Anxiety and Depression in Early Gestation and the Association with Subsequent Gestational Diabetes Mellitus in a Disadvantaged Population

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dc.contributor.authorPathirana, M.M.
dc.contributor.authorAndraweera, P.H.
dc.contributor.authorLeemaqz, S.
dc.contributor.authorAldridge, E.
dc.contributor.authorArstall, M.A.
dc.contributor.authorDekker, G.A.
dc.contributor.authorRoberts, C.T.
dc.date.issued2023
dc.descriptionPublished online: 12 October 2023
dc.description.abstractObjectives: Evaluate the association between poor mental health and risk of developing gestational diabetes mellitus (GDM) in a cohort of women from a socioeconomically disadvantaged community. Methods: A total of 1363 nulliparous women with singleton pregnancies recruited to the Screening Tests to Predict Poor Outcomes of Pregnancy study in Adelaide, Australia. Women were assessed for mental health in the first trimester, including likelihood of depression, high functioning anxiety, perceived stress and risk of developing a mental health disorder. GDM was diagnosed based on the International Association of Diabetes in Pregnancy Study Group (IADPSG) criteria. Socioeconomic status was measured using the New Zealand Socioeconomic Index (NZSEI). Results: Complete mental health data was available for 1281 participants. There was no statistically significant difference in SEI, depression, risk of mental health issues, high functioning anxiety and perceived stress between women who developed GDM and those who did not. There was no difference in history of depression nor risk of developing a high mental health disorder in first trimester after adjusting for SEI, BMI in first trimester, smoking status in first trimester and maternal age between women with a GDM pregnancy and those who did not. Conclusions for Practice: There was no difference in markers of poor mental health in early pregnancy between women who subsequently did or did not develop GDM. Cohort participants were socioeconomically disadvantaged, potentially contributing to the lack of apparent differences in depression observed between groups. Socioeconomically disadvantaged women should be targeted in pre-conception planning to reduce risk of GDM.
dc.description.statementofresponsibilityMaleesa M. Pathirana, Prabha H. Andraweera, Shalem Leemaqz, Emily Aldridge, Margaret A. Arstall, Gustaaf A. Dekker, Claire T. Roberts
dc.identifier.citationMaternal and Child Health Journal, 2023; 27(12):2185-2193
dc.identifier.doi10.1007/s10995-023-03778-2
dc.identifier.issn1092-7875
dc.identifier.issn1573-6628
dc.identifier.orcidPathirana, M.M. [0000-0002-5817-4156]
dc.identifier.orcidAndraweera, P.H. [0000-0003-2434-8370]
dc.identifier.orcidLeemaqz, S. [0000-0003-4616-8426]
dc.identifier.orcidAldridge, E. [0000-0001-5029-3946]
dc.identifier.orcidArstall, M.A. [0000-0003-0760-6382]
dc.identifier.orcidDekker, G.A. [0000-0002-7362-6683]
dc.identifier.orcidRoberts, C.T. [0000-0002-9250-2192]
dc.identifier.urihttps://hdl.handle.net/2440/140002
dc.language.isoen
dc.publisherSpringer
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/GNT1090778
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/GNT161305
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/GNT1174971
dc.rights© Crown 2023. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
dc.source.urihttps://doi.org/10.1007/s10995-023-03778-2
dc.subjectGestational diabetes mellitus; Maternal health; Pregnancy
dc.subject.meshHumans
dc.subject.meshDiabetes, Gestational
dc.subject.meshRisk Factors
dc.subject.meshProspective Studies
dc.subject.meshDepression
dc.subject.meshAnxiety
dc.subject.meshPregnancy
dc.subject.meshVulnerable Populations
dc.subject.meshFemale
dc.titleAnxiety and Depression in Early Gestation and the Association with Subsequent Gestational Diabetes Mellitus in a Disadvantaged Population
dc.typeJournal article
pubs.publication-statusPublished

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