ABSTRACT
Background : More than 80% of cervical cancer cases in developing country rank first as the cause of death in reproductive women. In advance stage, the emotional stress level will increase and it can effects the increase of cortisol level too. Reality psychotherapy gives a positif effect with the understanding and awareness of patien behavior.
Aims : This studi aims to determine the effect of reality psychotherapy towards cortisol level and depression level of advanced stage cervical cancer patients in Dr. Moewardi Hospital.
Methode : This research is a quasi experimental. Fifteen subjects was checked before and after they received the reality psychotherapy. The meeting was held 6 times with 45 minutes duration on each session for a week. Cortisol level and Beck Depresssion Inventory Score was measured and analyzed by T test with the 19th version of SPSS for Windows.
Results :  The cortisol levels was tested statisticaly with Wilcoxon Signed Ranks Test showed a significant difference before and after psychotherapy reality with p value = 0.001 (p <0.05) and Beck Depression Inventory scores was tested statisticaly with paired T test showed a significant difference before and after psychotherapy reality with p value = 0.001 (p <0.05).
Conclusion: There is an  effect of reality psychotherapy towards cortisol level and depression level of advanced stage cervical cancer patients in Dr. Moewardi Hospital.
Keywords : Cervical Cancer, Reality Psychotherapy, Serum Cortisol Level, Beck Depression Inventory.
ABSTRAK
Latar Belakang : Lebih dari 80% kasus kanker serviks di negara berkembang menempati urutan pertama sebagai penyebab kematian wanita usia reproduktif. Pada pasien kanker serviks stadium lanjut akan timbul stress yang menyebabkan peningkatan kadar kortisol. Pemberian psikoterapi realitas dapat berdampak positif terhadap stress dengan pemahaman dan kesadaran tingkah laku penderita.
Tujuan : Mengetahui pengaruh psikoterapi realitas terhadap kadar kortisol dan tingkat depresi pasien kanker serviks stadium lanjut di RSUD Dr. Moewardi, Surakarta.
Metode : Jenis penelitian ini adalah Eksperimen Kuasi. Dengan 15 pasien diperiksa sebelum dan sesudah pemberian psikoterapi realitas. Pertemuan dilakukan sebanyak 6 kali  masing – masing 45 menit setiap minggunya . Kadar kortisol serum dan Skor Beck Depresssion Inventory diukur dan dianalisis  menggunakan uji T  program SPSS versi 19 for windows.
Hasil :  Uji statistik kadar kortisol menggunakan Wilcoxon Signed Ranks Test menunjukkan perbedaan bermakna sebelum dan sesudah psikoterapi realitas dengan nilai p = 0,001 (p < 0,05) dan Uji statistik Skor Beck Depression Inventory menggunakan uji T berpasangan menunjukkan perbedaan yang bermakna sebelum dan sesudah psikoterapi realitas dengan nilai p = 0,001 (p < 0,05).
Kesimpulan: Ada pengaruh psikoterapi realitas terhadap kadar kortisol dan tingkat depresi pasien kanker serviks stadium lanjut.
Kata kunci : Kanker Serviks, Psikoterapi Realitas, Kadar Kortisol Serum, Beck Depression Inventory.