Cargando…

Prevalence and factors associated with depressive, anxiety and stress symptoms among women with gestational diabetes mellitus in tertiary care centres in Malaysia: a cross-sectional study

BACKGROUND: Research on antenatal depressive, anxiety and stress symptoms among women with gestational diabetes mellitus (GDM) is lacking in Malaysia. This study aimed to determine the prevalence and factors associated with antenatal depressive, anxiety and stress symptoms among Malaysian women with...

Descripción completa

Detalles Bibliográficos
Autores principales: Lee, Kai Wei, Ching, Siew Mooi, Hoo, Fan Kee, Ramachandran, Vasudevan, Chong, Seng Choi, Tusimin, Maiza, Mohd Nordin, Noraihan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6805560/
https://www.ncbi.nlm.nih.gov/pubmed/31638930
http://dx.doi.org/10.1186/s12884-019-2519-9
_version_ 1783461414731513856
author Lee, Kai Wei
Ching, Siew Mooi
Hoo, Fan Kee
Ramachandran, Vasudevan
Chong, Seng Choi
Tusimin, Maiza
Mohd Nordin, Noraihan
author_facet Lee, Kai Wei
Ching, Siew Mooi
Hoo, Fan Kee
Ramachandran, Vasudevan
Chong, Seng Choi
Tusimin, Maiza
Mohd Nordin, Noraihan
author_sort Lee, Kai Wei
collection PubMed
description BACKGROUND: Research on antenatal depressive, anxiety and stress symptoms among women with gestational diabetes mellitus (GDM) is lacking in Malaysia. This study aimed to determine the prevalence and factors associated with antenatal depressive, anxiety and stress symptoms among Malaysian women with GDM. METHODS: This was a descriptive, cross-sectional study of 526 women with GDM. Depressive, anxiety and stress symptoms are defined as the final score in mild to extremely severe risk in the severity rating scale. Data analysis was performed using SPSS v.21, while multiple logistic regression was used to identify predictors of depressive, anxiety and stress symptoms. RESULTS: Prevalence of anxiety symptoms was highest (39.9%), followed by depressive symptoms (12.5%) and stress symptoms (10.6%) among women with GDM. According to multiple logistic regression analyses, younger age (OR = 0.955, 95% CI = 0.919–0.993), comorbidity with asthma (OR = 2.436, 95% CI = 1.219–4.870) and a family history of depression and anxiety (OR = 4.782, 95% CI = 1.281–17.853) had significant associations with antenatal anxiety symptoms. Being non-Muslim (OR = 2.937, 95% CI = 1.434–6.018) and having a family history of depression and anxiety (OR = 4.706, 95% CI = 1.362–16.254) had significant associations with antenatal depressive symptoms. Furthermore, being non-Muslim (OR = 2.451, 95% CI = 1.273–4.718) had a significant association with antenatal stress symptoms. CONCLUSIONS: Within a population of women with GDM in Malaysia, those at higher risk of having depressive, anxiety and stress symptoms can be identified from several baseline clinical characteristics. Clinicians should be more alert so that the high-risk patients can be referred earlier for further intervention.
format Online
Article
Text
id pubmed-6805560
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-68055602019-10-24 Prevalence and factors associated with depressive, anxiety and stress symptoms among women with gestational diabetes mellitus in tertiary care centres in Malaysia: a cross-sectional study Lee, Kai Wei Ching, Siew Mooi Hoo, Fan Kee Ramachandran, Vasudevan Chong, Seng Choi Tusimin, Maiza Mohd Nordin, Noraihan BMC Pregnancy Childbirth Research Article BACKGROUND: Research on antenatal depressive, anxiety and stress symptoms among women with gestational diabetes mellitus (GDM) is lacking in Malaysia. This study aimed to determine the prevalence and factors associated with antenatal depressive, anxiety and stress symptoms among Malaysian women with GDM. METHODS: This was a descriptive, cross-sectional study of 526 women with GDM. Depressive, anxiety and stress symptoms are defined as the final score in mild to extremely severe risk in the severity rating scale. Data analysis was performed using SPSS v.21, while multiple logistic regression was used to identify predictors of depressive, anxiety and stress symptoms. RESULTS: Prevalence of anxiety symptoms was highest (39.9%), followed by depressive symptoms (12.5%) and stress symptoms (10.6%) among women with GDM. According to multiple logistic regression analyses, younger age (OR = 0.955, 95% CI = 0.919–0.993), comorbidity with asthma (OR = 2.436, 95% CI = 1.219–4.870) and a family history of depression and anxiety (OR = 4.782, 95% CI = 1.281–17.853) had significant associations with antenatal anxiety symptoms. Being non-Muslim (OR = 2.937, 95% CI = 1.434–6.018) and having a family history of depression and anxiety (OR = 4.706, 95% CI = 1.362–16.254) had significant associations with antenatal depressive symptoms. Furthermore, being non-Muslim (OR = 2.451, 95% CI = 1.273–4.718) had a significant association with antenatal stress symptoms. CONCLUSIONS: Within a population of women with GDM in Malaysia, those at higher risk of having depressive, anxiety and stress symptoms can be identified from several baseline clinical characteristics. Clinicians should be more alert so that the high-risk patients can be referred earlier for further intervention. BioMed Central 2019-10-21 /pmc/articles/PMC6805560/ /pubmed/31638930 http://dx.doi.org/10.1186/s12884-019-2519-9 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Lee, Kai Wei
Ching, Siew Mooi
Hoo, Fan Kee
Ramachandran, Vasudevan
Chong, Seng Choi
Tusimin, Maiza
Mohd Nordin, Noraihan
Prevalence and factors associated with depressive, anxiety and stress symptoms among women with gestational diabetes mellitus in tertiary care centres in Malaysia: a cross-sectional study
title Prevalence and factors associated with depressive, anxiety and stress symptoms among women with gestational diabetes mellitus in tertiary care centres in Malaysia: a cross-sectional study
title_full Prevalence and factors associated with depressive, anxiety and stress symptoms among women with gestational diabetes mellitus in tertiary care centres in Malaysia: a cross-sectional study
title_fullStr Prevalence and factors associated with depressive, anxiety and stress symptoms among women with gestational diabetes mellitus in tertiary care centres in Malaysia: a cross-sectional study
title_full_unstemmed Prevalence and factors associated with depressive, anxiety and stress symptoms among women with gestational diabetes mellitus in tertiary care centres in Malaysia: a cross-sectional study
title_short Prevalence and factors associated with depressive, anxiety and stress symptoms among women with gestational diabetes mellitus in tertiary care centres in Malaysia: a cross-sectional study
title_sort prevalence and factors associated with depressive, anxiety and stress symptoms among women with gestational diabetes mellitus in tertiary care centres in malaysia: a cross-sectional study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6805560/
https://www.ncbi.nlm.nih.gov/pubmed/31638930
http://dx.doi.org/10.1186/s12884-019-2519-9
work_keys_str_mv AT leekaiwei prevalenceandfactorsassociatedwithdepressiveanxietyandstresssymptomsamongwomenwithgestationaldiabetesmellitusintertiarycarecentresinmalaysiaacrosssectionalstudy
AT chingsiewmooi prevalenceandfactorsassociatedwithdepressiveanxietyandstresssymptomsamongwomenwithgestationaldiabetesmellitusintertiarycarecentresinmalaysiaacrosssectionalstudy
AT hoofankee prevalenceandfactorsassociatedwithdepressiveanxietyandstresssymptomsamongwomenwithgestationaldiabetesmellitusintertiarycarecentresinmalaysiaacrosssectionalstudy
AT ramachandranvasudevan prevalenceandfactorsassociatedwithdepressiveanxietyandstresssymptomsamongwomenwithgestationaldiabetesmellitusintertiarycarecentresinmalaysiaacrosssectionalstudy
AT chongsengchoi prevalenceandfactorsassociatedwithdepressiveanxietyandstresssymptomsamongwomenwithgestationaldiabetesmellitusintertiarycarecentresinmalaysiaacrosssectionalstudy
AT tusiminmaiza prevalenceandfactorsassociatedwithdepressiveanxietyandstresssymptomsamongwomenwithgestationaldiabetesmellitusintertiarycarecentresinmalaysiaacrosssectionalstudy
AT mohdnordinnoraihan prevalenceandfactorsassociatedwithdepressiveanxietyandstresssymptomsamongwomenwithgestationaldiabetesmellitusintertiarycarecentresinmalaysiaacrosssectionalstudy