Efektivitas terapi ekspresif menulis dan bermain pasir untuk menurunkan gejala depresi berat tanpa gejala psikotik
DOI:
https://doi.org/10.22219/procedia.v13i2.37833Keywords:
Adult, expressive writing therapy, major depressive episode without psychotic, sandtray therapyAbstract
Major depressive episode without psychotic symptoms is characterized by the main symptoms of depressive affect, loss of interest and joy, and decreased energy in doing activities. The purpose of this case study is to reduce the symptoms of major depressive disorder without psychotic symptoms through sandtray and expressive therapy. The subject in the case study was a 31 year-old woman. The symptoms experienced by the subject included feeling sad when remembering past events, decreased interest in working and considering leaving work, the subject rarely gathering with friends and tending to be in the boarding house, and the subject spending time sleeping and forgetting activities such as bathing, eating and praying. The data collection methods used were interviews, observations and psychological tests. The interventions carried out were sandtray therapy and expressive writing therapy. The purpose of the intervention was to express pent-up feelings and thoughts. The results of the intervention showed that sandtray therapy and expressive writing therapy could reduce the symptoms of major depressive disorder without psychotic symptoms which were marked by a decrease in the BDI-II score from 32 to 7.
Episode depresi mayor tanpa gejala psikotik ditandai dengan gejala utama afek depresif, kehilangan minat dan kegembiraan, serta menurunnya energi dalam melakukan aktivitas. Tujuan dari studi kasus ini adalah untuk mengurangi gejala gangguan depresi mayor tanpa gejala psikotik melalui terapi sandtray dan ekspresif. Subjek dalam studi kasus adalah seorang wanita berusia 31 tahun. Gejala yang dialami oleh subjek meliputi merasa sedih ketika mengingat kejadian masa lalu, menurunnya minat untuk bekerja dan mempertimbangkan untuk berhenti bekerja, subjek jarang berkumpul dengan teman-teman dan cenderung berada di kos, serta subjek menghabiskan waktu untuk tidur dan melupakan aktivitas seperti mandi, makan, dan berdoa. Metode pengumpulan data yang digunakan adalah wawancara, observasi, dan tes psikologi. Intervensi yang dilakukan adalah terapi sandtray dan terapi menulis ekspresif. Tujuan intervensi adalah untuk mengekspresikan perasaan dan pikiran yang terpendam. Hasil intervensi menunjukkan bahwa terapi sandtray dan terapi menulis ekspresif dapat menurunkan gejala gangguan depresi mayor tanpa gejala psikotik yang ditandai dengan penurunan skor BDI-II dari 32 menjadi 7.
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