RELATIONSHIP BETWEEN COPING STRATEGIES AND ANXIETY AMONG THIRD TRIMESTER PREGNANT WOMEN

Cut Aulia Azzahra (1), Eridha Putra (2), Rahmisyah Rahmisyah (3)
(1) Universitas Bina Bangsa GetsempenaID Indonesia,
(2) Universitas Bina Bangsa GetsempenaID Indonesia,
(3) Universitas Bina Bangsa GetsempenaID Indonesia

Abstract

This study aims to examine the relationship between coping strategies and anxiety levels among third-trimester pregnant women at Baitussalam Public Health Center, Aceh Besar Regency. This research employed a quantitative analytic design with a cross-sectional approach, selected for its efficiency in measuring associations between variables at a single point in time. The population consisted of 67 pregnant women, and a sample of 40 respondents was selected using the Slovin formula with a 10% margin of error, through purposive sampling. Data were collected using the Brief COPE questionnaire to assess coping strategies and the Hamilton Anxiety Rating Scale (HARS) to measure anxiety levels, both of which have demonstrated good validity and reliability in prior studies. The results showed that 65.0% of respondents used adaptive coping strategies, while 35.0% applied maladaptive coping. In terms of anxiety, 45.0% of respondents reported no anxiety, whereas 55.0% experienced varying levels of anxiety, predominantly mild. Statistical analysis using the Chi-square test revealed a significant relationship between coping strategies and anxiety levels (p = 0.009). The novelty of this study lies in highlighting the role of coping strategies as a key psychological determinant in maternal mental health during late pregnancy in a local Indonesian setting. The findings imply that strengthening adaptive coping through antenatal education and psychosocial support can effectively reduce anxiety and improve maternal well-being. This study contributes to the development of maternal health science, particularly in integrating psychological aspects into comprehensive antenatal care services.

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References

Afrilia, E., Musa, S. M., & Lestari, M. (2022). Metode Hypnosis Dalam Mengatasi Perubahan Psikologis Selama Masa Kehamilan: Studi Literatur. Jurnal JKFT, 7(1), 54. https://doi.org/10.31000/jkft.v7i1.6729

Al-Mutawtah, M., Campbell, E., Kubis, H. P., & Erjavec, M. (2023). Women’s experiences of social support during pregnancy: A qualitative systematic review. BMC Pregnancy and Childbirth, 23, 782. https://doi.org/10.1186/s12884-023-06089-0

Al Ghadeer, H. A., Al Kishi, N. A., Almubarak, D. M., Almurayhil, Z., Alhafith, F., Al Makainah, B. A., Algurini, K. H., Aljumah, M. M., Busaleh, M. M., Altaweel, N. A., & Alamer, M. H. (2021). Pregnancy-related anxiety and impact of social media among pregnant women attending primary health care. Cureus, 13(12), e20081. https://doi.org/10.7759/cureus.20081

Alnasheet, A. M., Abdulaal, N. A., & Kamal, N. (2024). The prevalence and risk factors of pregnancy-related anxiety in Bahrain. Cureus, 16(4), e57404. https://doi.org/10.7759/cureus.57404

Andersen, J. B., Wandall-Holm, M. F., Andersen, P. K., Sellebjerg, F., & Magyari, M. (2022). Pregnancy in women with MS: Impact on long-term disability accrual in a nationwide Danish Cohort. Multiple Sclerosis Journal, 28(8), 1239–1247. https://doi.org/10.1177/13524585211057767

Annisa, B., Amin, F. A., & Agustina. (2023). Faktor Yang Berhubungan Dengan Kecemasan Ibu Hamil Trimester III di Puskesmas Baiturrahman. Jurnal Kesehatan Tambusai, 4(3).

Arora, I. K., Gehlawat, P., Gupta, T., Suthar, N., Sharma, C., Singh, P., & Goel, A. D. (2025). Association of pregnancy-related anxiety with perceived social support: An observational study among third-trimester antenatal women. Primary Care Companion for CNS Disorders, 27(2). https://doi.org/10.4088/PCC.24m03833

Avifurohmah, K., Mariyati, L. I., & Fahmawati, Z. N. (2024). Husband support, adversity quotient, and anxiety of primigravida third-trimester pregnant mothers. Jurnal Psikologi, 22(2), 146–156. https://doi.org/10.14710/jp.22.2.146-156

Ayers, S., Sinesi, A., Meade, R., Cheyne, H., Maxwell, M., Best, C., McNicol, S., Williams, L. R., Hutton, U., Howard, G., Shakespeare, J., Alderdice, F., & Jomeen, J. (2024). Prevalence and treatment of perinatal anxiety: Diagnostic interview study. BJPsych Open, 11(1). https://doi.org/10.1192/bjo.2024.823

Aziz, H. A., Yahya, H. D. B., Ang, W. W., & Lau, Y. (2025). Global prevalence of depression, anxiety, and stress symptoms in different trimesters of pregnancy: A meta-analysis and meta-regression. Journal of Psychiatric Research, 181, 528–546. https://doi.org/10.1016/j.jpsychires.2024.11.070

Bhattarai, P., Gurung, R., Basnet, O., Malla, H., Målqvist, M., & K.C., A. (2022). Implementing quality improvement intervention to improve intrapartum fetal heart rate monitoring during COVID-19 pandemic: Observational study. PLOS ONE, 17(10), e0275801. https://doi.org/10.1371/journal.pone.0275801

Brosens, C., van Gils, Y., den Branden, L., Bleijenbergh, R., Rimaux, S., Mestdagh, E., & Kuipers, Y. (2023). Pregnancy-related anxiety and associated coping styles and strategies: A cross-sectional study. International Journal of Childbirth, 13(3), 159–173. https://doi.org/10.1891/IJC-2022-0102

Chen, Z., Zheng, M., Yuan, X., Zhou, Z., Zhou, Y., Qin, L., Zhang, L., Hou, T., Liu, C., & Li, R. (2025). Polystyrene nanoplastics-induced altered glycolipid metabolism in the liver: A comparative study between pregnant and non-pregnant mice. Ecotoxicology and Environmental Safety, 307. https://doi.org/10.1016/j.ecoenv.2025.119440

Dhirah, U. H., Yunisa, M., Husna, A., & Rezeki, S. (2022). Hubungan Dukungan Keluarga dan Pengetahuan dengan Kecemasan Ibu Hamil Trimester III dalam Menghadapi Persalinan di Masa Pandemi Covid-19 di Wilayah Kerja Puskesmas Darul Imarah Kabupaten Aceh Besar. Journal of Healthcare Technology and Medicine, 8(2).

Heryanti, & others. (2023). [Referenced in text regarding anxiety prevalence in Indonesia].

Innab, A., Al-khunaizi, A., Al-otaibi, A., & Moafa, H. (2023). Effects of mindfulness-based childbirth education on prenatal anxiety: A quasi-experimental study. Acta Psychologica, 238. https://doi.org/10.1016/j.actpsy.2023.103978

Jannati, S. H., Afrida, B. R., Idyawati, S., & Aryan, N. P. (2025). Karakteristik Ibu (Usia, Paritas, Pendidikan) Dan Dukungan Suami Dengan Kecemasan Ibu Hamil Trimester III. Jurnal Kesehatan Qamarul Huda, 13(2). https://doi.org/10.37824/jkqh.v13i1.2025

Kiyak, S. (2024). The relationship of depression, anxiety, and stress with pregnancy symptoms and coping styles in pregnant women: A multi-group structural equation modeling analysis. Midwifery, 136. https://doi.org/10.1016/j.midw.2024.104103

Lathifah, I. C., & Dewi, A. O. P. (2021). Perilaku Pencarian Informasi Ibu Hamil pada Kehamilan Pertama di Kecamatan Tembalang Semarang dalam Memenuhi Kebutuhan Informasi. Anuva: Jurnal Kajian Budaya, Perpustakaan, Dan Informasi, 5(3), 401–416. https://doi.org/10.14710/anuva.5.3.401-416

Lestari, A. S., Pratiwi, D. I., Rudtitasari, A., Kurniati, P. T., Haryanti, Y., Amartani, R., & Chairunnisa, M. (2024). Hubungan Strategi Coping, Dukungan Keluarga dan Dukungan Bidan Terhadap Kecemasan Primigravida Menghadapi Persalinan di PMB Ambarwati Kabupaten Sintang. Jurnal Medika Nusantara, 2(1), 246–263. https://doi.org/10.59680/medika.v2i1.924

Liu, H., Kong, Y., Cao, X., Liu, J., Zhou, R., Lin, Q., Liu, W., & Chen, Y. (2026). Categories, symptom characteristics and factors influencing depression and anxiety in pregnant women: Latent profile analysis and network analysis. Psychiatry Research, 356. https://doi.org/10.1016/j.psychres.2025.116912

Maisyarah, S., & Sufa, R. A. (2026). Riset Ilmiah Modern: Teori Dan Praktik Metodologi Penelitian. Ruang Karya.

Miles, M. B., Huberman, A. M., & Saldana, J. (2014). Qualitative Data Analysis: A Methods Sourcebook (3rd ed.). SAGE Publications.

Peters, R. M., Solberg, M. A., Templin, T. N., & Cassidy-Bushrow, A. E. (2020). Psychometric properties of the Brief COPE among pregnant African American women. Western Journal of Nursing Research, 42(11), 927–936.

Sari, N. L. P. M. R., Parwati, N. W. M., & Indriana, N. P. R. K. (2023). The Correlation Between Mother’s Knowledge Level and Husband Support Toward Anxiety Level of Pregnant Mother in the Third Trimester During Labor. Jurnal Riset Kesehatan Nasional, 7(1), 35–44. https://doi.org/10.37294/jrkn.v7i1.469

Shen, Q., Huang, C.-R., Rong, L., Ju, S., Redding, S. R., Ouyang, Y.-Q., & Wang, R. (2022). Effects of needs-based education for prenatal anxiety in advanced multiparas: A randomized controlled trial. BMC Pregnancy and Childbirth, 22. https://doi.org/10.1186/s12884-022-04620-3

Solberg, M. A., Gridley, M. K., & Peters, R. M. (2022). The factor structure of the Brief COPE: A systematic review. Western Journal of Nursing Research, 44(6), 612–627. https://doi.org/10.1177/01939459211012044

Sugiyono. (2012). Metode Penelitian Kuantitatif, Kualitatif, dan R&D. Alfabeta.

Van Gils, Y., Bleijenbergh, R., Brosens, C., den Branden, L., Rimaux, S., & Kuipers, Y. J. (2022). The validation of the Brief COPE in a Belgian perinatal population. Maternal and Child Health Journal, 26(10), 2050–2059. https://doi.org/10.1007/s10995-022-03476-5

World Health Organization. (2026). Perinatal mental health. https://www.who.int/teams/mental-health-and-substance-use/promotion-prevention/maternal-mental-health

Authors

Cut Aulia Azzahra
eridhaputra@gmail.com (Primary Contact)
Eridha Putra
Rahmisyah Rahmisyah
Azzahra, C. A., Putra, E., & Rahmisyah, R. (2026). RELATIONSHIP BETWEEN COPING STRATEGIES AND ANXIETY AMONG THIRD TRIMESTER PREGNANT WOMEN. Journal of World Future Medicine, Health and Nursing, 4(3), 199–210. https://doi.org/10.70177/health.v4i3.3945

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