SPIRITUAL PSYCHOTHERAPY EFFECT TO INCREASE CD4+ COUNT IN HIV /AIDS PATIENTS

Authors

  • M Faisal Idrus Department of Psychiatry, Medical Faculty of Hasanuddin University
  • Jayalangkara Jayalangkara Department of Psychiatry, Medical Faculty of Hasanuddin University
  • Syamsu Syamsu Departement of Physiology, Medical Faculty of Hasanuddin University
  • Ilham Ilham Departement of Physiology, Medical Faculty of Hasanuddin University

DOI:

https://doi.org/10.20956/nmsj.v0i1.2205

Abstract

ABSTRACT  Introduction: HIV / AIDS is a viral infection that causes decrease of immunity system characterized by decrease CD4+ T lymphocyte counts. Low CD4 T-cell counts are considered due to destruction of lymphocytes T by human immunodeficiency virus. The spiritual psychotherapy is a form of psychiatric treatment that provides peace, and happiness of the soul. Peace of mind is expected to generate individual immune response. Objectives: Objective  to determine the effect of spiritual psychotherapy to CD4 T-cell count. Methods: This is a quasi experimental study pretest-posttest control group design of 40 sample with HIV / AIDS who were selected by purposive sampling. This research was conducted in the HIV / AIDS Working Group and hospital inpatient BLU. Dr. Wahidin Sudirohusodo. Makassar. The samples were divided into two groups, the treatment group of 10  inpatient who received intensive spiritual psychotherapy, 10 sample from Lapas Bolangi and 20 control group who did not receive supportive psychotherapy. Statistical analysis using the Wilcoxon test. Results: The results of the analysis of CD4 + serum between the treatment and control groups was significantly different (p<0.05). After treatment, the CD4 T-cell count in the inpatient group increased serum from 15 to 160, but  in the other groups (group bolangi from 446.50 to 365.50 and the control group from 424.5 to 201.0) was decreased, especially in the control group (Tables 2 and 3). Table 4 shows that of the 10  inpatient samples group, all had increased levels of CD4 + serum, whereas in the group Bolangi only 3 samples (30%) among the 10 sample of the control group , of 20 sample only 1 person (5%) had increase of CD4 + serum , and 19 sample (95%) had decrease.   
Keywords: Spiritual Psychotherapy – relaxation - CD4 count

References

Adler MW. Perkembangan Epidemiologi, dalam Petunjuk Penting AIDS, edisi ketiga. Alih Bahasa : Ken Ariata Tengadi. EGC, Jakarta,. 1996; hlm 1-4.

Irwin M. Low Cd4+ T Lymphocyte counts http://www.virusmyth.com/aids/hiv/mil owcd4. 2001.

Bartlett JG, Gallant JE. Medical Management of HIV Infection. John Hopkins University Medicine: Johns Hopkins Medicine Health Publishing Business Group, Baltimore. 2007.

Direktorat Jenderal Pemberantasan Penyakit Menular & Penyehatan Lingkungan Departemen Kesehatan RI. Pedoman Nasional Perawatan, Dukungan dan Pengobatan Bagi ODHA, Departemen Kesehatan RI., Jakarta. 2003.

Ayad A. Meditation and Dhikr-Allah. Healing Body & Soul. International Islamic Publishig House. Riyadh Saudi Arabia. 2008; 409-418.

Pasiak T. Pikiran Yang Mengubah Otak. Tuhan Dalam Otak Manusia Mewujudkan Kesehatan Spiritual Berdasarkan Neurosains. Cetakan 1. Mizan Media Utama, Bandung. 2012; p 51-76.

Benson H, Proctor W. “Keimanan Yang Menyembuhkan dasar-dasar respon relaksasi” Alih bahasa : dr. Nurhasan. Penyunting : Ary Nilandari. Cetakan 1. Penerbit Kaifa.. Bandung. Januari. 2000; p 34.

Hawari D. Dimensi Religi dalam Praktek Psikiatri dan Psikologi. Cetakan ke-2. Balai Penerbit FKUI. Jakarta. 2005.

Hawari D. Manajemen Stres, Cemas dan Depresi. Gaya Baru, Jakarta. 2002.

Snyderman. Religious Approach in the Medical Treatment. Faculty of Medicine. Duke University. 1996.

Christy M. “Prayer as Medicine”. Forbes. 1998; 136-137.

Hawari D. Panduan Psikoterapi Agama (Islam). Fakultas Kedokteran Universitas Indonesia. Jakarta. 2010.

Woods TE, Antoni MH, Ironson GH, Kling DW. Religiosity is associated with affective immune status in symptomatic HIV-infected gay men. Journal of Psychosomatic Research.; 1999; 46(2):165–176.

Koenig HG, Cohen HJ, Bazer DG, et al. Religious coping and depression in elderly hospitalized medically ill men, American Journal of Psychiatry, 1992; 149: 1693-1700.

Koenig HG. Depressive disorder in hospitalised medically ill elders, Funded by National Institutes of Mental Health, 1996.

Sastroasmoro S, Ismael S. Dasar- Dasar Metodologi Penelitian Klinis. Sagung Seto, Jakarta. 2002.

Fenwick P. The Neuroscience of Spirituality. 2003.

Mohandas E. Neurobiology of Spirituaity. Mental Health, Spirituality, Mind. 2008; (6) page : 63-80.

Newberg A.B, Iversen J. The neural basis of the complex mental task of meditation: neurotransmitter and neurochemical considerations, Med Hypotheses , 2003; 61 : 2, p 282-291.

Madeline M, Lorentz RN. Stress and Psychoneuroimmunology. Alternative Journal of Nursing. 2006; Issue 11.p1-11.

Elzaky J, (2011). "Fushul fi Thibb al- Rasul (Buku Induk Mukjizat Kesehatan Ibadah)", Alih Bahasa : Dedi Slamet Riyadi MA. Penerbit Zaman, Jakarta. 2011; 1.

Ironson G, Stuetzle R, Fletcher M A, et all. An Increase in Religiousness / Spirituality Occurs After HIV Diagnosis and Predicts Slower Disease Progression over 4 Years in People with HIV, Gen Intern Med, 2006; 21(S5): S62–S68.

Kaplan HI, Sadock BJ. Acquired Immune Deficiency Syndrome (AIDS), Pocket Handbook of Clinical Psychiatry , 6 th ed, William & Wilkins, Baltimore USA. 2000; p297 – 303.

Sayyid AB. Terapi Spiritual dan Psikologi. Kekuatan Ruhiyah (The Spiritual Power). Alih Bahasa : Sibawea Lc. Ziyad Visi Media. Surakarta. 2008; 12- 32.

Downloads

Published

2016-03-17

How to Cite

Idrus, M. F., Jayalangkara, J., Syamsu, S., & Ilham, I. (2016). SPIRITUAL PSYCHOTHERAPY EFFECT TO INCREASE CD4+ COUNT IN HIV /AIDS PATIENTS. Nusantara Medical Science Journal, (1), 25–32. https://doi.org/10.20956/nmsj.v0i1.2205