Cognitive Behavior Therapy (CBT) Model in Formation of Dental and Oral Health Maintenance Behavior in Paranoid Schizophrenic Patients - Article

Q: What is the aim of the CBT model in this study?

To produce a Cognitive Behavior Therapy (CBT) model for forming dental and oral health maintenance behaviors in paranoid schizophrenic patients.

Q: How was the study conducted?

Using a Research and Development (R&D) approach with quasi-experimental pre-post design and a non-equivalent control group. Forty patients were divided into two groups and analyzed with repeated measures ANOVA, post hoc LSD, and independent t-test.

Q: What results show the model’s effectiveness?

Expert validation produced p-value <0.006, and applying the CBT model improved patients’ knowledge, attitudes, tooth-brushing skills, and OHI-S status with statistical significance (p<0.005).

Q: What does the conclusion state about CBT for paranoid schizophrenic patients?

The CBT model is effective in forming dental and oral health maintenance behaviors in paranoid schizophrenic patients.

Sep 5, 2026

Upload by Eliana

Cognitive Behavioral Therapy (CBT) is used to build dental and oral health maintenance behaviors in paranoid schizophrenic patients who often show impairments in self-care, including difficulties in eating, cleaning the body, and brushing teeth. The study applies an R&D model with quasi-experimental pre-post testing using a non-equivalent control group of 40 respondents. Expert validation confirms the model’s appropriateness (p<0.006), and implementation significantly improves knowledge, attitudes, tooth-brushing skills, and OHI-S status (p<0.005).

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages4

Reading Time10 min

AccessFree to download

Abstract

I. Introduction

II. Methodology

III. Results and Discussion

A. Data Collection

Cognitive Behavior Therapy (CBT) Model in Formation of Dental and Oral Health Maintenance Behavior in Paranoid Schizophrenic Patients Risda Alvia Mukhlisa*1, Masrifan Djamil2 Bedjo Santoso3, Supriyana4, Waljuni Astu R5 1,2,3,4,5Dental Theraphist and Hygienist Department, Poltekkes Kemenkes Semarang Jl. Tirto Agung, Pendalangan, Banyumanik, Semarang Abstract:- Background: Schizophrenic patients often have lives of fantasies and delusions created by their own emotions and thoughts. Makes patients lose the ability to carry out their activities and experience the ability to care for themselves. Cognitive Behavioral Therapy (CBT)is a regular short-term therapy consisting of 6 sessions of 45 minutes to 1 hour per session. Cognitive Behavioral Therapy (CBT) can train patients to deal with anxiety, and deal with emerging behaviors. Aim: Producing Cognitive Behavior Therapy (CBT) Models in Formation of Dental and Oral Health Maintenance Behaviors in Paranoid Schizophrenic Patients. Research methods: Research and Development (R&D) and product test using quasi-experimental pre and posttest design (Non-equivalent Control Group). The respondents were 40 patients who were divided into 2 groups. The data from the model test were analyzed using repeated measure ANOVA statistical test, post hoc LSD, and independent t-test. Results: Expert validation test of the model Cognitive Behavior Therapy (CBT) In Formation of Dental and Oral Health Maintenance Behavior in Schizophrenic Patients this is obtained p-value <0.006. Application model Cognitive Behavior Therapy (CBT) in patients can improve knowledge, attitudes, teeth brushing skills, and OHI-S status of patients statistically meaningful (p<0.005). Conclusion: Model application Cognitive Behavior Therapy (CBT) effective in the formation of dental and oral health maintenance behavior in paranoid schizophrenic patients. Keywords: CBT, behavior, schizophrenia. I. INTRODUCTION Health is a condition in which individuals do not have a disease, but health is influenced by the balance of physical, psychological, and social functions of an individual1. According to the Law of the Republic of Indonesia, Number 36 of 2009 concerning Health, healthy is a condition in which an individual is physically, mentally, spiritually, or socially and an individual can contribute to the group.2 Mental health is a person's condition able to adapt physically, mentally, spiritually, and socially so that they can handle situations, work productively3. Schizophrenic patients often have lives of fantasies and delusions created by their own emotions and thoughts. auditory hallucinations, lack of social interaction, and uncontrolled emotional4. This makes the person lose the ability to carry out their activities and experience the ability to take care of themselves such as eating, drinking, cleaning the body from dirt, brushing teeth, and so on5. Schizophrenic patients have a higher potential for dental and oral disease caused by psychotropic drugs consumed by patients6. Another factor that contributes to the increased incidence of dental caries in patients with schizophrenia is high sugar intake, associated with a high prevalence of dental caries and plaque index7. Based on the International Classification of Diseases, schizophrenia is divided into several variables, namely paranoid schizophrenia, hebephrenic schizophrenia, catatonic schizophrenia, unspecified schizophrenia, postschizophrenic depression, residual schizophrenia, schizophrenia simplex8. Total of 706,689 adolescents aged 15 years in Indonesia show symptoms of depression and anxiety, while the prevalence of schizophrenia in Indonesia reaches around 282,654 people from the total population of Indonesia9. In general, the disease possessed by schizophrenic patients is caries, and missing or missing teeth due to caries and periodontal disease 10. Cognitive Behavioral Therapy (CBT)is a regular shortterm therapy consisting of 6 sessions o

FAQs

What is the aim of the CBT model in this study?

To produce a Cognitive Behavior Therapy (CBT) model for forming dental and oral health maintenance behaviors in paranoid schizophrenic patients.

How was the study conducted?

Using a Research and Development (R&D) approach with quasi-experimental pre-post design and a non-equivalent control group. Forty patients were divided into two groups and analyzed with repeated measures ANOVA, post hoc LSD, and independent t-test.

What results show the model’s effectiveness?

Expert validation produced p-value <0.006, and applying the CBT model improved patients’ knowledge, attitudes, tooth-brushing skills, and OHI-S status with statistical significance (p<0.005).

What does the conclusion state about CBT for paranoid schizophrenic patients?

The CBT model is effective in forming dental and oral health maintenance behaviors in paranoid schizophrenic patients.

Sep 5, 2026

Upload by Eliana