TY - JOUR
T1 - Determinants of elevated depressive symptoms in Chinese women with gestational diabetes mellitus
AU - Huang, Shuyuan
AU - Wischik, Dora Lendvai
AU - Whittemore, Robin
AU - Jeon, Sangchoon
AU - Qing, Long
AU - Guo, Jia
N1 - Funding Information:
The parent study was supported by a grant from the Hunan Sinocare Diabetes Foundation for improving public awareness of diabetes mellitus. The funding source had no involvement in the research, data analysis, and the writing of this manuscript We want to acknowledge the team at Xiangya School of Nursing, Central South University, for their data collection effort. We are also grateful for the women who participated in the parent study at the First People's Hospital of Changde City and the Third Xiangya Hospital of the Central South University of Changsha City.
Funding Information:
The parent study was supported by a grant from the Hunan Sinocare Diabetes Foundation for improving public awareness of diabetes mellitus. The funding source had no involvement in the research, data analysis, and the writing of this manuscript
Publisher Copyright:
© 2021 Wiley Periodicals LLC.
PY - 2022/6
Y1 - 2022/6
N2 - Background: Pregnant women with gestational diabetes mellitus (GDM) have a higher risk of developing elevated depressive symptoms than women without GDM. The aim of this study was to investigate the sociodemographic (eg, location), clinical (eg, health care–seeking behaviors), and psychological (eg, active coping skills) factors associated with elevated depressive symptoms in Chinese women with GDM. Methods: This was a secondary data analysis of a cross-sectional study among Chinese women with GDM. Data (n = 323) were collected in 2018 from two hospitals in Hunan Province in China. The Center for Epidemiological Survey Depression Scale was used, with a criterion score ≥20 indicative of clinically elevated depressive symptoms. Descriptive, bivariate, and multiple logistic regression analyses were completed. Findings: The women had a mean age of 32.71 (SD = 5.17), and the majority were married (84.2%), college-educated (65.6%), and with Han ethnicity (89.8%). About 68% of women had elevated depressive symptoms. Women with higher active coping scores were less likely (OR = 0.19, 95% CI: 0.10-0.38) to have elevated depressive symptoms. Women from one geographical location (Changde) who had more emergency room visits had higher odds (OR = 3.10, 95% CI: 1.88-5.10) of elevated depressive symptoms. Discussion: There was a high co-occurrence of GDM and elevated depressive symptoms among pregnant women in our sample. Assessment for depressive symptoms in women with GDM is warranted. More research about increasing active coping skills may improve health outcomes in women with GDM.
AB - Background: Pregnant women with gestational diabetes mellitus (GDM) have a higher risk of developing elevated depressive symptoms than women without GDM. The aim of this study was to investigate the sociodemographic (eg, location), clinical (eg, health care–seeking behaviors), and psychological (eg, active coping skills) factors associated with elevated depressive symptoms in Chinese women with GDM. Methods: This was a secondary data analysis of a cross-sectional study among Chinese women with GDM. Data (n = 323) were collected in 2018 from two hospitals in Hunan Province in China. The Center for Epidemiological Survey Depression Scale was used, with a criterion score ≥20 indicative of clinically elevated depressive symptoms. Descriptive, bivariate, and multiple logistic regression analyses were completed. Findings: The women had a mean age of 32.71 (SD = 5.17), and the majority were married (84.2%), college-educated (65.6%), and with Han ethnicity (89.8%). About 68% of women had elevated depressive symptoms. Women with higher active coping scores were less likely (OR = 0.19, 95% CI: 0.10-0.38) to have elevated depressive symptoms. Women from one geographical location (Changde) who had more emergency room visits had higher odds (OR = 3.10, 95% CI: 1.88-5.10) of elevated depressive symptoms. Discussion: There was a high co-occurrence of GDM and elevated depressive symptoms among pregnant women in our sample. Assessment for depressive symptoms in women with GDM is warranted. More research about increasing active coping skills may improve health outcomes in women with GDM.
KW - antenatal depression
KW - Chinese women
KW - coping
KW - depressive symptoms
KW - gestational diabetes mellitus
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U2 - 10.1111/birt.12605
DO - 10.1111/birt.12605
M3 - Article
C2 - 34927281
AN - SCOPUS:85121422788
SN - 0730-7659
VL - 49
SP - 289
EP - 297
JO - Birth
JF - Birth
IS - 2
ER -