Department of Public Health, Warsaw Medical University, Warsaw, Poland.
Acta Obstet Gynecol Scand. 2012 Jun;91(6):710-4. doi: 10.1111/j.1600-0412.2012.01408.x.
We compared women with polycystic ovary syndrome (PCOS) to a control group with regard to intensity of hirsutism and psychological gender.
Cohort study, 2005-2009.
Gynecological endocrinology clinic and gynecological practice, Silesian area, Poland.
89 women aged 17-42 years with PCOS, in two groups (S1, S2) by age < or ≥31 years, and age-stratified controls of 45 healthy women.
We used the General Health Questionnaire (GHQ 12), Ferriman-Gallwey score and Psychological Gender Inventory, to assess masculinity and femininity through self-reported possession of socially desirable, stereotypical personality traits (masculine, feminine, androgynous, undifferentiated), supplemented by questions concerning social status (education, profession) and gynecological history. All questionnaires were anonymous and independently answered during clinic visits.
Influence of PCOS and concomitant hirsutism on psychological gender.
Hirsutism (moderate or severe intensity) was observed in a considerably higher number of women from both PCOS groups compared with controls (S1: 49.0 vs. 20.0%, p < 0.05, S2: 41.9 vs. 16.7%, p < 0.05, respectively). Women ≥31 years with PCOS more often viewed themselves as sexually undifferentiated compared with controls (31.8 vs. 6.7%, p < 0.01), less likely to identify with a female gender scheme (18.2 vs. 33.3%), and more likely to see themselves as androgynous (50.0 vs. 40.9%).
Women with PCOS have, depending on age and severity of disease, problems with psychological gender identification. Duration and severity of PCOS can negatively affect the self-image of patients, lead to a disturbed identification with the female-gender scheme and, associated with it, social roles.
我们比较了多囊卵巢综合征（PCOS）患者与对照组女性的多毛症严重程度和心理性别。
队列研究，2005-2009 年。
波兰西里西亚地区妇科内分泌诊所和妇科实践。
89 名年龄 17-42 岁的 PCOS 患者，分为两组（S1、S2），年龄<或≥31 岁，并按年龄分层选择 45 名健康女性作为对照组。
我们使用一般健康问卷（GHQ 12）、Ferriman-Gallwey 评分和心理性别量表，通过自我报告的社会期望的、刻板的人格特质（男性化、女性化、两性化、未分化）来评估男性化和女性化，辅之以关于社会地位（教育、职业）和妇科病史的问题。所有问卷均匿名，在就诊时独立回答。
PCOS 和伴发多毛症对心理性别的影响。
与对照组相比，两组 PCOS 患者的多毛症（中度或重度）发生率明显更高（S1：49.0%比 20.0%，p<0.05；S2：41.9%比 16.7%，p<0.05）。年龄≥31 岁的 PCOS 患者较对照组更倾向于认为自己性未分化（31.8%比 6.7%，p<0.01），更不可能认同女性性别模式（18.2%比 33.3%），更倾向于认为自己是两性化（50.0%比 40.9%）。
根据年龄和疾病严重程度，PCOS 患者存在心理性别认同问题。PCOS 的持续时间和严重程度可能会对患者的自我形象产生负面影响，导致对女性性别模式的认同障碍，并与之相关的社会角色障碍。
