Langer N, Langer O
University of the Incarnate Word, San Antonio, Texas 78209, USA.
J Matern Fetal Med. 1998 Nov-Dec;7(6):257-63. doi: 10.1002/(SICI)1520-6661(199811/12)7:6<257::AID-MFM1>3.0.CO;2-H.
Due to the paucity of information regarding the emotional status of pregnant diabetic women, we sought to determine the impact of pre-existing diabetes on the relation between the level of glycemic control and emotional well-being during pregnancy. English-speaking women with pre-existing diabetes mellitus (N = 100) and nondiabetic controls (N = 132) were compared for maternal characteristics and test results on the Profile of Mood States-Bipolar form. It is a 72-item, self-administered Likert scale measuring six bipolar subjective mood states representing both positive and negative aspects. Patients were stratified according to level of glycemic control. The number of glucose determinations were categorized as: mild and severe hypoglycemia and hyperglycemia, and normoglycemia. An Average Mood Disturbance score was calculated to measure the level of association between the total psychological profile and categories of glucose determinations. In two of the six subscales (hostility and anxiety) of the Profile of Mood States, significantly lower scores indicating greater hostility and anxiety were found in the diabetic group. The level of glycemic control was not adversely associated with the emotional state of pre-existing diabetic pregnant women. The psychological profile was not associated with the severity of the disease as reflected by the diabetes classification. Pregnant women with pre-existing diabetes display greater anxiety and hostility in comparison to nondiabetic women with no association to level of glycemic control. This issue should be addressed in the medical and psychosocial health assessment of these women.
由于关于妊娠糖尿病女性情绪状态的信息匮乏，我们试图确定孕前糖尿病对孕期血糖控制水平与情绪健康之间关系的影响。对患有孕前糖尿病的英语母语女性（N = 100）和非糖尿病对照组（N = 132）的母亲特征及情绪状态剖面图-双相形式的测试结果进行了比较。它是一个72项的自填式李克特量表，用于测量代表正负两方面的六种双相主观情绪状态。患者根据血糖控制水平进行分层。血糖测定次数分为：轻度和重度低血糖、高血糖以及血糖正常。计算平均情绪障碍得分以衡量总体心理状况与血糖测定类别之间的关联程度。在情绪状态剖面图的六个子量表中的两个（敌意和焦虑）中，糖尿病组的得分显著更低，表明敌意和焦虑程度更高。血糖控制水平与孕前糖尿病孕妇的情绪状态无不良关联。心理状况与糖尿病分类所反映的疾病严重程度无关。与非糖尿病女性相比，患有孕前糖尿病的孕妇表现出更大的焦虑和敌意，且与血糖控制水平无关。在对这些女性进行医学和心理社会健康评估时应解决这个问题。
