The psychological component of the gestational dominant of patients with gestational diabetes mellitus

• Nadezhda M. Startseva
• Svetlana A. Bannikova
• Olga D. Rudneva
• Ekaterina V. Mukovnikova

Abstract

The incidence of diabetes mellitus, including in women of reproductive age, has increased significantly in the XXI century. An important contribution to the prevalence of diabetes mellitus is made by gestational diabetes mellitus (GDM), the frequency of which reaches 84.2% among all types of hyperglycemia during pregnancy. In order to improve the compliance of patients with GSD, optimize the treatment process and delivery, the need to study their psychological portrait is beyond doubt.

The aim of this study is to determine the frequency of the optimal type of psychological component of the dominant pregnancy (PCDP) in patients with GDM and its determining factors to optimize pregnancy outcomes.

Results. Patients with GSD had low compliance and were not committed to treatment. The frequency of the optimal PCDB was inversely dependent on the parity and decreased as it increased. Disorders of fat metabolism had a statistically significant effect on PCDP: with a BMI of more than 40 kg/m², the frequency of the optimal type of PCDP decreased by 3.3 times in comparison with patients with normal body weight.

Keywords:gestational diabetes mellitus; psychological component of the dominant pregnancy; obesity

REFERENCES

1. Karuranga S., Malanda B., Saeedi P. (eds). IDF Diabetes Atlas. 10th ed. Brussels, Belgium: International Diabetes Federation, 2021: 15 р. URL: https://diabetesatlas.org

2. Papysheva O.V., Startseva N.M., Savenkova I.V., et al. The health of infants born to mothers with gestational diabetes mellitus. Doctor.Ru. 2019; 7 (162): 12-8. DOI: https://doi.org/10.31550/1727-2378-2019-162-7-12-18 (in Russian)

3. Yankina S.V., Shatrova N.V., Berstneva S.V., et al. Pregnancy course and outcome peculiarities in women with gestational diabetes mellitus. Rossiyskiy mediko-biologicheskiy vestnik imeni akademika I.P. Pavlova [Russian Medical and Biological Bulletin named after academician I.P. Pavlov]. 2018; 26 (1): 96-105. DOI: https://doi.org/10.23888/PAVLOVJ2018196-105 (in Russian)

4. Dobryakov I.V., Prokhorov V.N., Prokhorova O.V. Psychological diagnostics in perinatal psychology. In: Diagnostics in Medical (Clinical) Psychology: Current State and Prospects. Collective Monograph. Moscow: Sam Polygraphist, 2016: 118-32. (in Russian)

5. Algorithms of specialized medical care for patients with diabetes mellitus. In: I.I. Dedov, M.V. Shestakova, A.Yu. Mayorov (eds). 10th ed. Moscow, 2021. (in Russian)

6. Gestational diabetes mellitus: diagnosis, treatment, postpartum care. Clinical guidelines (protocol). Moscow, 2014: 18 р. (Approved by the Ministry of Health of the Russian Federation dated December 17, 2013 No. 15-4/10/2-9478.) (in Rus- sian)

7. Dobryakov I.V. Perinatal psychology. Saint Petersburg: Piter, 2010: 97-103. ISBN 978-5-49807-191-6. (in Russian)

8. Myasishchev V.N., Golikov N.V. Theory of relations and the principle of dominance in the psychophysiological activity of a person. In: Myasishchev V.N. Psychology of Relations. Selected Psychological Works. Moscow: Institut praktichrskoy psichologii; Voronezh: MODEK, 1995. (in Russian)

9. Eydemiller E.G., Dobryakov I.V., Nikol’skaya I.M. Family diagnosis and family psychotherapy. Textbook for doctors and psychologists. 2^nd ed., rev. and additional. Saint Petersburg: Rech’, 2006: 352 p. (in Russian)

10. Filippova G.G. Psychology of motherhood: textbook. Manual for academic bachelor's degree. 2^nd ed., rev. and additional. Moscow: Yurayt, 2020: 3-10. (in Russian)

11. Reichelt A.J., Weinert L.S., Mastella L.S., Gnielka V., et al. Clinical characteristics of women with gestational diabetes - comparison of two cohorts enrolled 20 ears apart in southern Brazil. Sao Paulo Med. 2017; 135 (4): 376-82. DOI: https://doi.org/10.1590/1516-3180.2016.0332190317

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