Preliminary Report: Psychological Assessment of Greek Women with Diabetes during Pregnancy

Ilias, Ιoannis; Papageorgiou, Costas; Katsadoros, Kyriakos; Zapanti, Evangelia; Anastasiou, Eleni

doi:10.2466/pms.101.2.628-630

Cited by 5 publications

(5 citation statements)

References 2 publications

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“…Seven were qualitative studies [ 19 , 22 , 23 , 25 - 28 ] while nine used quantitative methods [ 29 - 37 ]. The majority of studies were conducted in Sweden [ 22 , 25 - 27 , 34 ] and the USA [ 31 , 33 , 35 - 38 ], and the remaining studies were conducted in Australia [ 28 ], Greece [ 30 ], Israel [ 32 ], Italy [ 29 ], and the UK [ 19 , 23 ]. The focus of nine studies was the pregnancy itself [ 25 , 26 , 30 - 33 , 35 , 36 , 38 ], while three focused on the immediate post-partum phase [ 25 , 26 , 37 ] and six focused on the postnatal phase [ 22 , 27 - 29 , 34 , 37 ] as illustrated in Table 1 .…”

Section: Resultsmentioning

confidence: 99%

“…It was not clear whether the emotional profiles of women with pre-existing diabetes and women with gestational diabetes differed. During pregnancy, women with T1DM reported greater anxiety and more depressive and hostile moods compared to women with gestational diabetes [ 30 , 38 ]. In contrast, others found that, during pregnancy, women with gestational diabetes had slightly higher anxiety and hostility scores than women with pre-gestational diabetes, but did not have higher depression scores.…”

Section: Resultsmentioning

confidence: 99%

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Psychosocial issues of women with type 1 diabetes transitioning to motherhood: a structured literature review

Rasmussen

Hendrieckx

Clarke

et al. 2013

BMC Pregnancy Childbirth

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BackgroundLife transitions often involve complex decisions, challenges and changes that affect diabetes management. Transition to motherhood is a major life event accompanied by increased risk that the pregnancy will lead to or accelerate existing diabetes-related complications, as well as risk of adverse pregnancy outcomes, all of which inevitably increase anxiety. The frequency of hyperglycaemia and hypoglycaemia often increases during pregnancy, which causes concern for the health and physical well-being of the mother and unborn child. This review aimed to examine the experiences of women with T1DM focusing on the pregnancy and postnatal phases of their transition to motherhood.MethodsThe structured literature review comprised a comprehensive search strategy identifying primary studies published in English between 1990–2012. Standard literature databases were searched along with the contents of diabetes-specific journals. Reference lists of included studies were checked. Search terms included: ‘diabetes’, ‘type 1’, ‘pregnancy’, ‘motherhood’, ‘transition’, ‘social support’, ‘quality of life’ and ‘psychological well-being’.ResultOf 112 abstracts returned, 62 articles were reviewed in full-text, and 16 met the inclusion criteria. There was a high level of diversity among these studies but three common key themes were identified. They related to physical (maternal and fetal) well-being, psychological well-being and social environment. The results were synthesized narratively.ConclusionWomen with type 1 diabetes experience a variety of psychosocial issues in their transition to motherhood: increased levels of anxiety, diabetes-related distress, guilt, a sense of disconnectedness from health professionals, and a focus on medicalisation of pregnancy rather than the positive transition to motherhood. A trusting relationship with health professionals, sharing experiences with other women with diabetes, active social support, shared decision and responsibilities for diabetes management assisted the women to make a positive transition. Health professionals can promote a positive transition to motherhood by proactively supporting women with T1DM in informed decision-making, by facilitating communication within the healthcare team and co-ordinating care for women with type 1 diabetes transitioning to motherhood.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Psychosocial issues of women with type 1 diabetes transitioning to motherhood: a structured literature review

Rasmussen

Hendrieckx

Clarke

et al. 2013

BMC Pregnancy Childbirth

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show abstract

“…To our knowledge this study is the first to evaluate changes in quality of life and mental health from early to late pregnancy in women with pregestational diabetes. Previous studies on the topic only include small numbers of pregnant women with diabetes, mainly evaluate mental health once in pregnancy and use different assessment tools with different scoring systems, making comparisons with the present study difficult .…”

Section: Discussionmentioning

confidence: 99%

“…Poorer mental health in early pregnancy is associated with preterm delivery in women with pregestational diabetes but whether there are changes in mental health during pregnancy still needs to be investigated. There are few quantitative studies on physical and mental health in pregnant women with pregestational diabetes and these mainly evaluate physical and mental health at one point in pregnancy without the possibility of studying changes during pregnancy .…”

Section: Introductionmentioning

confidence: 99%

Quality of life, anxiety and depression symptoms in early and late pregnancy in women with pregestational diabetes

Callesen

Secher

Cramon

et al. 2016

Acta Obstet Gynecol Scand

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“…During pregnancy, women with type 1 diabetes mellitus reported greater anxiety and more depressive and hostile moods compared to women with gestational diabetes. [12,14] Berg and Honkasalo stated that many women were afraid to sleep alone because of their fear for hypoglycemia. [10] They would prefer to rely on their partners or relatives for support in unexpected complications.…”

mentioning

confidence: 99%

Psychosocial aspects of diabetes in pregnancy

Sharma

Zangmo

2017

Journal of Social Health and Diabetes

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As treating physicians, we usually focus on the patient's medical condition, forgetting the impact of the illness on the psychosocial aspects of the patient's life. Patients with chronic medical illnesses usually suffer from a lot of psychosocial stress. Diabetes is one such medical condition where numerous studies focus on the physical and medical aspects, but fewer are concerned with the psychosocial experiences and needs of the patients. Transition to motherhood is a major life-changing event for all women. It brings in a big psychological impact on the woman who has to go through this transition with an added medical condition which can affect her pregnancy and also the health and well-being of the unborn child. In this article, we discuss the psychosocial issues faced by a diabetic woman going through the transition from pregnancy to motherhood.

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Preliminary Report: Psychological Assessment of Greek Women with Diabetes during Pregnancy

Cited by 5 publications

References 2 publications

Psychosocial issues of women with type 1 diabetes transitioning to motherhood: a structured literature review

Psychosocial issues of women with type 1 diabetes transitioning to motherhood: a structured literature review

Quality of life, anxiety and depression symptoms in early and late pregnancy in women with pregestational diabetes

Psychosocial aspects of diabetes in pregnancy

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