Anxiety and Depression in Early Gestation and the Association with Subsequent Gestational Diabetes Mellitus in a Disadvantaged Population
-
Published:2023-10-12
Issue:12
Volume:27
Page:2185-2193
-
ISSN:1092-7875
-
Container-title:Maternal and Child Health Journal
-
language:en
-
Short-container-title:Matern Child Health J
Author:
Pathirana Maleesa M.ORCID, Andraweera Prabha H.ORCID, Leemaqz Shalem, Aldridge Emily, Arstall Margaret A.ORCID, Dekker Gustaaf A., Roberts Claire T.ORCID
Abstract
Abstract
Objectives
Evaluate the association between poor mental health and risk of developing gestational diabetes mellitus (GDM) in a cohort of women from a socioeconomically disadvantaged community.
Methods
A total of 1363 nulliparous women with singleton pregnancies recruited to the Screening Tests to Predict Poor Outcomes of Pregnancy study in Adelaide, Australia. Women were assessed for mental health in the first trimester, including likelihood of depression, high functioning anxiety, perceived stress and risk of developing a mental health disorder. GDM was diagnosed based on the International Association of Diabetes in Pregnancy Study Group (IADPSG) criteria. Socioeconomic status was measured using the New Zealand Socioeconomic Index (NZSEI).
Results
Complete mental health data was available for 1281 participants. There was no statistically significant difference in SEI, depression, risk of mental health issues, high functioning anxiety and perceived stress between women who developed GDM and those who did not. There was no difference in history of depression nor risk of developing a high mental health disorder in first trimester after adjusting for SEI, BMI in first trimester, smoking status in first trimester and maternal age between women with a GDM pregnancy and those who did not.
Conclusions for Practice
There was no difference in markers of poor mental health in early pregnancy between women who subsequently did or did not develop GDM. Cohort participants were socioeconomically disadvantaged, potentially contributing to the lack of apparent differences in depression observed between groups. Socioeconomically disadvantaged women should be targeted in pre-conception planning to reduce risk of GDM.
Funder
The University of Adelaide
Publisher
Springer Science and Business Media LLC
Subject
Public Health, Environmental and Occupational Health,Obstetrics and Gynecology,Pediatrics, Perinatology and Child Health,Epidemiology
Reference46 articles.
1. Ahmed, A., Bowen, A., Feng, C. X., & Muhajarine, N. (2019). Trajectories of maternal depressive and anxiety symptoms from pregnancy to five years postpartum and their prenatal predictors. BMC Pregnancy and Childbirth, 19(1), 26. https://doi.org/10.1186/s12884-019-2177-y 2. Andraweera, P., Dekker, G., Arstall, M., Bianco-Miotto, T., & Roberts, C. (2018). Complications of pregnancy and future cardiovascular risk. (Vol. 1). Elsevier Inc. 3. Arafa, A., & Dong, J. Y. (2019). Depression and risk of gestational diabetes: A meta-analysis of cohort studies. Diabetes Research and Clinical Practice, 156, 107826. https://doi.org/10.1016/j.diabres.2019.107826 4. Atlaw, D., Sahiledengle, B., Assefa, T., Negash, W., Tahir, A., Regasa, T., . . . Chattu, V. K. (2022). Incidence and risk factors of gestational diabetes mellitus in Goba town, Southeast Ethiopia: A prospective cohort study. BMJ Open, 12(9), e060694. https://doi.org/10.1136/bmjopen-2021-060694. 5. Attorney Generals Office (AGO). (2016). Domestic Violence Discussion Paper. Government of South Australia.
|
|