Maternal anxiety about a child's diabetes risk in the TEDDY study

The potential role of life stress, postpartum depression, and risk perception

TEDDY study group

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Objective: To 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. Methods: A 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. Results: Controlling 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. Conclusion: Heightened 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.

Original languageEnglish (US)
Pages (from-to)287-298
Number of pages12
JournalPediatric Diabetes
Volume16
Issue number4
DOIs
StatePublished - Jun 1 2015

Fingerprint

Postpartum Depression
Psychological Stress
Anxiety
Mothers
Type 1 Diabetes Mellitus
Ambulatory Care

Keywords

  • Anxiety about baby's diabetes risk
  • Negative life events
  • Postpartum depression
  • Risk perception
  • Type 1 diabetes

ASJC Scopus subject areas

  • Internal Medicine
  • Pediatrics, Perinatology, and Child Health
  • Endocrinology, Diabetes and Metabolism

Cite this

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

In: Pediatric Diabetes, Vol. 16, No. 4, 01.06.2015, p. 287-298.

Research output: Contribution to journalArticle

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title = "Maternal anxiety about a child's diabetes risk in the TEDDY study: The potential role of life stress, postpartum depression, and risk perception",
abstract = "Objective: To 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. Methods: A 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. Results: Controlling 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. Conclusion: Heightened 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.",
keywords = "Anxiety about baby's diabetes risk, Negative life events, Postpartum depression, Risk perception, Type 1 diabetes",
author = "{TEDDY study group} and Roswith Roth and Kristian Lynch and Barbro Lernmark and Judy Baxter and Tuula Simell and Laura Smith and Ulrica Swartling and Ziegler, {Anette G.} and Johnson, {Suzanne B.} and Marian Rewers and Katherine Barriga and Kimberly Bautista and George Eisenbarth and Nicole Frank and Patricia Gesualdo and Michelle Hoffman and Lisa Ide and Rachel Karban and Edwin Liu and Jill Norris and Kathleen Waugh and Adela Samper-Imaz and Andrea Steck and Jin-Xiong She and Desmond Schatz and Diane Hopkins and Leigh Steed and Jamie Thomas and Katherine Silvis and Michael Haller and Meena Shankar and Kim English and McIndoe, {Richard A} and Haitao Liu and John Nechtman and Joshua Williams and Gabriela Foghis and Anderson, {Stephen W.} and Ziegler, {Anette G.} and Alexandra Achenbach and Heike Boerschmann and Ezio Bonifacio and Melanie Bunk and Johannes Forsch and Lydia Henneberger and Michael Hummel and Sandra Hummel and {Gesa Joslowski}, Joslowski and Mathilde Kersting and Annette Knopff",
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AU - Roth, Roswith

AU - Lynch, Kristian

AU - Lernmark, Barbro

AU - Baxter, Judy

AU - Simell, Tuula

AU - Smith, Laura

AU - Swartling, Ulrica

AU - Ziegler, Anette G.

AU - Johnson, Suzanne B.

AU - Rewers, Marian

AU - Barriga, Katherine

AU - Bautista, Kimberly

AU - Eisenbarth, George

AU - Frank, Nicole

AU - Gesualdo, Patricia

AU - Hoffman, Michelle

AU - Ide, Lisa

AU - Karban, Rachel

AU - Liu, Edwin

AU - Norris, Jill

AU - Waugh, Kathleen

AU - Samper-Imaz, Adela

AU - Steck, Andrea

AU - She, Jin-Xiong

AU - Schatz, Desmond

AU - Hopkins, Diane

AU - Steed, Leigh

AU - Thomas, Jamie

AU - Silvis, Katherine

AU - Haller, Michael

AU - Shankar, Meena

AU - English, Kim

AU - McIndoe, Richard A

AU - Liu, Haitao

AU - Nechtman, John

AU - Williams, Joshua

AU - Foghis, Gabriela

AU - Anderson, Stephen W.

AU - Ziegler, Anette G.

AU - Achenbach, Alexandra

AU - Boerschmann, Heike

AU - Bonifacio, Ezio

AU - Bunk, Melanie

AU - Forsch, Johannes

AU - Henneberger, Lydia

AU - Hummel, Michael

AU - Hummel, Sandra

AU - Gesa Joslowski, Joslowski

AU - Kersting, Mathilde

AU - Knopff, Annette

PY - 2015/6/1

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N2 - Objective: To 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. Methods: A 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. Results: Controlling 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. Conclusion: Heightened 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.

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