{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T03:53:25Z","timestamp":1781841205483,"version":"3.54.5"},"reference-count":49,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2024,9,27]],"date-time":"2024-09-27T00:00:00Z","timestamp":1727395200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100012325","name":"National Office for Philosophy and Social Sciences","doi-asserted-by":"publisher","award":["21BSH073"],"award-info":[{"award-number":["21BSH073"]}],"id":[{"id":"10.13039\/501100012325","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Describe the current status of illness perception, depression, and self\u2010management behaviors among women with gestational diabetes mellitus (GDM) during the COVID\u201019 pandemic, and explore the role of depression in the relationship between illness perception and self\u2010management behaviors among women with GDM.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Pregnant women diagnosed with GDM were recruited at the obstetrics clinic of a Grade\u2010A tertiary hospital in Wuhan, through convenience sampling. Self\u2010reported questionnaires including basic information, illness perception, depression, and self\u2010management behaviors were used to collect data from April 2021 to February 2022. Mediation analysis was performed by SPSS Process macro.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among GDM pregnant women, the mean self\u2010management behaviors score was 73.89 (SD\u2009=\u200912.21), the mean illness perception score was 31.80 (SD\u2009=\u20098.77), and 44.3% had depression scores of 10 or higher. The indirect effect of illness perception on self\u2010management behaviors mediated by depression was significant (path a * b, \u03b2\u2009=\u2009\u22120.045), accounting for 26.6% of the total effect.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>GDM pregnant women have a certain negative illness perception of GDM, and the detection rate of depression symptoms is relatively high. The level of self\u2010management behaviors among GDM pregnant women is notably suboptimal and warrants improvement. Depression partially mediates the relationship between illness perception and self\u2010management behaviors. Improving positive illness perception and decreasing depression are important strategies to improve self\u2010management behaviors in women with GDM.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.16104","type":"journal-article","created":{"date-parts":[[2024,9,27]],"date-time":"2024-09-27T14:21:39Z","timestamp":1727446899000},"page":"2057-2065","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Relationship between illness perception and self\u2010management behaviors among women with gestational diabetes mellitus in China during the <scp>COVID<\/scp>\u201019 pandemic: A mediating role of depression"],"prefix":"10.1111","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-8344-141X","authenticated-orcid":false,"given":"Jiarun","family":"Wang","sequence":"first","affiliation":[{"name":"School of Nursing, Wuhan University  Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3344-9600","authenticated-orcid":false,"given":"Luyang","family":"Zhu","sequence":"additional","affiliation":[{"name":"School of Nursing, Wuhan University  Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ran","family":"An","sequence":"additional","affiliation":[{"name":"School of Nursing, Wuhan University  Wuhan China"},{"name":"Zhengzhou Health Vocational College  Zhengzhou Henan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yujia","family":"Chen","sequence":"additional","affiliation":[{"name":"School of Nursing, Wuhan University  Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinlong","family":"Pan","sequence":"additional","affiliation":[{"name":"School of Nursing, Wuhan University  Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Zhang","sequence":"additional","affiliation":[{"name":"School of Nursing, Wuhan University  Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5956-4271","authenticated-orcid":false,"given":"Xiaoli","family":"Chen","sequence":"additional","affiliation":[{"name":"Center for Women's and Children's Health Research, Wuhan University School of Nursing  Wuhan China"},{"name":"Research Center for Lifespan Health, Wuhan University  Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2541-2752","authenticated-orcid":false,"given":"Zhijie","family":"Zou","sequence":"additional","affiliation":[{"name":"Center for Women's and Children's Health Research, Wuhan University School of Nursing  Wuhan China"},{"name":"Research Center for Lifespan Health, Wuhan University  Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yingzi","family":"Zhang","sequence":"additional","affiliation":[{"name":"Magnet Program &amp; Research Department, UT Southwestern Medical Center  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,9,27]]},"reference":[{"issue":"3","key":"e_1_2_9_2_1","first-page":"1","article-title":"Global prevalence of gestational diabetes mellitus: a systematic review and meta\u2010analysis","volume":"1","author":"Gyasi\u2010Antwi P","year":"2020","journal-title":"Am J Med"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdi.12854"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/birt.12605"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ogx.0000721620.59805.5c"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tem.2018.09.004"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.4103\/0366-6999.230718"},{"issue":"5","key":"e_1_2_9_8_1","first-page":"1012","article-title":"Diabetes in pregnancy: a new decade of challenges ahead","volume":"61","author":"Schaefer\u2010Graf U","year":"2018","journal-title":"Diabetologia"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2023.1188072"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12955-020-01293-4"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dsx.2020.08.004"},{"issue":"5","key":"e_1_2_9_12_1","first-page":"25","article-title":"How diet, physical activity and psychosocial well\u2010being interact in women with gestational diabetes mellitus: an integrative review","volume":"37","author":"Gilbert L","year":"2019","journal-title":"J Reprod Infant Psychol"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13690-022-00888-1"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/JXX.0000000000000763"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1155\/2020\/3142495"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10865-016-9782-2"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2023.1214725"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0000000000000528"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17249379"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gerinurse.2022.09.011"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10880-020-09700-0"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12671-020-01455-x"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1080\/01612840.2016.1208692"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-020-2745-1"},{"key":"e_1_2_9_25_1","first-page":"1","article-title":"Illness perceptions and depression in relation to self\u2010care behaviours among type 2 diabetes patients in a referral Hospital in Kigali\u2010Rwanda. Rwanda","volume":"2","author":"Nsereko E","year":"2013","journal-title":"J Health Sci"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/PSY.0000000000000904"},{"issue":"1","key":"e_1_2_9_27_1","first-page":"S200","article-title":"Standards of medical care in diabetes\u20102021","volume":"44","author":"Management of Diabetes in Pregnancy","year":"2021","journal-title":"Diabetes Care"},{"issue":"8","key":"e_1_2_9_28_1","first-page":"561","article-title":"Guidelines for the diagnosis and treatment of gestational diabetes mellitus (2014)","volume":"49","author":"Obstetrics Group of the Obstetrics and Gynecology Branch of the Chinese Medical Association, Gestational Diabetes Mellitus Collaboration Group of the Perinatal Medicine Branch of the Chinese Medical Association","year":"2014","journal-title":"Chinese J Obstet Gynecol"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-985X.2004.00347_15.x"},{"key":"e_1_2_9_30_1","first-page":"78","article-title":"Guidelines for the diagnosis and treatment of diabetes in pregnancy (2014) (part 1)","volume":"11","author":"Yang H","year":"2014","journal-title":"Health Manage Forum"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-020-03335-7"},{"issue":"24","key":"e_1_2_9_32_1","first-page":"11","article-title":"Reliability and validity of the Chinese version of the brief illness perception questionnaire in female breast cancer patients","volume":"22","author":"Mei YQ","year":"2015","journal-title":"J Nurs Sci"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2005.10.020"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.150.6.782"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2009.01.010"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.27167\/d.cnki.gjinu.2019.000490"},{"issue":"4","key":"e_1_2_9_37_1","first-page":"291","article-title":"Study on the status and influencing factors of self\u2010management behaviors among patients with gestational diabetes mellitus","volume":"39","author":"Cheng XY","year":"2017","journal-title":"Zhejiang Med"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11154-020-09610-4"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-021-10470-z"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-021-04352-w"},{"key":"e_1_2_9_41_1","first-page":"CD011069","article-title":"Different methods and settings for glucose monitoring for gestational diabetes during pregnancy","volume":"10","author":"Raman P","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/hcx106"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.1177\/10398562211038910"},{"key":"e_1_2_9_44_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12160-010-9246-9"},{"key":"e_1_2_9_45_1","doi-asserted-by":"publisher","DOI":"10.1080\/08870440290001494"},{"issue":"15","key":"e_1_2_9_46_1","first-page":"81","article-title":"Analysis of factors influencing depressive conditions in pregnant women with gestational diabetes and nursing strategies","volume":"27","author":"Xing AJ","year":"2021","journal-title":"Qilu Nurs J"},{"issue":"1","key":"e_1_2_9_47_1","first-page":"144","article-title":"Survey of depressive symptoms in patients with gestational diabetes and their relationship with mode of delivery and adverse pregnancy outcomes","volume":"45","author":"Zhao LJ","year":"2018","journal-title":"Int J Psychiatry"},{"key":"e_1_2_9_48_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.15612"},{"issue":"19","key":"e_1_2_9_49_1","first-page":"2317","article-title":"Research status quo of self\u2010management behavior and disease cognition in patients with diabetes mellitus","volume":"17","author":"Xiao H","year":"2019","journal-title":"Chinese Gen Pract Nurs"},{"key":"e_1_2_9_50_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0302635"}],"container-title":["Journal of Obstetrics and Gynaecology Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jog.16104","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,4]],"date-time":"2024-11-04T01:38:15Z","timestamp":1730684295000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/jog.16104"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,27]]},"references-count":49,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2024,11]]}},"alternative-id":["10.1111\/jog.16104"],"URL":"https:\/\/doi.org\/10.1111\/jog.16104","archive":["Portico"],"relation":{},"ISSN":["1341-8076","1447-0756"],"issn-type":[{"value":"1341-8076","type":"print"},{"value":"1447-0756","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,27]]},"assertion":[{"value":"2024-05-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-16","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-27","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}