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Journal : Journal of Applied Nursing and Health

Determinants of Psychological Disorders Among Pregnant Women in Indonesia: A Cross-sectional Study on The Roles of Social Support, Parity, and Anxiety Budiarti, Astrida; Hastuti, Puji; Fatimawati, Iis; Sulistyawati, Rahmah
Journal of Applied Nursing and Health Vol. 7 No. 3 (2025): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v7i3.388

Abstract

Background: Pregnancy involves physical and emotional changes that can impact a woman's psychological well-being. However, few studies have explored the combined influence of social support, parity, and anxiety on psychological disorders among pregnant women in Indonesia. This study aimed to examine the relationship between social support, parity, and anxiety with psychological disorders among pregnant women in Indonesia. Methods: A cross-sectional study was conducted among 114 pregnant women attending antenatal care at East Java, Indonesia, community health centers. Participants were selected using a simple random sampling technique. Inclusion criteria were pregnant women living with their husbands or family members, while those who declined participation were excluded. Data were collected using the Multidimensional Scale of Perceived Social Support (MSPSS), Depression Anxiety Stress Scale-21 (DASS-21, anxiety subscale), and the Antenatal Risk Questionnaire (ANRQ). Data were analyzed using descriptive statistics and Spearman’s rho correlation. This study complied with the STROBE reporting guidelines. Results: Most respondents were aged 24–29 years (43.9%), had senior high school education (75%), were housewives (54.4%), and had moderate family income (46.5%). The results showed that low social support (p = 0.002), being multiparous (p = 0.003), and higher anxiety levels (p = 0.001) were significantly associated with increased psychological disorder risk. Women with low social support or severe anxiety had the highest risk. Multiparous women were more likely to report psychological distress compared to primiparous women. Social support, parity, and anxiety were significant factors associated with psychological disorders during pregnancy. Conclusion: Mental health should be an integral part of antenatal care. These findings underscore the need to integrate mental health screening and family-based support into routine antenatal care to improve maternal psychological well-being.
Co-Authors Aat Ruchiat Nugraha Aditya Pratama Agus Suherman Aini, Fajaria Nur Aini, Fajaria Nur Anggraini, Sahwa Desma Ari Setiawan atiyatul hasanah, shifa Aulia Rahmah Azmi, Zul Budiarti, Astrida Budiati, Endang Pratiwi Cornelia Y.B, Eva Darwis, Nurizah Binti Mohamed Dewi Cantika, Nourma Islam Dhanar Intan Surya Saputra Diki Retno Yuliani, Diki Retno Diyah Arini Dwi Ernawati Dya Sustrami Eka Setiawati elliyana, ela Erma Prihastanti Esti Yunitasari FARIDAH Faridah Faridah Fatimawati, Iis Fitria Z. Gunawan Widjaja Hapsari, Wanodya Haryatmi, Dwi Herningtiyas A.N, Fransiska Herry Prasetyo Irawan, Haris Irfana Tri Wijayanti, Irfana Tri Irwan Sugiarto Ismail Nurdin Ismayanti, Diah Jamaluddin Jamaluddin Juwita, Bening Kamaliah, Nur Kartika Kartika Laxmi, Laxmi M. Zahari Maricar, Rezvanny Marlina, Lili Misransyah Akos Muftia, Nabila Rurotul Muskin, Isra Napu, Fithriah Nugraha, Fadillah Wahyu Nur Muji Astuti Nurlela, Lela Nurul Fadhilah Paerah, Ambo Pamungkas, Raka Patricia Diana Putri, Fatria Pomalela, Pomalela Prasetya, Taufan Agung Prasetyo, Amirzan Fikri Pratama, Raditya Arief Pri Utami Putri, Dian Utama Pratiwi Qonitatul Hasanah Raditya Pratama Rahmawati, Ulfa Emi Retno Wulan Rukmana, Arief Yanto Rusmini . Saidah, Qoriila Saidah, Qori’ Ila Sakkinah, Intan Sulistyaningrum Septerina P. W. Setianto, Akbar Yuli Siti Nurhayati Sri Widiyati, Sri Sugeng Riyadi Sukrilah, Ulfah Agus Sulistyawati, Rahmah SUMIYATI SUMIYATI Suparmin Suparmin Surti, Surti Syafriani Syafriani, Syafriani Triharini, Mira Varwani, Mey Lita Eka Virgiana, Nina Wahyuningrat Wahyuningrat, Wahyuningrat Walin Walin, Walin Wulandari, Laila Yunita, Tria Zulkifli