Personal and Perceived Stigmas in Adolescents toward Peers with Mental Disorders in West Sumatra Indonesia

BACKGROUND: The number of mental disorders in adolescents tends to increase every year in Indonesia. However, the stigma of mental disorders is a crucial factor that makes teens hide their mental health problem. AIM: This study aimed to examine personal and perceived among adolescents towards peers with mental disorders (PMD) and to identify predictors of these constructs. METHODS: This quantitative study with a cross-sectional design recruited 977 adolescents using a cluster random sampling technique. Adolescent stigma was assessed using the Peer Mental Health Stigmatization Scale (PMHSS). Multivariable general linear models (GLMs) was used for analysis. RESULTS: The study shows that the perceived stigma (M = 36.62, SD = 5,183) tends to be higher than personal stigma (M = 39.49, SD = 5,495).  Higher personal stigma was predicted by a lower level of academic (P < 0.01), lower levels of family monthly income (P < 0.01), and higher perceived stigma (P < 0.001). Higher perceived stigma was predicted by younger age (P < 0.05), lower levels of academic (P < 0.05), higher levels of family monthly income (P < 0.05), and higher personal stigma (P < 0.001). CONCLUSION: The Findings suggest that stigmatization towards PMD is common among adolescents. The development of intervention programs should be directed at reducing negative perceptions of the environment. The identified predictors must also be considered in the development of future anti-stigma programs.

The Relationship between Stress, Personality, Dopamine Transporter, and Serotonin Transporter Level with Internet Addiction in Secondary School Students in Padang

BACKGROUND: The unpleasant stress can cause a variety of mental disorder that will lead children to run away from real life and one of the way is using excessive internet. In the past few years, more interested in studying the negative effect of the internet. The development of internet has been very rapid and used to play games and make friendship, but it also has negative impact on people’s lives. Young refers to some of the symptoms of internet addiction that resembles the symptoms of substance addiction, causing physical and psychological problems. Several studies have tried to show a relationship between dopamine and internet addiction by measuring the level of dopamine transporter (DAT). Lee et al. (2008) showed that one homozygous short allele from the serotonin transporter (SERt) gene 5-hydroxytryptamine transporter (5 HTT)-linked polymorphic region is more frequent in excessive internet users. AIM: The aim of this study was to investigate the relationship between stress, personality, DAT, and SERt level with internet addiction in secondary school students. METHODS: Methods applied in this study were a cross-sectional comparative design conducted in secondary school students in January 2016–March 2017 in Padang. The stress level was assessed using the depression anxiety and stress scale. Personality tests were measured using Minnesota Multiphasic Personality Inventory for Adolescent. Internet addiction was assessed using the Young Internet Addiction Test. Enzyme-linked immunosorbent assay was used to determine peripheral blood DAT and SERt or 5 HTT levels from the students who were diagnosed with stress. RESULTS: The results showed that personality was negatively associated with internet addiction (P = 0.271). Positive significant relationship of internet addiction was showed by association with levels of DAT (P = 0.001) and SERt (P = 0.001) in blood serum. DAT levels showed high relationship effect of stressed students become addicted to the internet. CONCLUSION: It is suggested that students were addicted to the internet as a coping mechanism against stress. Personality questionnaire tests failed to identify students who became addicted to the internet. The peripheral blood DAT and SERt level was predictive to identify students addicted to internet use. The present study supported the hypothesis that the DAT plays an important role in internet addiction.

Health Education Intervention on Increasing Early Detection of Depression Based on Family

AIM: The aim of this study was to determine the health education intervention on increasing early detection of depression based on family. METHODS: This study used a quasi-experimental design with one-group pretest-posttest design. The study sample was all family in Solok City, West Sumatera Province, Indonesia, with a sample size of 382 families. The sampling technique used a purposive sampling technique. Health education interventions have been carried out through family-based depression prevention modules that have been validated. Data were analyzed using the Chi-square test and paired sample t-test using the SPSS version 21.0 software. RESULTS: This study showed a statistically significant increase in knowledge, attitude, behavior and early detection of depression after health educational intervention through family based (p < 0.05). CONCLUSION: This study confirmed health education intervention on increasing early detection of depression based on family.

Health Behavior Prediction Model Based on Health Literacy among Mothers with Obesity Children

INTRODUCTION: Mothers have an important role in childhood obesity. The role of the mother is influenced by self-care, self-efficacy, child health status, and health information obtained by mothers who form health literacy in the prevention of obesity in children. AIM: The aim of this study was to determine the health behavior prediction model based on health literacy among mothers with obesity children. METHODS: This study used a cross-sectional study design. The study sample was all mothers who had school children aged 7–15 years in Jakarta Province, Indonesia, in 2018, with a sample of 301 people. The sampling technique used proportional random sampling. Data were collected by health literacy questionnaire, self-care, self-efficacy, health status, health information, and maternal health behavior in the prevention of childhood obesity that has been validated. Data were analyzed using the structural equation model using Stata version 14.2 (Stata Corporation) software. RESULTS: The results of this study found that determinant variables associated with obese children’s behavior prevention in mothers were health literacy, self-care, self-efficacy, health status, and health information (p < 0.05). The model of maternal health behavior to prevent childhood obesity based on health literacy, health information, and health status explained 40% of maternal health behavior variances. In addition, health information, self-care, self-efficacy, and health status associated with health literacy described 34%. CONCLUSION: This study confirmed maternal health behavior based on health literacy to prevent childhood obesity. These results will help health professionals promoting effective childhood obesity prevention among mothers.

Analyzing Determinant Factors for Pathophysiology of Functional Dyspepsia Based on Plasma Cortisol Levels, IL-6 and IL-8 Expressions and H. pylori Activity

BACKGROUND

there are many determinant factors that may play roles in pathophysiology of functional dyspepsia. One of them is psychological stress that can increase plasma cortisol levels, alter inflammation process and affect Helicobacter pylori activity. No study has been conducted to find out the dominant factor among them. This study aimed to find the dominant factor among plasma cortisol levels, IL-6 and IL-8 expressions and H.Pylori activity, as the determinant factors in the pathophysiology of functional dyspepsia.

METHODS

a cross-sectional study was conducted in 80 patients with dyspepsia syndrome at M. Djamil General Hospital, Padang, West Sumatera, Indonesia. The patients were categorized into two groups, i.e. the stress and non-stress group, which were identified using DASS 42 questionairre criteria. The inflammatory expressions (IL-6 and IL-8 expressions) as well as H. pylori activity were determined using immunohistochemistry of gastric biopsy specimens; while plasma cortisol levels was measured from peripheral blood samples. Data were analyzed using binary multivariate logistic regression.

RESULTS

there were 80 patients with functional dyspepsia with mean age of 38.9 years old. The morning cortisol levels was found significantly higher in the stress group. Higher IL-6 and IL-8 expressions were found in patients of non-stress group compared to those in the other group (IL-6: 73.28 (SD 16.60) vs. 72.95 (SD 19.49; and IL-8: 18.45 (SD 17.32) vs. 14.80 (SD 12.71)); although stastically not significant. There was greater Helicobacter pylori activity in the group with psychological stress compared to those in the non-stress group since there was antigen-antibody reaction invading the submucosa. The dominant determinant factor was the afternoon plasma cortisol levels.

CONCLUSION

many factors can become the determinant factors for gastric mucosal damage; however, our study has demonstrated that the dominant factor is afternoon plasma cortisol levels.

Pengaruh Gangguan Tidur Terhadap Kadar Hormon Testosteron dan Jumlah Spermatozoa pada Tikus Jantan Wistar

Abstrak Tingginya angka infertilitas pada pria disebabkan antara lain oleh kualitas produksi spermatozoa dan gangguan hormonal. Tujuan penelitian ini adalah untuk mengetahui pengaruh gangguan tidur terhadap kadar hormon testosteron dan jumlah spermatozoa. Jenis penelitian adalah eksperimen laboratorium dengan desain post test only control groupdesign. Populasi tikus jantan Wistar berumur 2-3 bulan, dan berat badan 300 – 350 gr. Sampel sebanyak 24 ekor dibagi atas 4 kelompok yaitu: 1 kelompok kontrol dan 3 kelompok perlakuan. Variabel independen adalah gangguan tidur dan variabel dependen adalah kadar hormon testosteron dan jumlah spermatozoa. Analisa data mengunakan metode ANOVA dan dilanjutkan dengan uji statistik Multiple Comparisons jenis Bonferroni. Hasil penelitian menunjukkan ada perbedaan bermakna rerata kadar hormon testosteron kelompok kontrol dan perlakuan dengan nilaip=0,000. Gangguan tidur memberikan perbedaan bermakna terhadap kadar hormon testosteron. Terdapat perbedaan bermakna rerata jumlah spermatozoa kelompok kontrol dengan perlakuan dengan nilai p=0.000. Gangguan tidur juga memberikan perbedaan bermakna terhadap jumlah spermatozoa. Kesimpulan penelitian ini ialah terdapat pengaruh yang bermakna antara gangguan tidur terhadap kadar hormon testosteron dan jumlah spermatozoa pada tikus jantan wistar. Kata kunci: gangguan tidur, hormon testosteron, jumlah spermatozoaAbstract The increasing of infertility is caused by the quality of sperm production and hormonal disturbance. The objective of this study was to find out the effect of sleeping disturbance to the quality of testosterone hormone and the number of sperm. This was a laboratory experimental research with post-test only control group design. The populations were 2-3 months, 300-350 grams of weight, male rats. The sample was 24 rats which consisted of 4 groups: one control group and three experimental groups. Sleeping disturbance was an independent variable, whilethe quality of sperm testosterone hormone and the number of sperm were dependent variables. The data of the research were analyzed statistically by  ANOVA method and Bonferroni multiple comparison. There was a significant different of the mean of testosterone hormone quality between control group and experimental group with p=0,000. Sleeping disturbance gave significant different to the quality of testosterone hormone. There was a significant different on the number of sperm quality between control group and experimental group with p=0,000. Sleeping disturbancegave significant different to the number of sperm quality. The conclusion from this study is that there is effect of sleeping disturbance to testosterone hormone quality and the number of sperm on the wistar male rats. Keywords: sleeping disturbance, testosterone hormone, the number of sperm

Hubungan Stres dengan Kejadian Dismenore Primer pada Mahasiswi Pendidikan Dokter Fakultas Kedokteran Universitas Andalas

AbstrakDismenore primer merupakan nyeri menstruasi yang dijumpai tanpa kelainan yang nyata pada alat-alat genital. Lebih dari 50% wanita mengalami dismenore primer dan 15% diantaranya mengalami nyeri yang hebat.Tujuan penelitian ini adalah untuk menentukan hubungan tingkat stres dengan derajat dismenore primer. Penelitian dilakukan pada mahasiswi pendidikan dokter Fakultas Kedokteran Universitas Andalas angkatan 2009 dan 2010. Desain penelitian ini menggunakan cross sectional study dengan jumlah subjek 165 orang. Pengumpulan data dari responden dilakukan dengan wawancara terpimpin (pengisian kuesioner). Analisa statistik yang digunakan adalah uji chi-square dan uji koefisien korelasi sederhana. Uji chi-square menunjukan ada hubungan yang bermakna antara stres dengan kejadian dismenore primer dan uji statistik koefisien korelasi sederhana menunjukkan ada hubungan yang bermakna dengan korelasi agak lemah antara tingkat stres dengan derajat dismenore primer.Kata kunci: stres, dismenore primer, mahasiswi fakultas kedokteran AbstractPrimary dysmenorrhoea is menstrual pain founded without real abnormalities in genital organs. More than 50% woman experiance it and 15% had severe pain. The objective of this study was to determine relationship between stress and primary dysmenorrhoea. Research was executed to education medical female students medical faculty of Andalas University class of 2009 and 2010. This research use cross sectional study design with 165 subjects. Data was collected by guided interview. Statistic analysis use chi-square test and simple correlation test. Chi-square test show there is significant relationship between stress and primary dysmenorrhoea and simple coefficient test show there is weak correlation between stress levels and degree of primary dysmenorrhoea.Keywords: stress, primary dysmenorrhoea, female student of medical faculty

Gambaran Angka Kejadian Gangguan Anxietas pada Warga Batu Busuk Kelurahan Padang Besi Kecamatan Lubuk Kilangan Kota Padang Akibat Banjir Bandang 24 Juli 2012

AbstrakAnxietas atau kecemasan disebabkan oleh faktor psikis dan fisik pada seseorang. Anxietas disebabkan faktor psikis yang timbul karena respons secara emosional atau psikis terhadap ancaman dari luar yang dianggap membahayakan dirinya, sedangkan faktor fisik bisa menjadi penyebab terjadinya kecemasan oleh karena penyakit tubuh dan obat-obatan yang digunakan. Survei komunitas menunjukkan sekitar 2-5% orang dewasa menderita gangguan anxietas menyeluruh, dengan prevelensi seumur hidup lebih dari 25%. Gangguan anxietas menyeluruh biasanya dimulai pada awal masa dewasa usia 15 dan 25 tahun, tetapi angka terus meningkat setelah usia 35 tahun. Tujuan penelitian ini adalah untuk mengidentifikasi prevalensi. Hasil penelitian ini diharapkan dapat bermanfaat untuk menggambarkan jumlah kasus gangguan anxietas pada warga Kelurahan Padang Besi Kecamatan Lubuk Kilangan akibat banjir bandang 24 Juli 2012 di RT 2 RW 1 dan RT 6 RW 1 dengan menggunakan studi cross sectional. Penelitian ini menggunakan data primer melalui kusioner HAR-s yang dibagikan kepada warga sejak dari Maret sampai April 2013. Ditemukan sebagian warga mengalami anxietas, terutama di RT 2 RW 1 dengan golongan usia 21-40, berjenis kelamin wanita, pekerjaan ibu rumah tangga, sudah menikah dan kelompok dengan pendidikan tingkat SD.Kata kunci: anxietas, gambaran, banjir AbstractAnxiety caused by psychological and physical factors of the person. Anxiety due to psychological factors arising from emotional or psychological response to external threats are considered dangerous to themselves and physical factors could be the cause of anxiety such as illness and the drug using. The community survey shows about 2-5% of adults suffer from anxiety disorders, with a lifetime prevalence more than 25%. The anxiety disorder usually begins in early adulthood, 15 and 25 years old, but the incidence increase after the age of 35 years old.The objective of this study was to identify the prevalence. The results of this study are expected to be useful to describe the number of anxiety disorders incidence in Kelurahan Padang Besi Kecamatan Lubuk Kilangan by flash floods on July 24th, 2012 in RT 2 RW 1 and RT 6 RW 1 by using the cross sectional study. This study used primary data by using HAR-s questionnaire were distributed to residents in March-April 2013. It was found that some people experience anxiety, particularly in the RT 2 RW 1 with the 21-40 age group, female, housewife, married and elementary school of educational level.Keywords: anxiety, overview, flood

Gambaran Pola Gangguan Jiwa pada Pelaku Tindak Pidana Kekerasan yang Dimintakan Visum et Repertum Psikiatri ke RSJ Prof. HB. Saanin Padang Periode 1 Januari 2008 – 31 Desember 2012

AbstrakBeberapa jenis gangguan jiwa seperti disebutkan dalam berbagai literatur yang disokong oleh hasil penelitian, memiliki resiko untuk melakukan tindakan kekerasan. Hal ini merupakan masalah yang harus segera diatasi, mengingat besarnya kemungkinan bahwa peningkatan angka tindak kekerasan yang semakin bertambah dari hari ke hari. Tujuan penelitian ini adalah untuk mengetahui gambaran pola gangguan jiwa pada pelaku tindak pidana kekerasan yang dimintakan Visum et Repertum Psikiatri ke RSJ Prof. HB. Saanin Padang selama periode tahun 2008 – 2012. Metode penelitian yang digunakan adalah deskriptif retrospektif dan data yang diperoleh diolah secara manual dan disajikan dalam bentuk tabel distribusi frekuensi. Hasil penelitian menunjukkan terdapat 41 pelaku tindak pidana kekerasan yang dimintakan Visum et Repertum Psikiatri ke RSJ Prof. HB. Saanin Padang dengan jumlah bervariasi setiap tahunnya antara 4 sampai dengan 12 kasus. Sebagian besar pelaku dinilai menderita gangguan jiwa (75,6%) dengan diagnosis gangguan jiwa paling banyak ditemukan adalah skizofrenia (34,15%) khususnya skizofrenia paranoid (24,39%). Sebanyak 49% pelaku dinilai tidak mampu menyadari tujuan dari perbuatan dan mengarahkan kemauan, terutama pada penderita skizofrenia (29,27%).Kata kunci: pola gangguan jiwa, tindak pidana kekerasan, visum et repertum psikiatri. AbstractSome specific types of mental disorders announced in the literature that supported by research data, show a risk to commit violent acts. This is a problem that must be overcome because the numbers of violence increase from day to day. The objective of this study was to describe the pattern of mental disorders in the violence criminal with Visum et Repertum Psychiatry requested to RSJ Prof. HB. Saanin Padang during the period 2008 - 2012. The research method used was a descriptive retrospective and the data obtained were processed manually and presented in the form of frequency distribution table. The results showed that during the period 2008 - 2012 there were 41 violent offenders who requested Visum et Repertum Psychiatry to RSJ Prof. HB. Saanin Padang with varying amounts each year between 4 to 12 cases. Most of the offenders assessed mental disorder (75.6%) with a diagnosis of mental disorder most commonly found is schizophrenia (34.15%), especially paranoid schizophrenia (24.39%). 49% of offenders were considered not able to realize the objectives of the action and directing the will, especially in patients with schizophrenia (29.27%).Keywords: patterns of mental disorders, violence criminal, visum et repertum psychiatry

Hubungan Kecanduan Bermain Video Games Kekerasan dengan Perilaku Agresif pada Murid Laki-laki Kelas IV dan V di SD Negeri 02 Cupak Tangah Pauh Kota Padang

AbstrakPerilaku agresif adalah perilaku yang bertujuan untuk menyakiti orang lain, untuk mengekspresikan perasaan negatifnya seperti permusuhan untuk mencapai tujuan yang diinginkan. Terdapat 4 aspek agresivitas, yaitu kemarahan, permusuhan, agresi verbal, dan agresi fisik. Salah satu faktor yang diduga mempengaruhi perilaku agresif adalah kebiasaan bermain video games yang mengandung unsur kekerasan. Tujuan penelitian ini adalah untuk mengetahui hubungan perilaku kecanduan bermain video games yang mengandung unsur kekerasan terhadap prilaku agresif pada murid laki-laki kelas IV dan V di SD Negeri 02 Cupak Tangah Pauh Kota Padang Tahun 2014. Penelitian ini menggunakan disain cross sectional study dengan jumlah sampel sebanyak 83 orang murid laki-laki dari kelas IV dan V di SD N 02 Cupak Tangah Pauh. Data dikumpulkan melalui wawancara kepada responden menggunakan kuesioner yang kemudian di analisis dengan uji statistik chi-square dengan derajat kepercayaan 95% (0,05).Hasil penelitian menunjukkan persentase responden yang memiliki perilaku agresif lebih tinggi pada responden yang mengalami kecanduan bermain video games yang mengandung unsur kekerasan jika dibandingkan dengan responden yang tidak mengalami kecanduan bermain video games yang mengandung unsur kekerasan (67,6%:20,4%) dan terdapat hubungan yang bermakna antara kecanduan bermain video games yang mengandung unsur kekerasan dengan perilaku agresif (p-value=0,000).Disarankan bagi pihak sekolah agar memiliki program konseling psikologis anak misalnya dalam bentuk UKESWA (usaha kesehatan jiwa) yang termasuk dalam program UKS (usaha kesehatan sekolah) untuk mendeteksi sejak dini perilaku kecanduan anak terhadap video games yang mengandung unsur kekerasan dan perilaku agresif anak sehingga dapat diberikan bimbingan untuk mengatasi kecanduan dan perilaku agresif tersebut agar tidak berlanjut dan menjadi conduct disorder atau perilaku anti sosialKata kunci : agresif, kecanduan, video gamesAbstractAggressive behavior is a behavior that is intended to harm others to express their negative feelings such as hostility to achieve the desired goal. There are four aspects of aggression, namely anger, hostility, verbal aggression, and physical aggression. One of the factors thought to affect aggressive behavior is a habit of playing violent video games. The objective of this study was to determine the relationship of behavioral addiction playing violent video games toward aggressive behavior in boys elementary school grade IV and V in State Elementary School 02 Cupak Tangah Pauh Padang.This study used a cross sectional study design with total sample of 83 students grade IV and V. Data were collected through interviews with respondents using a questionnaire and then analyzed by chi-square test with 95% confidence level (0.05).The results obtained the percentage of respondents who have aggressive behavior was higher in respondents who experienced addicted to playing violent video games compared to those who did not experience the addiction of playing violent video games (67.6% : 20.4%) and there is a significant relationship between addiction playing violence video games with aggressive behavior (p–value = 0.000). It is advisable for the school to have a psychological counseling program for example in the form of UKESWA (mental health efforts) are included in the program UKS (school health unit) for the early detection of children's behavioral addiction to video games and aggressive behavior so that the children can be given guidance to overcome the addiction and aggressive behavior in order not to continue and become a conduct disorder or anti-social behavior.Keywords : addiction, aggressive, video games

Penerimaan Ibu yang Memiliki Anak Retardasi Mental di SLB YPAC Padang

AbstrakPenerimaan merupakan sikap seseorang yang menerima orang lain apa adanya secara keseluruhan, tanpa disertai persyaratan ataupun penilaian. Apabila dalam keluarga terutama pada ibu ada penerimaan, maka dapat membantu dalam pengasuhan dan akan mendukung perkembangan anak. Namun tidak mudah bagi seorang ibu untuk dapat menerima begitu saja kondisi anaknya.Penelitian ini bertujuan untuk memperoleh gambaran penerimaan ibu terhadap anaknya yang mengalami gangguan retardasi mental, faktor-faktor yang menyebabkan penerimaan serta gambaran retardasi mental secara pendekatan kualitatif dalam bentuk eksplorasi. Subyek penelitian ini adalah tiga orang ibu yang memiliki anak yang mengalami gangguan retardasi mental. Dalam penelitian ini digunakan teknik wawancara semi terstruktur. Berdasarkan hasil penelitian secara umum, satu dari tiga orang subyek penelitian dapat dikatakan telah menerima anaknya dengan baik, hal ini terlihat dari sikap subyek yang telah memenuhi keseluruhan aspek penerimaan ibu terhadap anak yaitu kecemasan yang minimal terhadap kehadiran anak, pembelaan diri yang minimal atas keterbatasan anak, dan tidak adanya penolakan. Disamping itu kedua subyek tersebut juga memperlihatkan adanya kontrol terhadap perkembangan anak, memberikan tekanan atas kemampuan anak, komunikasi yang hangat, pengasuhan yang baik, adanya sikap menghargai dan penlaian yang positif terhadap anak, juga pengenalan atas kebutuhan anak dalam pengembangan kemandirian anak. Namun pada dasarnya seluruh subyek dapat memenuhi aspek yang terkait dengan pengasuhan, dan tidak adanya penolakan yang terlihat dari ibu. Gambaran retardasi mental yang dialami anak subyek dapat dikatakan terlihat jelas dari bentuk fisik. Kondisi keterbelakangan mental anak dari subyek A, B, dan C terlihat tidak terlalu parah. Faktor yang paling menonjol dalam penerimaan dari ketiga subyek adalah faktor agama, dimana seluruh subyek menyatakan dapat menerima kondisi anak setelah menyerahkan seluruhnya kepada Tuhan.Kata kunci: Penerimaan Ibu, Retardasi Mental, AnakAbstractThe acceptance is an attitude of someone who accepts other people as they are as they are whole, without any requirements or assessment. When a family, especially the mother has reception, then it can assist in education and support the development of children. But it is not easy for a mother to be able to take for granted of her child condition. The aim of this study was to obtain an acceptance overview of the mother whose children suffered mental retardation disorder, the factors led to the acceptance as well as an overview of mental retardation by a qualitative approach in the form of exploration. The subjects were three mothers whose children with mental retardation disorders. This study used semi-structured interview techniques. Based on the results of general research, two of the three research subjects can be said that they have accepted their children well, as seen from the attitude of the subject who has fulfilled all aspects of the mothers' acceptance to their children are the minimal anxiety to the presence of the children, a minimal self-defense about the limitations of the children, and the absence of rejection. Besides, these two subjects also showed that the control of the development of the children, pressure giving on the children’s ability, warm communication, good parenting, respection and a positive judgement against children, also a recognition of the children’s needs in the development of the children’s independence. But basically the whole subject can fulfill aspects associated with caregiving, and the absence of a rejection seen on the mother.The overview of mental retardation suffered by the subject children can be said is obvious from the physical form. Mental retardation of the childrens' condition subjects A, B, and C are not too severe. The most prominent factor in the acceptance of the three subjects is the religion factor, where the whole subjects state can accept the childrens' condition after the completely submission to the God.Keywords:Mother Acceptance, Mental Retardation, Children