Research Summary
Analyzed using Evidence Intelligence™

Counseling reduces anxiety and depression in gestational diabetes.

Last updated August 16, 2026

Key finding

Mean anxiety scores decreased from 6.85 (2.11) to 2.07 (1.14) in the intervention group.

This study evaluated the impact of mental health-based self-care counseling on anxiety and depression in women with gestational diabetes, finding significant reductions in anxiety scores.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Short-Term (≤3 mo)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

This study evaluated the impact of mental health-based self-care counseling on anxiety and depression in women with gestational diabetes, finding significant reductions in anxiety scores.

Clinical relevance

This study highlights the importance of addressing mental health in women with gestational diabetes, as effective counseling can lead to significant improvements in anxiety and self-efficacy. These findings suggest that integrating mental health support into diabetes care could enhance overall well-being during pregnancy.

Keep in mind

The effectiveness of the intervention remains unclear due to limited data. The study may not be generalizable to all populations of women with gestational diabetes. Sample size and demographic details were not specified.

Published in

Journal Reference

Publication details and source links for this paper.

Mahboubeh D, Hajar A, Fatemeh N, Mahbobeh F, Hemmat G, Satinik D. Mental health-based self-care counseling reduces anxiety and depression in women with gestational diabetes. BMC Psychiatry. 2025;25:1130. doi:10.1186/s12888-025-07605-6

Main Effects

Anxiety scores decreased significantly from 6.85 to 2.07 (p=0.001).

Depression scores showed a reduction from 6.03 to 5.15 (p=0.001).

Health-promoting behaviors increased significantly in the intervention group.

Self-efficacy scores improved significantly in the intervention group.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Behavioral counseling and Anxiety score, Depression score, Mean self-efficacy score, and 2 more.

Primary intervention

Behavioral counseling

Primary outcomes

  • Anxiety score
  • Depression score
  • Mean self-efficacy score

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

5
Evidence pairs
5
Relationships
1
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 63

1

Related topics

5

Evidence pairs

95

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 5 evidence relationships
  • Includes primary outcome data
  • Linked to 1 direct semantic evidence topic

Topic contributions

Evidence topic

Contributes evidence

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Primary evidence

Evidence relationship

Diabetes Self-Management Education and Support (DSMES) Programs and Mental Health

Related evidence

Evidence topic

Diabetes Self-Management Education and Support

Save evidence

Intervention

Diabetes Self-Management Education and Support (DSMES) Programs

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Core evidence

Study findings

The primary outcomes reported in this study.

Anxiety score

Behavioral counseling → Anxiety score

Behavioral counseling → Anxiety score

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
100
Very Positive
ConsistencyScore™
100
consistent
Supporting studies: Based on 2 studies
Add to Evidence Tracker

Depression score

Behavioral counseling → Depression score

Behavioral counseling → Depression score

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
100
Very Positive
ConsistencyScore™
100
consistent
Supporting studies: Based on 2 studies
Add to Evidence Tracker

Mean self-efficacy score

Behavioral counseling → Mean self-efficacy score

Behavioral counseling → Mean self-efficacy score

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Mental health

Behavioral counseling → Mental health

Behavioral counseling → Mental health

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Overall health-promoting lifestyle score measured by HPLP-II

Behavioral counseling → Overall health-promoting lifestyle score measured by HPLP-II

Behavioral counseling → Overall health-promoting lifestyle score measured by HPLP-II

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • Anxiety scores decreased by 4.78 points, indicating significant improvement.
  • Depression scores reduced by 0.88 points, showing a positive trend.
  • Self-efficacy and health-promoting behaviors increased, though specific values were not provided.
who this applies

Who this applies to

  • Women diagnosed with gestational diabetes.
  • Participants seeking mental health support during pregnancy.
keep in mind

Keep in Mind

  • Results may not apply to all women with gestational diabetes due to sample limitations.
  • The study did not provide detailed demographic information, which may affect generalizability.
  • Further research is needed to confirm the long-term benefits of this counseling approach.
between the lines

Between the Lines

  • The effectiveness of the intervention remains unclear due to limited data.
  • The study may not be generalizable to all populations of women with gestational diabetes.
  • Sample size and demographic details were not specified.

Evidence Library

Build your evidence library

Save research, organize studies, and quickly find important evidence again.

Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Diabetes Self-Management Education and Support (DSMES) Programs and Mental Health, Diabetes Self-Management Education and Support (DSMES) Programs and Mental Health.

Related evidence relationships

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Diabetes Self-Management Education and Support (DSMES) Programs improve mental health?

Strong Evidence

Diabetes Self-Management Education and Support (DSMES) Programs may improve Mental Health.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    Anxiety score

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | strong positive | ConsistencyScore™ Consistent | 1 study

  2. 2

    Depression score

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | strong positive | ConsistencyScore™ Consistent | 1 study

  3. 3

    Mental health

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on 12 supporting studies with generally consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
12 supporting studiesUpdated: Aug 2026

Does Behavioral counseling improve mean self-efficacy score?

Emerging Evidence

Current evidence does not show a clear benefit of Behavioral counseling for Mean self-efficacy score.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Mean self-efficacy score

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026

Does Behavioral counseling improve overall health-promoting lifestyle score measured by hplp-ii?

Emerging Evidence

Current evidence does not show a clear benefit of Behavioral counseling for Overall health-promoting lifestyle score measured by HPLP-II.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Overall health-promoting lifestyle score measured by HPLP-II

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026
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