Abstract :

Postpartum depression is a harmful depression risk; if not treated properly, it can have bad consequences for both mother and child. Hence, efforts are needed to prevent postpartum depression in pregnant women. This article aims to describe and find out the effect of self-help psychological intervention on the knowledge and attitudes of pregnant women in preventing postpartum depression. This article was quantitative research with a quasi-experimental model. The study population was 155 pregnant women in the Darussalam Public Health Center working area in Aceh Besar, 2021. The sample was 74 respondents, with 37 in the intervention group and 37 in the control group. Data was collected using The Knowledge about Postpartum Depression Questionnaire (KPPD-Q) and Attitudes Toward Postpartum questionnaires. This study found that the self-help psychological intervention significantly affects the knowledge and attitudes of pregnant women (p-value = 0.000 <0.05). Also, there were significant differences in knowledge and attitudes between the intervention. This study concluded that Self-help Psychological interventions could ascend pregnant women's knowledge and attitudes toward preventing postpartum depression. Respondents' age, education level, and gestational age are the driving factors for increasing knowledge and attitudes.

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Keywords :

Attitude, Depression, Knowledge, Postpartum, Pregnant

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References :

1. WHO. Depression 2021. https://www.who.int/news-room/fact-sheets/detail/depression (accessed March 29, 2022).
2. Pratiwi CS. Seperempat ibu depresi setelah melahirkan, tapi penanganannya belum optimal. Mengapa? 2019. https://theconversation.com/seperempat-ibu-depresi-setelah-melahirkan-tapi-penanganannya-belum-optimal-mengapa-117205 (accessed March 29, 2022).
3. Fisher J, Mello MC de, Patel V, Rahman A, Tran T, Holton S, et al. Prevalence and determinants of common perinatal mental disorders in women in low- and lower-middle-income countries: a systematic review. Bull World Health Organ 2012;90:139–49. https://doi.org/10.1590/S0042-96862012000200014.
4. Shorey S, Chee CYI, Ng ED, Lau Y, Dennis CL, Chan YH. Evaluation of a technology-based peer-support intervention program for preventing postnatal depression (Part 1): Randomized controlled trial. J Med Internet Res 2019;21. https://doi.org/10.2196/12410.
5. Phoosuwan N, Eriksson L, Lundberg PC. Antenatal depressive symptoms during late pregnancy among women in a north-eastern province of Thailand: Prevalence and associated factors. Asian J Psychiatr 2018;36:102–7. https://doi.org/10.1016/j.ajp.2018.06.012.
6. Idaiani S, Basuki B. Postpartum depression in Indonesia women: a national study. Heal Sci J Indones 2012;3:3–8. https://doi.org/10.22435/hsji.v3i1Jun.396.3-8.
7. Edwards GD, Shinfuku N, Gittelman M, Ghozali EW, Haniman F, Wibisono S, et al. Postnatal Depression in Surabaya, Indonesia. Http://DxDoiOrg/102753/IMH0020-7411350105 2014;35:62–74. https://doi.org/10.2753/IMH0020-7411350 105.
8. O’hara MW, Swain AM. Rates and risk of postpartum depression—a meta-analysis. Int Rev Psychiatry 2009;8:37–54. https://doi.org/10.3109/09540269609037816.
9. Machmudah. Gangguan Psikologis Pada Ibu Postpartum ; Postpartum Blues. J Keperawatan Matern 2015;3:118–25.
10. Sriatmi A, Suwitri S, Shaluhiyah Z, Nugraheni SA. Dapatkah Kelas Ibu Hamil Model Virtual Meningkatkan Praktik Pencegahan Risiko Tinggi Kehamilan ? Media Penelit Dan Pengemb Kesehat 2020;30:1–14.
11. https://doi.org/10.22435/mpk.v30i1.2985.
12. Brummelte S, Galea LAM. Postpartum depression: Etiology, treatment and consequences for maternal care. Horm Behav 2016;77:153–66. https://doi.org/10.1016/j.yhbeh.2015.08.008.
13. Biaggi A, Conroy S, Pawlby S, Pariante CM. Identifying the women at risk of antenatal anxiety and depression: A systematic review. J Affect Disord 2016;191:62–77. https://doi.org/10.1016/j.jad.2015.11.014.
14. Williams J. Best Practice Guidelines for Mental Health Disorders in the Perinatal Period. 2014.
15. Barnes DL. Women’s reproductive mental health across the lifespan. 2014. https://doi.org/10.1007/978-3-319-05116-1.
16. Tulak LA, Yusriani Y, Idris FP. The Coping Mechanism (Source) in Mothers Who Have Baby Blues Syndrome In The Hospital. Elim Rantepao. Wind Heal J Kesehat 2019;2:106–15. https://doi.org/10.33368/woh.v0i0.132.
17. O’Hara MW, Wisner KL. Perinatal mental illness: Definition, description and aetiology. Best Pract Res Clin Obstet Gynaecol 2014;28:3–12. https://doi.org/10.1016/j.bpobgyn.2013.09.002.
18. Maliszewska K, Światkowska-Freund M, Bidzan M, Preis K. Relationship, social support, and personality as psychosocial determinants of the risk for postpartum blues. Ginekol Pol 2016;87:442–7. https://doi.org/10.5603/GP.2016.0023.
19. Nurbaeti I, Deoisres W, Hengudomsub P. Association between psychosocial factors and postpartum depression in South Jakarta, Indonesia. Sex Reprod Healthc 2019;20:72–6. https://doi.org/10.1016/j.srhc.2019.02.004.
20. Tabb KM, Hsieh W-J, Gavin AR, Eigbike M, Faisal-Cury A, Hajaraih SKM, et al. Racial differences in immediate postpartum depression and suicidal ideation among women in a Midwestern delivery hospital. J Affect Disord Reports 2020;1:100008. https://doi.org/10.1016/j.jadr.2020.100008.
21. Trivedi D. Cochrane Review Summary: psychosocial and psychological interventions for preventing postpartum depression. Prim Health Care Res Dev 2014;15:231–3. https://doi.org/10.1017/S1463423614000206.
22. Zamani P, Ziaie T, Lakeh NM, Leili EK. The correlation between perceived social support and childbirth experience in pregnant women. Midwifery 2019;75:146–51. https://doi.org/10.1016/j.midw.2019.05.002.
23. Scott AJ, Webb TL, Rowse G. Self-help interventions for psychosis: A meta-analysis. Clin Psychol Rev 2015;39:96–112. https://doi.org/10.1016/j.cpr.2015.05.002.
24. Mills H, Mulfinger N, Raeder S, Rüsch N, Clements H, Scior K. Self-help interventions to reduce self-stigma in people with mental health problems: A systematic literature review. Psychiatry Res 2020;284:112702. https://doi.org/10.1016/j.psychres.2019.112702.
25. Lin PZ, Xue JM, Yang B, Li M, Cao FL. Effectiveness of self-help psychological interventions for treating and preventing postpartum depression: a meta-analysis. Arch Womens Ment Health 2018;21:491–503. https://doi.org/10.1007/s00737-018-0835-0.
26. van Zoonen K, Buntrock C, Ebert DD, Smit F, Reynolds CF, Beekman ATF, et al. Preventing the onset of major depressive disorder: A meta-analytic review of psychological interventions. Int J Epidemiol 2014;43:318–29. https://doi.org/10.1093/ije/dyt175.
27. Barrera AZ, Wickham RE, Muñoz RF. Online prevention of postpartum depression for Spanish- and English-speaking pregnant women: A pilot randomized controlled trial. Internet Interv 2015;2:257–65.
https://doi.org/10.1016/j.invent.2015.06.002.
28. Zhang Y, Wang S, Hermann A, Joly R, Pathak J. Development and validation of a machine learning algorithm for predicting the risk of postpartum depression among pregnant women. J Affect Disord 2021;279:1–8. https://doi.org/10.1016/j.jad.2020.09.113.
29. Branquinho M, Canavarro MC, Fonseca A. Knowledge and attitudes about postpartum depression in the Portuguese general population. Midwifery 2019;77:86–94. https://doi.org/10.1016/j.midw.2019.06.016.
30. Sanchiz M, Chin J, Chevalier A, Fu WT, Amadieu F, He J. Searching for information on the web: Impact of cognitive aging, prior domain knowledge and complexity of the search problems. Inf Process Manag 2017;53:281–94. https://doi.org/10.1016/j.ipm.2016.09.003.
31. O’Brien AJ, Chesla CA, Humphreys JC. Couples’ Experiences of Maternal Postpartum Depression. JOGNN – J Obstet Gynecol Neonatal Nurs 2019;48:341–50. https://doi.org/10.1016/j.jogn.2019.04.284.
32. Gillespie SL, Mitchell AM, Kowalsky JM, Christian LM. Maternal parity and perinatal cortisol adaptation: The role of pregnancy-specific distress and implications for postpartum mood. Psychoneuroendocrinology 2018;97:86–93. https://doi.org/10.1016/j.psyneuen.2018.07.008.
33. Matsumura K, Hamazaki K, Tsuchida A, Kasamatsu H, Inadera H, Kamijima M, et al. Factor structure of the Edinburgh Postnatal Depression Scale in the Japan Environment and Children’s Study. Sci Rep 2020;10:1–10. https://doi.org/10.1038/s41598-020-67321-x.
34. Zheng X, Morrell J, Watts K. Changes in maternal self-efficacy, postnatal depression symptoms and social support among Chinese primiparous women during the initial postpartum period: A longitudinal study. Midwifery 2018;62:151–60. https://doi.org/10.1016/j.midw.2018.04.005.
35. Fathi F, Mohammad-Alizadeh-Charandabi S, Mirghafourvand M. Maternal self-efficacy, postpartum depression, and their relationship with functional status in Iranian mothers. Women Heal 2018;58:188–203.
36. https://doi.org/10.1080/03630242.2017.1292340.
37. Lucero NB, Beckstrand RL, Callister LC, Sanchez Birkhead AC. Prevalence of postpartum depression among Hispanic immigrant women. J Am Acad Nurse Pract 2012;24:726–34. https://doi.org/10.1111/j.1745-7599.2012.00744.x.
38. Poreddi V, Thomas B, Paulose B, Jose B, Daniel BM, Somagattu SNR, et al. Knowledge and attitudes of family members towards postpartum depression. Arch Psychiatr Nurs 2020;34:492–6. https://doi.org/10.1016/j.apnu.2020.09.003.
39. Kusuma R, Keliat BA, Afiyanti Y, Martha E. The Ratu’s Model: A prevention model of postpartum depression. Enferm Clin 2019;29:70–3. https://doi.org/10.1016/j.enfcli.2018.11.023.
40. O’Mahen HA, Woodford J, McGinley J, Warren FC, Richards DA, Lynch TR, et al. Internet-based behavioral activation-Treatment for postnatal depression (Netmums): A randomized controlled trial. J Affect Disord 2013;150:814–22. https://doi.org/10.1016/j.jad.2013.03.005.
41. Daley AJ, Foster L, Long G, Palmer C, Robinson O, Walmsley H, et al. The effectiveness of exercise for the prevention and treatment of antenatal depression: Systematic review with meta-analysis. BJOG An Int J Obstet Gynaecol 2015;122:57–62. https://doi.org/10.1111/1471-0528.12909.
42. Pugh NE, Hadjistavropoulos HD, Dirkse D. A randomised controlled trial of Therapist-Assisted, Internet-delivered Cognitive Behavior Therapy for women with maternal depression. PLoS One 2016;11:1–13.
https://doi.org/10.1371/journal.pone.0149186.