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All Journal Jurnal EduHealth JIDAN (JURNAL ILMIAH KEBIDANAN)
Illustri, Illustri
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Health Professions Public Health Veterinary

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The Efectiveness Of Cognitive Behavioral Therapy (CBT) In Reducing Anxiety In Pregnant Women Illustri, Illustri
Jurnal EduHealth Vol. 15 No. 04 (2024): Jurnal EduHealt (inpres), Year 2024
Publisher : Sean Institute

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Abstract

Anxiety in pregnant women can arise due to the long process of waiting for birth. Every pregnant woman is vulnerable to stress that continues to the stage of depression. Stress and depression disorders based on the facts that are developing today show an increase from year to year. Where pregnant women are vulnerable to stress and depression disorders because they experience physical and psychological changes, as well as role changes from pregnancy, labor, postpartum and worries about taking care of the baby, besides that women are 3.01 times at risk of experiencing anxiety compared to men. Recent studies have shown that pregnant women experience as much as 37 percent anxiety. In addition, reviews of cognitive behavioral therapy for perinatal mental health have largely focused on depression, with far less attention given to anxiety and stress. Therefore, researchers are interested in conducting research on the effectiveness of cognitive behavioral therapy in reducing anxiety in pregnant women in the working area of Makrayu Community Health Center. The design of this study was a quasi-experiment, the sample was pregnant women who visited the obstetrics clinic at the makrayu health center. The number of samples was 15 people in the experimental group and 15 people in the control group with purposive sampling technique. To measure anxiety levels using the TMAS instrument (Taylor Manifest Anxiety Scale). The data that has been obtained is processed and analyzed by t test using SPSS program. From the results of the study it can be concluded that the results of the t-test obtained a significance value of 0.000, this means "cognitive behavioral therapy very significantly reduces anxiety in pregnant women". Thus it can be concluded that cognitive behavioral therapy shows a decrease in anxiety of pregnant women.  conclusion, cognitive behavioral therapy can significantly reduce anxiety in pregnant women. Suggestions for obstetrics poly health services are expected to conduct early detection or screening of the possibility of anxiety in pregnant women that can increase into depression and prevent the occurrence of other psychological problems during pregnancy.
The Effect of Cognitive Behavioural Therapy Intervention in Reducing Maternal Anxiety During Pregnancy Illustri, Illustri
Jurnal EduHealth Vol. 16 No. 03 (2025): Jurnal EduHealt, Edition July - September , 2025
Publisher : Sean Institute

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Abstract

Anxiety is an emotional disorder that is felt naturally and is characterised by intense and unclear feelings of fear or worry (Puspitasari & Wahyuntari, 2020). According to the Indonesian Ministry of Health (2020), the rate of anxiety in pregnant women in Indonesia reaches 107,000,000 or 28.7% of which anxiety occurs in pregnant women before childbirth. According to WHO (2020), the level of anxiety during pregnancy ranges from 8-10% and increases to 12% before childbirth. Elvina et al (2018) in their research said that pregnant women in developing countries experienced anxiety disorders reaching 19.8%. Therefore, researchers are interested in conducting research on the effect of cognitive behavioural therapy interventions in reducing maternal anxiety during pregnancy in the Makrayu health centre working area. This research design is a quasi-experiment with a two group pre-test and post-test design with control. Respondents of this study were pregnant women who visited the obstetric clinic of the makrayu health centre with a total of 30 respondents. To measure the level of anxiety using the PASS instrument (Perinatal Anxiety Screening Scale). The data that has been obtained is processed and analysed by paired sample t- test with a p-value of 0.05 using the SPSS program. From the results of the study it can be concluded that the results of the t-test obtained a p value = 0.000; (<0.05) indicate an effect on changes in the anxiety level of pregnant women in the intervention group and control group after being given CBT intervention. This shows that there is a significant decrease in the anxiety level of pregnant women before and after the intervention, so it can be concluded that cognitive behavioural therapy / CBT is effective for reducing anxiety levels in pregnant women. Where it can be interpreted that respondents in the intervention group before being given the intervention obtained moderate to severe anxiety levels, after being given the intervention the anxiety level decreased to no anxiety to moderate anxiety. Advice to pregnant women to be able to play an active role in following counselling or consulting if they feel anxious during pregnancy.
Hubungan Kehamilan Remaja Dan Jenis Persalinan Dengan Depresi Postpartum Pada Ibu Nifas Illustri, Illustri
JIDAN: Jurnal Ilmiah Kebidanan Vol. 3 No. 1 (2023): Edisi Januari 2023
Publisher : UNIVERSITAS HAJI SUMATERA UTARA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51771/jidan.v3i1.447

Abstract

Kehamilan dan melahirkan merupakan suatu hal yang menyenangkan tetapi juga periode kehidupan yang penuh dengan stress. Kehamilan dan melahirkan memberikan banyak perubahan psikologis dan psikososial. Periode kehamilan dan periode postpartum cenderung mengalami stress yang cukup besar karena keterbatasan kondisi fisik yang harus membatasi aktivitas dan mengalami proses adaptasi menjadi ibu sehingga pada periode ini berpotensi terjadi depresi postpartum. Tujuan dalam penelitian ini adalah mengetahui hubungan antara kehamilan remaja dan jenis persalinan dengan depresi postpartum. Metode penelitian ini menggunakan desain cross sectional study dengan teknik inccidental sampling. Sampel dalam penelitian ini sebanyak 80 responden. Pengambilan data dengan kuesioner sosiodemografi dan Edinburg Postnatal Depression Scale (EPDS). Analisis data menggunakan uji Chi-Square dan Regresi Logistik. Hasil penelitian hubungan kehamilan remaja dan jenis persalinan dengan depresi postpartum pada ibu nifas, maka dapat diambil kesimpulan bahwa usia kehamilan remaja dan jenis persalinan memiliki hubungan yang bermakna terhadap depresi postpartum. Penelitian ini menunjukkan bahwa variabel kehamilan remaja dan jenis persalinan merupakan faktor risiko terjadinya depresi postpartum. Saran untuk melakukan tes EPDS sehingga dapat diketahui lebih awal dan dapat dilakukan tindakan pencegahan agar depresi postpartum tidak berkembang menjadi psikosis postpartum.
Frequency Distribution Of The Incidence Of Postpartum Blues In Adolescent Mothers After Childbirth illustri, illustri
Jurnal EduHealth Vol. 14 No. 04 (2023): Jurnal eduHealt, 2023, December
Publisher : Sean Institute

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Abstract

Postpartum mothers are vulnerable to various mental disorders, one of which is postpartum blues. Postpartum blues arise when a person does not successfully adjust to changes in life patterns due to pregnancy, labor and postpartum process. Mothers with young age who are still not ready to be morally responsible often face mental shocks due to still having unstable mental attitudes and immature in terms of their emotions. The purpose of this study was to determine the frequency distribution of the incidence of postpartum blues in adolescent mothers in Ilir Barat II District, Palembang. The research design used non-experimental research methods with descriptive research methods. The study was conducted on 28 postpartum teenage mothers. Data collection using EPDS questionnaire in September 2023 to October 2023. The results showed that postpartum teenage mothers as many as 10 respondents (29.4%) had possible postpartum blues, 18 respondents (64.3%) had postpartum blues, 2 respondents (7.1%) had possible postpartum depression, and 1 respondent (3.6%) had postpartum depression. This study also examined the characteristics of the incidence of postpartum blues, namely age, parity, marital status, education level, occupation, and type of delivery in postpartum adolescent mothers. The results of this study are expected to prevent the occurrence of postpartum blues in adolescent mothers and provide information about the impact of early marriage that occurs in the community.
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