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

Salimi, HR, Griffiths, MD ORCID: https://orcid.org/0000-0001-8880-6524 and Alimoradi, Z, 2024. Prevalence of anxiety and depression among pregnant women with diabetes and their predictors. Diabetes Epidemiology and Management, 14: 100198. ISSN 2666-9706

Preview

Text 1854095_Griffiths.pdf - Post-print Download (1MB) | Preview

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.

Item Type:	Journal article
Publication Title:	Diabetes Epidemiology and Management
Creators:	Salimi, H.R., Griffiths, M.D. and Alimoradi, Z.
Publisher:	Elsevier Masson
Date:	2024
Volume:	14
ISSN:	2666-9706
Identifiers:	Number Type 10.1016/j.deman.2024.100198 DOI 1854095 Other
Rights:	©2024 Published by Elsevier Masson SAS. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
Divisions:	Schools > School of Social Sciences
Record created by:	Laura Ward
Date Added:	25 Jan 2024 09:49
Last Modified:	25 Jan 2024 09:49
URI:	https://irep.ntu.ac.uk/id/eprint/50738

Actions (login required)

Edit View

Statistics

Views

Downloads