Is having polycystic ovary syndrome a predictor of poor psychological function including anxiety and depression?
journal contribution
posted on 2022-03-22, 23:00 authored by AA Deeks, Melanie Gibson-HelmMelanie Gibson-Helm, E Paul, HJ TeedeBACKGROUND: The impact of metabolic and reproductive features of polycystic ovary syndrome (PCOS) compromises psychological functioning. We investigated factors associated with negative psychological functioning to determine whether they were predictive of anxiety and depression in PCOS. Methods A cross-sectional study was performed by questionnaire in 177 women with PCOS (mean ± SD age 32.8 ± 7.8 years) and 109 healthy controls (mean age 41.9 ± 15.4 years). Main outcome measures were anxiety and depression, measured using the Hospital Anxiety Depression Scale (HADS) and Multidimensional Body-Self Relations Questionnaire (MBSRQ), respectively. Results Women with PCOS, compared with control women, had a higher mean anxiety HADS score (9.5 ± 3.9 versus 6.5 ± 3.6; P < 0.001), a higher mean depression score (5.7 ± 3.7 versus 3.3 ± 3.1; P < 0.001) and more negative body image in 7 out of 10 subscales of the MBSRQ. Multivariate regression analysis in PCOS showed that anxiety was predicted by self-worth (P < 0.0001), health evaluation (P = 0.005), time taken to diagnose PCOS (P = 0.003) and age (P = 0.02), while in control women, anxiety was predicted by self-worth (P = 0.009), health evaluation (P = 0.001) and rural living (P = 0.03). Depression in PCOS was predicted by self-worth (P = 0.0004), quality of life (QOL) (P = 0.004), fitness orientation (P = 0.002), appearance evaluation (P = 0.001) and time to diagnosis (P = 0.03) and in women without PCOS, by self-worth (P < 0.0001), QOL (P < 0.0001), illness orientation (P = 0.001) and appearance orientation (P = 0.02). CONCLUSIONS Women with PCOS have increased anxiety, depression and negative body image compared with women without PCOS. In women with or without PCOS, body image and self-worth are predictors of both anxiety and depression, while QOL also predicts only depression. Time taken to diagnose PCOS is associated with poor psychological functioning. © The Author 2011. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved.
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Deeks, A. A., Gibson-Helm, M. E., Paul, E. & Teede, H. J. (2011). Is having polycystic ovary syndrome a predictor of poor psychological function including anxiety and depression? Human Reproduction, 26(6), 1399-1407. https://doi.org/10.1093/humrep/der071Publisher DOI
Journal title
Human ReproductionVolume
26Issue
6Publication date
2011-01-01Pagination
1399-1407Publisher
Oxford University Press (OUP)Publication status
PublishedOnline publication date
2011-03-23ISSN
0268-1161eISSN
1460-2350Language
enUsage metrics
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AdultAgedAnxietyAnxiety DisordersBody ImageCross-Sectional StudiesDepressionDepressive DisorderFemaleHumansMiddle AgedPolycystic Ovary SyndromeQuality of LifeContraception/ReproductionMental HealthClinical ResearchBehavioral and Social ScienceInfertility7.1 Individual care needsMental healthReproductive health and childbirthMedical and Health SciencesStudies in Human SocietyObstetrics & Reproductive Medicine
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