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Journal of Diabetes Research - Volume 2017 2017, Article ID 7341893, 6 pages -

Research Article

Postgraduate Program in Epidemiology, School of Medicine, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil

Postgraduate Program in Physical Education, Superior School of Physical Education, Federal University of Pelotas, Pelotas, RS, Brazil

Integrated Center for Diabetes and Hypertension, Ceará State Health Department, Fortaleza, CE, Brazil

School of Medicine, Unichristus University Center, Fortaleza, CE, Brazil

Correspondence should be addressed to Maria Angélica Nunes

Received 26 December 2016; Revised 6 April 2017; Accepted 10 May 2017; Published 8 June 2017

Academic Editor: Basilio Pintaudi

Copyright © 2017 Patrícia Damé et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


This study aimed to assess the frequency and severity of depressive symptoms and their relationship with sociodemographic characteristics in women with gestational diabetes mellitus GDM who participated in the LINDA-Brazil study. We conducted cross-sectional analyses of 820 women with GDM who were receiving prenatal care in the public health system. We conducted structured interviews to obtain clinical and sociodemographic information and applied the Edinburgh Postnatal Depression Scale EPDS to assess depressive symptoms. We classified the presence and severity of depressive symptoms using scores of ≥12 and ≥18, respectively. We used Poisson regression to estimate prevalence ratios PR. Most of the women lived with a partner 88%, 50% were between 30 and 39 years old, 39% had finished high school, 39% had a family income of 1-2 minimum wages, and 47% were obese before their pregnancies. The presence of depressive symptoms was observed in 31% of the women, and severe depressive symptoms were observed in 10%; 8.3% reported self-harm intent. Lower parity and higher educational levels were associated with lower EPDS score. Depressive symptoms were common and frequently severe among women with GDM, indicating the need to consider this situation when treating such women, especially those who are more socially vulnerable. This trial is registered with NCT02327286, registered on 23 December 2014.

Author: Patrícia Damé, Kadhija Cherubini, Pâmella Goveia, Geórgia Pena, Leony Galliano, Cristina Façanha, and Maria Angélica N



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