The Effect of Progressive Muscle Relaxation on Depression and Anxiety among Postpartum Mothers in Semarang
DOI:
https://doi.org/10.55606/ijhs.v6i1.6054Keywords:
Anxiety, Depression, EPDS, Postpartum mothers, Progressive muscle relaxationAbstract
Mothers often face psychological issues during the postpartum phase, such as depression and anxiety, which can impact the health and development of their children. Complementary therapy in the form of progressive muscle reactivity (PMR) is a non-pharmacological strategy to reduce depression and anxiety. The purpose of this study was to investigate how progressive muscle reactivity affects postpartum maternal anxiety and grief in two community health centers (Puskesmas) and several hospitals in Semarang City. Using a quantitative approach, this research design captured pre-installation and post-installation patterns. Purposive sampling was used to select 50 respondents for the study sample. The Edinburgh Postnatal Depression Scale (EPDS) was used to measure depression, and the Generalized Anxiety Disorder-7 (GAD-7) was used to measure anxiety. The Wilcoxon test was used to analyze the data. Based on the results of the progressive muscle reactivity technique, there was a significant decrease in depression and anxiety (p = 0.0005, p < 0.05). Seventy-six percent indicated that their anxiety had reached a satisfactory level, while 36 percent indicated that their decisions had decreased. Thus, it can be said that progressive muscular connection makes people more resilient and reduces anxiety. In medical settings, this treatment is recommended as a complementary intervention to improve patients' psychological well-being.
Downloads
References
Ainingsih, N., & Novia. (2023). The effect of progressive muscle relaxation therapy on anxiety in elderly patients with chronic illnesses. Undergraduate Thesis, Sultan Agung Islamic University, Semarang.
Aji Pamungkas, B., Dzil Kamalah, A., Bachelor of Nursing, Muhammadiyah University of Pekajangan Pekalongan, Jln Raya Ambokembang No, P., & Pekalongan Indonesia, K. (2022). Overview of depression levels in adolescents. National Health Seminar, 1, 1332-1341. https://jurnal.umpp.ac.id/index.php/prosiding/article/view/832
Alvionita, S., Wongkar, D., & Pasiak, T.F. (2022). The effect of progressive muscle relaxation on anxiety. EBiomedik, 10(1), 42-49. https://ejournal.unsrat.ac.id/index.php/ebiomedik
Anggarani, N.L.A.S. (2023). Early detection of postpartum depression in postpartum mothers using the Edinburgh Postnatal Depression Scale (EPDS) form at Bali Mandara Regional Hospital. Undergraduate Midwifery Study Program, Program B. Thesis, 1-63.
Anggraeni, N.P.D.A., & Saudia, B.E.P. (2023). Overview of anxiety levels and cortisol levels in postpartum mothers. Smart Midwife Journal, 3(2), 55-63. https://doi.org/10.33860/jbc.v3i2.420
Ati, N.A.L., Zahro, S.F., Pusparini, Y., Widowati, S.A., & Rofia'ah, S.N. (2023). The effect of progressive muscle relaxation group activity therapy (TAK) on pain and mental health in the elderly. Indonesian Community Health Journal, 2(1), 103-111. https://ebsina.or.id/journals/index.php/jkki https://doi.org/10.58545/jkki.v2i1.39
Azzahra, A.F. (2024). The relationship between maternal age, pregnancy and childbirth complications, and the incidence of postpartum depression in community health centers. 19(2), 205-211.
Chauhan, G., & Tadi, P. (2025). Physiology, postpartum changes. In StatPearls. http://www.ncbi.nlm.nih.gov/pubmed/22439056
Danur Jayanti, N., & Indah Mayasari, S. (2022). Complementary care for afterpain management in postpartum mothers: Literature review. MID-Z Journal (Midwifery Zigot) Scientific Journal of Midwifery, 5(1), 22-28. https://doi.org/10.56013/jurnalmidz.v5i1.1369
Devi, S.S., & Sari, D.K. (2023). The relationship between postpartum maternal age and the incidence of postpartum depression at the integrated health post (Posyandu) in Wadunggetas Village. Duta Medika Nursing Journal, 3(2), 48-53. https://doi.org/10.47701/dutamedika.v3i2.2605
Fashafsheh, I., Salameh, B., & Lut, A. (2022). Effect of progressive muscle relaxation exercise on anxiety among male nursing students undergoing maternity clinical training. https://doi.org/10.1177/23779608221136644
Fazraningtyas, W.A. (2023). The relationship between sociodemographic factors and postpartum depression at Banjarmasin Regional Hospital. Health Dynamics Journal of Midwifery and Nursing, 10(1), 461-469. https://doi.org/10.33859/dksm.v10i1.423
Ferdisa, R.J., & Ernawati, E. (2022). Reducing headaches in hypertensive patients using progressive muscle relaxation therapy. Young Nurses, 2(2), 47. https://doi.org/10.26714/nm.v2i2.6281
Franco-Antonio, C., Santano-Mogena, E., Chimento-Díaz, S., Sánchez-García, P., & Cordovilla-Guardia, S. (2022). A randomized controlled trial evaluating the effect of a brief motivational intervention to promote breastfeeding in postpartum depression. Scientific Reports, 12(1), 1-10. https://doi.org/10.1038/s41598-021-04338-w
Fudori, A., Inayati, A., & Immawati. (2022). Application of progressive muscle relaxation to overcome nursing problems of acute pain in cephalgia patients in Metro City. Young Scholars Journal, 1(4), 428-435.
Mahendra, Y.I., Setiawati, D., & Najamuddin. (2023). The relationship of age, parity, economic status, and spiritual values to the incidence of depression in postpartum mothers at Paramount Hospital in 2020. Journal of Psychology and Health Sciences (SIKONTAN), 2(2), 207-214. https://doi.org/10.47353/sikontan.v2i2.1347
Murti, & Lestari, M. (2023). Early detection of postpartum depression using the Edinburgh Postnatal Depression Scale. Journal of Mental Health Nursing (JKJ): Indonesian National Nurses Association, 11(4), 1-6. https://doi.org/10.26714/jkj.11.4.2023.961-966
Nadiroh, S.U., Masini, M., & Tungga Dewi, C.H. (2022). The relationship between husband's support and parity on postpartum maternal anxiety levels. Nurse. Nursing Update Journal, 2(1), 40-48. https://doi.org/10.31983/juk.v2i1.8803
Nazilah, R., Widyawati, M.N., & Latifah, L. (2023). The use of non-pharmacological interventions to decrease anxiety and improve the breastfeeding self-efficacy of postpartum mothers: A systematic literature review. Journal of Midwifery, 11(2), 107-118. https://doi.org/10.31983/jkb.v11i2.7548
Nugraha, A.D. (2022). Understanding anxiety: An Islamic psychology perspective. IJIP: Indonesian Journal of Islamic Psychology, 2(1), 1-22. https://doi.org/10.18326/ijip.v2i1.1-22
Ocky, D., Vramudzi, A., Hasanah, U., Utami, I.T., Nursing, A., & Wacana, D. (2024). Application of progressive muscle relaxation to signs of symptoms in patients at risk of violent behavior in the Nuri Ward of the Regional Mental Hospital of Lampung Province. Jurnal Cendikia Muda, 4(4), 526-532.
Omega, Y.P., & Herman, S. (2024). Handling depression through the spiritual dimension in Bandung City. Fidei: Journal of Systematic and Practical Theology, 7(1), 1-20. https://doi.org/10.34081/fidei.v7i1.488
Pratiwi, Y.S., Handayani, S., & Zulfiana, Y. (2024). Health education for pregnant women as an effort to increase knowledge about postpartum psychological disorders. Indonesian Journal of Community Empowerment (IJCE), 6, 258-262. https://doi.org/10.35473/ijce.v6i2.3543
Rahmatina, A.N., Habut, F.J., Son, P.M.S., & Adnani, Q.E.S. (2025). Barriers to mothers receiving postpartum depression treatment: A systematic review of qualitative studies. Journal of Midwifery Science, 7(1), 8-21. https://doi.org/10.31983/jsk.v7i1.12310
Rahmawat, H.K., & Nafi', A. (2022). Islamic counseling guidance services in reducing anxiety for victims of drug abuse. Vol. 3 No. 2, July 2022, 3(2), 389-398.
Sanga, L.D., & Wangdra, Y. (2023). Education is a determining factor of national competitiveness. Proceedings of the National Seminar on Social Sciences & Technology (Snistek), 5 (September), 84. https://doi.org/10.33884/psnistek.v5i.8067
Solama, W., & Handayani, S. (2022). Factors associated with postpartum maternal anxiety levels. Jurnal 'Aisyiyah Medika, 7(1), 180-190. https://doi.org/10.36729/jam.v7i1.785
Solama, W., Rivanica, R., Effendi, E., & Safitri, S. (2023). Analysis of postpartum maternal characteristics regarding postpartum depression. Journal Aisyiyah Medika, 8(1), 300-313. https://doi.org/10.36729/jam.v8i1.1008
Syisnawati, S., Keliat, B.A., Susanti, Y., & Putri, E. (2022). Effectiveness of progressive muscle relaxation therapy on anxiety using the stress adaptation and interpersonal approach model. 18, 141-146.
Veri Nora, Lajuna Lia, & Dewita. (2024). Preventing postpartum depression: Review and recommendation. Fjk, 4(2), 2024. https://doi.org/10.30867/femina.v4i2.765
Wang, Y., Chen, J., Zhang, X., Lin, X., Sun, Y., Wang, N., Wang, J., & Luo, F. (2022). Validity test, reliability test, and diagnostic test of the generalized anxiety disorder-7 (GAD-7) instrument in adult epilepsy patients. International Journal of Environmental Research and Public Health, 7, 1-106. https://lib.ui.ac.id/file?file=digital/2016-7/20424638-SP-Andira Larasari.pdf
Wulan, N., Mawati, I.P., & Sutandi, A. (2023). Postpartum. 4(1), 189-196. https://doi.org/10.34305/jnpe.v4i1.952
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 International Journal Of Health Science

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.




