp://emedicine.medscape.com/article/286759-clinicalhttp://www.webmd.com/sleep-disorders/guide/insomnia-symptoms-and-causeshttp://www.webmd.com/sleep-disorders/guide/insomnia-symptoms-and-causeshttp://www.webmd.com/sleep-disorders/guide/insomnia-symptoms-and-causeshttp://emedicine.medscape.com/article/1187829-overview.%20accessed%20on%2019th%202011http://emedicine.medscape.com/article/1187829-overview.%20accessed%20on%2019th%202011http://emedicine.medscape.com/article/1187829-overview.%20accessed%20on%2019th%202011http://emedicine.medscape.com/article/1187829-overview.%20accessed%20on%2019th%202011http://emedicine.medscape.com/article/1187829-overview.%20accessed%20on%2019th%202011http://emedicine.medscape.com/article/1187829-overviewhttp://emedicine.medscape.com/article/1187829-overviewhttp://emedicine.medscape.com/article/1187829-overviewhttp://emedicine.medscape.com/article/1187829-overviewhttp://emedicine.medscape.com/article/1187829-overviewhttp://emedicine.medscape.com/article/1187829-overviewhttp://emedicine.medscape.com/article/1187829-overviewhttp://www.medscape.org/viewarticle/581779_2http://www.medscape.org/viewarticle/581779_2http://www.medscape.org/viewarticle/581779_2http://emedicine.medscape.com/article/1187829-overviewhttp://emedicine.medscape.com/article/1187829-overviewhttp://emedicine.medscape.com/article/1187829-overviewhttp://emedicine.medscape.com/article/1187829-overviewhttp://emedicine.medscape.com/article/1187829-overviewhttp://emedicine.medscape.com/article/1187829-overviewhttp://emedicine.medscape.com/article/1187829-overview.%20accessed%20on%2019th%202011http://emedicine.medscape.com/article/1187829-overview.%20accessed%20on%2019th%202011http://emedicine.medscape.com/article/1187829-overview.%20accessed%20on%2019th%202011http://emedicine.medscape.com/article/1187829-overview.%20accessed%20on%2019th%202011http://emedicine.medscape.com/article/1187829-overview.%20accessed%20on%2019th%202011http://emedicine.medscape.com/article/1187829-overview.%20accessed%20on%2019th%202011http://www.webmd.com/sleep-disorders/guide/insomnia-symptoms-and-causeshttp://www.webmd.com/sleep-disorders/guide/insomnia-symptoms-and-causeshttp://www.webmd.com/sleep-disorders/guide/insomnia-symptoms-and-causeshttp://www.webmd.com/sleep-disorders/guide/insomnia-symptoms-and-causeshttp://www.webmd.com/sleep-disorders/guide/insomnia-symptoms-and-causeshttp://www.webmd.com/sleep-disorders/guide/insomnia-symptoms-and-causeshttp://www.webmd.com/sleep-disorders/guide/insomnia-symptoms-and-causeshttp://www.webmd.com/sleep-disorders/guide/insomnia-symptoms-and-causeshttp://www.webmd.com/sleep-disorders/guide/insomnia-symptoms-and-causeshttp://emedicine.medscape.com/article/286759-clinicalhttp://emedicine.medscape.com/article/286759-clinicalhttp://emedicine.medscape.com/article/286759-clinical
  • 7/27/2019 Inggris 3-I (Ppt)

    14/14