The Effect of Self-Care Model Counseling Based on Mental Health on Anxiety and Depression of Women With Gestational Diabetes: A Study Protocol of a Randomized Clinical Trial

IF 2.1 Q2 MEDICINE, GENERAL & INTERNAL

Health Science Reports Pub Date : 2025-09-23 DOI:10.1002/hsr2.71292

Mahboubeh Daraie, Hajar Adib-Rad, Fatemeh Nasiri-Amiri, Mahbobeh Faramarzi, Hemmat Gholinia, Satinik Darzi

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Abstract

Background and Aims

Gestational diabetes mellitus (GDM) is the most common metabolic disorder during pregnancy that causes adverse consequences for the mother and the baby. The present study will be conducted to determine the effect of self-care model counseling based on mental health on anxiety and depression in GDM women.

Methods

A randomized clinical trial will be conducted on pregnant women over 20 years of age who were referred to the gynecological and perinatal clinic of Amir Al-Momenin Hospital (AS) in Semnan. After random block allocation, women are divided into two mental health self-care counseling groups (42 people) and a control (42 people). The intervention group will receive six sessions of 30–45 min of individual mental health self-care counseling weekly and in the form of multimedia, which is a combination of text, audio, and video. Data were collected using the demographic-fertility characteristics checklist, the Hospital Anxiety and Depression Scale (HADS), the Psychological Self-Care Scale (PSCS), the Prenatal Health Behavior Scale (PHBS), and the Self-Efficacy Scale Gestational Diabetes (SESGD) immediately after the intervention, 1 month after the intervention, and 6 weeks after delivery.

Results

The mental health self-care model is expected to lead to clinical reductions in anxiety and depression in women with gestational diabetes. It is also predicted that the effect of counseling with this model will promote health-promoting behaviors, mental health self-care, and self-efficacy in diabetic women at follow-ups immediately after the intervention, 1 month after the intervention, and 6 weeks after delivery.

Conclusion

The positive results of mental health self-care counseling on anxiety and depression and health behaviors, self-efficacy, and mental health self-care in GDM women will be useful strategies for managing the complications of GDM.

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基于心理健康的自我护理模式咨询对妊娠期糖尿病妇女焦虑和抑郁的影响：一项随机临床试验研究方案

背景和目的：妊娠期糖尿病（GDM）是妊娠期最常见的代谢紊乱，对母亲和婴儿造成不良后果。本研究旨在探讨基于心理健康的自我护理模式咨询对GDM女性焦虑和抑郁的影响。方法：对在塞姆南Amir Al-Momenin医院（AS）妇科和围产期门诊就诊的20岁以上孕妇进行随机临床试验。在随机分组后，女性被分为两个心理健康自我保健咨询组（42人）和对照组（42人）。干预组每周将接受6次30-45分钟的个人心理健康自我保健咨询，并以多媒体的形式进行，多媒体是文字、音频和视频的结合。采用人口生育特征检查表、医院焦虑抑郁量表（HADS）、心理自我保健量表（PSCS）、产前健康行为量表（PHBS）和妊娠糖尿病自我效能量表（SESGD）在干预后立即、干预后1个月和分娩后6周收集数据。结果：心理健康自我保健模式有望导致妊娠糖尿病妇女焦虑和抑郁的临床减少。预测在干预后即刻、干预后1个月、分娩后6周随访时，该模式的咨询效果对糖尿病妇女的促进健康行为、心理健康自我保健和自我效能感均有促进作用。结论：心理健康自我保健咨询对GDM妇女焦虑抑郁和健康行为、自我效能感、心理健康自我保健的积极影响，将为GDM并发症的管理提供有益的策略。

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