Mindfulness Based Cognitive Therapy on the Anxiety Reduction in 3rd Trimester of Pregnant Women

Authors

  • Sundari Poltekkes Kemenkes Semarang
  • Runjati Runjati Health Polytechnic, Ministry of Health Semarang, Central Java, Indonesia
  • Mardiyono Mardiyono Health Polytechnic, Ministry of Health Semarang, Central Java, Indonesia

DOI:

https://doi.org/10.26911/thejmch.2023.08.06.09

Abstract

Background: Untreated pregnancy anxiety can have a significant impact on the pregnancy and postpartum outcomes. Causing mental disorders during pregnancy has an increased risk and adverse effects on the mother and fetus. Mindfulness Based Cognitive Therapy (MBCT) can increase awareness about the function of thought patterns in daily activities and is able to control awareness of thoughts, feelings and body gestures that can affect anxiety levels and cortisol hormones in the body. This study aimed to examine the effect MBCT to reduce anxiety in 3rd trimester of pregnant women.

Subjects and Method: This was a randomized controlled trial. A sample of 20 pregnant women divided into two groups. Intervention group was MBCT with 8 sessions for 30 minutes each session within a period of 2 weeks. The control group was health education and usual care. The dependent variable was anxiety. The independent variable was MBCT. Anxiet was measured using HARS questionnaires. Difference of anxiety between groups were tested using independent t-test.

Results: Mean of anxiety score in the MBCT group (Mean= 16.40; SD= 4.01) was lower than in the control group (Mean= 23.60; SD= 7.37), and it was statistically significant (p = 0.015).

Conclusion: MBCT is effective to reduce anxiety in 3rd trimester of pregnant women.

Keywords: Mindfulness Based Cognitive Therapy, pregnancy, anxiety.

Correspondence: Sundari. Master’s Program of Applied Midwifery, Health Polytechnics, Ministry of Health Semarang. Jl. Tirto Agung, Pedalangan, Banyumanik, Semarang, Central Java 50268. Email: sundarisst3@­gmail.com. Mobile: 0821-7591-9584.

References

Amin DR (2022). Pengaruh terapi rendam kaki air hangat terhadap penurunan tekanan darah melalui penurunan kadar kortisol pada ibu hamil hipertensi yang mendapat nifedipine (studi di Puskesmas Cibungbulang) (The effect of warm water foot soak therapy on reducing blood pressure through reducing cortisol levels in hypertensive pregnant women who received nifedipine (study at Cibungbulang Community Health Center)). https://repository.poltekkessmg.ac.id/index.php/index.php?p=show_detail&id=32158

Asrina A, Aryadi A, Andi N (2020). Prostaglandin and endorphin levels in adolescent primary dismenore given warm and cold hydrotherapy. Jurnal Riset Kesehatan. 12(1): 115–121. https://doi.org/10.34011/juriskesbdg.v12i1.841

Cahyaningsih D (2020). Hubungan usia ibu hamil dengan tingkat kecemasan pada kehamilan trimester III di Puskesmas Bantul II Kabupaten Bantul (The relationship between the age of pregnant women and the level of anxiety in the third trimester of pregnancy at the Bantul II Community Health Center, Bantul Regency). http://digilib.unisayogya.ac.id/id/eprint/5306

Fitri D (2017). Efektivitas cognitive behavior therapy untuk menurunkan kecemasan berbicara di depan umum pada mahasiwa (The effectiveness of cognitive behavior therapy to reduce public speaking anxiety in students) Jurnal Ilmiah Psikologi Gunadarma. 10(1): 65–73.

Kementrian Kesehatan Republik Indonesia. (2019). Laporan Riskesdas 2018 Nasional.pdf’. p. 674.

Lebel C., MacKinnon A, Bagshawe M, Tomfohr-Madsen L, Giesbrecht G (2020). Elevated depression and anxiety symptoms among pregnant individuals during the COVID-19 pandemic. Journal of Affective Disorders. Elsevier B.V. 277: 5–13. doi: 10.1016/j.jad.2020.07.126

Mangrasih RS (2019). Pengaruh terapi ren-dam kaki air hangat terhadap tingkat kecemasan ibu preeklampsia di wila-yah kerja Puskesmas Tempurejo Kabupaten Jember (The effect of warm water foot soak therapy on the anxiety level of preeclamptic mothers in the work area of the Tempurejo Commu-nity Health Center, Jember Regency). Skripsi Universitas Jember. pp. 1–100.

Mohamed S (2017). Mindfulness based intervention program on anxiety and depressive symptoms among pregnant women.American Journal of Nursing Science. 6(3): 232. doi: 10.11648/j.ajns.20170603.21.

Nuryati T, Handayani (2022). Pelatihan manajemen stres pada ibu hamil di Puskesmas Bojong Menteng Kota Bekasi. Pengabdian Kepada Masyarakat. 1(9): 5–24

Prawirohardjo, S. (2016). Ilmu kebidanan. 4. vol 5. Jakarta: PT. Bina Pustaka

Robiyanto OI, Sartika D, Qodariah S (2019). Pengaruh mindfulness-based cognitive therapy terhadap penurunan kecemasan sosial pada mahasiswa kedokteran. SCHEMA (Journal of Psychological Research). 5: 1–13

Runjati, Susanto H, Sawitri D, Thaufik S (2017). The effect of antenatal class plus coping skill training on the level of stress and childbirth self-efficacy. Advanced Science Letters. 23(4): 3329–3333. doi: 10.1166/asl.2017.-9125

Sukandar A (2009). Keefektifan cognitive behavior therapy (CBT)

WHO (2020). Maternal Mental health. World Health Organization (WHO)

WHO (2022). Guide for integration of perinatal mental health in maternal and child health services. World Health Organization (WHO)

Wulandari P, Sofitamia A, Kustriyani M (2019). The effect of guided imagery to the level of anxiety of trimester III pregnant woman in the working area of Mijen Health Center in Semarang City. Media Keperawatan Indonesia. 2(1): 29. doi: 10.26714/mki.2.1.2019.29-37

Yanti DA, Karo-karo TM, Purba ASG, Ginting JISB, Octavariny R, Williani NF (2021). Pengaruh rendam kaki menggunakan air hangat terhadap kecemasan pada pasien hipertensi (The effect of soaking feet in warm water on anxiety in hypertensive patients). Jurnal Pengmas Kestra (JPK). 1(1): 157–162. doi: 10.35451/jpk.v1i1.757

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Published

2023-11-16

How to Cite

Sundari, Runjati, R., & Mardiyono, M. (2023). Mindfulness Based Cognitive Therapy on the Anxiety Reduction in 3rd Trimester of Pregnant Women. Journal of Maternal and Child Health, 8(6), 755–761. https://doi.org/10.26911/thejmch.2023.08.06.09

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