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 - Summary - MDSpire

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

  • By

  • Rui Li

  • Jing Peng

  • Yun Miao

  • Qinhui Yu

  • Hong Song

  • June 17, 2026

  • 0 min

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Objective:

To explore the chain mediating effect and cross-lagged associations between pregnancy-related anxiety and hope in the relationship between family function and blood glucose management behavioral decision-making among patients with gestational diabetes mellitus.

Approach:
    Key Findings:
    • T1 family function significantly predicted T2 pregnancy-related anxiety, hope, and behavioral decision-making.
    • T1 pregnancy-related anxiety negatively predicted T2 hope and behavioral decision-making.
    • T2 family function positively predicted T3 hope, while T2 pregnancy-related anxiety negatively predicted T3 behavioral decision-making.
    • T2 hope positively predicted T3 behavioral decision-making.
    • Bootstrap analysis showed significant indirect effects of T2 pregnancy-related anxiety and hope on T3 behavioral decision-making.
    Interpretation:

    Limitations:
    • The study relied on self-reported measures, which may introduce bias.
    • The sample was drawn from a single hospital, limiting generalizability.
    Conclusion:

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