The Effect of Cognitive Behavioral Therapy (CBT) on Reducing Anxiety Levels in Patients with Bipolar Affective Disorder at the Mental Health Clinic of Dr. MM Dunda Limboto Regional General Hospital
Keywords:
Anxiety, Cognitive Behavioral Therapy, Bipolar
Abstract
People with bipolar disorder experience anxiety disorders in 90% of cases. Anxiety disorders are comorbid disorders and can exacerbate the condition of people with bipolar disorder. Anxiety arises because of stimuli that are interpreted as danger or threats by people with bipolar disorder. The purpose of this study is to determine the effect of cognitive behavioral therapy (CBT) on reducing anxiety levels in patients with bipolar affective disorder at the Mental Health Clinic of Dr. MM Dunda Limboto General Hospital. The study design is a pre-experimental design with a one-group pretest-posttest design. The population consists of all patients with bipolar affective disorder, and the sample size, determined using purposive sampling, is 30 respondents. The data were analyzed using a paired t-test. The results of the study showed that the significance value (p-value) was 0.000 (p < 0.05), indicating that there is an effect of cognitive behavioral therapy (CBT) on reducing anxiety levels in patients with bipolar affective disorder at the Psychiatric Clinic of Dr. MM Dunda Limboto General Hospital. The results of the study are expected to be applied in reducing anxiety levels in patients with bipolar disorder.
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Annisa, D. F., & Ifdil, I. (2016). The Concept of Anxiety in the Elderly. Counselor, 5(2), 93. https://doi.org/10.24036/02016526480-0-00
Bahetta, S., & El Moussaoui, N. (2023). Comorbidities of anxiety disorders in bipolar patients: therapeutic complexity. European Psychiatry, 66(S1), S453–S453. https://doi.org/10.1192/j.eurpsy.2023.973
Ç?naro?lu, M. (2024). Psychotherapies for the Treatment of Bipolar Disorder. Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry. https://doi.org/10.18863/pgy.1332919
Dinda. (2019). Service Quality and Unmet Need K in Women of Childbearing Age in Jambesari Darus Sholah District, Bondowoso Regency.
Fauziah, J., & Kesumawati, F. (2021). Cognitive Behavioral Therapy May Reduce Social Anxiety in Waham Patients: Literature Review. Journal of Borneo Scholars, 5(1), 133–136.
Haikal, M. (2022). Cognitive behavioral therapy to reduce anxiety symptoms. Procedia : Case Studies and Psychological Interventions, 10(2), 47–52. https://doi.org/10.22219/procedia.v10i2.19215
Hariningsih, D., Hadin, Y. M., & Ambarwati, W. N. (2023). Differences in Anxiety Scores in Bipolar Disorder Patients Receiving Adjuvant Mindfulness-Based Cognitive Therapy (MBCT). Journal of Psychology, 19(2), 90. https://doi.org/10.24014/jp.v19i2.19808
Hayati, F., Widayati, D., & Anggraini, N. A. (2022). The Effect of Cognitive Behavioral Therapy on Anxiety Levels in School-Age Children with Height Phobia at SDN Gadungan 2 Puncu-Kediri. Journal of Psychiatric Nursing, 5(1), 207–216.
Henken, H. T., Kupka, R. W., Draisma, S., Lobbestael, J., van den Berg, K. E. M., Demacker, S. M. A., & Regeer, E. J. (2020). A cognitive behavioural group therapy for bipolar disorder using daily mood monitoring. Behavioural and Cognitive Psychotherapy, 48(5), 515–529. https://doi.org/10.1017/S1352465820000259
Jamilah, N. (2024). Trends in the Use of CBT to Reduce Anxiety in Bipolar Patients at Islamic Hospitals.
Jessline, I., Satiadarma, M. P., & Idulfilastri, R. M. (2021). A meta-analysis study of the effectiveness of CBT for anxiety in bipolar disorder. Journal of Muara Social Sciences, Humanities, and Arts, 5(2), 569. https://doi.org/10.24912/jmishumsen.v5i2.12203.2021
Ministry of Health. (2023). Indonesian Health Survey 2023 (SKI). Ministry of Health, 235.
Maharani, F. N. T. (2024). Application of cognitive behavioral therapy to improve medication adherence in individuals with bipolar disorder: a case study. EMPATI Journal, 13(2), 20–31. https://doi.org/10.14710/empati.2024.43346
McIntyre, R. S., Alda, M., Baldessarini, R. J., Bauer, M., Berk, M., Correll, C. U., Fagiolini, A., Fountoulakis, K., Frye, M. A., Grunze, H., Kessing, L. V., Miklowitz, D. J., Parker, G., Post, R. M., Swann, A. C., Suppes, T., Vieta, E., Young, A., & Maj, M. (2022). The clinical characterization of the adult patient with bipolar disorder aimed at personalization of management. World Psychiatry, 21(3), 364–387. https://doi.org/10.1002/wps.20997
Nambiar, S., Manjula, M., & Arumugham, S. S. (2024). Efficacy of brief cognitive behavior therapy in improving symptoms, functioning, and adherence to treatment in patients with bipolar disorder in remission: A randomized control study. Indian Journal of Psychiatry, 66(11), 1050–1058. https://doi.org/10.4103/indianjpsychiatry.indianjpsychiatry_445_24
Notoatmodjo, S. (2018). Health Research Methodology (Print Ke). PT Rineka Cipta Jakarta Office Complex Mitra Matraman Block B No. 1-2.
Nursalam. (2017). Nursing Science Research Methodology. Medical Selemba.
Özdel, K., Kart, A., & Türkçapar, M. H. (2021a). Cognitive behavioral therapy in treatment of bipolar disorder. Archival Neuroscience, 58(Supplement 1), S66–S76. https://doi.org/10.29399/npa.27419
Özdel, K., Kart, A., & Türkçapar, M. H. (2021b). Cognitive Behavioral Therapy in Treatment of Bipolar Disorder. 58. https://doi.org/10.29399/NPA.27419
Pasaribu, B., Herawati, A., Utomo, K. W., & Aji, R. H. S. (2022). Research Methodology for Economics and Business.
Pavlova, B., Warnock-Parkes, E., Alda, M., Uher, R., & Clark, D. M. (2024). Cognitive behavioural therapy for social anxiety disorder in people with bipolar disorder: a case series. International Journal of Bipolar Disorders, 12(1), 1–10. https://doi.org/10.1186/s40345-023-00321-8
Rose, F. (2020). The Relationship of Self-Efficacy with Patient's Family Anxiety in the Intensive Care Room of Jember Clinic Hospital. Thesis.
Salsabila, S., & Putri Harahap, A. C. (2024). The effect of individual counseling services with a cognitive behaviour therapy (CBT) approach on the handling of anxiety problems does not pass on time in students. Journal of EDUCATIO: Indonesian Journal of Education, 10(1), 401. https://doi.org/10.29210/1202424356
Santoso. (2018). Hospitality Statistics-Revised Edition (1st). Deepublish.
Sauran, A. R., & Salewa, W. (2022). Cognitive Behavior Therapy (CBT) Techniques in Bipolar Personality Disorder. POIMEN Journal of Pastoral Counseling, 3(1), 74–91. https://doi.org/10.51667/pjpk.v3i1.941
Setiana, H. A. (2018). Nursing Research (A. Rahmawati (ed.); 1st). L0vRinz Publishing.
Setyawan, D. A. (2021). Hypotheses and research variables. In Tahta Media Group.
Siyoto, S. (2015). Basic Research Methodology (Ayup (ed.)). Media Publishing Literacy.
Tanaya, V. Y., & Yuniartika, W. (2023). Cognitive Behavior Therapy (CBT) as Anxiety Level Therapy in the Elderly. Silampari Journal of Nursing, 6(2), 1419–1429. https://doi.org/10.31539/jks.v6i2.5422
Yoldi?Negrete, M., Fresán, A., Jiménez-Rodríguez, L. I., & Tirado-Durán, E. (2024). Cognition in Euthymic Patients with Bipolar Disorder: Do Not Forget to Account for Anxiety! Neuropsychiatric Disease and Treatment, 20, 1181–1189. https://doi.org/10.2147/ndt.s457186
Zebua, E. T., Damanik, H. R., Lase, J. F., Lase, F., & Nias, U. (2025). The Effect of Cognitive Behavioral Therapy (CBT) on Anxiety Disorders at SMA Negeri 3 Gunung Sitoli. 12(2), 1189–1209.
Published
2026-01-05
How to Cite
Sopyan Ntau, Fifi Ishak, & Nur Uyuun I. Biahimo. (2026). The Effect of Cognitive Behavioral Therapy (CBT) on Reducing Anxiety Levels in Patients with Bipolar Affective Disorder at the Mental Health Clinic of Dr. MM Dunda Limboto Regional General Hospital. International Journal of Health, Economics, and Social Sciences (IJHESS), 8(1), 137~144. https://doi.org/10.56338/ijhess.v8i1.9441
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