Pre and post test HAMA scores in women undergoing oral glucose challenge test

Dragan Savković ,
Dragan Savković
Tatjana Perović ,
Tatjana Perović
Eliana Garalejić ,
Eliana Garalejić
Biljana Arsić ,
Biljana Arsić
Milan Perović ,
Milan Perović
Miroslava Gojnić-Dugalić ,
Miroslava Gojnić-Dugalić
Uroš Babić Orcid logo
Uroš Babić

Published: 01.12.2012.

Biochemistry

Volume 29, Issue 2 (2013)

pp. 852-855;

https://doi.org/10.5937/matmed1302852s

Abstract

The 50-gram non-fasting one hour Glucose Challenge Test (GCT) is today the one most widely implemented as a screening test for Gestational Diabetes Mellitus (GDM). Positive result of GCT creates a preliminary GDM diagnosis. Diagnosis of GDM labels a pregnancy high risk. Any highrisk pregnancy can cause maternal anxiety. The aim of the study was to investigate pretest and posttest anxiety levels in pregnant women undergoing GCT. Anxiety levels were evaluated by Hamilton Rating Scale for Anxiety (HAMA score). Pretest HAMA score was 7.1±3.34 in the women with preliminary GDM diagnosis, and 6.69±5.51 in the women with negative GCT results. After delivering GCT results, HAMA score was 8.64 ± 8.10 in the women with preliminary GDM diagnosis and 4.29±2.29 in the women without preliminary GDM diagnosis. Pretest levels of anxiety among all pregnant women undergoing GCT were increased. However, this was temporary in women with negative GCT, whose anxiety levels decreased after delivering GCT results. Among women preliminary diagnosed with GDM, posttest HAMA evaluation revealed sustained increased levels of anxiety. Concerns regarding the anxiety caused by screening for GDM were confirmed by the results of our study

Keywords

References

1.
Perović M, Garalejić E, Gojnić M, Arsić B, Pantić I, Bojović J, et al. Sensitivity and specificity of ultrasonography as a screening tool for gestational Diabetes Mellitus. The Journal of Maternal-Fetal & Neonatal Medicine. 2012;(8):1348–53.
2.
Gestational diabetes mellitus. Diabetes Care. 2003;(Suppl 1):103–5.
3.
Ross L, Mclean L. Anxiety Disorders During Pregnancy and the Postpartum Period: A Systematic Review. J Clin Psychiatry. 2006;127–30.
4.
Hamilton M. The assessment of anxiety states by rating. The British Journal of Medical Psychology. 1959;50–5.
5.
Matthey S. Detection and treatment of postnatal depression (perinatal depression or anxiety). Curr Opin Psychiatry. 2004;21–9.
6.
Sandman C, Wadhwa P, Dunkel-Schetter C. Psychobiological influences of stress and HPA regulation on the human fetus and infant birth outcomes. Ann N Y Acad Sci. 1994;198–210.
7.
Wadhwa P, Sandman C, Porto M. The association between prenatal stress and infant birth weight and gestational age at birth: a prospective investigation. Am J Obstet Gynecol. 1993;858–65.
8.
Copper R, Goldenberg R, Das A. The preterm prediction study: maternal stress is associated with spontaneous preterm birth at less than thirty-five weeks’ gestation. National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network. Am J Obstet Gynecol. 1996;1286–92.
9.
Mancuso A, Vivo D, Fanara A, Settineri G, Giacobbe S, Pizzo A, et al. Emotional state and dreams in pregnant women. Psychiatry Research. 2008;380–6.
10.
Kerbel D, Glazier R, Holzapfel S, Yeung M, Lofsky S. Adverse effects of screening for gestational diabetes: a prospective cohort study in Toronto. Canada J Med Screening. 1997;128–32.
11.
Geller P. Pregnancy as a Stressful Life Event. CNS Spectrums. 2004;188–97.
12.
Daniells S, Grenyer B, Davis W, Coleman C, Burges J, Moses R. Gestational Diabetes Mellitus: Is a diagnosis associated with an increase in maternal anxiety and stress in the short and intermediate term? Diabetes Care. 2003;385–9.
13.
Spirito A, Williams C, Ruggerio L, Bond A, Mcgarvey S, Coustan D. Psychological impact of the diagnosis of gestational diabetes. Obstet Gynecol. 1989;562–6.
14.
Griffiths R, Rodgers D, Moses R. Patients’ attitudes towards screening for gestational diabetes mellitus in the Illawarra Area. Diabetes Care. 1993;506–8.

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