KULIAH BLOK 1.

Stress Management
Dr. Hj. ARINA WIDYA MURNI SpPD-KPsi FINASIM
 KURIKULUM VITE
Dr. Hj. ARINA WIDYA MURNI SpPD-KPsi FINASIM

TTL : Padang Panjang, 9 Maret 1970

Jabatan : Kepala Sub Bagian Psikosomatik
Bagian Penyakit Dalam FK Unand
Alamat : Komplek Cemara II Blok LL 10
Gn Pangilun Padang
Telp/email: 08126740742
arina_widya_murni@yahoo.com
Suami : dr Eng Rendy Thamrin
Staf pengajar FT Unand
Anak : 3 orang

Riwayat Pendidikan :
S1 Dokter Umum, FK Unand,1989- 1997
Sp1 Sp Penyakit Dalam , FK Unand, 2001- 2006
Sp2 Konsultan Psikosomatik, FKUI, 2008 - 2010
S3, Biomedik FK Unand, mulai 2011 - sekarang
2
STRESS
 STRESS

Stress (Hans Selye) :

non specifik response of dangerous
things / uncomfortable

Healthy :

Could be adaptive and have positive

response of stressor and changes
 STRESS and DISEASES

STRESOR
COPING

NORMAL

COPING

STRESOR

ABNORMAL
 BODY
GENERAL RESPONSE
ADAPTATION SYNDROME

Alarm stage
S Fight/flight

T
The stage of resistance
R Eradicated/reduced
E
S The stage of exhaustion
S Persisten/psychosomatic

HANS SELYE 1936

Three different kinds of Stress

Acute stress

Episodic stress

Chronic stress
 ACUTE STRESS
Most widely experience

Actually brings about excitement, joy

and thrill of live

Occurs only a very short period of

time

Symproms might only come out

when stress accumulated
 EPISODIC STRESS
Acute stress that is too frequently of acute
stress

Longer periods of intermittent depression,

anxiety disorders and emotional distress

Ceasesless worrying

Persistent physical symptoms similar with

acute stress
 CHRONIC STRESS
Long term exposure to stressors

• Unhappy marriage
• Traumatic experiences
• Unwanted career or job
• Chronic illnesses
• Relationships conflict

Stressful seem to be unending

Accumulated stress can be life

threatening, can lead to suicide
HYPOTHALAMO-PITUITARY-ADRENAL AXIS
 STRESS MANAGEMENT
• Self Management,
positive thinking

Family support

Coping mechanism
 Coping Mechanism
• The sum of cognitive and behavioural
effort
• Constantly changing
• The aim to handle particular demands
(internal/external)
• Proactive coping;
the coping respons is aimed at
preventing a possible encounter with a
future stressor
 Types of Coping Strategies
The appraisal focused strategies / change of mind
set

The problem focused strategies / modify the

behaviour

The emotion focused strategies/ alteration of one

emotion to tolerate or eliminate the stress
 STRESS MANAGEMENT
Medical Management
Psychosomatic approach (Holistic Approach)

Symptomatic management

Psycho farmacist drug.

Psychotherapy (personal, group, family )

• Ventilation
• Relaxation
• Biofeedback
• Cognitive Behavioural Therapy
• Supportif therapy
 STRESS MANAGEMENT
No PROBLEM LEVEL URGENT LEVEL TAKE ACTION

1 MUST BE IMPORTANT DO IT NOW

2 MUST BE NOT IMPORTANT DO IT LATER

DECIDE WHEN
TO DO IT

3 MUST NOT BE IMPORTANT DO IT LATER

DECIDE WHEN
TO DO IT

4 MUST NOT BE NOT IMPORTANT DO NOT DO IT

OR
DO LATER IF IT
NEED

MURNI, A.W, 2013

 CIRCLE ACTION
• Important • Must Be
• Must Be • Not
Important

Do It Do It
Now Later

Do It Do Not
later Do It
• Must Not Be • Must Not Be
• Important • Not
Important
 SUMMARY
Definition stress

General Adaptation Syndrome

The type of Stress

HPA axis

The role of Cortisol

Management stress

Coping Mechanism