Published January 17, 2026 | Version v1
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Psychological factors associated with family functionality in pregnant women

Authors/Creators

  • 1. Instituto Mexicano del Seguro Social
  • 2. ROR icon Mexican Social Security Institute

Description

Abstract

Objective: To analyze the psychological factors associated with family functionality in pregnant women with pregestational

and gestational diabetes.

Materials and Methods: Observational, prospective, cross-sectional, and comparative study conducted at a Family Medicine

Unit in Veracruz, Mexico, between October 2024 and February 2025. A total of 135 pregnant women were included, both with

and without diabetes, and normoevolutive. The FF-SIL test was used to assess family functionality, and the HADS scale was

applied to evaluate psychological factors such as anxiety and depression. Descriptive statistics and chi-square tests were used

to analyze associations, with significance set at p<0.05.

Results: Regarding family functionality, among women with pregestational diabetes, 23 (51.11%) were functional, and 17

(37.78%) were moderately functional; among those with gestational diabetes, 27 (60%) were functional, and 15 (33.33%) were

moderately functional; among normoevolutive women, 33 (73.3%) were functional, and 11 (24.4%) were moderately

functional.

Regarding psychological factors, among those with pregestational diabetes, 17 (37.78%) presented anxiety, 6 (13.33%)

presented both anxiety and depression, and 21 (46.67%) presented neither; among those with gestational diabetes, 16 (35.56%)

had anxiety, and 19 (42.22%) had none; among normoevolutive women, 19 (42.22%) had anxiety, and 18 (40%) had none of

these conditions.

An association was found between psychological factors and family functionality in pregnant women with pregestational

diabetes (p = 0.0062), as well as in normoevolutive pregnant women (p = 0.0268).

Conclusions: There is an association between psychological factors and family functionality in pregnant women with

pregestational diabetes. Therefore, comprehensive management is important, considering not only metabolic status but also the

psychological and family aspects of pregnant women.

Keywords: Functionality, anxiety, depression, pregnancy, diabetes.

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Additional details

Identifiers

ISSN
2664-7761

Dates

Accepted
2026-01-17

References

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