Prevalence of depressive and anxiety symptoms in women with gestational diabetes: a longitudinal cohort study

Munda, Ana; Fekonja, Urška; Barlovič, Draženka Pongrac

doi:10.1007/s00592-021-01706-w

Cited by 8 publications

(6 citation statements)

References 39 publications

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“…Adequate insulin production, insulin sensitivity, glucose intake, along with a variety of other endocrine factors (glucagon like peptide-1, glucagon) establish glycemic control and are related to diabetes severity [5]. Depression and anxiety have been examined across multiple diabetes subgroups including individuals with type 1 [6], type 2 [7], and gestational diabetes [8].…”

Section: Introductionmentioning

confidence: 99%

The Interaction of Glycemia with Anxiety and Depression Is Related to Altered Cerebellar and Cerebral Functional Correlations

Shearrer

2023

Brain Sciences

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Depression, type 2 diabetes (T2D), and obesity are comorbid, and prevention and treatment of all three diseases are needed. We hypothesized an inverse relationship between the connectivity of the cingulo-opercular task control network with the somatosensory mouth network and the interaction between HbA1c and depression. Three-hundred and twenty-five participants (BMI: 26.11 ± 0.29; Achenbach adult self-report (ASR) DSM depressive problems T-score (depression): 54.60 ± 6.77; Age: 28.26 ± 3.90 y; adult self-report anxiety and depression scale (anxiety and depression): 54.69 ± 7.27; HbA1c: 5.26 ± 0.29; 68% white) were sampled from the Human Connectome Project 1200 subjects PTN release. Inclusion criteria were: four (15 min) resting state fMRI scans; BMI; hemoglobin A1c (HbA1c); and complete adult self-report data. The following models were run to assess the connectivity between 15 independent fMRI components: the interaction of depression with HbA1c; anxiety and depression with HbA1c; depression with BMI; and anxiety and depression with BMI. All models were corrected for a reported number of depressive symptoms, head motion in the scanner, age, and race. Functional connectivity was modeled in FSLNets. Corrected significance was set at pFWE < 0.05. The interaction HbA1c and anxiety and depression was positively related to the connectivity of the cerebellum with the visual network (t = 3.76, pFWE = 0.008), frontoparietal network (t = 3.45, pFWE = 0.02), and somatosensory mouth network (t = 4.29, pFWE = 0.0004). Although our hypotheses were not supported, similar increases in cerebellar connectivity are seen in patients with T2D and overall suggest that the increased cerebellar connectivity may be compensatory for an increasingly poor glycemic control.

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Section: Introductionmentioning

confidence: 99%

The Interaction of Glycemia with Anxiety and Depression Is Related to Altered Cerebellar and Cerebral Functional Correlations

Shearrer

2023

Brain Sciences

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“…The increased provision of telehealth as part of general maternity care, as a result of COVID-19, has been reasonably well-accepted by women as being timesaving and convenient, although they still preferred face to face care (25). Furthermore, the effectiveness of remotely-delivered GDM blood glucose monitoring support from the diabetes teams is suggested from clinical trial data (44). Our ndings support the use of glucose monitoring apps for GDM and suggest a role for remote care delivery.…”

Section: Discussionmentioning

confidence: 66%

How can we improve engagement with gestational diabetes self-management guidance and lifestyle change during pregnancy and beyond? A thematic analysis amongst a diverse sample of UK women

Moore,

Astbury,

Poduval

et al. 2023

Preprint

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Background Optimal management of gestational diabetes (GDM) during in pregnancy is important because of serious risk to mother and child in cases where glucose levels are poorly controlled. Furthermore, following a GDM pregnancy up to 50% of women in some populations will go onto develop type 2 diabetes (T2D) later in life. A risk which is 10 times higher than for women who have a normoglycaemic pregnancy and which can be reduced by lifestyle change and annual screening. This study is needed because there is a paucity of data from the UK setting exploring these factors amongst ethnically diverse women and there has also been a fundamental shift towards online care provision and use of apps in maternity care in recent years, which may influence how women engage with self-management. The aim of our study was to explore experiences and identify factors which could help women engage with GDM self-management guidance during pregnancy and with T2D risk prevention strategies postpartum, amongst a diverse sample of UK women. Methods Women were recruited from the community and targeted primary and secondary care settings to take part in an online or face to face qualitative interview. Community recruitment was prioritised to encourage engagement of women who may not normally access the research process. Interviews were audio-recorded and professionally transcribed. An inductive thematic content analysis was conducted. Results Thirty-five women took part in the interviews (66% were from minority ethnicities; 43% first-generation immigrants). Factors influencing engagement with pregnancy guidance were summarised in 6 themes: a psychological burden, for your baby you find a way, coping with the everyday, building resilience, the service provision, relational interactions, and with postpartum guidance: left at sea. Conclusions The use of apps, online peer support groups, personally-tailored lifestyle advice and empathetic online or face to face healthcare interactions, supported GDM self-management. Postpartum knowledge about the risks and useful steps for diabetes prevention was low and confusion was exacerbated by mixed messages from healthcare teams. Some women may benefit from community-situated peer support and culturally salient guidance.

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“…GDM pregnant women had a high frequency of depression during pregnancy. Additionally, the STAI score of GDM pregnant women and the percentage of women with high anxiety in pregnancy were significantly higher than those of non-GDM pregnant women (Aydin & Dogru, 2022;Munda et al, 2021), suggesting that GDM pregnant women had strong emotional distress such as depression and anxiety. Azami et al (2019) reported that GDM women had a higher risk of postpartum depression than non-GDM women.…”

Section: Association Between Gdm and Depression And Anxiety In Pregna...mentioning

confidence: 99%

“…Although the association between GDM and depression in the postpartum period is well established, it has not been established during pregnancy. GDM pregnant women suffer from greater levels of depression and anxiety during pregnancy than pregnant women without GDM (non‐GDM pregnant women; Aydin & Dogru, 2022; Munda et al, 2021); however, there is no difference in depression and anxiety (Beka et al, 2018; Mak et al, 2019). It is difficult for diabetic patients to maintain treatment when they are depressed (Gonzalez et al, 2008); hence, depression may hinder adequate glycemic control in GDM pregnant women.…”

Section: Introductionmentioning

confidence: 99%

Depression and diet‐related distress among Japanese women with gestational diabetes mellitus

Yamada,

Endo,

Ohashi

2023

Nursing & Health Sciences

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Although the association between gestational diabetes mellitus (GDM) and maternal postpartum depression has been reported, the association between these two factors during pregnancy has not been sufficiently examined. We compared pregnant women with and without GDM to clarify the association and examined factors related to depression in pregnant women with GDM. Questionnaires were administered longitudinally to pregnant Japanese women in the third trimester and at 2 and 4 weeks postpartum. One hundred and five and 108 pregnant women with and without GDM, respectively, were included in the study. Of the 105 women with GDM, 20 (19.0%) reported being depressed during pregnancy, which was significantly higher than that among those without GDM (9.3%). Binomial logistic regression analysis revealed that depression was significantly positively associated with diet‐related distress and negatively associated with social support among women with GDM. Diet‐related distress and social support are important factors in managing depression in pregnant women with GDM.

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Prevalence of depressive and anxiety symptoms in women with gestational diabetes: a longitudinal cohort study

Cited by 8 publications

References 39 publications

The Interaction of Glycemia with Anxiety and Depression Is Related to Altered Cerebellar and Cerebral Functional Correlations

The Interaction of Glycemia with Anxiety and Depression Is Related to Altered Cerebellar and Cerebral Functional Correlations

How can we improve engagement with gestational diabetes self-management guidance and lifestyle change during pregnancy and beyond? A thematic analysis amongst a diverse sample of UK women

Depression and diet‐related distress among Japanese women with gestational diabetes mellitus

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