Prevalence of anxiety and depression among pregnant women with diabetes and their predictors

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-01-14 DOI:10.1016/j.deman.2024.100198

Hamid Reza Salimi , Mark D. Griffiths , Zainab Alimoradi

{"title":"Prevalence of anxiety and depression among pregnant women with diabetes and their predictors","authors":"Hamid Reza Salimi , Mark D. Griffiths , Zainab Alimoradi","doi":"10.1016/j.deman.2024.100198","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Addressing mental health of diabetic pregnant women is important as it might increase the chance of obstetric complications, preterm birth, and neonatal complications.</p></div><div><h3>Aim</h3><p>The present study investigated the prevalence of anxiety and depression among pregnant women with diabetes and their predictors.</p></div><div><h3>Methods</h3><p>A cross-sectional study was conducted in 2023. The sample comprised 350 pregnant women with diabetes (pre-pregnancy or gestational) referred to comprehensive health centers in Qazvin Province, Iran. Fertility and demographic characteristics, anxiety, depression, partner social support, self-efficacy, medication adherence, and fear of hypoglycemia were assessed.</p></div><div><h3>Results</h3><p>Among the sample, 28.9 % had pre-pregnancy diabetes and 71.1 % had gestational diabetes. Anxiety and depression were reported by 74.9 % and 79.4 % of all participants (significantly higher among those with pre-existing diabetes compared to gestational diabetes). Self-efficacy (OR: 0.91 [95 % CI: 0.86; 0.96]) and spouse's social support (OR: 0.68 [95 % CI: 0.56; 0.82]) were significant predictors of abnormal anxiety. Fear of hypoglycemia (OR: 1.06 [95 % CI: 1.02; 1.09]), medication adherence (OR: 1.05 [95 % CI: 1.01; 1.09]), self-efficacy (OR: 0.86 [95 % CI: 0.82; 0.91]), partner social support (OR: 0.62 [95 % CI: 0.49; 0.78]), diabetes type (pregnancy vs. pre-pregnancy diabetes; OR: 0.26 [95 % CI: 0.09; 0.77]), perceived family economic status (fair vs. good; OR: 3.08 [95 % CI: 1.12; 8.49]), and diabetes treatment (insulin vs. diet; OR: 0.21 [95 % CI: 0.08; 0.55]) were significant predictors of abnormal depression.</p></div><div><h3>Conclusion</h3><p>Diabetic pregnant women should be evaluated for anxiety and depression during their prenatal visit. Improving self-efficacy, increasing medication adherence, reducing the fear of hypoglycemia, and improving the spouse's social support might all be helpful in reducing anxiety and depression among pregnant women with diabetes.</p></div>","PeriodicalId":1,"journal":{"name":"Accounts of Chemical Research","volume":null,"pages":null},"PeriodicalIF":16.4000,"publicationDate":"2024-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666970624000039/pdfft?md5=5a940c40ff9e60080f5d645b93b57421&pid=1-s2.0-S2666970624000039-main.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Accounts of Chemical Research","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2666970624000039","RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CHEMISTRY, MULTIDISCIPLINARY","Score":null,"Total":0}

引用次数: 0

Abstract

Background

Addressing mental health of diabetic pregnant women is important as it might increase the chance of obstetric complications, preterm birth, and neonatal complications.

Aim

The present study investigated the prevalence of anxiety and depression among pregnant women with diabetes and their predictors.

Methods

A cross-sectional study was conducted in 2023. The sample comprised 350 pregnant women with diabetes (pre-pregnancy or gestational) referred to comprehensive health centers in Qazvin Province, Iran. Fertility and demographic characteristics, anxiety, depression, partner social support, self-efficacy, medication adherence, and fear of hypoglycemia were assessed.

Results

Among the sample, 28.9 % had pre-pregnancy diabetes and 71.1 % had gestational diabetes. Anxiety and depression were reported by 74.9 % and 79.4 % of all participants (significantly higher among those with pre-existing diabetes compared to gestational diabetes). Self-efficacy (OR: 0.91 [95 % CI: 0.86; 0.96]) and spouse's social support (OR: 0.68 [95 % CI: 0.56; 0.82]) were significant predictors of abnormal anxiety. Fear of hypoglycemia (OR: 1.06 [95 % CI: 1.02; 1.09]), medication adherence (OR: 1.05 [95 % CI: 1.01; 1.09]), self-efficacy (OR: 0.86 [95 % CI: 0.82; 0.91]), partner social support (OR: 0.62 [95 % CI: 0.49; 0.78]), diabetes type (pregnancy vs. pre-pregnancy diabetes; OR: 0.26 [95 % CI: 0.09; 0.77]), perceived family economic status (fair vs. good; OR: 3.08 [95 % CI: 1.12; 8.49]), and diabetes treatment (insulin vs. diet; OR: 0.21 [95 % CI: 0.08; 0.55]) were significant predictors of abnormal depression.

Conclusion

Diabetic pregnant women should be evaluated for anxiety and depression during their prenatal visit. Improving self-efficacy, increasing medication adherence, reducing the fear of hypoglycemia, and improving the spouse's social support might all be helpful in reducing anxiety and depression among pregnant women with diabetes.

查看原文本刊更多论文

糖尿病孕妇焦虑和抑郁的发生率及其预测因素

背景解决糖尿病孕妇的心理健康问题非常重要，因为这可能会增加产科并发症、早产和新生儿并发症的发生几率。样本包括 350 名转诊至伊朗加兹温省综合医疗中心的糖尿病孕妇（孕前或妊娠期）。研究评估了生育和人口特征、焦虑、抑郁、伴侣社会支持、自我效能感、服药依从性和对低血糖的恐惧。74.9%和79.4%的参与者表示焦虑和抑郁（与妊娠糖尿病患者相比，孕前糖尿病患者的焦虑和抑郁程度明显更高）。自我效能感（OR：0.91 [95 % CI：0.86; 0.96]）和配偶的社会支持（OR：0.68 [95 % CI：0.56; 0.82]）是预测异常焦虑的重要因素。对低血糖的恐惧（OR：1.06 [95 % CI：1.02; 1.09]）、服药依从性（OR：1.05 [95 % CI：1.01; 1.09]）、自我效能感（OR：0.86 [95 % CI：0.82；0.91]）、伴侣的社会支持（OR：0.62 [95 % CI：0.49；0.78]）、糖尿病类型（妊娠与孕前糖尿病；OR：0.26 [95 % CI：0.09；0.77]）、感知的家庭经济状况（尚可 vs. 尚好；OR：3.08 [95 % CI：1.12; 8.49]）和糖尿病治疗（胰岛素 vs. 饮食；OR：0.21 [95 % CI：0.08; 0.55]）是异常抑郁的显著预测因素。结论糖尿病孕妇在产前检查时应评估其焦虑和抑郁情况。提高自我效能感、增加服药依从性、减少对低血糖的恐惧以及改善配偶的社会支持可能都有助于减轻糖尿病孕妇的焦虑和抑郁。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.