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Maternal anxiety about a child's diabetes risk in the TEDDY study: the potential role of life stress, postpartum depression, and risk perception

Roth, Roswith; Lynch, Kristian; Lernmark, Barbro LU ; Baxter, Judy; Simell, Tuula; Smith, Laura; Swartling, Ulrica LU ; Ziegler, Anette-G and Johnson, Suzanne B. (2015) In Pediatric Diabetes 16(4). p.287-298
Abstract
ObjectiveTo understand the association between life stress, postpartum depression (PD), maternal perception of her child's risk for type 1 diabetes (T1D) and a mother's anxiety about her child's T1D risk in mothers of genetically at risk children in The Environmental Determinants of Diabetes in the Young (TEDDY) study. MethodsA short form of the state component (SAI) of the State-Trait Anxiety Inventory, negative life events (LE), the Edinburgh Postnatal Depression Scale (EPDS), and one question about the child's risk of developing T1D risk perceptions (RP) were given to mothers at the 6-month TEDDY clinic visit. The relationship between the four measures was modeled using multiple regressions. ResultsControlling for sociodemographic... (More)
ObjectiveTo understand the association between life stress, postpartum depression (PD), maternal perception of her child's risk for type 1 diabetes (T1D) and a mother's anxiety about her child's T1D risk in mothers of genetically at risk children in The Environmental Determinants of Diabetes in the Young (TEDDY) study. MethodsA short form of the state component (SAI) of the State-Trait Anxiety Inventory, negative life events (LE), the Edinburgh Postnatal Depression Scale (EPDS), and one question about the child's risk of developing T1D risk perceptions (RP) were given to mothers at the 6-month TEDDY clinic visit. The relationship between the four measures was modeled using multiple regressions. ResultsControlling for sociodemographic factors, significant country differences in SAI, LE, EPDS, and RP emerged. LE - particularly interpersonal LE - had a strong association to maternal anxiety about the baby's risk of diabetes. Both evidence of PD and accurate risk perceptions (RPs) about the child's T1D risk were associated with increased maternal anxiety about the child's T1D risk. ConclusionHeightened maternal anxiety in response to the news that a child is at increased risk for T1D is common. Mothers who have experienced recent negative LE, who experience PD and who accurately understand their child's risk may be particularly vulnerable to high levels of anxiety. The findings reported here need to be confirmed in future prospective studies. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
anxiety about baby's diabetes risk, negative life events, postpartum, depression, risk perception, type 1 diabetes
in
Pediatric Diabetes
volume
16
issue
4
pages
287 - 298
publisher
Wiley-Blackwell
external identifiers
  • wos:000354123300007
  • scopus:84928826304
ISSN
1399-543X
DOI
10.1111/pedi.12168
language
English
LU publication?
yes
id
13b5488a-0e7f-4255-856e-5ec056d780af (old id 7425392)
date added to LUP
2015-07-03 07:07:21
date last changed
2017-11-12 03:15:12
@article{13b5488a-0e7f-4255-856e-5ec056d780af,
  abstract     = {ObjectiveTo understand the association between life stress, postpartum depression (PD), maternal perception of her child's risk for type 1 diabetes (T1D) and a mother's anxiety about her child's T1D risk in mothers of genetically at risk children in The Environmental Determinants of Diabetes in the Young (TEDDY) study. MethodsA short form of the state component (SAI) of the State-Trait Anxiety Inventory, negative life events (LE), the Edinburgh Postnatal Depression Scale (EPDS), and one question about the child's risk of developing T1D risk perceptions (RP) were given to mothers at the 6-month TEDDY clinic visit. The relationship between the four measures was modeled using multiple regressions. ResultsControlling for sociodemographic factors, significant country differences in SAI, LE, EPDS, and RP emerged. LE - particularly interpersonal LE - had a strong association to maternal anxiety about the baby's risk of diabetes. Both evidence of PD and accurate risk perceptions (RPs) about the child's T1D risk were associated with increased maternal anxiety about the child's T1D risk. ConclusionHeightened maternal anxiety in response to the news that a child is at increased risk for T1D is common. Mothers who have experienced recent negative LE, who experience PD and who accurately understand their child's risk may be particularly vulnerable to high levels of anxiety. The findings reported here need to be confirmed in future prospective studies.},
  author       = {Roth, Roswith and Lynch, Kristian and Lernmark, Barbro and Baxter, Judy and Simell, Tuula and Smith, Laura and Swartling, Ulrica and Ziegler, Anette-G and Johnson, Suzanne B.},
  issn         = {1399-543X},
  keyword      = {anxiety about baby's diabetes risk,negative life events,postpartum,depression,risk perception,type 1 diabetes},
  language     = {eng},
  number       = {4},
  pages        = {287--298},
  publisher    = {Wiley-Blackwell},
  series       = {Pediatric Diabetes},
  title        = {Maternal anxiety about a child's diabetes risk in the TEDDY study: the potential role of life stress, postpartum depression, and risk perception},
  url          = {http://dx.doi.org/10.1111/pedi.12168},
  volume       = {16},
  year         = {2015},
}