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Acta Obstet Gynecol Scand. 2017 Feb;96(2):190-197. doi: 10.1111/aogs.13048. Epub 2016 Dec 1.

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

Author information

1
Center for Pregnant Women with Diabetes, Rigshospitalet, Copenhagen, Denmark.
2
Department of Endocrinology, Rigshospitalet, Copenhagen, Denmark.
3
Steno Diabetes Center, Gentofte, Denmark.
4
The Institute for Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
5
Department of Obstetrics, Rigshospitalet, Copenhagen, Denmark.

Abstract

INTRODUCTION:

The aim of this study was to explore changes in health-related quality of life, anxiety and depression symptoms during pregnancy in women with pregestational diabetes.

MATERIAL AND METHODS:

An observational cohort study including 137 pregnant women with pregestational diabetes (110 with type 1 and 27 with type 2). To evaluate changes from early to late pregnancy, the internationally validated questionnaires 36-Item Short-Form Health Survey (SF-36) and Hospital Anxiety and Depression Scale (HADS) were completed at 8 and 33 gestational weeks.

RESULTS:

From early to late pregnancy, the SF-36 scales Physical Function, Role Physical, Bodily Pain and Physical Component Summary worsened (p < 0.0001 for all scales). Physical Component Summary score deteriorated from mean 52.3 (SD 6.5) to 40.0 (9.7) (p < 0.0001) and the deterioration was negatively associated with gestational weight gain in multiple linear regression (β = -0.34/kg, p = 0.03). The SF-36 scale Mental Health improved (p = 0.0009) and the Mental Component Summary score increased moderately from 47.6 (10.6) to 53.5 (8.6) (p < 0.0001). Greater improvement in Mental Component Summary score was seen with lower HbA1c in late pregnancy. The HADS anxiety score improved slightly from 5.0 (3.3) to 4.5 (3.4) (p = 0.04) whereas the HADS depression score remained unchanged. The prevalence of women with HADS anxiety or depression score ≥8 did not change.

CONCLUSIONS:

Physical quality of life deteriorated whereas mental quality of life improved slightly during pregnancy in women with pregestational diabetes. A minor reduction in anxiety and stable depression symptoms was observed. The results on mental health are reassuring, considering the great demands that pregnancy places on women with pregestational diabetes.

KEYWORDS:

36-Item Short-Form health survey; anxiety; depression; hospital anxiety and depression scale; pregestational diabetes; pregnancy; quality of life

PMID:
27779764
DOI:
10.1111/aogs.13048
[Indexed for MEDLINE]

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