The Effect of Cognitive Restructuring Techniques on Reducing Somatic Symptoms in A Patient at Jemursari Hospital
Keywords:
Cognitive Restructuring, Counseling, Somatic Symptoms
Abstract
This study aims to determine the influence of the Cognitive Restructuring technique in reducing somatic symptoms in an inpatient at RSIS Jemursari Surabaya. Somatic symptoms are physical complaints that cannot be fully explained by medical factors but are closely related to psychological conditions such as anxiety and irrational thoughts. The research employed a Single Subject Research (SSR) method with an A–B–A–B design. The subject was a female patient experiencing dizziness, palpitations, and nausea without clear medical causes. Data were collected through interviews, observation, a simple somatic symptom scale, and field notes. Data were analyzed using a descriptive narrative and comparative approach to examine changes in symptom scores across phases. The results revealed a 56.4% reduction in somatic symptoms from the initial to the final phase of intervention. The patient demonstrated improved ability to identify, evaluate, and replace irrational thoughts with more rational perspectives, allowing her to manage health-related anxiety more adaptively. These findings indicate that the application of the Cognitive Restructuring technique has a positive influence on reducing somatic symptoms and enhancing the patient’s psychological well-being.
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Durak, B., & Erdoğan Kaya, A. (2024). Correlating Cyberchondria and Health Anxiety: Demographic Insights from Stable Asthma Patients. European Journal of Therapeutics, 30(4), 502–509. https://doi.org/10.58600/eurjther2026
Fadli, M. R. (2020). Memahami Desain Metode Penelitian Kualitatif. Medan, Restu Printing Indonesia. https://doi.org/10.21831/hum.v21i1
Fitriani, A.R., Thalib, S. B., Latif, S. (2023). Penerapan Teknik Restrukturisasi Kognitif Untuk Mengurangi Kecemasan Berbicara Pada Siswa Sekolah Menengah Pertama. Pinisi Journal of Education, 3(3), 115–129.
Hidayahna, S., & Nurjannah. (2022). Teknik Cognitive Restruturing (TCR) Hingga Cognitive Restruturing Dalam Pandangan Islam. Sustainability (Switzerland), 5(1), 49–67. https://doi.org/http://dx.doi.org/10.22373/taujih.v5i1.11920
Irfan, A. Z. (2022). Pengaruh Konseling Kelompok Tehnik Kognitif Restructuring Terhadap Kecemasan Akademik Siswa Ma Darusshiddiqien Nw Mertak Paok. Transformasi : Jurnal Penelitian Dan Pengembangan Pendidikan Non Formal Informal, 8(1), 1. https://doi.org/10.33394/jtni.v8i1.5726
Khasanah, N. A., Made, N., Wulansari, A., Azhari, N. K., Jl, A., Raya, A., Barat, K. S., Semarang, K., & Tengah, J. (2025). Hubungan Health anxiety dengan Kualitas Hidup pada Pasien dengan Gangguan Kardiovaskuler. Jurnal Riset Ilmu Kesehatan Umum Dan Farmasi, 3(1), 155–165. https://doi.org/https://doi.org/10.57213/jrikuf.v3i1.543
Malahati, F., B, A. U., Jannati, P., Qathrunnada, Q., & Shaleh, S. (2023). Kualitatif : Memahami Karakteristik Penelitian Sebagai Metodologi. Jurnal Pendidikan Dasar, 11(2), 341–348. https://doi.org/10.46368/jpd.v11i2.902
Mata, D. M. (2020). Penerapan Teknik Cognitive Restructuring Untuk Mengurangi Body Dissatisfaction Pada Siswa SMK Negeri 6 Makassar (Vol. 2507, Issue February). UNIVERSITAS NEGERI MAKASSAR.
Maulina, V. V. R. (2024). Gejala Somatik dan Hubungannya Dengan Kecemasan dan Interosepsi. ANIMA Indonesian Psychological Journal, 39(2), 1–22. https://doi.org/https://doi.org/10.24123/aipj.v39i2.6327
Mayora, K., Saman, A., & Harum, A. (2023). Penerapan Teknik Konseling Cognitive Restructuring untuk Mengurangi Body Shame pada Siswa Sekolah Menengah Atas. Pinisi Journal of Art, Humanity and Social Studies (Pjahss), 3(6), 276–289. https://doi.org/http://dx.doi.org/10.29210/1202424534
Orzechowska, A., Maruszewska, P., & Gałecki, P. (2021). Cognitive behavioral therapy of patients with somatic symptoms—diagnostic and therapeutic difficulties. Journal of Clinical Medicine, 10(14), 1–11. https://doi.org/10.3390/jcm10143159
Putu Angita Gayatri, & Ariana, A. D. (2024). Hubungan Health anxiety dan Cyberchondria: Sebuah Tinjauan Literatur Naratif. Buletin Riset Psikologi Dan Kesehatan Mental (BRPKM), 4(1), 1–11. https://doi.org/10.20473/brpkm.v4i1.53847
Ramadhanty, C., & Nurjannah. (2023). Teknik Cognitive Restructuring (Pandangan Islam) Technical Cognitive Restructuring (Islamic View). Al-Isyraq: Jurnal Bimbingan, Penyuluhan, Dan Konseling Islam, 6(1), 85–92.
Rifaldi, M., Syarafudding, M., & Gunawan, I. M. S. (2020). Pengaruh Teknik Cognitive Restructuring Terhadap Kecemasan Sosial Siswa. COUNSENESIA: Indonesian Journal of Guidance and Counseling , 1(2), 42–47. https://doi.org/https://doi.org/10.36728/cijgc.v1i02.1188
Rufaidah, A., & Karneli, Y. (2020). Penerapan Teknik Cognitive Restructuring dalam Konseling Perorangan untuk Mereduksi Gangguan Kecemasan. Jurnal Bimbingan Dan Koinseling, 4(2), 214–222. https://doi.org/10.26539/teraputik-42417
Santosa, K. C. T., & Princen. (2023). Pengaruh Health anxiety Terhadap Peningkatan Cyberchindria Dengan Moderasi Neuroticism Pada Dewasa Muda. Jurnal Psikologi, 16(2), 272–291. https://doi.org/http://dx.doi.org/10.35760/psi.2023.v16i2.7920
Satsangi, A. K., & Brugnoli, M. P. (2020). Anxiety and psychosomatic symptoms in palliative care: From neuro-psychobiological response to stress, to symptoms’ management with clinical hypnosis and meditative states. Annals of Palliative Medicine, 7(1), 75–111. https://doi.org/10.21037/apm.2017.07.01
Sholekah, L., Nawantara, R. D., & Sancaya, S. A. (2021). Penerapan Teknik Cognitive Restructuring Untuk Meningkatkan Motivasi Belajar Siswa. Prosiding Konseling Kearifan Nusantara (KKN), 1(1), 26–31. https://doi.org/https://doi.org/10.29407/3wz80d48
Simanjuntak, E. J., & Princen, P. (2022). Pengaruh Kecemasan Kesehatan dengan Cyberchondria di tengah Pandemi Covid-19. Jurnal Ilmiah Psikologi Manasa, 11(1), 34–47. https://doi.org/10.25170/manasa.v11i1.3325
Syahira, A. (2025). Prevalence Gangguan Kecemasan di Indonesia Capai 68%. Antara News. https://www.antaranews.com
Wiguna, I Gusti Rai Putra, I Putu Belly Tulus, A. (2024). Terapi Perilaku Kognitif Pada Episode Depresif Sedang Dengan Gejala Somatik Dan Gangguan Cemas Menyeluruh: Laporan Kasus. KNOWLEDGE: Jurnal Inovasi Hasil Penelitian Dan Pengembangan, 4(1), 33–36. https://doi.org/10.51878/knowledge.v4i1.3261
Zamroni, E., Sumarwiyah, S., & Masturi, M. (2022). Model Pembimbingan Skripsi Berbasis Teknik Cognitive Retructuring Untuk Mengatasi Prokastinasi Akademik Pada Mahasiwa Tingkat Akhir. Jurnal Prakarsa Paedagogia, 5(2). https://doi.org/10.24176/jpp.v5i2.9503
Published
2025-11-30
How to Cite
Putri, D. S., & Amriana, A. (2025). The Effect of Cognitive Restructuring Techniques on Reducing Somatic Symptoms in A Patient at Jemursari Hospital . Proceedings Of International Conference On Islamic Counseling Studies (ICONICS), 2, 596-610. Retrieved from https://proceedings.uinsa.ac.id/index.php/ICONICS/article/view/4388
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