Ekramzadeh Maryam, Hajivandi Leila, Noroozi Mahnaz, Mostafavi Firoozeh
Nutrition Research Center, Department of Clinical Nutrition, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
Department of Nursing and Midwifery, Kazerun Medical Sciences Branch, Islamic Azad University, Kazerun, Iran.
Iran J Nurs Midwifery Res. 2020 Jun 17;25(4):341-347. doi: 10.4103/ijnmr.IJNMR_276_19. eCollection 2020 Jul-Aug.
Polycystic Ovary Syndrome (PCOS) is one of the most common endocrine disorders in the women of reproductive age. In addition to multiple physical problems, this syndrome has many psychological manifestations. Thus, the present research was conducted aimed at investigating the psychological experiences of the adolescent girls with PCOS.
This research was conducted using the qualitative content analysis method. A total of 18 adolescent girls with PCOS and 15 healthcare providers were selected by the purposive sampling method. The data were collected through in-depth interviews, focus group discussions, and field notes, which were analyzed using the conventional content analysis method.
After analyzing, three main categories and seven subcategories were extracted. First, the psychological experiences related to the disease symptoms had three subcategories: "psychological experiences related to hirsutism, alopecia, and acne," "psychological experiences related to obesity," and "psychological experiences related to menstrual disorders." Second, the psychological experiences related to disease complications had two subcategories: "psychological experiences related to infertility" and "psychological experiences related to disease progression." Third, the psychological experiences related to treatment of the disease had two subcategories: "psychological experiences related to prolongation of the treatment and uncertain fate of the disease" and "psychological experiences related to the complications of the medical treatment."
Results of the study showed that adolescent girls with PCOS were exposed to multiple concerns endangering their psychological health. Therefore, it is recommended to provide adequate and appropriate information about the disease and its consequences, as well as psychosocial supports and regular assessment of psychological state by the team of healthcare providers in the adolescent girls with PCOS.
多囊卵巢综合征（PCOS）是育龄女性中最常见的内分泌疾病之一。除了多种身体问题外，该综合征还有许多心理表现。因此，本研究旨在调查患有PCOS的青春期女孩的心理体验。
本研究采用定性内容分析法。通过目的抽样法共选取了18名患有PCOS的青春期女孩和15名医护人员。数据通过深入访谈、焦点小组讨论和实地记录收集，并采用常规内容分析法进行分析。
分析后提取出三个主要类别和七个子类别。第一，与疾病症状相关的心理体验有三个子类别：“与多毛、脱发和痤疮相关的心理体验”、“与肥胖相关的心理体验”以及“与月经紊乱相关的心理体验”。第二，与疾病并发症相关的心理体验有两个子类别：“与不孕相关的心理体验”和“与疾病进展相关的心理体验”。第三，与疾病治疗相关的心理体验有两个子类别：“与治疗延长和疾病命运不确定相关的心理体验”以及“与医疗并发症相关的心理体验”。
研究结果表明，患有PCOS的青春期女孩面临多种危及心理健康的担忧。因此，建议为患有PCOS的青春期女孩提供关于该疾病及其后果的充分且适当的信息，以及心理社会支持，并由医护团队定期评估其心理状态。
