{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T12:09:16Z","timestamp":1784549356578,"version":"3.55.0"},"reference-count":40,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2025,9,23]],"date-time":"2025-09-23T00:00:00Z","timestamp":1758585600000},"content-version":"vor","delay-in-days":22,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>Gestational diabetes mellitus (GDM) is the most common metabolic disorder during pregnancy that causes adverse consequences for the mother and the baby. The present study will be conducted to determine the effect of self\u2010care model counseling based on mental health on anxiety and depression in GDM women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A randomized clinical trial will be conducted on pregnant women over 20 years of age who were referred to the gynecological and perinatal clinic of Amir Al\u2010Momenin Hospital (AS) in Semnan. After random block allocation, women are divided into two mental health self\u2010care counseling groups (42 people) and a control (42 people). The intervention group will receive six sessions of 30\u201345\u2009min of individual mental health self\u2010care counseling weekly and in the form of multimedia, which is a combination of text, audio, and video. Data were collected using the demographic\u2010fertility characteristics checklist, the Hospital Anxiety and Depression Scale (HADS), the Psychological Self\u2010Care Scale (PSCS), the Prenatal Health Behavior Scale (PHBS), and the Self\u2010Efficacy Scale Gestational Diabetes (SESGD) immediately after the intervention, 1 month after the intervention, and 6 weeks after delivery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The mental health self\u2010care model is expected to lead to clinical reductions in anxiety and depression in women with gestational diabetes. It is also predicted that the effect of counseling with this model will promote health\u2010promoting behaviors, mental health self\u2010care, and self\u2010efficacy in diabetic women at follow\u2010ups immediately after the intervention, 1 month after the intervention, and 6 weeks after delivery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The positive results of mental health self\u2010care counseling on anxiety and depression and health behaviors, self\u2010efficacy, and mental health self\u2010care in GDM women will be useful strategies for managing the complications of GDM.<\/jats:p>\n                  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