R. Fauziah Febrianni Fathurochman


The most common types of leukemia (blood cancer) that Indonesia children have are Acute Lymphoblastic Leukemia (ALL) considered to have a high mortality rate. One contributing factor is the inability of parents to adapt to changes in the child's condition on the induction phase of treatment such as nausea, vomiting, fatigue, pain, infection, mucositis (wound on the mouth), alopecia (hair loss), mood disorders and anemia. Changes in the condition of the child make the mothers, as the main caregiver, deal with the distressful situation so that the mother often abandon the treatment and not obedient to the doctor's advice that basically can affect the healing process of children. Therefore, the mother needs an inner ability to adapt to the condition of the child's illness through training. This ability is called by Grotberg (1995) as Resilience. By providing knowledge on the resilience-forming factors of I Have, I Am, and I Can it is highly expected that the mothers having ALL children in the induction phase will be able to adapt to changing child's condition. The research design used is one group pretest-posttest. The measurement of Psychological Distress uses K10 questionnaires; while to know the picture of resilience mother the interview was also used. Data processing is done by using descriptive statistical analysis and content analysis. The conclusions show that (1) the design of Resilient Training Modules tested can reduce the psychological distress score on the mother; (2) In general, the activities, methods, tools, and facilitators in the resilience training module is already in accordance with the participants' need to increase resilience capacity and reduce psychological distress; (3) Decreased physical condition of children such as diarrhea, oral bleeding, etc. becomes a risk factor that can increase the score of mother distress.

Full Text:



Adhitya Putra Pratama. 2014. Hubungan Antara Parameter Hematologi saat Perawatan Fase Induksi dengan Kejadian Demam Neotropenia pada Anak Leukemia Limfoblastik Akut. Sari Pediatri, 16 (3) : 183-188

Andrew G, Slade T. 2001. Intrepeting scores on the Kessler Psychological Distress Scale. Australian and New Zealand of Public Health. 25 (6) : 494-497.

Benard, Casarone, Ed. 1999. Resilience Guide : A Collection of Resource on Resilience in Children and Families. Champaign : ERIC Clearinghouse on Elementary and Early Childhood Education.

BeritaSatu.Com. 2014. Hari Kanker Anak Internasional. Melalui [28/03/16]

Bordes, Keneth S., et. al.2008. Research Design Methods. New York : Mc Graw Hill

Breakwell, Glynis M.. Jonathan A. Smith, and Daniel B. Wright. 2012. Research Metthods in Psychology. London : SAGE Publication Ltd.

Budi Utama. 2015. Kanker Darah. Melalui [20/05/2016]

Cozby, Paul C.2003. Methods In Behavioral Research Eighth Edition. New York : McGraw-Hill.

Dolgin, Michael., et. al. 2007. Trajectories of Adjustment in Mothers of Children with Newly Diagnosed Cancer : A Natural History Investigation. Journal of Pediatric Psychology, 32 (7) : 771-782.

dr. Andri, Sp.KJ. 2013. Faktor Psikologis Pasien Kangker. Melalui [01/01/14]

Furukawa, T. A., Kessler, R. C., Slade T., and Andrew, G. 2003. The Performance of the K6 and K10 Screening Scale for Psychological Distress in The Australian National Survey of Mental Health and Well-Being. Psychological Medicine, 33 : 357-362.

Grotberg, Edith H. Ph.D. 1999. Tapping Your Inner Strength : How to Find the Resilience to Deal Anything. Canada : New Harbinger Publication, Inc.

Grotberg, Edith. 1999. Countering depression with five building blocks of resilience. Reaching Today’s Youth 4 (1, Fall) : 66-72.

Grotberg, Edith H. Ph.D. 1999. Countering Depression with the Five Building Blocks of resilience. Melalui [16/09/15]

Kalil, Ariel. 2003. Family Resilience and Good Child Outcomes. Wellington: Ministry of Social Development.

Kessler, R., Andrew G., Colpe, L., Mroczek, D., Normand, S., & Walters, E. 2002. Short Screening scale to monitor population prevalence and trends in non-specific psychological distress. Psychological Distress, 32 : 959-976.

Knowles, Malcolm S. 1980. Adult Learning dalam Craig R. L. Training and Development Handbook. A Guide to Human Resources Development. New York : McGraw-Hill. Hal 168-178.

Kohls, L. Robert and Herbert L. Brussow. 1995. Training Know-How for Cross Cultural and Diversity Trainers. Duncanville : Adult Learning System. Inc

Kolb, David A. 1984. Experiential Learning. Experience as the Source of Learning and Development. New Jersey : Prentice-Hall, Inc., Englewood Cliffs.

McCubbin, Marilyn., et. al. 2002. Family Resiliency in Childhood Cancer. Family Relation; 51, 2; ProQuest pg. 103

Min, Juang-Ah., et. al. 2013. Psychological Resilience Contributes to low emotional distress in Cancer patient. Supportive care in cancer, Vol. 21, issue 9, pp 2469-2476.

Mirowsky, John. 2003. Social Causes of Psychological Distress. Walter de Gruyter, Inc., New York

Morrison, Candis. et. al. 2012. Panduan Untuk Penderita Leukemia. John Hopkins Me dicine. Jakarta : PT. Indeks

Mostert, Saskia MD, Mei N. Sitaresmi, MD, Chad M. Gundy, MS, Sutaryo, MD, PhD, Anjo J. P. Veerman, MD, PhD. 2008. Parental Experiences of Childhood Leukemia Treatment in Indonesia. Journal of Pediatric Hematologi/Oncology, 30 : 738-743

O. Irene Prameswari Edwina. 2013. Pengaruh Faktor Kepribadian (Trait), Proteksi, dan Resiko terhadap Resiliensi Remaja Usia 15-18 tahun di Kotamadya Bandung. Fakultas Psikologi Unpad.

Reich, John W., et. al. 2010. Handbook of Adult Resiliency. New York : The Guildford Press

Reivich K., Shatte A. 2002. Handbook of Resilience in Children (PP. 223-237).

Rolf, John., et. al.1990. Risk and Protective Factor in the Development of Psychopathology. Australia : Cambridge University Press.

Rosyani, Clarissa Rizky. 2012. Hubungan antara Resiliensi dan Coping Pada Pasien Kanker Dewasa. Universitas Indonesia.

Rutter, Michael. 1985. Resilience in the Face of Adversity Protective Factors and Resistance to Psychiatric Disorder. British Journal of Psychiatric Disorder, 147 : 598-611.

Rutter. Michael. 2007. Resilience Some Conceptual Consideration. Nursing Forum, 42 (2) : 73-82.

Sarafino, Edward P. 2012. Health Psychology Biopsychosocial Interactions. Seventh Edition. USA : John Willey & Sons, INC

Schoon, Ingrid. 2006. Risk and Resilience. Adaptation in Changing Time. USA: Cambridge University Press New York.

Shaugnessy, John, et. al. 2012. Research Methods in Psychology.Mc Graw Hill.

Stele, Ric G., Michael C. Roberts. 2005. Mental Health Services for Children, Adolescents, and Families. New York : Plenum Publishers.

Tidwell, Jerithea Doronice. 2008. Sleep, Fatigue, and Caregiver Burden in Parents Of Children With Acute Lymphoblastic Leukemia (ALL). University Of Tennessee Health Science Centre.

DOI: https://doi.org/10.22460/q.v1i1p11-18.498

Article Metrics

Abstract view : 124 times
PDF - 76 times


  • There are currently no refbacks.

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.