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

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The study examined the mediating effects of pregnancy-related anxiety and hope on the relationship between family function and decision-making in gestational diabetes.
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A sample of 245 gestational diabetes patients was surveyed at three gestational time points to assess family function, anxiety, hope, and decision-making behaviors.
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Cross-lagged analysis indicated that family function at T1 predicted pregnancy-related anxiety, hope, and behavioral decision-making at T2.
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Pregnancy-related anxiety at T2 negatively influenced behavioral decision-making, while hope at T2 positively influenced it.
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The findings suggest the importance of family-centered interventions to enhance self-management and improve outcomes for patients with gestational diabetes.

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