The Efectiveness Of Cognitive Behavioral Therapy (CBT) In Reducing Anxiety In Pregnant Women
Keywords:
Effectiveness, cognitive behavioral therapy /CBT, Anxiety, pregnant womenAbstract
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.
References
Sri Chalada, (2023). Systematic Review and Meta-analysis: Effectiveness of Cognitive Behavior Therapy (CBT) Intervention to Reduce Anxiety Levels in Pregnant Women. FKM UI.
Smith, M.V., Shao, L., Howell, H., Lin, H., Yonkers, K.A. (2011). Perinatal depression and birth outcomes in a Healthy Start project. Matern. ChildHealth J.15, 401-409. Downloaded August 1, 2016 from https://www.ncbi.nlm.nih.gov/pubmed/20300813.
Glover V, O'Donnell KJ, O'connoe TG, G. J, (2018). Prenatal maternal stress, fetal progrmanning, and mechanisms underlying later psychopathology-a global perspective Dev Psychopathol, 30(3), 843.
Cooper, P., Murray, L., and Halligan, A.D., (2010). Treatment of Postpartum Depression. Winnicott Research Unit, University of Reading: United Kingdom.
Hyun Jo Cho et al (2008). Antenatal Cognitive Behavior Therapy for Prevention of Postpartum Depression. Yonsei Med Journal, 49 (4).
Kothari, 2004. Research Methodology Second ed. New Delhi: New Age International.
Dahlan, M. (2014). Statistics for Medicine and Health, Descriptive, Bivariate and Multivariate with SPSS (6th ed). Jakarta: Epidemiology Indonesia.
Misri, S. & Kendrick, K. (2007). Treatment of perinatal mood and anxiety disorder: a review. Canadian Journal of Psychiatry, 52(8).
Correila LL, & Linhares MBM, 2007. Maternal anxiety in the pre- and postnatal period: a literature review. Rev Latino-an Enfermagem, juli-agust;15(4):677-83.
Shopie Grigoriadis et al. J Clin Psychiatry. 2018. Maternal anxiety during pregnancy and the association with adverse perinatal outcomes: systematic review and meta-analysis. National Library of Medicine.