Evidence map›Paper›PMID 41257636›Full record

Trial reportBMC psychiatry2025

The effect of mental health-based self-care model counseling on anxiety and depression in women with gestational diabetes: a randomized clinical trial.

Mahboubeh Daraie, Hajar Adib-Rad, Fatemeh Nasiri-Amiri, Mahbobeh Faramarzi, Hemmat Gholinia, Satinik Darzi

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Mahboubeh DaraieStudent Research Committee, Master's student in midwifery counseling, School of Nursing and Midwifery, Babol University of Medical Sciences, Babol, Iran.
Hajar Adib-RadSocial Determinants of Health Research Center, Health Research Institute, Department of Nursing and Midwifery, Babol University of Medical Sciences, Babol, Iran. AdibRad2015@gmail.com.ORCID 0000-0002-9813-8141
Fatemeh Nasiri-AmiriSocial Determinants of Health Research Center, Health Research Institute, Department of Nursing and Midwifery, Babol University of Medical Sciences, Babol, Iran.
Mahbobeh FaramarziSocial Determinants of Health Research Center, Health Research Institute, Department of Nursing and Midwifery, Babol University of Medical Sciences, Babol, Iran.
Hemmat GholiniaClinical Research Development Unite of Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran.
Satinik DarziAbnormal Uterine Bleeding Research Center, Semnan University of Medical Sciences, Semnan, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnxiety and depression caused by gestational diabetes can lead to adverse outcomes for both the mother and the baby. Mental health self-care counseling focusing on awareness, recognition, and coping strategies can play a protective role. This study aimed to determine the effect of a mental health-based self-care counseling model on anxiety and depression in women with Gestational Diabetes Mellitus (GDM).

methodsThis randomized clinical trial was conducted from June 2023 to May 2024 on 84 pregnant women with gestational diabetes at Amir al-Momenin Hospital in Semnan. After block randomization, the women were divided into a self-care mental health counseling group (42 participants) and a control group (42 participants). The intervention group received six individual weekly sessions (30-45 min each) of computer-linked self-care mental health counseling. Data were collected before, immediately after, one month after the intervention, and six weeks after delivery using the questionnaires including demographic and reproductive, Hospital Anxiety and Depression Scale (HADS), health behavior during Pregnancy, mental health self-care, and gestational diabetes self-efficacy.

resultsThe study results showed that the mean (standard deviation) anxiety scores in the intervention and control groups were 6.85 (2.11) and 7.31 (2.26) before the intervention, 4.02 (1.78) and 7.49 (1.73) at the end of the intervention, 3.88 (1.56) and 7.13 (1.36) one month after the intervention, and 2.07 (1.14) and 4.14 (1.16) six weeks after delivery (p < 0.001, η² = 0.56), respectively. For depression scores, the two groups had means of 6.03 (2.15) and 6.10 (1.71) before the intervention, 4.07 (1.20) and 5.82 (1.88) at the end of the intervention, 3.62 (1.12) and 5.82 (1.35) one month after the intervention, and 5.15 (1.25) and 8.62 (1.62) six weeks after delivery (p < 0.001, η² = 0.60). Compared to the control group, intervention group showed a significant reduction in mean anxiety and depression scores at all three follow-ups after the intervention. Additionally, the mean scores for health-promoting behaviors, mental health self-care, and self-efficacy increased significantly more in the intervention group. Based on linear regression analysis, mental health self-care was the strongest predictor of reduced anxiety and depression (β = -0.393, p < 0.001).

conclusionMental health-based self-care counseling is effective in reducing anxiety and depression, as well as promoting health behaviors, self-efficacy, and mental health self-care in women with gestational diabetes. Therefore, it is recommended as a valuable strategy for managing the complications of gestational diabetes.

trial registrationIRCT20230130057274N1. Date of registration: 2024-08-06.

Indexed as

AnxietyCounselingDepressionDiabetes, GestationalSelf CareAdultFemaleHumansPregnancySelf EfficacyAnxietyDepressionGestational diabetesSelf-care counselingSelf-efficacy

Identifiers

PMID41257636
PMCPMC12659043

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.