Department of Psychiatry, University of Necmettin Erbakan, Meram Faculty of Medicine, Konya, Turkey.
Gen Hosp Psychiatry. 2013 Sep-Oct;35(5):508-11. doi: 10.1016/j.genhosppsych.2013.04.003. Epub 2013 May 30.
The objective was to determine the current prevalence of Axis I and Axis II psychiatric diagnoses in patients with polycystic ovary syndrome (PCOS).
The study sample included 73 patients with PCOS and 73 control subjects. Psychiatric disorders were determined by structured clinical interviews.
The rate of any Axis I psychiatric disorder (28.8% vs. 15.1%), social phobia (13.7% vs. 2.7%), generalized anxiety disorder (11.0% vs. 1.4%), any Axis II psychiatric disorder (23.3% vs. 9.6%) and avoidant personality disorder (12.3% vs. 1.4%) was significantly more common in the patient group compared to the control group. Of women with PCOS, 21 (28.8%) had at least one Axis I and 17 (23.3%) had at least one Axis II diagnosis. The most common Axis I disorder was social phobia (13.7%) and the most common Axis II disorder was avoidant personality disorder (12.3%) in women with PCOS. Social phobia, generalized anxiety disorder, and avoidant personality disorder were significantly more common in the patient group compared to the control group.
Our results suggest that a considerable proportion of women with PCOS also present with anxiety and personality disorders.
确定多囊卵巢综合征（PCOS）患者中轴 I 和轴 II 精神疾病诊断的当前患病率。
研究样本包括 73 例 PCOS 患者和 73 例对照。通过结构化临床访谈确定精神障碍。
与对照组相比，任何轴 I 精神障碍（28.8%对 15.1%）、社交恐惧症（13.7%对 2.7%）、广泛性焦虑症（11.0%对 1.4%）、任何轴 II 精神障碍（23.3%对 9.6%）和回避型人格障碍（12.3%对 1.4%）的发生率在患者组中明显更高。在患有 PCOS 的女性中，有 21 人（28.8%）至少有一种轴 I 诊断，有 17 人（23.3%）至少有一种轴 II 诊断。患有 PCOS 的女性最常见的轴 I 障碍是社交恐惧症（13.7%），最常见的轴 II 障碍是回避型人格障碍（12.3%）。与对照组相比，社交恐惧症、广泛性焦虑症和回避型人格障碍在患者组中更为常见。
我们的结果表明，相当一部分患有 PCOS 的女性也存在焦虑和人格障碍。
