Brennan Leah, Teede Helena, Skouteris Helen, Linardon Jake, Hill Briony, Moran Lisa
1 School of Psychology, Australian Catholic University , Melbourne, Australia .
2 Monash Centre for Health Research Implementation, School of Public Health and Preventative Medicine, Monash University , Melbourne, Australia .
J Womens Health (Larchmt). 2017 Aug;26(8):836-848. doi: 10.1089/jwh.2016.5792. Epub 2017 Jun 1.
Polycystic ovary syndrome (PCOS) is a common condition with serious physiological and psychological health consequences. It affects women across their reproductive lifespan and is associated with pregnancy complications, including gestational diabetes, preeclampsia, and large gestational-age babies. PCOS is associated with excess weight gain, which, in turn, exacerbates the health burden of PCOS. Therefore, weight management, including a modest weight loss, maintenance of weight loss, prevention of weight gain, and prevention of excess gestational weight gain, is a first-line treatment for women with PCOS during and independent of pregnancy. Despite evidence-based guidelines, international position statements, and Cochrane reviews promoting lifestyle interventions for PCOS, the optimal complexity, intensity, and behavioral components of lifestyle interventions for women with PCOS are not well understood. The focus of this narrative review is the evidence supporting the use of behavioral strategies in weight management interventions for reproductive-aged women to apply to PCOS. Behavioral theories, behavior change strategies, and psychological correlates of weight management have been thoroughly explored in weight loss interventions in the general population, reproductive-aged women, and peri-natal women. This article uses this parallel body of research to inform suggestions regarding lifestyle interventions in women with PCOS. Outcomes of weight management programs in women with PCOS are likely to be improved with the inclusion of behavioral and psychological strategies, including goal setting, self-monitoring, cognitive restructuring, problem solving, and relapse prevention. Strategies targeting improved motivation, social support, and psychological well-being are also important. These can be applied to the clinical management of women with PCOS at different reproductive life stages.
多囊卵巢综合征（PCOS）是一种常见病症，会对生理和心理健康造成严重后果。它影响着处于生育期的女性，并与妊娠并发症相关，包括妊娠期糖尿病、先兆子痫和巨大儿。PCOS与体重过度增加有关，而这反过来又加重了PCOS的健康负担。因此，体重管理，包括适度减重、维持体重减轻、预防体重增加以及预防孕期体重过度增加，是PCOS女性在孕期及非孕期的一线治疗方法。尽管有循证指南、国际立场声明以及Cochrane综述都提倡对PCOS进行生活方式干预，但对于PCOS女性生活方式干预的最佳复杂性、强度和行为组成部分，人们还了解得不够透彻。本叙述性综述的重点是支持在针对育龄女性的体重管理干预措施中运用行为策略以应用于PCOS的证据。在普通人群、育龄女性和围产期女性的体重减轻干预中，已经对行为理论、行为改变策略以及体重管理的心理关联进行了深入探讨。本文利用这一系列平行研究为有关PCOS女性生活方式干预的建议提供依据。纳入行为和心理策略，包括目标设定、自我监测、认知重构、问题解决和预防复发，可能会改善PCOS女性体重管理项目的效果。针对提高动机、社会支持和心理健康的策略也很重要。这些策略可应用于处于不同生育阶段的PCOS女性的临床管理。
