Peer Review: Cognitive Behavior Therapy Lowers Anxiety Levels of Pregnant Women during the COVID-19 Pandemic at Sikumana Health Center

Dafroyati, Yuliana and Widyastuti, Ririn (2022) Peer Review: Cognitive Behavior Therapy Lowers Anxiety Levels of Pregnant Women during the COVID-19 Pandemic at Sikumana Health Center. Scientific Foundation SPIROSKI, Skopje, Republic of Macedonia, Serbia.

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Abstract

BACKGROUND: Coronavirus disease (COVID-19) is an infectious disease caused by the SARS-CoV-2 virus. Pregnant women are a vulnerable group or at risk for COVID-19. Pregnancy during the COVID-19 pandemic can cause high anxiety for pregnant women. Cognitive behavior therapy (CBT) interventions used can prevent the occurrence of anxiety and depression of pregnant women. AIM: This study aims to know the effect of cognitive behavioral therapy (CBT) on the anxiety of pregnant women during the COVID-19 pandemic. METHODS: This study used a quasi-experimental design with pre-design and post-test designs. The research site was the Sikumana District Health Center, Kupang City, Indonesia. The sample of 80 respondents consisted of 40 intervention group respondents and 40 respondents of the control group. Taylor Minnesota Anxiety Scale (TMAS) questionnaire was used as an instrument in this study. Intervention was held by giving CBT therapy for 10 sessions of meetings in an hour. The control group was given treatment in the form of minimum midwifery standard care (10T) while the intervention group was given therapy in the form of CBT and minimum midwifery standard care (10T). The control group was given CBT treatment twice a month in 10 encounters with stages of identification, cognitive restructuring, identification and correction, and mind notes. The Mann–Whitney U-test was used as data analysis techniques in this research. RESULTS: There was a significant difference between the pretest TMAS score and after the CBT intervention. There was a decrease in the level of anxiety, namely, from the TMAS pretest score of 44.49−28.70 and the value Z pre-test −1,769, Z post-test −5,204, and p = 0.001 (p < 0.05). In the control group, there was no meaningful difference between the TMAS pre-test and post-test scores. CONCLUSION: Cognitive behavior therapy (CBT) effectively lowers anxiety levels in pregnant women during the COVID-19 pandemic.

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