Quality of life and psychological well being in polycystic ovary syndrome

Barnard, Louise; Ferriday, Danielle; Guenther, Nancy; Strauß, Bernhard; Balen, AH; Dye, Louise

doi:10.1093/humrep/dem108

Cited by 294 publications

(303 citation statements)

References 38 publications

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“…The global prevalence of this disease based on the criteria of Rotterdam including: oligomenorrhea or amenorrhea, hyperandrogenism and, cystic ovarian morphology has been reported as 5% -10% (2). Several studies have been conducted in Iran in this regard that had different results, however, in the review and meta-analysis of Jalilian et al, the prevalence of this syndrome has been reported as 19.5%, according to the Rotterdam criteria and based on the sonographic standard alone as 41.4% (3).…”

Section: Introductionmentioning

confidence: 99%

“…Studies conducted in the field of measuring the quality of life of women with PCOS have concluded that the quality of life of these women is very low. On this basis many gynecology researchers emphasize that patients should receive knowledge about this disease and its associated problems and even suggest that routine screening for the diagnosis of psychiatric diseases should be conducted in this group and these women need to receive education and support (17)(18)(19)(20)(21).…”

Section: Introductionmentioning

confidence: 99%

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The Effect of Cognitive Behavioral Therapy on Depression and Obesity in Women with Polycystic Ovarian Syndrome: A Randomized Controlled Clinical Trial

Abdollahi

Mirghafourvand

Kheyradin

et al. 2018

Iran Red Crescent Med J

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Background: Polycystic ovarian syndrome (PCOS) is a common endocrine disorder that can cause mental and psychological manifestations such as depression in addition to medical aspects like obesity. Objectives: The aim of this study was to evaluate the effect of cognitive-behavioral therapy on body mass index (BMI) and depression in women with PCOS. Methods: This randomized controlled trial was conducted on 74 women in Saqez-Iran, 2017. Participants were assigned into 2 groups of intervention and control through blocked randomization. The intervention group received cognitive-behavioral therapy in 8 sessions of 45 to 60 minutes. Beck's depression questionnaire was completed and body mass index (BMI) was calculated before and 4 weeks after the end of intervention. ANCOVA test was used to analyze the data. Results: There was no significant difference between the 2 groups in terms of socio-demographic characteristics (P > 0.05). After intervention, the mean (SD) of depression score in the intervention group was 4.5 (3.9) and in the control group 16.5 (8.6). Based on the ANCOVA test and with adjusting the baseline values, the mean depression score of the intervention group significantly was lower than the control group (adjusted mean difference: -13.8; confidence interval 95% = -10.9 to -16.7; P < 0.001). In addition, after intervention, the mean (SD) of BMI in the intervention group was 27.3 (5.4) and in the control group it was 29.4 (5.5). The intervention group was significantly lower than the control group, based on the ANCOVA test with adjusting the baseline values (-0.6; -0.2 to -0.9; P < 0.001). Conclusions: Cognitive-behavioral therapy is effective in improving depression and decreasing BMI in women with PCOS. Therefore, it is recommended to use this therapeutic approach to improve the physical and psychological health of these women.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Effect of Cognitive Behavioral Therapy on Depression and Obesity in Women with Polycystic Ovarian Syndrome: A Randomized Controlled Clinical Trial

Abdollahi

Mirghafourvand

Kheyradin

et al. 2018

Iran Red Crescent Med J

View full text Add to dashboard Cite

show abstract

“…9,10 PCOS also promotes psychological morbidity including depression, poor body image and self-esteem and reduced health related quality of life. [11][12][13] Thus PCOS is associated with short term and long term presentations that may adversely affect women at varying stages of their life. Hence it is imperative in identifying effective therapies for the prevention and treatment of the syndrome to reduce its health and economic burdens.…”

Section: Introductionmentioning

confidence: 99%

Awareness of lifestyle modification in females diagnosed with polycystic ovarian syndrome in India: explorative study

Pitchai

Sreeraj

Anil³

2016

Int J Reprod Contracept Obstet Gynecol

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“…Their results led us to believe that factors influencing the risk for mood disturbance and anxiety in the context of PCOS symptoms may include patient resources, i.e. internal mental disposition as well as environmental support [16,17]. Concurrent analysis of the relevant medical and psychological factors and an attempt to describe the mechanisms of developing mood and anxiety disorders in PCOS patients, rather than attempting to identify a single factor, appears to be a promising method.…”

Section: Introductionmentioning

confidence: 99%

Determinants of emotional problems and mood disorders in women with polycystic ovary syndrome

Głowińska

Zielona–Jenek²,

Pawelczyk³

et al. 2016

Ginekol Pol

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Objectives: The aim of the study was to assess the prevalence and severity of emotional problems among Polish women with polycystic ovary syndrome (PCOS) and seek factors which increase the risk of their occurrence. Material and methods:The study group consisted of 82 women (aged 18-48), who were diagnosed with PCOS based on the Rotterdam criteria. During hospitalization, the patients completed a number of questionnaires, providing their sociodemographic data and information concerning the inconvenience of disease-associated symptoms. The questionnaires included the Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI), and Multidimensional Self-Esteem Inventory (MSEI). Data obtained during medical examinations (blood tests, transvaginal ultrasound, height and body mass measurements) were analyzed.Results: Out of 82 women, the results detected risk for depression in 42 (51.22%), mild depressive disorders in 32, moderate disorders in 8, and severe disorder in 2 patients. No statistically significant correlation between BDI or state anxiety and the level of the analyzed hormones, insulin resistance, or infertility treatment, was found. General self-esteem, trait anxiety, and marital status were associated with the occurrence of depression symptoms. BMI was associated with the level of state anxiety during hospitalization. Conclusions:Women with PCOS are at risk for mood and anxiety disorders. Disease-related somatic factors are not directly associated with the risk for disorder occurrence. However, severity of depression symptoms has been shown to be influenced by permanent psychological characteristics of the studied women, i.e. self-esteem, trait anxiety, and life situation (marital status). Therefore, it is recommended to include interviews about patient life situation and screening questionnaires for assessing depression into the diagnostic procedures in PCOS patients. Patients should be referred for a psychological or psychiatric consultation, if needed.

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Quality of life and psychological well being in polycystic ovary syndrome

Abstract: This large study refines our understanding of depression and QoL in PCOS and demonstrates the need to regularly review the psychological health of women with PCOS.

Cited by 294 publications

References 38 publications

The Effect of Cognitive Behavioral Therapy on Depression and Obesity in Women with Polycystic Ovarian Syndrome: A Randomized Controlled Clinical Trial

The Effect of Cognitive Behavioral Therapy on Depression and Obesity in Women with Polycystic Ovarian Syndrome: A Randomized Controlled Clinical Trial

Awareness of lifestyle modification in females diagnosed with polycystic ovarian syndrome in India: explorative study

Determinants of emotional problems and mood disorders in women with polycystic ovary syndrome

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