Cartagena Mental Health Centre, Murcia Health Service, C/Real, 8, Cartagena, 30201 Murcia, Spain.
Department of Public Health Sciences, Division of Preventive Medicine and Public Health, Institute for Biomedical Research of Murcia, IMIB-Arrixaca, University of Murcia School of Medicine, 30100 Murcia, Spain.
Int J Environ Res Public Health. 2021 Feb 28;18(5):2352. doi: 10.3390/ijerph18052352.
Polycystic ovary syndrome (PCOS) is a chronic endocrinopathy characterized by hyperandrogenism and anovulation that may pervade psychological dimensions such as dispositional optimism. Considering how PCOS influences mental health and the lack of studies on this matter, this research was aimed at assessing optimism and associated factors in PCOS. A case-control study of 156 patients with PCOS and 117 controls was conducted. All woman filled out the Life Orientation Test-Revised (LOT-R), a self-report questionnaire for measuring dispositional optimism. Medication, pain severity, gynecological, and sociodemographic information was also collected. Lower optimism was found in patients with PCOS compared to controls, even after covariate adjustment (LOT-R global scores: 14.1 vs. 15.9, = 0.020). Our study provides evidence that a personality characteristic with important implications in illness prognosis may be affected in PCOS. We propose to assess dispositional optimism with the LOT-R scale in the gynecological appointment and tailor medical attention accordingly as a way to improve the comprehensive care of these patients within a multidisciplinary team.
多囊卵巢综合征（PCOS）是一种慢性内分泌疾病，其特征为高雄激素血症和排卵障碍，可能会涉及到心理层面，如性格倾向的乐观程度。鉴于 PCOS 如何影响心理健康以及对此问题缺乏研究，本研究旨在评估 PCOS 患者的乐观程度及其相关因素。这是一项针对 156 名 PCOS 患者和 117 名对照者的病例对照研究。所有女性均填写了生活取向测试修订版（LOT-R），这是一种用于测量性格倾向乐观程度的自评问卷。同时还收集了用药情况、疼痛严重程度、妇科和社会人口学信息。与对照组相比，PCOS 患者的乐观程度较低，即使在调整了协变量后也是如此（LOT-R 总分：14.1 对 15.9， = 0.020）。本研究提供了证据，表明一种在疾病预后中具有重要意义的人格特征可能会受到 PCOS 的影响。我们建议在妇科就诊时使用 LOT-R 量表评估性格倾向的乐观程度，并据此调整医疗护理，以作为在多学科团队中改善这些患者综合护理的一种方式。
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