背景:患有妊娠期糖尿病(GDM)的孕妇比健康孕妇经历更高的心理压力水平。本研究的目的是检查(1)焦虑的差异,抑郁症,压力,诊断为GDM的妇女和健康孕妇之间的躯体化水平,(2)焦虑的差异,抑郁症,压力,与血糖控制良好的女性相比,血糖控制良好的女性的躯体化水平。
方法:进行了定量横断面研究,涉及103名至少怀孕过一次的妇女,包括40名诊断为GDM的妇女和63名健康孕妇。分发了一份在线问卷,其中包括三个部分:社会人口统计学参数,DASS-21问卷评估焦虑,抑郁症,和压力,和评估躯体化的简短症状量表(BSI)问卷。
结果:焦虑的差异(t=14.470,<0.001),抑郁(t=8.17,<0.001),应力(t=16.354,<0.001),发现GDM诊断女性和健康孕妇之间的躯体化水平(t=13.679,<0.001)。诊断为GDM的女性报告焦虑水平更高,抑郁症,压力,与没有GDM的人相比,躯体化。此外,血糖控制更好的女性,如较低的糖化血红蛋白(HbA1c)水平所示,焦虑情绪较低(t(38)=-2.04,p<0.05),抑郁(t(38)=-2.88,p<0.01),应力(t(38)=-1.88,p<0.05),与血糖控制较差的女性相比,躯体化水平(t(38)=-1.88,p<0.05)。
结论:诊断为GDM的孕妇报告较高水平的负面心理健康状况,例如焦虑,抑郁症,压力,与健康孕妇相比,躯体化。
BACKGROUND: Pregnant women with gestational diabetes mellitus (GDM) experience higher psychological stress levels than healthy pregnant women. The objectives of the current study were to examine (1) the differences in anxiety, depression, stress, and somatization levels between women diagnosed with GDM and healthy pregnant women, and (2) the differences in anxiety, depression, stress, and somatization levels among women with well-controlled blood sugar levels compared to those who are not well controlled.
METHODS: A quantitative cross-sectional study was conducted, involving 103 women who had been pregnant at least once, including 40 women diagnosed with GDM and 63 healthy pregnant women. An online questionnaire was distributed that included three parts: socio-demographic parameters, the DASS-21 questionnaire assessing anxiety, depression, and stress, and the Brief Symptom Inventory (BSI) questionnaire assessing somatization.
RESULTS: Differences in the anxiety (t = 14.470, <0.001), depression (t = 8.17, <0.001), stress (t = 16.354, <0.001), and somatization (t = 13.679, <0.001) levels between women diagnosed with GDM and healthy pregnant women were found. Women diagnosed with GDM reported higher levels of anxiety, depression, stress, and somatization compared to those without GDM. Additionally, women with better blood sugar control, as indicated by lower glycated hemoglobin (HbA1c) levels had lower anxiety (t (38) = -2.04, p < 0.05), depression (t(38) = -2.88, p < 0.01), stress (t(38) = -1.88, p < 0.05), and somatization (t(38) = -1.88, p < 0.05) levels compared to women with poorer blood sugar control.
CONCLUSIONS: Pregnant women diagnosed with GDM report higher levels of negative mental health conditions such as anxiety, depression, stress, and somatization compared to healthy pregnant women.