Association between common mental disorder and glycemic control in women with gestational diabetes: A mixed-method study

Background: Gestational diabetes mellitus (GDM) is associated with an increased risk of mental health disorders among pregnant women. Poor mental health can negatively impact glycemic control in women with GDM, leading to adverse outcomes for both the mother and the baby. Aim: To determine the preva...

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Published in:Indian journal of psychiatry 2023-09, Vol.65 (9), p.941-948
Main Authors: Soni, Bhanushree, Jayaseelan, Venkatachalam, Kattimani, Shivanand, Rengaraj, Sasirekha, Arikrishnan, Kalaiselvy, Veerasetty, Naveenkumar
Format: Article
Language:English
Subjects:
Anxiety
Anxiety disorders
Blood levels
Blood sugar
Diabetes in pregnancy
Diabetes mellitus
Diabetes therapy
Gestational diabetes
Health aspects
Health surveys
Medical research
Medicine, Experimental
Mental disorders
Mental health
Mental illness
Mixed methods research
Original
Patient compliance
Pregnant women
Women
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Summary:Background: Gestational diabetes mellitus (GDM) is associated with an increased risk of mental health disorders among pregnant women. Poor mental health can negatively impact glycemic control in women with GDM, leading to adverse outcomes for both the mother and the baby. Aim: To determine the prevalence of common mental disorder (CMD) in women with GDM and its association with poor glycemic control. Additionally, to explore the reasons and coping strategies for CMD in women with GDM. Methods: A sequential explanatory mixed-method study was conducted among 351 women with GDM visiting a tertiary care hospital. The prevalence of CMD was assessed using Generalized Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire-9 (PHQ-9), and Perceived Stress Scale (PSS). Glycemic control was determined based on two-hour postprandial blood glucose levels. In-depth interviews were conducted with six women who screened positive for CMD and had poor glycemic control. Data were analyzed using SPSS v23 and stats v12. Chi-square test and Poisson regression were performed, and adjusted prevalence ratios (aPRs) were reported. Results: The prevalence of CMD was found to be 19.08% (95% CI: 15.32%-23.52%), with 18.2% (95% CI: 14.5%-22.6%) anxiety symptoms 8.3% (95% CI: 5.8%-11.6%) depressive symptoms and stress each. CMD was significantly related to poor glycemic control (aPR: 1.58; 95% CI: 1.23-2.03; P value
ISSN:0019-5545
1998-3794
DOI:10.4103/indianjpsychiatry.indianjpsychiatry_402_23