The Effect of Music Therapy on Anxiety Levels in Pregnant Women in Their Third Trimester

Authors

  • Lesti Ulantari Institute of Science and Health Technology, Dr. Soepraoen Hospital, Malang
  • Nila Widya Keswara Institute of Science and Health Technology, Dr. Soepraoen Hospital, Malang

DOI:

https://doi.org/10.55606/jrik.v5i3.5950

Keywords:

Antenatal Care, Anxiety, Music Therapy, Pregnant Women, Third Trimester

Abstract

The third trimester of pregnancy is a critical phase that is often accompanied by increased anxiety due to concerns about the delivery process, the safety of the mother and fetus, and readiness to take on the role of mother. Anxiety that is not managed properly can have a negative impact on the psychological well-being of the mother and the delivery process. Music therapy is a non-pharmacological intervention that is considered safe, easy to implement, and has the potential to reduce anxiety in pregnant women. This study aims to analyze the effect of music therapy on the anxiety levels of pregnant women in the third trimester. This study used a quantitative approach with a quasi-experimental one-group pretest–posttest design. The study sample consisted of 20 pregnant women in their third trimester who were selected using purposive sampling at a community health center. Anxiety levels were measured before and after the intervention using a standardized anxiety questionnaire. The intervention consisted of relaxing instrumental music therapy administered for approximately 20–30 minutes in comfortable conditions. Data analysis was performed using univariate and bivariate analysis with the Wilcoxon Signed Rank Test at a significance level of p < 0.05. The results showed that before the intervention, most respondents were in the moderate to severe anxiety category, whereas after music therapy, severe anxiety was no longer found and there was an increase in the proportion of mild anxiety. The Wilcoxon test showed a statistically significant difference between anxiety levels before and after the intervention (p = 0.000). In conclusion, music therapy has a significant effect in reducing anxiety levels in third trimester pregnant women and has the potential to be an effective non-pharmacological intervention to be integrated into antenatal care.

Downloads

Download data is not yet available.

References

Ajzen, I. (2020). The theory of planned behavior: Frequently asked questions. Human Behavior and Emerging Technologies, 2(4), 314–324. https://doi.org/10.1002/hbe2.195

Bayrampour, H., Ali, E., McNeil, D. A., Benzies, K., MacQueen, G., & Tough, S. (2016). Pregnancy-related anxiety: A concept analysis. International Journal of Nursing Studies, 55, 115–130. https://doi.org/10.1016/j.ijnurstu.2015.10.023

Biaggi, A., Conroy, S., Pawlby, S., & Pariante, C. M. (2016). Identifying the women at risk of antenatal anxiety and depression: A systematic review. Journal of Affective Disorders, 191, 62–77. https://doi.org/10.1016/j.jad.2015.11.014

Chanda, M. L., & Levitin, D. J. (2016). The neurochemistry of music. Trends in Cognitive Sciences, 17(4), 179–193. https://doi.org/10.1016/j.tics.2013.02.007

Chang, M. Y., Chen, C. H., & Huang, K. F. (2018). Effects of music therapy on psychological health of women during pregnancy. Journal of Clinical Nursing, 27(3–4), e379–e387. https://doi.org/10.1111/jocn.14064

Corbijn van Willenswaard, K., Lynn, F., McNeill, J., McQueen, K., Dennis, C. L., & Lobel, M. (2017). Music interventions to reduce anxiety in pregnancy: A systematic review and meta-analysis. BMC Psychiatry, 17(1), 271. https://doi.org/10.1186/s12888-017-1432-x

Dennis, C. L., Falah-Hassani, K., & Shiri, R. (2017). Prevalence of antenatal and postnatal anxiety: Systematic review and meta-analysis. British Journal of Psychiatry, 210(5), 315–323. https://doi.org/10.1192/bjp.bp.116.187179

Dunkel Schetter, C., & Tanner, L. (2018). Anxiety, depression and stress in pregnancy: Implications for mothers, children, research, and practice. Current Opinion in Psychiatry, 31(6), 397–403. https://doi.org/10.1097/YCO.0000000000000440

Fawcett, E. J., Fairbrother, N., Cox, M. L., White, I. R., & Fawcett, J. M. (2019). The prevalence of anxiety disorders during pregnancy and the postpartum period: A multivariate Bayesian meta-analysis. Journal of Clinical Psychiatry, 80(4), 18r12527. https://doi.org/10.4088/JCP.18r12527

Gao, L. L., Chan, S. W. C., & Mao, Q. (2019). Depression, perceived stress, and social support among first-time Chinese mothers and fathers in the postpartum period. Research in Nursing & Health, 32(1), 50–58. https://doi.org/10.1002/nur.20306

Grigoriadis, S., Graves, L., Peer, M., Mamisashvili, L., Dennis, C. L., Steiner, M., … Richter, M. (2018). Maternal anxiety during pregnancy and the association with adverse perinatal outcomes: Systematic review and meta-analysis. Journal of Clinical Psychiatry, 79(5), 17r12011. https://doi.org/10.4088/JCP.17r12011

Howard, L. M., Khalifeh, H., & Perinatal Mental Health Guideline Development Group. (2018). Perinatal mental health: A review of progress and challenges. World Psychiatry, 17(3), 315–316. https://doi.org/10.1002/wps.20550

International Confederation of Midwives. (2021). Midwifery philosophy and model of care. The Hague: ICM.

Kafalı, H., Derbent, A., Keskin, E., Simavlı, S., & Gözdemir, E. (2019). Effect of music on anxiety and pain during pregnancy: A randomized controlled trial. Complementary Therapies in Clinical Practice, 34, 54–58. https://doi.org/10.1016/j.ctcp.2018.11.006

Koelsch, S. (2020). A coordinate-based meta-analysis of music-evoked emotions. NeuroImage, 223, 117350. https://doi.org/10.1016/j.neuroimage.2020.117350

Lestari, D., Wulandari, R. D., & Rahmawati, T. (2021). Anxiety in third trimester pregnant women and influencing factors. Indonesian Midwifery Journal, 12(2), 101–108.

Liu, Y., Chang, M. Y., & Chen, C. H. (2020). Effects of music therapy on anxiety and physiological responses in pregnant women: A randomized controlled trial. Journal of Clinical Nursing, 29(21–22), 4060–4070. https://doi.org/10.1111/jocn.15432

MC article].

Ministry of Health of the Republic of Indonesia. (2018). 2018 Riskesdas national report. Jakarta: Health Research and Development Agency.

Moghaddam, H. K., Soltani, F., & Zadeh, M. A. (2020). The effect of music therapy on anxiety and maternal confidence in pregnant women. Journal of Family & Reproductive Health, 14(1), 20–26.

Nilsson, U. (2018). The anxiety- and pain-reducing effects of music interventions: A systematic review. AORN Journal, 87(4), 780–807. https://doi.org/10.1016/j.aorn.2007.12.013

Rahayu, S., Sari, N. P., & Hidayati, N. (2022). Music therapy on anxiety levels in third trimester pregnant women. Journal of Public Health, 18(2), 123–130.

Thoma, M. V., La Marca, R., Brönnimann, R., Finkel, L., Ehlert, U., & Nater, U. M. (2015). The effect of music on the human stress response. PLoS ONE, 8(8), e70156. https://doi.org/10.1371/journal.pone.0070156

Woody, C. A., Ferrari, A. J., Siskind, D. J., Whiteford, H. A., & Harris, M. G. (2017). A systematic review and meta-regression of the prevalence and incidence of perinatal depression. Journal of Affective Disorders, 219, 86–92. https://doi.org/10.1016/j.jad.2017.05.003

World Health Organization. (2022). Guidelines on mental health at work and perinatal mental health. Geneva: World Health Organization.

World Health Organization. (2022). WHO guidelines on mental health at work and perinatal mental health. Geneva: World Health Organization.

Downloads

Published

2026-04-18

How to Cite

Lesti Ulantari, & Nila Widya Keswara. (2026). The Effect of Music Therapy on Anxiety Levels in Pregnant Women in Their Third Trimester. Jurnal Rumpun Ilmu Kesehatan, 5(3), 190–200. https://doi.org/10.55606/jrik.v5i3.5950