The Correlation between Islamic Mindfulness with Anxiety, Stress and Depression Among Women in the Menopausal period

Siti Sarah Azzahra; Irma Nurbaeti; Puspita Palupi; Ernawati Ernawati

doi:10.26714/mki.9.2.2026.170-181

The Correlation between Islamic Mindfulness with Anxiety, Stress and Depression Among Women in the Menopausal period

Siti Sarah Azzahra⁽¹⁾, Irma Nurbaeti^(2*), Puspita Palupi⁽³⁾, Ernawati Ernawati⁽⁴⁾

(1) The Faculty of Health Sciences, UIN Syarif Hidayatullah Jakarta
(2) The Faculty of Health Sciences, UIN Syarif Hidayatullah Jakarta
(3) The Faculty of Health Sciences, UIN Syarif Hidayatullah Jakarta
(4) The Faculty of Health Sciences, UIN Syarif Hidayatullah Jakarta
(*) Corresponding Author

Abstract

Menopause is a natural phase in a woman's life marked by the cessation of ovarian function and hormonal changes in estrogen and progesterone, often accompanied by physical and psychological symptoms such as anxiety, stress, and depression. One possible way to deal with these changes is to practice mindfulness, especially Islamic mindfulness, which is in line with Islamic values. This study aims to examine the correlation between Islamic mindfulness and levels of anxiety, stress, and depression among menopausal women. This study employed a quantitative method with a cross-sectional design. The sample consisted of 82 menopausal women selected using accidental sampling. The Islamic Mindfulness Questionnaire-16 was used to measure Islamic mindfulness, and the DASS-21 questionnaires were used to measure depression, anxiety, and stress. Data were analyzed using univariate and bivariate analyses with the Spearman rank correlation test. The results indicated that the women were aged 45–59 years, with a mean age of 54 years. Most respondents had been menopausal for 3–4 years and were married (52.4%). The average Islamic mindfulness score was 37 points. Respondents experienced very severe anxiety (12.2%), very severe stress (18.3%), and very severe depression (8.5%). There was a weak but significant negative correlation between Islamic mindfulness and stress (r = -0.244; p = 0.027) and between Islamic mindfulness and depression (r = -0.327; p = 0.003). While there is a very weak and non- significant negative correlation between Islamic mindfulness and anxiety (r = -0.156; p = 0.151). Higher levels of Islamic mindfulness were associated with lower levels of stress and depression. We recommended that menopausal women enhance Islamic mindfulness to reduce stress and depression.

Keywords

Islamic mindfulness; menopause; psychological symptoms; anxiety; stress; depression

Full Text:

Full-text similarity

References

Alblooshi S, Taylor M, Gill N. Does menopause elevate the risk for developing depression and anxiety? Results from a systematic review. Australasian Psychiatry 2023;31:165–73. https://doi.org/10.1177/10398562231165439.

Kyrkou GA, Karozi E, Bothou A, Deltsidou A, Diamanti A, Tsinisizeli N, et al. Menopause and Quality Among Life of Greek Women in Rural Areas. Cureus 2024. https://doi.org/10.7759/cureus.72716.

Kementerian Kesehatan Republik Indonesia. Profil Kesehatan Indonesia 2023. Jakarta: Kementerian Kesehatan Republik Indonesia; 2024.

BPS PROV DKI Jakarta. Jumlah Penduduk Menurut Kelompok Umur dan Jenis Kelamin di Provinsi DKI Jakarta, 2023. DKI Jakarta: 2024.

Leone T, Brown L, Gemmill A. Secular trends in premature and early menopause in low-income and middle-income countries. BMJ Glob Health 2023;8. https://doi.org/10.1136/bmjgh-2023-012312.

Harlow SD, Gass M, Hall JE, Lobo R, Maki P, Rebar RW, et al. Executive summary of the Stages of Reproductive Aging Workshop + 10: Addressing the unfinished agenda of staging reproductive aging. Menopause 2012;19:387–95. https://doi.org/10.1097/gme.0b013e31824d8f40.

Nguyen TM, Do TTT, Tran TN, Kim JH. Exercise and quality of life in women with menopausal symptoms: A systematic review and meta-analysis of randomized controlled trials. Int J Environ Res Public Health 2020;17:1–20. https://doi.org/10.3390/ijerph17197049.

Wang X, Wang L, Di J, Zhang X, Zhao G. Prevalence and risk factors for menopausal symptoms in middle-aged Chinese women: A community-based cross-sectional study. Menopause 2021;28:1271–8. https://doi.org/10.1097/GME.0000000000001850.

Dalal PK, Agarwal M. Postmenopausal syndrome. Indian J Psychiatry 2015;57:222–32. https://doi.org/10.4103/0019-5545.161483.

Stute P, Lozza-Fiacco S. Strategies to cope with stress and anxiety during the menopausal transition. Maturitas 2022;166:1–13. https://doi.org/10.1016/j.maturitas.2022.07.015.

Kargenti A, Fakultas EM, Uin P, Riau S. Kualitas Hidup Perempuan Menopause. 2018.

Jia Y, Zhou Z, Xiang F, Hu W, Cao X. Global prevalence of depression in menopausal women: A systematic review and meta-analysis. J Affect Disord 2024;358:474–82. https://doi.org/10.1016/j.jad.2024.05.051.

Octavani C, Meiyanti M. The relationship of menopause with depression among women over 50 years old. Jurnal Kedokteran Dan Kesehatan Indonesia 2019;10:50–6. https://doi.org/10.20885/jkki.vol10.iss1.art8.

Liu H, Cai K, Wang J, Zhang H. The effects of mindfulness-based interventions on anxiety, depression, stress, and mindfulness in menopausal women: A systematic review and meta-analysis. Front Public Health 2023.

Li YP, Lin HS. Widowhood and health in late life: does health change before or after widowhood in older Taiwanese men and women? J Women Aging 2020;32:684–99. https://doi.org/10.1080/08952841.2019.1618128.

Sun X, Zhang L, Chen Y. Depression among postmenopausal women: A pooled analysis of global data. J Affect Disord 2024;336:45–52.

Bahrami L, Khodakarami N, Azizi S. Anxiety and depression in menopausal women: A cross-sectional study in Iran. BMC Womens Health 2021;21:135.

Martínez-Pizarro A, Silva-Peña L. Hormonal changes and mental health in menopausal women: Neurobiological and psychosocial factors. Biomedicines 2023;11:184.

Taylor A, Bell RJ. The menopausal transition and mood disorders: A systematic review of longitudinal studies. Health Psychol Rev 2023;17:22–40.

Chems-Maarif R, Cavanagh K, Baer R, Gu J, Strauss C. Defining Mindfulness: A Review of Existing Definitions and Suggested Refinements. Mindfulness (N Y) 2025;16:1–20. https://doi.org/10.1007/s12671-024-02507-2.

Arroisi J, Dzunnurrain M. Problem Mindfullness Perspektif Worldview Islam. NUKHBATUL ’ULUM: Jurnal Bidang Kajian Islam 2023;9:118–37. https://doi.org/10.36701/nukhbah.v9i2.1075.

Mohd T, Kamarulbahri ST, Jannah N, Raduan N, Ali NF. The concept of mindfulness in islam. Journal of Islamic, Social, Economics and Development (JISED) 2024;9:94–101. https://doi.org/10.55573/JISED.096306.

Nurbaeti I, Budi Lestari K, Tsa Khairunnisa T. The correlation between islamic mindfulness with nursing student professional attitude and caring behavior. Jurnal Keperawatan Padjadjaran 2024;12:201–7. https://doi.org/10.24198/jkp.

Alharbi BAA, McKenna N. A systematic review of mindfulness-based interventions to reduce ICU nurse burnout: global evidence and thematic synthesis. BMC Nurs 2025;24. https://doi.org/10.1186/s12912-025-03507-w.

Fenton A, Win R, Ndzi M, Neiling K. Mindfulness in nursing education: an integrative review. BMC Nurs 2025;24. https://doi.org/10.1186/s12912-025-04070-0.

Salehpour M, Sharifi S, Parandeh A. Spiritual self-care in clinical nursing: An integrative review. Int J Nurs Stud Adv 2025;9. https://doi.org/10.1016/j.ijnsa.2025.100407.

Prasetya RL, Dwidiyanti M, Dewi NS. THE KIND OF MINDFULNESS INTERVENTION FOR ANXIETY IN UNDERGRADUATE NURSING STUDENTS: A LITERATURE REVIEW. Nurse and Health: Jurnal Keperawatan 2022;11:111–23. https://doi.org/10.36720/nhjk.v11i1.352.

Munif B, Poeranto S, Utami YW. Effects of Islamic Spiritual Mindfulness on Stress among Nursing Students. Nurse Media Journal of Nursing 2019;9:69. https://doi.org/10.14710/nmjn.v9i1.22253.

Dwidiyanti M, Munif B, Santoso A, Rahmawati AM, Prasetya RL. DAHAGA: An Islamic spiritual mindfulness-based application to reduce depression among nursing students during the COVID-19 pandemic. Belitung Nurs J 2021;7:219–26. https://doi.org/10.33546/bnj.1494.

Ardinata A, Aminudin N, Dwidiyanti M, Cider SP, Rizki F, Andika TH, et al. The Effect of Islamic Spiritual Mindfulness Therapy on the Drugs Adherence of Skizofrenia Patients through SI-POS Android Application. 2021.

Arjanto P. Uji Reliabilitas dan Validitas Depression Anxiety Stress Scales 21 (DASS-21) pada Mahasiswa. Jurnal Psikologi Perseptual 2022;7:60–80.

Hakim MohA, Aristawati NV. Mengukur depresi, kecemasan, dan stres pada kelompok dewasa awal di Indonesia: Uji validitas dan reliabilitas konstruk DASS-21. Jurnal Psikologi Ulayat 2023;10:232–50. https://doi.org/10.24854/jpu553.

Ifdil I, Syahputra Y, Fadli RP, Zola N, Putri YE, Amalianita B, et al. The depression anxiety stress scales (DASS-21): an Indonesian validation measure of the depression anxiety stress. COUNS-EDU: The International Journal of Counseling and Education 2022;5:205–15. https://doi.org/10.23916/0020200536840.

World Health Organization (WHO). Menopause. Https://WwwWhoInt/News-Room/Fact-Sheets/Detail/Menopause 2022.

Essa RM, Mahmoud NM. Factors Associated with the Severity of Menopausal Symptoms among menopausal Women. IOSR Journal of Nursing and Health Science 2018;7:29–40. https://doi.org/10.9790/1959-0702032940.

Zhang X, Wang G, Wang H, Wang X, Ji T, Hou D, et al. Spouses’ perceptions of and attitudes toward female menopause: a mixed-methods systematic review. Climacteric 2020;23:148–57. https://doi.org/10.1080/13697137.2019.1703937.

Perkins JM, Lee H young, James KS, Oh J, Krishna A, Heo J, et al. Marital status, widowhood duration, gender and health outcomes: a cross-sectional study among older adults in India. BMC Public Health 2016;16:1–12. https://doi.org/10.1186/s12889-016-3682-9.

Kutob RM, Yuan NP, Wertheim BC, Sbarra DA, Loucks EB, Nassir R, et al. Relationship between Marital Transitions, Health Behaviors, and Health Indicators of Postmenopausal Women: Results from the Women’s Health Initiative. J Womens Health 2017;26:313–20. https://doi.org/10.1089/jwh.2016.5925.

Mamidanna P, Thagunna NS, Dangi J, Zelman DC. The impact of widowhood on mental health: anxiety, depression, and stress among widowed women in Nepal. Front Glob Womens Health 2024;5. https://doi.org/10.3389/fgwh.2024.1256484.

Dwidiyanti M, Indra Wiguna R, YanuarFahmi Pamungkas A, Eka Wahyu Ningsih H, Ibnu Hasan M. Concept Analysis of Mindfulness Based on Islam Religion n.d.

Kamarulbahri TMST, Raduan NJN, Ali NF. Synergizing Islamic Teachings And Mindfulness Practices In Therapeutic Interventions. Quantum Journal of Social Sciences and Humanities 2024;5:226–33. https://doi.org/10.55197/qjssh.v5i5.451.

Callender KA, Ong LZ, Othman EH. Prayers and Mindfulness in Relation to Mental Health among First-Generation Immigrant and Refugee Muslim Women in the USA: An Exploratory Study. J Relig Health 2022;61:3637–54. https://doi.org/10.1007/s10943-022-01600-x.

Thomas J, Furber SW, Grey I. The rise of mindfulness and its resonance with the Islamic tradition. Ment Health Relig Cult 2017;20:973–85. https://doi.org/10.1080/13674676.2017.1412410.

An SY, Kim Y, Kwon R, Lim GY, Choi HR, Namgoung S, et al. Depressive symptoms and suicidality by menopausal stages among middle-Aged Korean women. Epidemiol Psychiatr Sci 2022;31. https://doi.org/10.1017/S2045796022000439.

Gordon JL, Girdler SS, Meltzer-Brody SE, Stika CS, Thurston RC, Clark CT, et al. Ovarian hormone fluctuation, neurosteroids, and HPA axis dysregulation in perimenopausal depression: A novel heuristic model. American Journal of Psychiatry 2015;172:227–36. https://doi.org/10.1176/appi.ajp.2014.14070918.

Miharti SI, Ayu MP. Faktor-Faktor Yang Berhubungan Dengan Kecemasan Perubahan Fisik Pada Ibu Premenopause. Maternal Child Health Care 2021;4.

Isgandarova N. Muraqaba as a Mindfulness-Based Therapy in Islamic Psychotherapy. J Relig Health 2019;58:1146–60. https://doi.org/10.1007/s10943-018-0695-y.