Stapinska-Syniec Angelika, Grabowska Klaudia, Szpotanska-Sikorska Monika, Pietrzak Bronislawa
a Students' Scientific Association at the 1st Department of Obstetrics and Gynaecology , Medical University of Warsaw , Warsaw , Poland.
b 1st Department of Obstetrics and Gynaecology , Medical University of Warsaw , Warsaw , Poland.
Gynecol Endocrinol. 2018 Jul;34(7):597-600. doi: 10.1080/09513590.2018.1427713. Epub 2018 Jan 16.
Polycystic ovary syndrome (PCOS) increases the risk of depression, poor quality of life, and low sexual satisfaction of women. The aim of the study was to evaluate the prevalence of these disorders and to assess the need for psychological consultation at the time of PCOS diagnosis. A case-control single-center study of 250 women who were diagnosed with PCOS voluntarily filled in an anonymous, interactive questionnaire. The inquiry form included 27 questions covering the woman's characteristics, satisfaction with their outer appearance and sexual life, as well as the Beck Depression Inventory (BDI). Based on the BDI, 52% (130/250) of studied women presented depressive symptoms. This group had significantly higher body mass index (29.5 ± 8.1 vs. 24.6 ± 5.8; p<.001) and a lower level of self-attractiveness than other studied women (3.3 ± 2.2 vs. 5.4 ± 2.3; p<.001). Forty two percent (106/250) of women viewed themselves as unattractive. A correlation between reduced sexual satisfaction and a sense of low attractiveness was noted (r = 0.465, p<.001). Sixty four percent (160/250) of women believed that psychological consultation should be offered to all PCOS women. Treatment of PCOS women should be multidisciplinary and include psychological counseling, especially in obese PCOS women with inadequate family support and dissatisfied with their sexual life.
多囊卵巢综合征（PCOS）会增加女性患抑郁症、生活质量差和性满意度低的风险。本研究的目的是评估这些疾病的患病率，并评估在PCOS诊断时进行心理咨询的必要性。一项病例对照单中心研究，250名自愿诊断为PCOS的女性填写了一份匿名交互式问卷。调查问卷包括27个问题，涵盖女性的特征、对其外表和性生活的满意度，以及贝克抑郁量表（BDI）。根据BDI，52%（130/250）的研究女性有抑郁症状。该组的体重指数显著高于其他研究女性（29.5±8.1 vs. 24.6±5.8；p<0.001），自我吸引力水平低于其他研究女性（3.3±2.2 vs. 5.4±2.3；p<0.001）。42%（106/250）的女性认为自己没有吸引力。注意到性满意度降低与低吸引力感之间存在相关性（r = 0.465，p<0.001）。64%（160/250）的女性认为应该为所有PCOS女性提供心理咨询。PCOS女性的治疗应该是多学科的，包括心理咨询，特别是对于肥胖的PCOS女性，她们家庭支持不足且对性生活不满意。
