Himelein Melissa J, Thatcher Samuel S
Department of Psychology, University of North Carolina at Asheville, 28804, USA.
J Health Psychol. 2006 Jul;11(4):613-25. doi: 10.1177/1359105306065021.
Common features of polycystic ovary syndrome (PCOS), including hyperandrogenism, ovarian dysfunction and obesity, can be highly distressing. We compared 40 women with PCOS to women with infertility but not PCOS, and to women with neither PCOS nor infertility, on measures of depression and body image. Women with PCOS reported higher depression scores and greater body dissatisfaction (p < .001) than comparison group women. Body image was strongly associated with depression overall, even after controlling body mass. Among women with PCOS, body dissatisfaction measures and education explained 66 percent of the variance in depression, suggesting explanations of the PCOS-depression link should consider the role of potentially mediating psychosocial variables.
多囊卵巢综合征（PCOS）的常见特征，包括高雄激素血症、卵巢功能障碍和肥胖，可能会给患者带来极大困扰。我们将40名患有PCOS的女性与不孕但无PCOS的女性以及既无PCOS也未不孕的女性在抑郁和身体意象方面进行了比较。与对照组女性相比，患有PCOS的女性报告的抑郁得分更高，对身体的不满程度也更高（p < .001）。总体而言，即使在控制体重之后，身体意象与抑郁也密切相关。在患有PCOS的女性中，身体不满程度测量指标和受教育程度解释了抑郁差异的66%，这表明对PCOS与抑郁之间联系的解释应考虑潜在中介心理社会变量的作用。
