Abstract
Please note that the abstract published in the October Supplement has been replaced with the one below. The statistics have been updated to reflect the final sample size. In addition, additional statistics have been added looking at the association between distress and self-efficacy. The authors would like to apologize for the inconvenience. 217 Examining the Prevalence of Diabetes-Related Distress During Pregnancy HOLLY TSCHIRHART MENEZES *Presenting author*Presenting author, DIANA SHERIFALI, BARBARA BRENNAN, MARILYNNE OSKAMP, JENNIFER YOST, JANET LANDEEN, KARA NERENBERG Hamilton, ON Background: Diabetes-related distress (DRD) is a measure of the emotional burden associated with managing diabetes. Women with diabetes may be at a high risk to experience distress-related distress during pregnancy, however the true burden of this problem has not been well-established. One recent study found 24.3% of women with type 1 diabetes from their cohort reported DRD in the first trimester of pregnancy. The aim of this study was to examine the prevalence of DRD in patients with pre-existing diabetes in pregnancy. Methods: This cross-sectional study was conducted in the Maternal Fetal Medicine Clinic at the McMaster University Medical Centre. DRD was measured using the Problem Area in Diabetes (PAID) Scale. The Edinburgh Postnatal Depression Scale (EPDS) was used to measure depressive symptoms. Self-efficacy was assessed using the Stanford Patient Education Research Centre Diabetes Self-Efficacy (DSE) Scale. Patients who were least 18 years of age, diagnosed with type 1 diabetes (T1DM) or type 2 diabetes (T2DM), and at any trimester of pregnancy were recruited. Results: 69 women (mean age 31 years; 49.3% T1DM, 50.7% T2DM; mean hemoglobin A1C 7.0%; mean gestational age 21 weeks) participated. Table 1 shows the total and between group count and percent of DRD. The mean PAID score was 26.9 and the prevalence of distress (PAID score≥40) was 21.7% for all women. Both groups reached similar distress scores (T1DM=26.0; T2DM=27.8) and there was no significant difference in rates of distress between groups (X2=0.88, p=0.35). No association was found between HbA1c and distress scores (r=0.197, p=0.11). Younger patients had higher diabetes-related distress scores (r=−0.40, p=0.001), as did women with lower self-efficacy scores (r=−0.49, p<0.00). Conclusion: The prevalence of DRD was similar to rates of distress reported in adults with diabetes. Women with T2DM showed equal amounts of distress as women with T1DM. Future work will include conducting qualitative interviews to explain the study findings of distress and explore perceptions of DRD.Tabled 1Diabetes-related Distress(PAID≥40)NoYesTotalType of DiabetesType 1Count% within DM Type2573.5%926.5%34100.0%Type 2Count% within DM Type2982.9%617.1%35100.0%TotalCount% of Total5478.3%1521.7%69100.0%X2=0.88, p=0.35 Open table in a new tab Examining the Prevalence of Diabetes-Related Distress in Women with Diabetes in PregnancyCanadian Journal of DiabetesVol. 41Issue 5PreviewBackground: Women with pre-existing diabetes may be at a greater risk for distress-related distress (DRD) during pregnancy, however the true burden of this problem has not been well-established. The aim of this study was to examine the prevalence of DRD in women with pre-existing diabetes in pregnancy. Full-Text PDF
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