Influence Benson Based Relaxation Zikr to Decreasing Anxiety Levels in Third Trimester Pregnant Women at PMB Yuni Nur Astuti

Ilyasa Mifta Husnul Khotimah(1*), Istiqomah Risa Wahyuningsih(2)


(1) Universitas ‘Aisyiyah Surakarta, Surakarta, Indonesia
(2) Universitas ‘Aisyiyah Surakarta, Surakarta, Indonesia
(*) Corresponding Author

Abstract


Background: Pregnancy causes physiological and psychological changes, including anxiety triggered by increased cortisol levels. In Indonesia, approximately 28.7% of pregnant women experience anxiety, while in Java Island, 52.3% of third-trimester pregnant women are reported to feel anxious. Zikr-based Benson relaxation is a non-pharmacological method that can help reduce anxiety by activating the parasympathetic nervous system and lowering cortisol levels. Objective: To determine the effect of zikr-based Benson relaxation on reducing anxiety levels in third-trimester pregnant women at PMB Yuni Nur Astuti. Methods: This study used a pre-experimental design with a one-group pretest-posttest approach. The sample consisted of 22 third-trimester pregnant women selected using consecutive sampling. The zikr-based Benson relaxation intervention was conducted for three consecutive days, with a duration of 15 minutes per day. Anxiety levels were measured using the Perinatal Anxiety Screening Scale (PASS) and analyzed using the Wilcoxon test. Results: The respondents' anxiety levels decreased from 54.5% moderate anxiety and 45.5% mild anxiety to 59.1% no anxiety and 40.9% mild anxiety. Statistical analysis showed a p-value of 0.001 (p < 0.05). Conclusion: Zikr-based Benson relaxation has a significant effect on reducing anxiety levels in third-trimester pregnant women at PMB Yuni Nur Astuti.


Keywords


anxiety, pregnant women, zikr-based Benson relaxation

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References


Aeni, N., Anita, N., Akbar, F. K., & Rahman, I. (2024). Factors influencing anxiety in pregnant women and its impact on maternal and infant health: A literature review. Jurnal Kesehatan Marendeng, 8(2), 77–89. https://doi.org/10.58554/jkm.v8i2.82

Baroutis, D., Sotiropoulou, I. M., Mantzioros, R., Theodora, M., Daskalakis, G., & Antsaklis, P. (2025). Prenatal maternal stress and long-term neurodevelopmental outcomes: A narrative review. Journal of Perinatal Medicine, 53, 1159–1171. https://doi.org/10.1515/jpm-2025-0297

Bergeron, J., Avraam, D., Calas, L., Fraser, W., Harris, J. R., Heude, B., Mandhane, P., Moraes, T. J., Muckle, G., Nader, J., Séguin, J. R., Simons, E., Subbarao, P., Swertz, M. A., Tough, S., Turvey, S. E., Fortier, I., Rod, N. H., & Andersen, A. M. N. (2024). Stress and anxiety during pregnancy and length of gestation: A federated study using data from five Canadian and European birth cohorts. European Journal of Epidemiology, 39(7), 773–783. https://doi.org/10.1007/s10654-024-01126-4

Eka Pujiastutik, Y., Wahyuni, S., Apriyanto, B. S., Yauri, I., Colis, P., Ilmu, I., Bhakti, K., & Kediri, W. (2024). The effect of Benson relaxation therapy on anxiety among third-trimester pregnant women at Aura Syifa Hospital, Kediri Regency. Jurnal Sintesis, 5(1), 68–74. https://doi.org/10.56399/jst.v5i1.181

Gomaa, E., Elgmal, R., Elrahman, H. A., Kandeel, M., Moustafa, H., & Elkhatib, A. (2023). Effect of Benson relaxation therapy on physiological parameters, sleep quality, and anxiety level among antenatal mothers with high-risk pregnancy. Egyptian Journal of Health Care, 14(4).

Harichandana, & Thurkkadayil, A. P. (2023). Effectiveness of Benson relaxation therapy on prenatal anxiety among mothers in a tertiary care hospital, Kochi. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 12(10), 3149–3153. https://doi.org/10.18203/2320-1770.ijrcog20232963

Harnum, A., & Meinarisa. (2024). Benson relaxation technique for anxiety among third-trimester pregnant women in the working area of Putri Ayu Public Health Center, Jambi City. Journal Health Scientific Indonesian, 9(2). https://jurnal.unar.ac.id/index.php/health/article/view/1936

Herlina, S. M., Ulyab, Y., & Pricilia, R. Y. (2023). Analysis of anxiety levels among third-trimester pregnant women approaching childbirth. Professional Health Journal, 4(2), 261–267. https://www.ojsstikesbanyuwangi.com/index.php/PHJ

Jannah, M. (2023). Effectiveness of the Benson relaxation technique on anxiety among third-trimester pregnant women at Bangetayu Public Health Center, Semarang City. Jurnal Kesehatan Masyarakat, 13(2). https://doi.org/10.56338/promotif

Khotimah, R., & Nurjannah. (2024). Implementation of dhikr as an effort to reduce anxiety through a cognitive behavioral therapy (CBT) approach. Jurnal At-Taujih Bimbingan Dan Konseling Islam, 7(1). http://jurnal.ar-raniry.ac.id/index.php/Taujih

Kusumah, S. P., Rejeki, S., & Setiawan, M. R. (2025). Risk factors for anxiety among third-trimester pregnant women approaching childbirth at Dr. Adhyatma Hospital, MPH, Central Java Province. Jurnal Ilmu Kedokteran Dan Kesehatan Indonesia, 5(2), 112–123. https://doi.org/10.55606/jikki.v5i2.605

Nadeak, Y., Yeni, L., Waris, A., Padhilah, E., Tinggi, S., Kesehatan, I., & Medan, M. H. (2025). Risk factors for anxiety among third-trimester pregnant women. Jurnal Ilmu Kesehatan Dan Kebidanan Nusantara (JIKKN), 2(3). https://teewanjournal.com/index.php/jikkn/index

Nelli, E. (2023). The effect of Benson relaxation on anxiety levels among third-trimester pregnant women at PMB M in 2023. Journal of Midwifery Tiara Bunda, 1(1), 1–7. https://doi.org/10.62619/jmtb.v1i2.147

Nurlatifah, N. S. M., Fatimah, S., Heryani, S., & Ningrum, W. M. (2024). Description of factors influencing anxiety among third-trimester pregnant women facing childbirth at Mitra Delima Clinic. Journal of Midwifery and Public Health, 6(2), 51. https://doi.org/10.25157/jmph.v6i2.16691

Robaiyani, S., Azizah, I. N., Ahyauddin, M., Sultonah, N., Aula, S. T., & Aini, D. K. (2024). Application of deep breathing relaxation and Benson relaxation techniques to manage stress among university students at Ma’had Al Jami’ah UIN Walisongo Semarang. Jurnal Pengabdian Sosial, 5(2), 2951–2961. https://doi.org/10.59837/5d6efe57

Sari, D. L., Mariza, A., Aryawati, W., & Yantina, Y. (2024). Effect of dhikr (religious chanting) therapy on the anxiety level of third-trimester pregnant women facing labor. Malahayati Nursing Journal, 6(3), 1065–1072. https://doi.org/10.33024/mnj.v6i3.11704

Shameema, M., & Rani, B. (2023). A study to assess the effectiveness of Benson’s relaxation therapy in anxiety between pre-test and post-test among experimental and control groups with high-risk antenatal mothers at selected hospitals in Warangal, Telangana. IDC International Journal, 10(4), 63–66. https://doi.org/10.47211/idcij.2023.v10i04.012

Sholihat, N. (2025). Management of anxiety disorders from a biopsychological perspective. Bookchapter Jiwa, 4–7.

Somerville, S., Dedman, K., Hagan, R., Oxnam, E., Wettinger, M., Byrne, S., Coo, S., Doherty, D., & Page, A. C. (2014). The Perinatal Anxiety Screening Scale: Development and preliminary validation. Archives of Women’s Mental Health, 17(5), 443–454. https://doi.org/10.1007/s00737-014-0425-8

Sugiyono. (2023). Quantitative, qualitative, and research and development methods. Alfabeta.

Tuxunjiang, X., Wumaier, G., Zhang, W., Sailike, B., Wang, X., & Jiang, T. (2023). The relationship between positive psychological qualities and prenatal negative emotion in pregnant women: A path analysis. Frontiers in Psychology, 13, 1067757. https://doi.org/10.3389/fpsyg.2022.1067757

Yoelianita, B. E. (2025). The effect of dhikr therapy on anxiety among pregnant women: An experimental study. Jurnal Ilmiah Kesehatan Rustida, 193–202. https://doi.org/10.55500/jikr.v12i2.281

Yuliani, D. R., Aini, F. N., Amalia, R., & Hapsari, W. (2024). Validity and reliability testing of the Indonesian version of the Perinatal Anxiety Screening Scale (PASS): An instrument for anxiety in pregnant women. Jurnal Sains Kebidanan, 6(1), 17–25. https://doi.org/10.31983/jsk.v6i1.1128

Zenouzi, A., Behboodi Moghadam, Z., Babayanzad, S., Asghari, M., & Rezaei, E. (2024). The effect of Benson relaxation technique on stress, anxiety, and depression in pregnant women. Holistic Nursing Practice, 38(4), 227–237. https://doi.org/10.1097/HNP.0000000000000463

Abarghoee, S. N., Mardani, A., Baha, R., Fadaee Aghdam, N., Khajeh, M., Eskandari, F., & Vaismoradi, M. (2022). Effects of Benson relaxation technique and music therapy on the anxiety of primiparous women prior to cesarean section: A randomized controlled trial. Anesthesiology Research and Practice, 2022, 9986587. https://doi.org/10.1155/2022/9986587

Gökbulut, N., Cengizhan, S. Ö., Ibici Akça, E., & Ceran, E. (2024). The effects of a mindfulness-based stress reduction program and deep relaxation exercises on pregnancy-related anxiety levels: A randomized controlled trial. International Journal of Nursing Practice, 30(5), e13238. https://doi.org/10.1111/ijn.13238

Mitchell, A. R., Gordon, H., Atkinson, J., Lindquist, A., Walker, S. P., Middleton, A., Tong, S., & Hastie, R. (2023). Prevalence of perinatal anxiety and related disorders in low- and middle-income countries: A systematic review and meta-analysis. JAMA Network Open, 6(11), e2343711. https://doi.org/10.1001/jamanetworkopen.2023.43711

Zimmermann, M., Julce, C., Sarkar, P., McNicholas, E., Xu, L., Carr, C., Boudreaux, E. D., Lemon, S. C., & Byatt, N. (2023). Can psychological interventions prevent or reduce risk for perinatal anxiety disorders? A systematic review and meta-analysis. General Hospital Psychiatry, 84, 203–214. https://doi.org/10.1016/j.genhosppsych.2023.08.005

World Health Organization. (2022). WHO guide for integration of perinatal mental health in maternal and child health services. World Health Organization. https://doi.org/10.1002/wps.20935


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DOI: https://doi.org/10.26714/jk.15.2.2026.79-83

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