The Relationship Between Gestational Diabetes and Antenatal Depression. Issue 2 (24th February 2015)

• Record Type: Journal Article
• Authors: Byrn, Mary; Penckofer, Sue
• Is Part Of: Journal of obstetric, gynecologic, and neonatal nursing. Volume 44:Issue 2(2015)
• Page Start: 246
• Page End: 255
• Publication Date: 2015-02-24
• Subjects: Maternity nursing -- Periodicals; Gynecologic nursing -- Periodicals; Newborn infants -- Care -- Periodicals; Pediatric nursing -- Periodicals; Genital Diseases, Female -- nursing; Obstetrical Nursing; Pediatric Nursing; 618.2
• DOI: 10.1111/1552-6909.12554
• Languages: English
• ISSNs: 0884-2175

Abstract

<abstract abstract-type="main"> <title>ABSTRACT</title> <sec id="jogn12554-sec-0010" sec-type="section"> <title>Objective</title> <p>To determine whether women with gestational diabetes mellitus (GDM) had more symptoms of depression than women without GDM. A secondary aim was to determine if factors predictive of symptoms of depression in women with GDM were different than women without GDM.</p> </sec> <sec id="jogn12554-sec-0020" sec-type="section"> <title>Design</title> <p>A cross sectional, descriptive design was used.</p> </sec> <sec id="jogn12554-sec-0030" sec-type="section"> <title>Setting</title> <p>An outpatient clinic at an academic medical center.</p> </sec> <sec id="jogn12554-sec-0040" sec-type="section"> <title>Participants</title> <p>The sample included 135 pregnant women between 24 and 40 weeks gestation, of which 65 had GDM and 70 did not.</p> </sec> <sec id="jogn12554-sec-0050" sec-type="section"> <title>Methods</title> <p>The Edinburgh Postnatal Depression Screen (EPDS) was used to measure symptoms of depression in pregnant women attending routine prenatal care visits. Descriptive statistics, logistic regression, and multiple regressions were done to analyze the data.</p> </sec> <sec id="jogn12554-sec-0060" sec-type="section"> <title>Results</title> <p>Twenty percent of women with GDM and 13% of women without GDM had significant symptoms of depression. Women with GDM were 3.79 times more likely to have a history of depression (95% confidence interval [CI] [1.07, 13.45], <italic>p</italic> = .04) than women without GDM after controlling for age, income, marital status, body mass index, and gravida. Trait anxiety and perceived stress were significant predictor factors of symptoms of depression (<italic>R</italic><sup>2</sup> = .82, <italic>p</italic> < .001) for women with and without GDM.</p> </sec> <sec id="jogn12554-sec-0070" sec-type="section"> <title>Conclusions</title> <p>Results suggest that symptoms of depression are common during the antepartum period, thus assessment and education regarding this disorder are important. In addition, a history of depression may be a risk factor for the development of GDM.</p> </sec> </abstract>