Zangeneh Farideh Zafari, Jafarabadi Mina, Naghizadeh Mohammad Mehdi, Abedinia Nasrine, Haghollahi Fedyeh
Vali-e-Asr Reproductive Health Research Center, Tehran University of Medical Sciences, Tehran, Iran.
J Reprod Infertil. 2012 Apr;13(2):111-5.
Polycystic ovary syndrome (PCOS) is a complex, multifaceted, heterogeneous disorder, affecting 4%-18% of reproductive-aged women and it is associated with reproductive, metabolic and psychological dysfunctions. PCOS affects quality of life and can worsen anxiety and depression either due to the features of PCOS or due to the diagnosis of a chronic disease.
In this descriptive-analytical study, 81 patients with PCOS were recruited from Vali-e-Asr Reproductive Health Research Center. A questionnaire with items related to pieces of information about stress was used for data collection. Stress symptoms were assessed using the Understanding Yourself questionnaire. Statistical analyses were performed using SPSS Ver. 13.0 (SPSS Inc., Chicago, ILL, USA). The data are presented as mean±SD or as frequency with percentages. A p-value less than 0.05 was considered as statistically significant.
The descriptive results showed that 8 (9.9%) participants did not have any signs of stress, 32 (39.5%) had neurotic stress, 29 (35.8%) had high and 12 (14.8%) had extremely high levels of stress. The odds of high levels of anxiety in women with hirsutism was 3.1 (95% CI, 1.00-9.59). The odds of high levels of obsession in overweight patients was 3.2 (95% CI, 1.12-9.234). The odds of high levels of worries in patients with touchy personality was 3.4 (95% CI, 1.10 - 11.19) obsession score.
The present study showed that clinical signs of PCOS were most closely associated with psychological distress which has important implications in the diagnosis and treatment of disorders.
多囊卵巢综合征(PCOS)是一种复杂、多面且异质性的疾病,影响4%-18%的育龄女性,与生殖、代谢和心理功能障碍相关。PCOS会影响生活质量,并且由于PCOS的特征或慢性病的诊断,会加重焦虑和抑郁。
在这项描述性分析研究中,从瓦利 - 阿斯尔生殖健康研究中心招募了81名PCOS患者。使用一份包含与压力相关信息项目的问卷进行数据收集。使用“了解自己”问卷评估压力症状。使用SPSS 13.0版(美国伊利诺伊州芝加哥市SPSS公司)进行统计分析。数据以均值±标准差或频率及百分比表示。p值小于0.05被认为具有统计学意义。
描述性结果显示,8名(9.9%)参与者没有任何压力迹象,32名(39.5%)有神经质压力,29名(35.8%)压力水平高,12名(14.8%)压力水平极高。多毛女性中焦虑水平高的几率为3.1(95%置信区间,1.00 - 9.59)。超重患者中强迫观念水平高的几率为3.2(95%置信区间,1.12 - 9.234)。敏感性格患者中担忧水平高的几率为3.4(95%置信区间,1.10 - 11.19)强迫观念得分。
本研究表明,PCOS的临床体征与心理困扰密切相关,这对疾病的诊断和治疗具有重要意义。