Impact of Social Support and Stress on Compliance in Women With Gestational Diabetes

  1. Stephen McGarvey, PhD, MPH
  1. Brown University Program in Medicine at Rhode Island Hospital, Women and Infants Hospital, and Miriam Hospital Providence, Rhode Island
  1. Address correspondence and reprint requests to Laurie Ruggiero, PhD, Child and Family Psychiatry, Rhode Island Hospital, 593 Eddy Street, Providence, Rl 02903.


Compliance with medical recommendations is especially important for women with gestational diabetes because of the health implications for both mother and fetus. This study examined compliance with two daily selfmanagement tasks, diet and insulin administration, in 98 women with gestational diabetes. Furthermore, the influence of stress and regimen-related social support on compliance was investigated. Results indicate that the level of reported compliance was high for both insulin administration and diet. Fewer minor stressors and greater social support were associated with greater compliance.

  • Received May 30, 1989.
  • Revision received October 18, 1989.
  • Accepted October 18, 1989.
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