Treatment of Adults with Major Depressive Disorder with Peripartum Onset Using Cognitive Behavior Therapy
DOI:
https://doi.org/10.30872/psikoborneo.v13i1.17320Keywords:
Behavior experiment, cognitive behavior therapy (CBT), major depressive disorder with peripartum onset, cognitive distortionAbstract
This study aims to determine the experiences of clients with major depressive disorders with peripartum onset and the application of cognitive behavior therapy in intervention. The client in this study was a 24-year-old mother who experienced symptoms during pregnancy and postpartum and even had the desire to harm herself and her child. A series of psychological examinations are carried out such as observation, interviews, graphics, BDI and postpartum depression scale to determine the client's condition. The intervention carried out with Cognitive Behavior Therapy consisted of 6 sessions. The results of this examination and intervention found that unpreparedness to have children, sexual harassment/coercion, lack of family support and late examination and treatment influenced symptoms which resulted in the emergence of cognitive distortions (unsuccessful becoming a mother, blaming oneself) and had an impact on daily behavior as well as thoughts and trying to hurt yourself and your child. Clients changed cognitive distortions and applied adaptive cognitive in daily behavior to reduce the appearance of symptoms of major depressive disorder with peripartum onset. Penelitian ini bertujuan untuk mengetahui pengalaman klien dengan major depressive disorder with peripartum onset dan penerapan cognitive behavior therapy pada intervensi. Klien dalam penelitian ini adalah seorang perempuan berusia 24 tahun yang mengalami gejala ketika mengandung hingga pasca melahirkan bahkan memiliki keinginan untuk menyakiti diri dan anak. Serangkaian pemeriksaan psikologis dilakukan seperti observasi, wawancara, grafis, BDI dan skala depresi postpartum untuk mengetahui kondisi klien. Intervensi dilakukan dengan Cognitive Behavior Therapy terdiri dari 6 sesi. Hasil dari pemeriksaan dan intervensi ini menemukan bahwa ketidaksiapan dalam memiliki anak, pelecehan/pemaksaan seksual, kurangnya dukungan keluarga dan pemeriksaan serta penanganan yang terlambat mempengaruhi gejala yang berdampak pada munculnya distorsi kognitif (tidak berhasil menjadi seorang Ibu, menyalahkan diri) dan berdampak pada perilaku sehari-hari serta pikiran dan mencoba untuk melukai diri dan anak. Klien merubah distorsi kognitif serta menerapkan kognitif adaptif dalam perilaku sehari-hari sehingga mengurangi munculnya gejala major depressive disorder with peripartum onset.References
Aktar, E., Qu, J., Lawrence, P. J., Tollenaar, M. S., Elzinga, B. M., & Bögels, S. M. (2019). Fetal and infant outcomes in the offspring of parents with perinatal mental disorders: Earliest influences. Frontiers in Psychiatry, 10(JUN), 1–20. https://doi.org/10.3389/fpsyt.2019.00391
American Psychiatric Association. (2013). DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS FIFTH EDITION (DSM-5). American Psychiatric Association.
Atensi, M., Rifameutia, T., & Info, A. (2023). The Effectiveness of a Combination of Relaxation and Cognitive Restructuring Techniques in Managing Anxiety in College Students Efektivitas Kombinasi Teknik Relaksasi dan Restrukturisasi Kognitif dalam Mengelola Kecemasan pada Mahasiswa. Jurnal Imiah Psikologi, 11(1), 559–568. http://dx.doi.org/10.30872/psikoborneo.v11i4.13125
Balban, M. Y., Neri, E., Kogon, M. M., Weed, L., Nouriani, B., Jo, B., Holl, G., Zeitzer, J. M., Spiegel, D., & Huberman, A. D. (2023). Brief structured respiration practices enhance mood and reduce physiological arousal. Cell Reports Medicine, 4(1), 100895. https://doi.org/10.1016/j.xcrm.2022.100895
Beck, J. S. (2021). Cognitive behavior therapy: Basics and beyond, 3rd ed. In Cognitive behavior therapy: Basics and beyond, 3rd ed.
Bobo, W. V., & Yawn, B. P. (2014). Concise review for physicians and other clinicians: Postpartum depression. Mayo Clinic Proceedings, 89(6), 835–844. https://doi.org/10.1016/j.mayocp.2014.01.027
Branch, R., & Willson, R. (2007). CBT workbook For Dummies. John Wiley & Sons, Ltd.
Branquinho, M., Canavarro, M. C., & Fonseca, A. (2022). A Blended Cognitive–Behavioral Intervention for the Treatment of Postpartum Depression: A Case Study. Clinical Case Studies, 21(5), 438–456. https://doi.org/10.1177/15346501221082616
Buultjens, M., & Liamputtong, P. (2007). When giving life starts to take the life out of you: women’s experiences of depression after childbirth. Midwifery, 23(1), 77–91. https://doi.org/10.1016/j.midw.2006.04.002
Carlson, K., Mughal, S., Azhar, Y., & Siddiqui, W. (2025). Postpartum Depression. In StatPearls. http://www.ncbi.nlm.nih.gov/pubmed/26802316
Chand, S. P., Kuckel, D. P., & Huecker, M. R. (2025). Cognitive Behavior Therapy. In StatPearls. http://www.ncbi.nlm.nih.gov/pubmed/31010409
Cho, H., Lee, K., Choi, E., Cho, H. N., Park, B., Suh, M., Rhee, Y., & Choi, K. S. (2022). Association between social support and postpartum depression. Scientific Reports, 12(1), 1–9. https://doi.org/10.1038/s41598-022-07248-7
Copeland, D. B., & Harbaugh, B. L. (2019). “It’s Hard Being a Mama”: Validation of the Maternal Distress Concept in Becoming a Mother. The Journal of Perinatal Education, 28(1), 28–42. https://doi.org/10.1891/1058-1243.28.1.28
Fang, H., Tu, S., Sheng, J., & Shao, A. (2019). Depression in sleep disturbance: A review on a bidirectional relationship, mechanisms and treatment. Journal of Cellular and Molecular Medicine, 23(4), 2324–2332. https://doi.org/10.1111/jcmm.14170
Geofanny, R. (2016). Perbedaan Kemandirian Anak Usia Dini Ditinjau Dari Ibu Bekerja dan Ibu Tidak Bekerja. Psikoborneo: Jurnal Ilmiah Psikologi, 4(4), 464–470. https://doi.org/10.30872/psikoborneo.v4i4.4230
Ghaedrahmati, M., Kazemi, A., Kheirabadi, G., Ebrahimi, A., & Bahrami, M. (2017). Social Support and Self ‑ Care Behavior Study. Journal of Education and Health Promotion, 6(August), 1–7. https://doi.org/10.4103/jehp.jehp_9_16
Habibi, U. R. (2014). Kepuasan Pernikahan Pada Wanita yang Dijodohkan Oleh Orang Tua. Psikoborneo: Jurnal Ilmiah Psikologi, 2(4), 274–279. https://doi.org/10.30872/psikoborneo.v2i4.3675
Habsara, D. K., Ibrahim, A. R. A., Putranto, A. K., Suryadi, D., Risnawaty, W., Kusumawardhani, N., & Suryadinata, P. I. (2021). Penatalaksanaan Gangguan Psikologis Edisi 1. Pustaka Belajar.
Hofmann, S. G., Asnaani, A., Vonk, I. J. J., Sawyer, A. T., & Fang, A. (2012). The efficacy of CBT: a review of meta-analyses. Cognitive Therapy Research, 36(5), 427–440. https://doi.org/10.1007/s10608-012-9476-1.The
Jannati, N., Mazhari, S., Ahmadian, L., & Mirzaee, M. (2020). Effectiveness of an app-based cognitive behavioral therapy program for postpartum depression in primary care: A randomized controlled trial. International Journal of Medical Informatics, 141(September 2019), 104145. https://doi.org/10.1016/j.ijmedinf.2020.104145
Jerath, R., Beveridge, C., & Barnes, V. A. (2019). Self-regulation of breathing as an adjunctive treatment of insomnia. Frontiers in Psychiatry, 10(JAN), 1–7. https://doi.org/10.3389/fpsyt.2018.00780
Li, J., Li, J., Shen, L., Wang, H., Zheng, T., Hui, Y., & Li, X. (2023). Investigating the causal association of postpartum depression with cerebrovascular diseases and cognitive impairment: a Mendelian randomization study. Frontiers in Psychiatry, 14(1). https://doi.org/10.3389/fpsyt.2023.1196055
Miltenberger, R. G. (2012). Behavior modification. In Behavior Modification: Principles and Procedures, Fifth Edition. Cengage Learning. https://doi.org/10.1007/0-387-31056-8_26
Misri, S., Kostaras, X., Fox, D., & Kostaras, D. (2000). The impact of partner support in the treatment of postpartum depression. Canadian Journal of Psychiatry, 45(6), 554–558. https://doi.org/10.1177/070674370004500607
Murray, H., & El-Leithy, S. (2021). Behavioural Experiments in Cognitive Therapy for Posttraumatic Stress Disorder: Why, When, and How? Verhaltenstherapie, 31(1), 50–60. https://doi.org/10.1159/000511921
Narlesky, M., Lemp, A., Braaten, S., Wooten, R. G., & Powell, A. (2020). A Case of Major Depressive Disorder With Peripartum Onset With Heralding Symptoms. Cureus, 12(6), 1–5. https://doi.org/10.7759/cureus.8393
Nevid, J. ., Rathus, S. ., & Greene, B. (2018). Mood Disorders and Suicide. Abnormal Psychology in a Changing World. www.pearson.com/permissions.
Purwanto, S. (2008). Mengatasi insomnia dengan terapi relaksasi. Jurnal Kesehatan, 1, 141–148.
Qi, W., Liu, Y., Lv, H., Ge, J., Meng, Y., Zhao, N., Zhao, F., Guo, Q., & Hu, J. (2022). Effects of family relationship and social support on the mental health of Chinese postpartum women. BMC Pregnancy and Childbirth, 22(1), 1–10. https://doi.org/10.1186/s12884-022-04392-w
Radoš, S. N., Akik, B. K., Žutić, M., Rodriguez-Muñoz, M. F., Uriko, K., Motrico, E., Moreno-Peral, P., Apter, G., & den Berg, M. L. van. (2024). Diagnosis of peripartum depression disorder: A state-of-the-art approach from the COST Action Riseup-PPD. Comprehensive Psychiatry, 130(Cc). https://doi.org/10.1016/j.comppsych.2024.152456
Rouf, K. (2004). Oxford Guide to Behavioural Experiments in Cognitive Therapy (J. Bennett-Levy, G. Butler, M. Fennell, A. Hackmann, M. Mueller, & D. Westbrook (eds.)). Oxford University Press. https://doi.org/10.1093/med:psych/9780198529163.001.0001
Slomian, J., Honvo, G., Emonts, P., Reginster, J. Y., & Bruyère, O. (2019). Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes. In Women’s Health (Vol. 15). https://doi.org/10.1177/1745506519844044
Wenzel, A. M. Y. (2021). Handbook of cognitive behavioral therapy: Overview and approaches (Vol. 1). In Handbook of cognitive behavioral therapy: Overview and approaches (Vol. 1). (Vol. 1). American Psychological Association. https://doi.org/10.1037/0000218-000
