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Scientia Psychiatrica
Published by HM Publisher
ISSN : -     EISSN : 27159736     DOI : https://doi.org/10.37275/scipsy
Core Subject : Health, Science,
Health Professions Medicine & Pharmacology Neuroscience Public Health
Scientia Psychiatrica covers the latest developments in various fields of psychiatric : biological psychiatry, neuropsychiatry, child psychiatry, psychiatry of community, psychotherapy, drugs-related mental illness, psychiatry of geriatric, psychosomatics medicine, psychology, cultural psychiatry, military psychiatry, forensic psychiatry, consultation liaison psychiatry and all medicine fields related psychiatry. Genetics, immunology, environmental health, toxicology, bioinformatics and biotechnology as well as multidisciplinary studies. The views of experts on current advances in nanotechnology and molecular/cell biology will be also considered for publication as long as they have a direct clinical impact of psychiatry.
Arjuna Subject : Kedokteran - Psikiatri dan Kesehatan Mental
Articles 134 Documents
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Psychological and Psychosocial Interventions for Preventing Perinatal Depression in Single Mothers: A Systematic Review and Meta-Analysis Andrian Fajar Kusumadewi; Khazaini Azmi Nabila; Aftin Istaqroba Saifi Elhaq; Shafira Fitri Fawzia
Scientia Psychiatrica Vol. 7 No. 1 (2026): Scientia Psychiatrica
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/scipsy.v7i1.207

Abstract

Introduction: Perinatal depression affects approximately 26.3% of mothers globally. Single mothers face an elevated risk due to financial instability and limited support. While preventive psychological and psychosocial interventions are proven in general populations, their specific efficacy for single mothers remains unclear. This systematic review and meta-analysis evaluate these interventions' effectiveness in preventing perinatal depression in this vulnerable group. Methods: Searching five major databases through September 2025, we identified randomized controlled trials evaluating psychological (cognitive-behavioral therapy) and psychosocial interventions for single mothers from pregnancy through one year postpartum. Nine studies (n=681) met the inclusion criteria, utilizing a 75% single-motherhood threshold. We analyzed depressive symptom severity (Standardized Mean Difference, SMD) and episode incidence (Relative Risk, RR) using a random-effects meta-analysis. Results: The meta-analysis for depressive symptoms (k=5; n=418) demonstrated a significant protective effect (pooled SMD = -0.585; 95% CI: -0.883 to -0.287; p = 0.0001) with minimal heterogeneity. For depressive episodes (k=3; n=171), incidence was reduced by 64% (RR = 0.36; 95% CI: 0.18 to 0.71). Despite these positive outcomes, GRADE assessment yielded a low certainty of evidence due to imprecision and severe geographic bias, as eight of the nine studies were US-based. Conclusion: Psychological and psychosocial interventions can reduce perinatal depressive symptoms and incidence among single mothers. However, given the small evidence base, temporal limitations, and geographic concentration, findings warrant cautious interpretation. Further large-scale, globally diverse trials are essential before widespread clinical implementation can be confidently recommended.
The Anxious Pregnancy Across Three Trimesters: A Primary-Care Case Series of Non-Pharmacological, CBT-Based Multidisciplinary Management of Antenatal Anxiety I Putu Adigama; I Made Darmayasa
Scientia Psychiatrica Vol. 7 No. 1 (2026): Scientia Psychiatrica
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/scipsy.v7i1.208

Abstract

Introduction. Antenatal anxiety is among the most common yet most overlooked complications of pregnancy and, left unrecognized, is associated with preterm birth, low birth weight, impaired bonding, and adverse child neurodevelopment. Evidence for first-line, non-pharmacological management within primary care—where most women in low-resource settings receive care—remains sparse. Case presentation. We describe three pregnant women managed at an Indonesian community health center (UPTD Puskesmas Susut I, Bali), spanning all three trimesters. Case 1 was a 20-year-old primigravida at 9 weeks with a generalized anxiety presentation driven by an absent seafaring husband and unfiltered online health information (Beck Anxiety Inventory [BAI] 28, Perinatal Anxiety Screening Scale [PASS] 25, Edinburgh Postnatal Depression Scale [EPDS] 14). Case 2 was a 29-year-old multigravida at 20 weeks with anxiety and mild anemia rooted in a previous traumatic low-birth-weight delivery and in-law pressure (BAI 24, PASS 22, EPDS 14). Case 3 was a 22-year-old primigravida at 35 weeks with panic-like symptoms and fear of childbirth (BAI 24, PASS 22, EPDS 14). All three were managed without psychotropic medication using CBT, family psychoeducation, and obstetric monitoring, with serial screening documenting improvement across every instrument within one to four weeks. Conclusion. A spectrum of antenatal anxiety can be recognized at the primary-care level using serial validated screening; in these three women, CBT-based multidisciplinary care without psychotropic exposure was followed by rapid improvement. As an uncontrolled series these observations are hypothesis-generating, but they support integrating perinatal mental-health care into routine antenatal services.
Postpartum-Specific Anxiety and Inadequate Breast-Milk Flow Among Indonesian Mothers: A Cross-Sectional Study of Prevalence and Determinants Aulia Rahmi; Dwi Rahmawati; Rabia Wahdah; Ika Friscila
Scientia Psychiatrica Vol. 7 No. 1 (2026): Scientia Psychiatrica
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/scipsy.v7i1.209

Abstract

Postpartum-specific anxiety is an increasingly recognized perinatal mental-health disorder that may impair lactation by inhibiting the oxytocin-mediated let-down reflex, yet evidence from Indonesian primary care using validated childbearing-specific instruments is scarce. This study estimated the prevalence of postpartum-specific anxiety, examined its association with breast-milk flow, and evaluated the screening performance of the Postpartum-Specific Anxiety Scale (PSAS). An analytical cross-sectional study enrolled 40 mothers on days 2-4 postpartum at a midwife-led primary-care practice in South Kalimantan, Indonesia (December 2025-January 2026) using purposive sampling. Anxiety was measured with the 51-item PSAS and lactation adequacy with a validated 8-item breast-milk-flow questionnaire. Prevalence with 95% confidence intervals (CI), chi-square tests, odds ratios (OR), multivariable logistic regression, correlation and receiver-operating-characteristic (ROC) analyses were performed (alpha=0.05). Any anxiety was present in 72.5% of mothers (95% CI 58.7-86.3; mild 40.0%, moderate 32.5%) and inadequate breast-milk flow in 47.5% (95% CI 32.0-63.0). Higher PSAS scores correlated strongly with poorer lactation (Spearman rho=-0.685, p<0.001; Cohen d=1.36). Moderate anxiety substantially increased the odds of inadequate lactation (crude OR 10.55, 95% CI 2.16-51.61, p=0.001; adjusted OR 40.80, p=0.006), and the overall anxiety-lactation association was significant (chi-square=11.61, df=2, p=0.003). The PSAS predicted inadequate lactation with an AUC of 0.83 (95% CI 0.70-0.96; optimal cut-off >=80, sensitivity 84.2%, specificity 71.4%). Postpartum-specific anxiety was common and independently associated with inadequate lactation; routine PSAS-based screening in maternal care may identify at-risk mothers and protect breastfeeding in low-resource Indonesian settings.
Prevalence and Determinants of Postpartum Depression Risk Among Puerperal Women Screened with the Edinburgh Postnatal Depression Scale in South Kalimantan, Indonesia Siti Norhasanah; Dwi Rahmawati; Rabia Wahdah; Novalia Widiya Ningrum
Scientia Psychiatrica Vol. 7 No. 2 (2026): Scientia Psychiatrica
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/scipsy.v7i2.210

Abstract

Introduction: Postpartum depression (PPD) is among the most common psychiatric complications of childbirth, yet in many Indonesian primary-care settings it remains undetected. This study estimated the prevalence and determinants of PPD risk among puerperal women attending a community midwifery facility in South Kalimantan, Indonesia. Methods: In a cross-sectional design, 30 postpartum women were screened consecutively between October and November 2025 using the validated 10-item Edinburgh Postnatal Depression Scale (EPDS); risk was banded as none (0–4), low (5–9), moderate (10–12) and high (>12). Prevalence was estimated with Wilson 95% confidence intervals (CI); associations with maternal age, parity, education and occupation were examined using odds ratios (OR), Cramér's V, Firth-penalized logistic regression and Spearman correlation (significance p<0.05). Results: The mean EPDS score was 5.5 ± 3.0. Overall, 46.7% (95% CI 30.2–63.9) screened at risk (EPDS ≥5), comprising 33.3% low and 13.3% moderate risk; 13.3% (95% CI 5.3–29.7) reached the probable-depression threshold (≥10), and none scored high. All probable-depression cases occurred in primiparas. Lower maternal education correlated with higher symptom scores (Spearman ρ = −0.36, p = 0.039); younger age (<25 years; OR 4.44, 95% CI 0.82–23.95) and lower education (OR 2.73, 95% CI 0.65–11.55) showed non-significant positive associations. Conclusion: Even in an apparently low-risk obstetric population, a substantial minority of mothers carried subthreshold-to-moderate depressive risk. Routine EPDS screening with stepped referral should be embedded in primary maternal care to protect maternal mental health.

Page 14 of 14 | Total Record : 134

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