Langer N, Langer O
Fordham University, School of Social Work, New York (Dr N Langer)
St. Luke's Roosevelt Hospital Center, New York (Dr O Langer)
Diabetes Educ. 2000 Jul-Aug;26(4):667-72. doi: 10.1177/014572170002600414.
This study sought to answer the following questions: How does intensified diabetes management affect the patient's mood profile? Is there a relationship between levels of glycemic control and emotional profile? Which factors distinguish the emotional profile of women with pregestational diabetes from women with newly diagnosed gestational diabetes?
A secondary analysis was conducted of women with newly diagnosed gestational diabetes (GDM), pregestational diabetes (PGDM), and nondiabetic controls. Those with diabetes were treated with an intensified approach. All participants responded to a questionnaire measuring bipolar subjective mood states. The relation between diabetes types, glucose characteristics during pregnancy, and mood were analyzed.
The mood profile was significantly associated with level of glycemic control in GDM women (comparable to controls). PGDM women were not affected by either level of glycemic control or diabetes class categories. The number of glucose determinations, marital status, and maternal age were related to mood profile for GDM women.
Because women with GDM and PGDM present different mood profiles in pregnancy, customized medical/behavioral goals may be needed to enhance compliance and optimize perinatal outcome.
本研究旨在回答以下问题：强化糖尿病管理如何影响患者的情绪状态？血糖控制水平与情绪状态之间是否存在关联？哪些因素区分了孕前糖尿病女性与新诊断的妊娠期糖尿病女性的情绪状态？
对新诊断的妊娠期糖尿病（GDM）、孕前糖尿病（PGDM）女性及非糖尿病对照组女性进行二次分析。糖尿病患者采用强化治疗方法。所有参与者均对一份测量双相主观情绪状态的问卷做出回应。分析糖尿病类型、孕期血糖特征与情绪之间的关系。
GDM女性（与对照组相当）的情绪状态与血糖控制水平显著相关。PGDM女性不受血糖控制水平或糖尿病类别影响。血糖测定次数、婚姻状况和产妇年龄与GDM女性的情绪状态相关。
由于GDM和PGDM女性在孕期呈现不同的情绪状态，可能需要定制医疗/行为目标以提高依从性并优化围产期结局。
