Himelein Melissa J, Thatcher Samuel S
Department of Psychology, University of North Carolina at Asheville, Asheville, North Carolina 28804-8508, USA.
Obstet Gynecol Surv. 2006 Nov;61(11):723-32. doi: 10.1097/01.ogx.0000243772.33357.84.
Although physical symptoms of polycystic ovary syndrome (PCOS) are increasingly recognized by practicing clinicians, little attention has focused on psychological correlates of this frequent endocrine disorder. This review of medical and psychological literature indicates that PCOS is associated with several mental health problems, including depression and anxiety, body dissatisfaction and eating disorders, diminished sexual satisfaction, and lowered health-related quality of life. Although the causal direction of these relationships has not been established, it is clear that effective and comprehensive treatment of women with PCOS must encompass careful attention to psychological symptomatology. Recommendations for the assessment of specific mental health problems, management of related physical concerns, and treatment of obesity among women with PCOS are presented.
Obstetricians & Gynecologists, Family Physicians.
After completion of this article, the reader should be able to explain that, in addition to physiologic changes, women with polycystic ovary syndrome (PCOS) have various mental health problems and lowered health-related quality of life issues and state that treatment must address these concerns.
尽管多囊卵巢综合征（PCOS）的身体症状越来越受到临床医生的重视，但对于这种常见内分泌疾病的心理关联却很少有人关注。这篇对医学和心理学文献的综述表明，PCOS与多种心理健康问题相关，包括抑郁和焦虑、身体不满和饮食失调、性满意度降低以及健康相关生活质量下降。尽管这些关系的因果方向尚未确定，但很明显，对PCOS女性进行有效和全面的治疗必须包括对心理症状的密切关注。本文还提出了针对PCOS女性特定心理健康问题评估、相关身体问题管理以及肥胖治疗的建议。
妇产科医生、家庭医生。
阅读本文后，读者应能够解释，除了生理变化外，多囊卵巢综合征（PCOS）女性还存在各种心理健康问题以及健康相关生活质量下降的问题，并指出治疗必须解决这些问题。
