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多囊卵巢综合征女性临床生化指标与抑郁之间的关系。

The relationship between clinicobiochemical markers and depression in women with polycystic ovary syndrome.

作者信息

Rahiminejad Mohammad Ehsan, Moaddab Amirhossein, Rabiee Soghra, Esna-Ashari Farzaneh, Borzouei Shiva, Hosseini Seyyed Mohammad

机构信息

Research Center of Behavioral Sciences and Dependency, Hamedan University of Medical Sciences, Hamedan, Iran.

Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX, USA.

出版信息

Iran J Reprod Med. 2014 Dec;12(12):811-6.

Abstract

BACKGROUND

Previous studies have demonstrated that clinical features of Polycystic ovary syndrome (PCOS) are associated with a lower degree of health, self, and sex satisfaction.

OBJECTIVE

Our study aimed to investigate possible associations between depression and different clinicobiochemical markers of PCOS.

MATERIALS AND METHODS

In a cross-sectional analytic study, 120 PCOS women aged 18-45 yr, were enrolled. Beck Depression Inventory was used to assess depression. Also, all participants underwent biochemical studies. Individuals with 15 points and more in Beck test were referred to a psychiatrist to participate in a complementary interview for the diagnosis of depression based on Diagnostic and Statistical Manual of Mental Disorders IV (DSMIV-TR) criteria.

RESULTS

Among the study participants, 82 women (68.3%) were non-depressed, and 38 patients (31.7%) had some degrees of depression. According to the psychiatric interview, 10 patients (8.3%) had major depression, 22 patients (18.3%) had minor depression and 6 patients (5%) had dysthymia. We failed to show any significant difference in body mass index, hirsutism, infertility, serum total testosterone, lipid profile, and the homeostasis model assessment of insulin resistance (HOMA-IR) between depressed and non-depressed subjects (p>0.05). Using Spearman correlation, we did not find a positive correlation between BDI scores and clinicobiochemical markers for all PCOS subjects (-0.139≤r≤+0.121, p>0.05).

CONCLUSION

In spite of high rate of depression in women with PCOS, there was no significant association between Clinicobiochemical Markers and depression.

摘要

背景

既往研究表明,多囊卵巢综合征(PCOS)的临床特征与较低的健康、自我及性满意度相关。

目的

我们的研究旨在调查抑郁症与PCOS不同临床生化指标之间可能存在的关联。

材料与方法

在一项横断面分析研究中,纳入了120名年龄在18至45岁之间的PCOS女性。采用贝克抑郁量表评估抑郁情况。此外,所有参与者均接受了生化检查。贝克测试得分在15分及以上的个体被转介给精神科医生,以根据《精神疾病诊断与统计手册》第四版(DSMIV-TR)标准参与抑郁症诊断的补充访谈。

结果

在研究参与者中,82名女性(68.3%)无抑郁,38名患者(31.7%)有不同程度的抑郁。根据精神科访谈,10名患者(8.3%)患有重度抑郁症,22名患者(18.3%)患有轻度抑郁症,6名患者(5%)患有心境恶劣障碍。我们未发现抑郁组与非抑郁组在体重指数、多毛症、不孕症、血清总睾酮、血脂谱以及胰岛素抵抗的稳态模型评估(HOMA-IR)方面存在任何显著差异(p>0.05)。使用Spearman相关性分析,我们未发现所有PCOS受试者的BDI得分与临床生化指标之间存在正相关(-0.139≤r≤+0.121,p>0.05)。

结论

尽管PCOS女性中抑郁症发生率较高,但临床生化指标与抑郁症之间无显著关联。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/067e/4330661/1f2376024a79/ijrm-12-811-g001.jpg

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