Benson Sven, Hahn Susanne, Tan Susanne, Janssen Onno E, Schedlowski Manfred, Elsenbruch Sigrid
Institute of Medical Psychology & Behavioral Immunobiology, University Hospital Essen, Essen, Germany..
Endocrinologist in endocrine practice in Wuppertal, Germany.
J Obstet Gynecol Neonatal Nurs. 2010 Jan-Feb;39(1):37-45. doi: 10.1111/j.1552-6909.2009.01086.x.
To investigate associations between active and passive coping, psychiatric symptoms of depression and anxiety, and quality of life in women with polycystic ovary syndrome (PCOS). To assess the relative contribution of these coping strategies to reduced quality of life in an attempt to clarify the possible relevance of coping for impaired psychosocial well-being in PCOS.
Internet-based survey.
448 German women with PCOS.
Coping (Freiburg Questionnaire of Coping-with-Illness), anxiety and depression (Hospital Anxiety and Depression Scale [HADS]), and quality of life (Short Form 12 Health Survey [SF-12]) were assessed in an Internet-based survey. Correlation and regression analyses were conducted.
In women with PCOS, passive coping was significantly associated with greater anxiety (r= .65; p < .001), depression (r= .61; p < .001), and reduced psychological quality of life (r=-.64, p < .001). In stepwise multiple regression analyses, passive coping, together with depression, anxiety and body mass index (BMI), explained 50.1% of the SF-12 psychological sum score, while active coping did not enter any regression model.
Data suggested that faced with the diagnosis of PCOS, passive coping may constitute a maladaptive strategy associated with anxiety and depression symptoms and compromised quality of life. Hence, efforts to incorporate psychosocial aspects into counselling and care for women with PCOS should take coping strategies into consideration. Nurses and other health care providers may help to improve coping strategies through education and psychosocial support in women with PCOS.
探讨多囊卵巢综合征（PCOS）女性的主动应对和被动应对、抑郁与焦虑的精神症状以及生活质量之间的关联。评估这些应对策略对生活质量下降的相对贡献，以阐明应对策略与PCOS患者心理社会幸福感受损之间可能存在的相关性。
基于互联网的调查。
448名德国PCOS女性。
在一项基于互联网的调查中，评估应对方式（弗赖堡疾病应对问卷）、焦虑和抑郁（医院焦虑抑郁量表[HADS]）以及生活质量（简明健康调查量表[SF-12]）。进行相关性和回归分析。
在PCOS女性中，被动应对与更严重的焦虑（r = 0.65；p < 0.001）、抑郁（r = 0.61；p < 0.001）以及心理生活质量降低（r = -0.64，p < 0.001）显著相关。在逐步多元回归分析中，被动应对与抑郁、焦虑和体重指数（BMI）共同解释了SF-12心理总分的50.1%，而主动应对未进入任何回归模型。
数据表明，面对PCOS诊断时，被动应对可能是一种与焦虑、抑郁症状及生活质量受损相关的适应不良策略。因此，将心理社会因素纳入PCOS女性咨询和护理的努力应考虑应对策略。护士和其他医疗保健提供者可通过对PCOS女性进行教育和提供心理社会支持，帮助她们改善应对策略。
