Authors: Atraki S, Bensbaa S, Haraj NE, El Aziz S, Chadli A.
Background and Objective: Diabetes is associated with an increased risk of depressive and anxiety disorders. During pregnancy, this risk is higher considering the physiological and psychological changes that occur in this condition. Our objective was to assess the prevalence and identify the factors contributing to the increase of these disorders in this population.
Methods: We conducted a descriptive prospective study that included 100 diabetic pregnant women followed in our department (January 2017-March 2018). Based on the Hamilton Anxiety Scale and the Beck Depression Scale in their Arabic version.
Statistical analysis: SPSS software.
Results: 32% of our patients had gestational diabetes (GDM), 68% pregestational diabetes. Mean glycated hemoglobin (HbA1c) was 8.5%. Anxiety was objectified in 65% of the patients, the depression was found in 30%. Anxiety was significantly associated with GDM, with a history of maternal or fetal complications of pregnancy, low socio-economic status, and insulin therapy (p <0.001). Depression was significantly associated with Type 1 diabetes (p <0.001).
Discussion: Our study has demonstrated a high incidence of depressive and anxiety disorders in women with diabetic pregnancy, hence the need for systematic screening and management of this condition.
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