Cronbach’s alpha coefficient results.

BackgroundThe presence of psychological pressures may negatively affect the health of pregnant women pre-, during, and post-childbirth and may lead to many complications.AimThe aim of the present study was to assess the psychological well-being among pregnant women in Jordan and to explore the relationship between psychological pressures and gestational health consequences.MethodA cross-sectional study was performed with pregnant women at 24–28 weeks of gestation, who were recruited during maternity clinic visits at Mafraq and Princess Badea hospitals between February and July 2022. Data, including pre- and current gestational weight, height, and pre- and current body weight, were collected through a data collection form, along with a whole blood sample obtained at the clinic to measure fasting plasma glucose (FPG) and HbA1c levels. The Depression, Anxiety, and Stress Scale (DASS) was employed to assess the psychological well-being of the women.ResultsA total of 385 pregnant women participated in the study. The majority of pregnant women experienced a moderate level of depression (77.7%) and anxiety (74.5%), and around half experienced a moderate stress level (44.9%). FPG showed “normal” in 168 (43.6%) participants and “abnormal” in 217 (56.4%). However, the HbA1c level showed “normal” in 190 (49.4%) participants and “abnormal” in 195 (50.6%) with a significant correlation of 0.885. DASS with gestational diabetes mellitus showed a significant difference with a depression factor of p = 0.015, and anxiety factor of p = 0.010, while there was an insignificant difference with stress. One hundred and three (26.8%) participants showed normal weight gain while 282 (73.2%) showed abnormal weight, and there was an insignificant difference between DASS and weight.ConclusionThe findings show a positive relation between DASS scores and the incidence of gestational diabetes mellitus (GDM). The study emphasizes the importance of further investigation and tailored interventions for depression and anxiety symptoms during pregnancy.研究背景：心理压力可能对孕产妇产前、产时及产后的健康产生负面影响，并可引发多种并发症。研究目的：本研究旨在评估约旦孕妇的心理健康状况，并探讨心理压力与妊娠健康结局之间的关联。研究方法：本研究为横断面研究，研究对象为2022年2月至7月期间，在马夫拉格医院（Mafraq Hospital）与巴迪亚公主医院（Princess Badea Hospital）产科门诊就诊的妊娠24~28周孕妇。研究人员通过自制数据收集表收集受试者的孕前及当前妊娠体重、身高、孕前体质量及当前体质量等信息，并于门诊采集全血样本以检测空腹血浆葡萄糖（FPG）与糖化血红蛋白（HbA1c）水平。同时采用抑郁、焦虑与压力量表（DASS）评估受试者的心理健康状况。研究结果：本研究共纳入385名孕妇。其中绝大多数孕妇存在中度抑郁（77.7%）与焦虑症状（74.5%），约半数存在中度压力水平（44.9%）。168名受试者（43.6%）的空腹血浆葡萄糖水平正常，217名（56.4%）结果异常；而糖化血红蛋白水平正常者为190名（49.4%），异常者195名（50.6%），二者相关系数为0.885，具有统计学意义。抑郁、焦虑与压力量表得分与妊娠期糖尿病（GDM）存在显著关联：抑郁维度p=0.015，焦虑维度p=0.010，但压力维度无显著差异。103名受试者（26.8%）体重增长正常，282名（73.2%）体重增长异常，抑郁、焦虑与压力量表得分与体重变化无显著关联。研究结论：本研究结果显示，抑郁、焦虑与压力量表得分与妊娠期糖尿病（GDM）的发生率呈正相关。本研究强调，需针对孕期抑郁与焦虑症状开展进一步研究，并制定个体化干预措施。