The relationship between family function and behavioral decision-making in patients with gestational diabetes mellitus: a multiple mediation model and cross-lagged analysis of pregnancy-related anxiety and hope - Report - MDSpire
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The relationship between family function and behavioral decision-making in patients with gestational diabetes mellitus: a multiple mediation model and cross-lagged analysis of pregnancy-related anxiety and hope
Clinical Report: Exploring Family Dynamics and Decision-Making in GDM
Overview
This study investigates the mediating effects of pregnancy-related anxiety and hope on the relationship between family function and blood glucose management decision-making in gestational diabetes mellitus (GDM) patients.
Background
Gestational diabetes mellitus (GDM) is a prevalent condition during pregnancy that can adversely affect both maternal and infant health outcomes. Effective management of GDM relies on patients' self-management behaviors, which are influenced by psychological factors such as anxiety and hope.
Data Highlights
Variable
Effect Size (β)
p-value
T1 Family Function → T2 Pregnancy-Related Anxiety
-0.26
<0.01
T1 Family Function → T2 Hope
0.18
<0.01
T1 Family Function → T2 Behavioral Decision-Making
0.24
<0.001
T1 Pregnancy-Related Anxiety → T2 Hope
-0.11
<0.01
T2 Pregnancy-Related Anxiety → T3 Behavioral Decision-Making
-0.25
<0.001
T2 Hope → T3 Behavioral Decision-Making
0.18
<0.001
Key Findings
T1 family function significantly predicted T2 pregnancy-related anxiety (β = -0.26, p < 0.01).
T1 family function positively predicted T2 hope (β = 0.18, p < 0.01).
T2 hope positively predicted T3 behavioral decision-making (β = 0.18, p < 0.001).
Bootstrap analysis indicated significant indirect effects of T2 pregnancy-related anxiety and hope on T3 behavioral decision-making.
Clinical Implications
Consideration of family dynamics may be important when assessing and managing patients with GDM.
Conclusion
The findings highlight the importance of family-centered approaches in the management of GDM, suggesting that addressing psychological and familial factors can lead to better decision-making outcomes for patients.
