Experiences of stigma, psychological distress, and facilitative coping among pregnant people with gestational diabetes mellitus.
Experiences of stigma, psychological distress, and facilitative coping among pregnant people with gestational diabetes mellitus.
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DOI：
10.1186/s12884-023-05949-z
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发表时间：
2023-09-07
影响因子：
3.1
通讯作者：
中科院分区：
文献类型：
--
作者：
妊娠糖尿病（GDM）在美国一直在上升，它对孕妇及其婴儿构成重大的健康风险。先前的研究表明，GDM患者也会经历普遍的压力和心理健康问题，这可能进一步导致血糖调节困难。与GDM相关的污名化可能会导致这些心理健康挑战，但目前缺乏对GDM相关污名化、其对心理健康的影响以及有效应对机制的重点研究。因此，本质性研究的目的是了解个人的经验，GDM的耻辱，心理健康和促进应对。深入，半结构化的采访进行了14个人与当前或最近（在过去一年内）诊断GDM。数据分析采用主题分析法。数据分析得出四个主题：（1）远端GDM污名的经历，包括污名化的提供者互动，来自非医疗空间的污名，以及污名与体重的交叉，（2）内化的GDM污名，如羞耻，内疚和自责，（3）心理困扰，包括压力和压倒，过度担忧和恐惧，孤独和孤立的经历，（4）促进性应对机制，包括接受诊断、网络社区、积极参与GDM管理、社会和家庭支持、独处时间。研究结果表明，GDM的耻辱与GDM患者的心理健康和需要解决GDM的耻辱和心理健康在这一人群的相关性。干预措施，可以减少GDM的耻辱，改善心理健康，并加强积极应对可能有助于成功的GDM管理和健康的分娩结果。未来的定量，理论驱动的研究是必要的，以了解GDM耻辱的经验和机制，在目前的研究中确定的流行，以及在边缘化人群（例如，有色人种、性和性别少数群体）。
Gestational diabetes mellitus (GDM) has been rising in the United States, and it poses significant health risks to pregnant individuals and their infants. Prior research has shown that individuals with GDM also experience prevalent stress and mental health issues, which can further contribute to glucose regulation difficulties. Stigma associated with GDM may contribute to these mental health challenges, yet there is a lack of focused research on GDM-related stigma, its impact on psychological health, and effective coping mechanisms. Thus, this qualitative study aims to understand individuals’ experiences related to GDM stigma, mental health, and facilitative coping. In-depth, semi-structured interviews were conducted with 14 individuals with a current or recent (within the last year) diagnosis of GDM. Thematic analysis was employed to guide data analysis. Four themes emerged from data analysis: (1) experience of distal GDM stigma including stigmatizing provider interactions, stigma from non-medical spaces, and intersecting stigma with weight, (2) internalized GDM stigma, such as shame, guilt, and self-blame, (3) psychological distress, which included experiences of stress and overwhelm, excessive worry and fear, and loneliness and isolation, and (4) facilitative coping mechanisms, which included diagnosis acceptance, internet-based GDM community, active participation in GDM management, social and familial support, and time for oneself. Findings demonstrate the relevance of GDM stigma in mental health among people with GDM and the need for addressing GDM stigma and psychological health in this population. Interventions that can reduce GDM stigma, improve psychological wellness, and enhance positive coping may facilitate successful GDM management and healthy birth outcomes. Future quantitative, theory-driven research is needed to understand the prevalence of GDM stigma experiences and mechanisms identified in the current study, as well as among marginalized populations (e.g., individuals of color, sexual and gender minorities).
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DOI：
10.1111/1471-0528.14236
发表时间：
2017-04
期刊：
BJOG : an international journal of obstetrics and gynaecology
影响因子：
--
作者：
Lavery JA;Friedman AM;Keyes KM;Wright JD;Ananth CV
通讯作者：
Ananth CV
影响因子：
3.8
作者：
Hui, Amy Leung;Sevenhuysen, Gustaaf;Salamon, Elizabeth
通讯作者：
Salamon, Elizabeth
影响因子：
4.5
作者：
Ertel, Karen A.;Silveira, Marushka;Chasan-Taber, Lisa
通讯作者：
Chasan-Taber, Lisa
DOI：
10.1111/j.1447-0756.2011.01659.x
发表时间：
2012-01-01
影响因子：
1.6
作者：
Gorgal, Rosario;Goncalves, Elisabete;Montenegro, Nuno
通讯作者：
Montenegro, Nuno
DOI：
10.1111/j.1479-828x.2007.00743.x
发表时间：
2007-08-01
影响因子：
1.7
作者：
Dodd, Jodie M.;Crowther, Caroline A.;Robinson, Jeffrey S.
通讯作者：
Robinson, Jeffrey S.