Pengaruh Terapi Mindfulness untuk Menurunkan Tingkat Depresi pada Ibu Hamil Risiko Tinggi

Nathalia Nindi Kristyaningrum; Moordiningsih - Moordiningsih

doi:10.22146/gamajpp.76584

Pengaruh Terapi Mindfulness untuk Menurunkan Tingkat Depresi pada Ibu Hamil Risiko Tinggi

Nathalia Nindi Kristyaningrum, Moordiningsih - Moordiningsih

(Submitted 26 July 2022)

(Published 31 October 2022)

Abstract

Penelitian ini bertujuan untuk mengetahui pengaruh terapi mindfulness terhadap penurunan tingkat depresi pada ibu hamil risiko tinggi. Subjek penelitian adalah empat orang ibu hamil risiko tinggi, berusia 32-39 tahun dan terindikasi mengalami depresi. Desain penelitian yang digunakan adalah desain eksperimen one group pretest-posttest design. Alat pengumpulan data yang digunakan adalah Edinburgh Postnatal Depression Scale (EPDS), wawancara sebelum dan sesudah pemberian terapi, dan observasi sebelum, saat, serta sesudah pemberian terapi. Analisis data yang digunakan adalah uji Friedman Test statistik nonparametrik untuk melihat perbedaan skor pre-test, post-test, dan follow up pada kelompok eksperimen. Hasil analisis menunjukkan bahwa skor chi square sebesar 8,000 (p <0,05). Artinya bahwa terdapat perbedaan tingkat depresi antara skor pre-test, post-test, dan follow up. Partisipan penelitian pada kelompok eksperimen mengalami penurunan tingkat depresi setelah mendapatkan terapi mindfulness. Hal ini membuktikan bahwa terapi mindfulness berpengaruh terhadap penurunan tingkat depresi pada ibu hamil yang beresiko tinggi.

Keywords

Mindfulness therapy; depression; high-risk pregnant women

Full Text: PDF

DOI: 10.22146/gamajpp.76584

References

Apriliyani, I., Dwidiyanti, M., & Sari, S. P. (2020). Pengaruh Terapi Mindfulness Terhadap Tingkat Depresi Pada Remaja. PROCEEDING BOOK The 1st Widya Husada Nursing Conference (1st WHNC), 74–84.

Beddoe, A. E., Paul Yang, C. P., Kennedy, H. P., Weiss, S. J., & Lee, K. A. (2009). The effects of mindfulness-based yoga during pregnancy on maternal psychological and physical distress. JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing, 38(3), 310–319. https://doi.org/10.1111/j.1552-6909.2009.01023.x

Beidel, D. C., Bulik, C. M., & Stanley, M. A. (2012). Abnormal psychology. Pearson Education.

Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., Segal, Z. V., Abbey, S., Speca, M., Velting, D., & Devins, G. (2004). Mindfulness: A proposed operational definition. Clinical Psychology: Science and Practice, 11(3), 230–241. https://doi.org/10.1093/clipsy/bph077

Bowen, A., Baetz, L., Balbeuna, L., & Muhajarine, N. (2014). Antenatal therapy decreases depression and worry symptoms. European Psychiatry, 29(3), 1. https://doi.org/10.1016/s0924-9338(14)77564-9

Brandon, A. R., Trivedi, M. H., Hynan, L. S., Miltenberger, P. D., Labat, D. B., Rifkin, J. B., & Stringer, C. A. (2008). Prenatal depression in women hospitalized for obstetric risk. Journal of Clinical Psychiatry, 69(4), 635–643. https://doi.org/10.4088/JCP.v69n0417

Brown, K. W., & Ryan, R. M. (2003). The Benefits of Being Present: Mindfulness and Its Role in Psychological Well-Being. Journal of Personality and Social Psychology, 84(4), 822–848. https://doi.org/10.1037/0022-3514.84.4.822

Burdick, D. E. (2013). Mindfulness Skills Workbook. PESI Publishing and Media.

Byatt, N., Hicks-Courant, K., Davidson, A., Levesque, R., Mick, E., Allison, J., & Moore Simas, T. A. (2014). Depression and anxiety among high-risk obstetric inpatients. General Hospital Psychiatry, 36(6), 644–649. https://doi.org/10.1016/j.genhosppsych.2014.07.011

Byrne, J., Hauck, Y., Fisher, C., Bayes, S., & Schutze, R. (2014). Effectiveness of a mindfulness-based childbirth education pilot study on maternal self-efficacy and fear of childbirth. Journal of Midwifery and Women’s Health, 59(2), 192–197. https://doi.org/10.1111/jmwh.12075

Dadang, H. (2006). Manajemen stress cemas dan depresi. Fakultas Kedokteran Indonesia.

Dagklis, T., Tsakiridis, I., Chouliara, F., Mamopoulos, A., Rousso, D., Athanasiadis, A., & Papazisis, G. (2018). Antenatal depression among women hospitalized due to threatened preterm labor in a high-risk pregnancy unit in Greece. Journal of Maternal-Fetal and Neonatal Medicine, 31(7), 919–925. https://doi.org/10.1080/14767058.2017.1301926

Departemen Kesehatan RI. (1993). Pedoman penggolongan dan diagnosis gangguan jiwa di indonesia iii. Departemen Kesehatan RI.

Dibaba, Y., Fantahun, M., & Hindin, M. J. (2013). The effects of pregnancy intention on the use of antenatal care services: Systematic review and meta-analysis. Reproductive Health, 10(1). https://doi.org/10.1186/1742-4755-10-50

Dimidjian, S., Goodman, S. H., Felder, J. N., Gallop, R., Brown, A. P., & Beck, A. (2016). Staying well during pregnancy and the postpartum: A pilot randomized trial of mindfulness-based cognitive therapy for the prevention of depressive relapse/recurrence. Journal of Consulting and Clinical Psychology, 84(2), 134–145. https://doi.org/10.1037/ccp0000068

Epriliani, P., & Candra, I. W. (2019). Mindfullness-Based Cognitive Therapy ( Mbct ) Menurunkan Tingkat Depresi. Jurnal Gema Keperawatan, 12(2), 85–95.

Fauzy, R., & Fourianalistyawati, E. (2017). Hubungan antara Depresi dengan Kualitas Hidup pada Ibu Hamil Berisiko Tinggi. Journal Psikogenesis, 4(2), 206. https://doi.org/10.24854/jps.v4i2.350

Fisher, C., Hauck, Y., Bayes, S., & Byrne, J. (2012). Participant experiences of mindfulness-based childbirth education: A qualitative study. BMC Pregnancy and Childbirth, 12, 1–10. https://doi.org/10.1186/1471-2393-12-126

Germer, C. K., Siegel, R. D., & Fulton, P. R. (2005). Mindfulness and psychotherapy. The Guilford Press.

Gourounti, C., Karpathiotaki, N., & Vaslamatzis, G. (2015). Psychosocial stress in high risk pregnancy. International Archives of Medicine, 1–9. https://doi.org/10.3823/1694

Gray, B. A. (2006). Hospitalization history and differences in self-rated pregnancy risk. Western Journal of Nursing Research, 28(2), 216–229. https://doi.org/10.1177/0193945905282305

Hall, H. G., Beattie, J., Lau, R., East, C., & Anne Biro, M. (2016). Mindfulness and perinatal mental health: A systematic review. Women and Birth, 29(1), 62–71. https://doi.org/10.1016/j.wombi.2015.08.006

Indrayani, Y. A., & Wahyudi, T. (2019). Infodatin: pusat data dan informasi kementerian kesehatan RI. https://pusdatin.kemkes.go.id/resources/download/pusdatin/infodatin/InfoDatin-Kesehatan-Jiwa.pdf

Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology: Science and Practice, 10(2), 144–156. https://doi.org/10.1093/clipsy/bpg016

Litbangkes. (2019). Laporan nasional riskesdas 2018.

Manuaba, Manuaba, C., & Manuaba, F. (2007). Pengantar Kuliah Obstetri. Penerbit Buku Kedokteran EGC.

Mohammad, K. I., Gamble, J., & Creedy, D. K. (2011). Prevalence and factors associated with the development of antenatal and postnatal depression among Jordanian women. Midwifery, 27(6), e238–e245. https://doi.org/10.1016/j.midw.2010.10.008

Nasreen, H. E., Kabir, Z. N., Forsell, Y., & Edhborg, M. (2011). Prevalence and associated factors of depressive and anxiety symptoms during pregnancy: A population based study in rural Bangladesh. BMC Women’s Health, 11. https://doi.org/10.1186/1472-6874-11-22

Ritter, C., Hobfoll, S. E., Lavin, J., Cameron, R. P., & Hulsizer, M. R. (2000). Stress, psychosocial resources, and depressive symptomatology during pregnancy in low-income, inner-city women. Health Psychology, 19(6), 576–585. https://doi.org/10.1037/0278-6133.19.6.576

Simmons, H. A., & Goldberg, L. S. (2011). “High-risk” pregnancy after perinatal loss: Understanding the label. Midwifery, 27(4), 452–457. https://doi.org/10.1016/j.midw.2010.02.013

Taylor, B. L., Cavanagh, K., & Strauss, C. (2016). The effectiveness of mindfulness-based interventions in the perinatal period: A systematic review and meta-analysis. PLoS ONE, 11(5), 1–29. https://doi.org/10.1371/journal.pone.0155720

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