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Do depression, anxiety, emotional intelligence, and sleep quality affect diabetes management self-efficacy in Korean women with gestational diabetes in pregnancy?: a descriptive correlational study

  • Lee, Hoon Ah (College of Nursing, Graduate School, Chonnam National University) ;
  • Jang, Keum Seong (College of Nursing, Chonnam National University)
  • Received : 2021.08.11
  • Accepted : 2021.11.27
  • Published : 2021.12.31

Abstract

Purpose: This study aimed to identify factors associated with diabetes management self-efficacy in pregnant women with gestational diabetes mellitus (GDM) in Korea. Methods: A total of 173 pregnant women with GDM in Korea were recruited by posting announcements at two Korean online communities focusing on pregnancy and GDM. Participants completed a structured online survey from July to September 2018. Thirteen inappropriate responses were excluded and a total of 160 questionnaires were used in the final analysis. Descriptive statistics were calculated and multiple regression with the enter method was done to identify the associations of depressive mood, anxiety, emotional intelligence, and sleep quality with diabetes management self-efficacy. Results: Respondents reported a moderately depressive mood (mean, 10.36), low to moderate anxiety (mean, 41.65), above-average emotional intelligence (mean, 78.04), moderate sleep quality (mean, 42.01), and above-average diabetes management self-efficacy (mean, 52.29). The major factor associated with diabetes management self-efficacy of pregnant women with GDM was emotional intelligence (β=.51, p<.001). Other factors, in descending order of influence, were sleep quality (β=.22, p<.001) and exercise (β=.18, p=.004). Taken together, the aforementioned factors explained 34.6% (F=39.53, p<.001) of the total variance. Conclusion: The results of this study suggest that to improve the diabetes management self-efficacy of pregnant women with GDM, it is necessary to develop an education program that can also enhance emotional intelligence, sleep quality, and exercise.

Keywords

References

  1. American Diabetes Association. Classification and diagnosis of diabetes: standards of medical care in diabetes-2020. Diabetes Care. 2020;43(Suppl 1):S14-S31. https://doi.org/10.2337/dc20-S002
  2. Shah NS, Wang MC, Freaney PM, Perak AM, Carnethon MR, Kandula NR, et al. Trends in gestational diabetes at first live birth by race and ethnicity in the US, 2011-2019. JAMA. 2021;326(7):660-669. https://doi.org/10.1001/jama.2021.7217
  3. Dennison RA, Chen ES, Green ME, Legard C, Kotecha D, Farmer G, et al. The absolute and relative risk of type 2 diabetes after gestational diabetes: a systematic review and meta-analysis of 129 studies. Diabetes Res Clin Pract. 2021;171:108625. https://doi.org/10.1016/j.diabres.2020
  4. Cardwell MS. Improving medical adherence in women with gestational diabetes through self-efficacy. Clin Diabetes. 2013;31(3):110-5. https://doi.org/10.2337/diaclin.31.3.110
  5. Badescu SV, Tataru C, Kobylinska L, Georgescu EL, Zahiu DM, Zagrean AM, et al. The association between diabetes mellitus and depression. J Med Life. 2016;9(2):120-125.
  6. Hjelm K, Berntorp K, Frid A, Aberg A, Apelqvist J. Beliefs about health and illness in women managed for gestational diabetes in two organisations. Midwifery. 2008;24(2):168-182. https://doi.org/10.1016/j.midw.2006.12.008
  7. Goldman SL, Kraemer DT, Salovey P. Beliefs about mood moderate the relationship of stress to illness and symptom reporting. J Psychosom Res. 1996;41(2):115-128. https://doi.org/10.1016/0022-3999(96)00119-5
  8. Zysberg L, Bar Yoseph T, Goldman M. Emotional intelligence and glycemic management among type I diabetes patients. J Health Psychol. 2017;22(2):158-163. https://doi.org/10.1177/1359105315596373
  9. Lee J, Kwon J. The effects of worry and emotional regulation on sleep and fatigue. Korean J Clin Psychol. 2008;27(1):1-14. https://doi.org/10.15842/kjcp.2008.27.1.001
  10. Zhang X, Zhang R, Cheng L, Wang Y, Ding X, Fu J, et al. The effect of sleep impairment on gestational diabetes mellitus: a systematic review and meta-analysis of cohort studies. Sleep Med. 2020;74:267-277. https://doi.org/10.1016/j.sleep.2020.05.014
  11. Joo EY. Sleep and diabetes. J Korean Diabetes. 2016;17(3):155-158. https://doi.org/10.4093/jkd.2016.17.3.155
  12. Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale, NJ: Lawrence Erlbaum Associates; 1988.
  13. Lee SM, Park HJ. Relationship among emotional clarity, maternal identity, and fetal attachment in pregnant women with gestational diabetes mellitus. Korean J Women Health Nurs. 2017;23(2):99-108. https://doi.org/10.4069/kjwhn.2017.23.2.99
  14. Yeom YS. Diabetic support groups on knowledge of diabetes, self-efficacy, self-care behavior, and glycemic control of type 2 diabetics [master's thesis]. Seoul: Soonchunhyang University; 2010. 64 p.
  15. Stanford Patient Education Research Center. Self-efficacy for diabetes [Internet]. Palo Alto, CA: Author; 2009 [cited 2018 Mar 25]. Available from: https://www.slu.edu/medicine/family-medicine/pdfs/diabetes-management-selfefficacy-scale.pdf
  16. Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry. 1987;150:782-786. https://doi.org/10.1192/bjp.150.6.782
  17. Han K, Kim M, Park J. The Edinburgh postnatal depression scale, Korean version: reliability and validity. J Korean Soc Biol Ther Psychiatry. 2004;10(2):201-207.
  18. Spielberger CD. Anxiety as an emotional state. Anxiety-Current trends and theory. Spielberger CD. Anxiety as an emotional state. In: Spielberger CD, editor. Anxiety: current trends in theory and research. New York (NY): Academic Press; 1972. p. 3-20.
  19. Han DW, Lee CH, Tack JK. Standardization of the Spielberger State-Trait Anxiety Inventory. In: Korean Psychological Association. Proceedings of the Annual Conference of the Korean Psychological Association. Seoul: Korean Psychological Association; 1993. p. 505-512.
  20. Wong CS, Law KS. The effects of leader and follower emotional intelligence on performance and attitude: an exploratory study. Leadersh Q. 2002;13(3):243-274. https://doi.org/10.1016/S1048-9843(02)00099-1
  21. Jung HW. An empirical study on the effect of emotional intelligence on organizational effectiveness [dissertation]. Pusan: Pusan National University; 2007. 181 p.
  22. Snyder-Halpern R, Verran JA. Instrumentation to describe subjective sleep characteristics in healthy subjects. Res Nurs Health. 1987;10(3):155-163. https://doi.org/10.1002/nur.4770100307
  23. Kim KS, Kang JE. The effect of preparatory audiovisual information with videotape influencing on sleep and anxiety of abdominal surgical patients. J Korean Acad Fundam Nurs. 1994;1(1):19-35.
  24. Jeong H. A predictive model for self-management behavior in pregnant women with gestational diabetes mellitus [dissertation]. Seoul: Ewha Womans University; 2018. 155 p.
  25. Beka Q, Bowker SL, Savu A, Kingston D, Johnson JA, Kaul P. History of mood or anxiety disorders and risk of gestational diabetes mellitus in a population-based cohort. Diabet Med. 2018;35(1):147-151. https://doi.org/10.1111/dme.13543
  26. Hui AL, Sevenhuysen G, Harvey D, Salamon E. Stress and anxiety in women with gestational diabetes during dietary management. Diabetes Educ. 2014;40(5):668-677. https://doi.org/10.1177/0145721714535991
  27. Byrn M, Penckofer S. The relationship between gestational diabetes and antenatal depression. J Obstet Gynecol Neonatal Nurs. 2015;44(2):246-255. https://doi.org/10.1111/1552-6909.12554
  28. Bae Y, Park CU. A study on the effects of internet use on social relation and depression of single-person household: a focus on the comparison between single-person and multi-person households. Surv Res. 2015;16(3):141-171.
  29. Hwang IM, Hur MH. A descriptive survey study of stress, depression, fatigue & sleep quality in gestational diabetes mellitus and normal pregnancy. J Korea Converg Soc. 2021;12(8):369-379. https://doi.org/10.15207/JKCS.2021.12.8.369
  30. Jeon YK, Kim HJ, Yang MY, Jung DY, Yoon KY, Noh GO. Effects of a postnatal care program on self-efficacy, self-management, and glycemic control in women with gestational diabetes mellitus. Korean J Women Health Nurs. 2018;24(4):367-378. https://doi.org/10.4069/kjwhn.2018.24.4.367