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Prenatal Depressive Symptoms, Self-Rated Health, and Diabetes Self-Efficacy: A Moderated Mediation Analysis

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Listed:
  • Sandraluz Lara-Cinisomo

    (Department of Kinesiology and Community Health, University of Illinois Urbana-Champaign, 1206 S. Fourth Street, Champaign, IL 61820, USA)

  • Julio Ricardo Loret de Mola

    (Department of Obstetrics and Gynecology, Southern Illinois University School of Medicine, 415 N. 9th St. Suite 6W100, Springfield, IL 62794, USA)

  • Kendra Flores-Carter

    (Department of Social Work, College of Behavioral and Social Sciences, California Baptist University, 8432 Magnolia Avenue, Riverside, CA 92504, USA)

  • Karen M. Tabb

    (School of Social Work, University of Illinois Urbana-Champaign, 1010 W. Nevada St., Urbana, IL 61801, USA)

  • Kristina Roloff

    (Department of Women’s Health, Arrowhead Regional Medical Center, 400 N. Pepper Avenue, Colton, CA 92324, USA)

Abstract

Background: Diabetes leads to risk for pregnant persons and their fetuses and requires behavioral changes that can be compromised by poor mental health. Poor self-rated health (SRH), a reliable predictor of morbidity and mortality, has been associated with depressive symptoms and lower self-efficacy in patients with diabetes. However, it is unclear whether SRH mediates the association between depressive symptoms and self-efficacy in pregnant patients with diabetes and whether the healthcare site moderates the mediation. Thus, we sought to test these associations in a racially and ethnically diverse sample of pregnant individuals diagnosed with diabetes from two clinical settings. Materials and methods: This was an observational, cross-sectional study of 137 pregnant individuals diagnosed with diabetes at two clinical study sites. Participants self-administered a demographic questionnaire and measures designed to assess depressive symptoms, SRH in pregnancy, and diabetes self-efficacy. A moderated mediation model tested whether these indirect effects were moderated by the site. Results: The results show that SRH mediated the association between depressive symptoms and diabetes self-efficacy. The results also showed the site moderated the mediating effect of SRH on depressive symptoms and diabetes self-efficacy. Conclusions: Understanding the role of clinical care settings can help inform when and how SRH mediates that association between prenatal depressive symptoms and self-efficacy in diabetic patients.

Suggested Citation

  • Sandraluz Lara-Cinisomo & Julio Ricardo Loret de Mola & Kendra Flores-Carter & Karen M. Tabb & Kristina Roloff, 2022. "Prenatal Depressive Symptoms, Self-Rated Health, and Diabetes Self-Efficacy: A Moderated Mediation Analysis," IJERPH, MDPI, vol. 19(20), pages 1-11, October.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:20:p:13603-:d:948082
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    References listed on IDEAS

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    1. Jonathan Klick & Thomas Stratmann, 2007. "Diabetes Treatments and Moral Hazard," Journal of Law and Economics, University of Chicago Press, vol. 50(3), pages 519-538.
    2. Nompumelelo Malaza & Matladi Masete & Sumaiya Adam & Stephanie Dias & Thembeka Nyawo & Carmen Pheiffer, 2022. "A Systematic Review to Compare Adverse Pregnancy Outcomes in Women with Pregestational Diabetes and Gestational Diabetes," IJERPH, MDPI, vol. 19(17), pages 1-15, August.
    3. Janeth Juarez Padilla & Chelsea R. Singleton & Cort A. Pedersen & Sandraluz Lara-Cinisomo, 2022. "Associations between Self-Rated Health and Perinatal Depressive and Anxiety Symptoms among Latina Women," IJERPH, MDPI, vol. 19(19), pages 1-13, September.
    4. Urbano L França & Michael L McManus, 2018. "Frequency, trends, and antecedents of severe maternal depression after three million U.S. births," PLOS ONE, Public Library of Science, vol. 13(2), pages 1-13, February.
    5. Thubasni Kunasegaran & Vinod R. M. T. Balasubramaniam & Valliammai Jayanthi Thirunavuk Arasoo & Uma Devi Palanisamy & Amutha Ramadas, 2021. "Gestational Diabetes Mellitus in Southeast Asia: A Scoping Review," IJERPH, MDPI, vol. 18(3), pages 1-21, January.
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