Zachurzok Agnieszka, Pasztak-Opilka Agnieszka, Gawlik Aneta Monika
Department of Pediatrics and Pediatric Endocrinology, Medical University of Silesia, School of Medicine in Katowice, Poland.
Institute of Psychology, Faculty of Social Sciences, University of Silesia, Katowice, Poland.
Ginekol Pol. 2021 Mar 10. doi: 10.5603/GP.a2021.0042.
Objective of the study was to evaluate the depression, anxiety and perceived stress level in adolescent girls with diagnosed polycystic ovary syndrome (PCOS), as well as to assess their body and self-esteem and its impact on emotional status.
In 27 adolescent girls with confirmed diagnosis of PCOS (study group) as well as 27 healthy, regularly menstruating, age and BMI matched girls (control group) Hospital Anxiety and Depression Scale (HADS), Perceived Stress Scale-10 (PSS-10), Rosenberg Self-Esteem Scale (RSES) and Body-Esteem Scale (BES) containing three subscales (sexual attractiveness, weight concern, physical condition) were performed.
There were no significant differences between PCOS group and control group in depression and PSS-10 scores, but the anxiety score was significantly higher in control than in PCOS group (9.6 ± 3.0 vs 7.3 ± 3.9, p = 0.02). Moreover, in BES subscales' scores there were no significant differences between the groups, whereas RSES score was significantly higher in PCOS group (25.0 ± 7.1 vs 28.3 ± 4.6, p = 0.04). In PCOS group anxiety score was related to PSS-10 score (r = 0.56, p = 0.005). Moreover, we found that obesity was negatively related to anxiety (rƴ = -0.4, p = 0.04), depression (rƴ = -0.48, p = 0.02), PSS-10 (rƴ = -0.59, p = 0.004) and physical condition scores (rƴ = -0.44, p = 0.04). In girls with PCOS the more severe depression the worse weight control (rƴ = -0.56, p = 0.04).
We conclude that in adolescent girls PCOS is not related to anxiety and depressive symptoms as well as poor self-esteem.
本研究的目的是评估确诊为多囊卵巢综合征（PCOS）的青春期女孩的抑郁、焦虑和感知压力水平，以及评估她们的身体和自尊状况及其对情绪状态的影响。
对27名确诊为PCOS的青春期女孩（研究组）以及27名健康、月经规律、年龄和体重指数匹配的女孩（对照组）进行医院焦虑抑郁量表（HADS）、感知压力量表-10（PSS-10）、罗森伯格自尊量表（RSES）和包含三个子量表（性吸引力、体重关注、身体状况）的身体自尊量表（BES）测试。
PCOS组和对照组在抑郁和PSS-10评分上无显著差异，但对照组的焦虑评分显著高于PCOS组（9.6±3.0对7.3±3.9，p = 0.02）。此外，在BES子量表评分上，两组之间无显著差异，而PCOS组的RSES评分显著更高（25.0±7.1对28.3±4.6，p = 0.04）。在PCOS组中，焦虑评分与PSS-10评分相关（r = 0.56，p = 0.005）。此外，我们发现肥胖与焦虑（rƴ = -0.4，p = 0.04）、抑郁（rƴ = -0.48，p = 0.02）、PSS-10（rƴ = -0.59，p = 0.004）和身体状况评分（rƴ = -0.44，p = 0.04）呈负相关。在患有PCOS的女孩中，抑郁越严重，体重控制越差（rƴ = -0.56，p = 0.04）。
我们得出结论，在青春期女孩中，PCOS与焦虑、抑郁症状以及自尊低下无关。
