南亚妊娠期糖尿病孕妇抑郁和焦虑的患病率

IF 2.6 4区医学 Q3 ENDOCRINOLOGY & METABOLISM

Primary Care Diabetes Pub Date : 2025-03-15 DOI:10.1016/j.pcd.2025.03.002

Saite Hemavathy , Mohan Deepa , Ram Uma , Ramesh Gowri , Rajendra Pradeepa , Wesley Hannah , Chockalingam Shivashri , Radhakrishnan Subashini , Duraivel Mohaneswari , Yonas Ghebremichael-Weldeselassie , Ponnusamy Saravanan , Viswanathan Mohan , Ranjit Mohan Anjana

{"title":"南亚妊娠期糖尿病孕妇抑郁和焦虑的患病率","authors":"Saite Hemavathy , Mohan Deepa , Ram Uma , Ramesh Gowri , Rajendra Pradeepa , Wesley Hannah , Chockalingam Shivashri , Radhakrishnan Subashini , Duraivel Mohaneswari , Yonas Ghebremichael-Weldeselassie , Ponnusamy Saravanan , Viswanathan Mohan , Ranjit Mohan Anjana","doi":"10.1016/j.pcd.2025.03.002","DOIUrl":null,"url":null,"abstract":"<div><h3>Aim</h3><div>To determine the prevalence of depression and anxiety during pregnancy and its association with GDM.</div></div><div><h3>Methods</h3><div>A total of 2141 pregnant women were recruited before 16 weeks of gestation (mean gestational age: 10.5 ± 2.9 weeks) from the STRiDE study in south India. Early GDM (eGDM) was detected in the first trimester, and late GDM (lGDM) during 24–28 weeks, both diagnosed using IADPSG criteria. Depression and anxiety were assessed using the PHQ-9 (score≥10) and GAD-7 (score≥7) scales, respectively.</div></div><div><h3>Results</h3><div>Overall, 14.9 % had depression and 17.5 % had anxiety in early pregnancy. eGDM was diagnosed in 474 (20.4 %) and lGDM in 321 (19.3 %) women. Women with eGDM had higher prevalence of depression (20.9 %) than those with lGDM (15.6 %, p = 0.06) and those without GDM (13.3 %, p < 0.01). Anxiety was also higher in eGDM (21.1 %) compared to IGDM (15.3 %, p < 0.05) and women without GDM (16.6 %, p < 0.05). eGDM was significantly associated with depression (aOR=1.84, 95 % CI:1.37–2.47, p < 0.001) and anxiety (aOR=1.36, 95 % CI:1.03–1.79, p = 0.03) after adjusting for age, systolic blood pressure, BMI, socioeconomic status, and family history of diabetes.</div></div><div><h3>Conclusion</h3><div>Women with early GDM have a higher prevalence of depression and anxiety compared to those with late GDM and women without GDM. Early and universal screening for GDM should be done and its association with mental health wellbeing should be explored and supported.</div></div>","PeriodicalId":48997,"journal":{"name":"Primary Care Diabetes","volume":"19 3","pages":"Pages 322-328"},"PeriodicalIF":2.6000,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Prevalence of depression and anxiety among pregnant women with gestational diabetes mellitus in South Asia\",\"authors\":\"Saite Hemavathy , Mohan Deepa , Ram Uma , Ramesh Gowri , Rajendra Pradeepa , Wesley Hannah , Chockalingam Shivashri , Radhakrishnan Subashini , Duraivel Mohaneswari , Yonas Ghebremichael-Weldeselassie , Ponnusamy Saravanan , Viswanathan Mohan , Ranjit Mohan Anjana\",\"doi\":\"10.1016/j.pcd.2025.03.002\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Aim</h3><div>To determine the prevalence of depression and anxiety during pregnancy and its association with GDM.</div></div><div><h3>Methods</h3><div>A total of 2141 pregnant women were recruited before 16 weeks of gestation (mean gestational age: 10.5 ± 2.9 weeks) from the STRiDE study in south India. Early GDM (eGDM) was detected in the first trimester, and late GDM (lGDM) during 24–28 weeks, both diagnosed using IADPSG criteria. Depression and anxiety were assessed using the PHQ-9 (score≥10) and GAD-7 (score≥7) scales, respectively.</div></div><div><h3>Results</h3><div>Overall, 14.9 % had depression and 17.5 % had anxiety in early pregnancy. eGDM was diagnosed in 474 (20.4 %) and lGDM in 321 (19.3 %) women. Women with eGDM had higher prevalence of depression (20.9 %) than those with lGDM (15.6 %, p = 0.06) and those without GDM (13.3 %, p < 0.01). Anxiety was also higher in eGDM (21.1 %) compared to IGDM (15.3 %, p < 0.05) and women without GDM (16.6 %, p < 0.05). eGDM was significantly associated with depression (aOR=1.84, 95 % CI:1.37–2.47, p < 0.001) and anxiety (aOR=1.36, 95 % CI:1.03–1.79, p = 0.03) after adjusting for age, systolic blood pressure, BMI, socioeconomic status, and family history of diabetes.</div></div><div><h3>Conclusion</h3><div>Women with early GDM have a higher prevalence of depression and anxiety compared to those with late GDM and women without GDM. Early and universal screening for GDM should be done and its association with mental health wellbeing should be explored and supported.</div></div>\",\"PeriodicalId\":48997,\"journal\":{\"name\":\"Primary Care Diabetes\",\"volume\":\"19 3\",\"pages\":\"Pages 322-328\"},\"PeriodicalIF\":2.6000,\"publicationDate\":\"2025-03-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Primary Care Diabetes\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1751991825000750\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"ENDOCRINOLOGY & METABOLISM\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Primary Care Diabetes","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1751991825000750","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}

引用次数: 0

摘要

目的：了解妊娠期抑郁和焦虑的患病率及其与GDM的关系。方法：从印度南部的STRiDE研究中招募了2141名妊娠16周前的孕妇（平均胎龄：10.5 ± 2.9周）。早期GDM （eGDM）在妊娠早期被检测到，晚期GDM （lGDM）在24-28周被检测到，两者都使用IADPSG标准诊断。抑郁和焦虑分别采用PHQ-9（评分≥10）和GAD-7（评分≥7）量表进行评估。结果：总体而言，14.9 %的孕妇有抑郁，17.5 %的孕妇有焦虑。474名（20.4 %）女性被诊断为eGDM， 321名（19.3 %）女性被诊断为lGDM。eGDM患者的抑郁患病率（20.9 %）高于lGDM患者（15.6 %,p = 0.06）和非GDM患者（13.3 %,p ）。结论：早期GDM患者的抑郁和焦虑患病率高于晚期和非GDM患者。应该对GDM进行早期和普遍筛查，并探索和支持其与心理健康的关系。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Prevalence of depression and anxiety among pregnant women with gestational diabetes mellitus in South Asia

Aim

To determine the prevalence of depression and anxiety during pregnancy and its association with GDM.

Methods

A total of 2141 pregnant women were recruited before 16 weeks of gestation (mean gestational age: 10.5 ± 2.9 weeks) from the STRiDE study in south India. Early GDM (eGDM) was detected in the first trimester, and late GDM (lGDM) during 24–28 weeks, both diagnosed using IADPSG criteria. Depression and anxiety were assessed using the PHQ-9 (score≥10) and GAD-7 (score≥7) scales, respectively.

Results

Overall, 14.9 % had depression and 17.5 % had anxiety in early pregnancy. eGDM was diagnosed in 474 (20.4 %) and lGDM in 321 (19.3 %) women. Women with eGDM had higher prevalence of depression (20.9 %) than those with lGDM (15.6 %, p = 0.06) and those without GDM (13.3 %, p < 0.01). Anxiety was also higher in eGDM (21.1 %) compared to IGDM (15.3 %, p < 0.05) and women without GDM (16.6 %, p < 0.05). eGDM was significantly associated with depression (aOR=1.84, 95 % CI:1.37–2.47, p < 0.001) and anxiety (aOR=1.36, 95 % CI:1.03–1.79, p = 0.03) after adjusting for age, systolic blood pressure, BMI, socioeconomic status, and family history of diabetes.

Conclusion

Women with early GDM have a higher prevalence of depression and anxiety compared to those with late GDM and women without GDM. Early and universal screening for GDM should be done and its association with mental health wellbeing should be explored and supported.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Primary Care Diabetes ENDOCRINOLOGY & METABOLISM-PRIMARY HEALTH CARE

CiteScore

5.00

自引率

3.40%

发文量

134

审稿时长

47 days

期刊介绍： The journal publishes original research articles and high quality reviews in the fields of clinical care, diabetes education, nutrition, health services, psychosocial research and epidemiology and other areas as far as is relevant for diabetology in a primary-care setting. The purpose of the journal is to encourage interdisciplinary research and discussion between all those who are involved in primary diabetes care on an international level. The Journal also publishes news and articles concerning the policies and activities of Primary Care Diabetes Europe and reflects the society''s aim of improving the care for people with diabetes mellitus within the primary-care setting.