Department of Pharmacy, Jagannath University, Dhaka, Bangladesh.
Department of Pharmacy, University of Asia Pacific, Dhaka, Bangladesh.
PLoS One. 2022 Jun 22;17(6):e0270102. doi: 10.1371/journal.pone.0270102. eCollection 2022.
Polycystic ovary syndrome (PCOS) is a common female reproductive endocrine problem worldwide. The prevalence of mental disorder is increasing among PCOS patients due to various physical, psychological, and social issues. Here we aimed to evaluate the mental health and associated factors among women suffering from PCOS in Bangladesh.
We performed an online cross-sectional survey among 409 participants with PCOS using Google Forms. We used structured questionnaires to collect socio-demographic information and lifestyle-related factors. Also, we applied patient health questionnaire (PHQ-9), generalized anxiety disorder (GAD-7) scale, and UCLA loneliness (UCLA-3) scale for psychometric assessment of the participants. Finally, we applied several statistical tools and performed data interpretations to evaluate the prevalence of mental health disorders and associated factors among patients with PCOS in Bangladesh.
Prevalence of loneliness, generalized anxiety disorder and depressive illness among the women with PCOS were 71%, 88%, and 60%, respectively. Among the mental illness, mild, moderate, and severe cases were 39%, 18%, and 14% for loneliness; 39%, 23% and 26% for generalized anxiety disorder; and 35%, 18%, and 7% for depressive disorder. According to the present findings, obesity, financial condition, physical exercise, mealtime, food habit, daily water consumption, birth control method, and long-term oral contraceptive pills contribute to developing mental health disorders among females with PCOS in Bangladesh.
According to present study results, high proportion of women suffering from PCOS experience several mental disorders in Bangladesh. Although several socio-demographic and lifestyle-related factors were found to be associated with the poor mental health of women with PCOS; however, PCOS itself is a condition that favors poor physical and psychological health. Therefore, we recommend proper treatment, public awareness, and a healthy lifestyle to promote the good mental health of women suffering from PCOS.
多囊卵巢综合征（PCOS）是一种常见的全球女性生殖内分泌问题。由于各种身体、心理和社会问题，PCOS 患者的精神障碍患病率正在增加。在这里，我们旨在评估孟加拉国 PCOS 患者的心理健康状况及其相关因素。
我们使用 Google Forms 对 409 名 PCOS 患者进行了在线横断面调查。我们使用结构化问卷收集社会人口统计学信息和与生活方式相关的因素。此外，我们还应用了患者健康问卷（PHQ-9）、广泛性焦虑障碍（GAD-7）量表和加州大学洛杉矶分校孤独感量表（UCLA-3）来评估参与者的心理测量。最后，我们应用了多种统计工具并进行了数据分析，以评估孟加拉国 PCOS 患者的心理健康障碍患病率及其相关因素。
PCOS 患者中孤独感、广泛性焦虑症和抑郁症的患病率分别为 71%、88%和 60%。在精神疾病中，轻度、中度和重度病例分别为孤独感 39%、18%和 14%；广泛性焦虑症 39%、23%和 26%；以及抑郁症 35%、18%和 7%。根据本研究结果，肥胖、财务状况、体育锻炼、用餐时间、饮食习惯、日常饮水量、避孕方法和长期口服避孕药都会导致孟加拉国 PCOS 女性出现心理健康障碍。
根据本研究结果，孟加拉国患有 PCOS 的女性中有相当大的比例患有多种精神障碍。尽管一些社会人口统计学和与生活方式相关的因素与 PCOS 女性的心理健康状况较差有关；但是 PCOS 本身就是一种不利于身心健康的疾病。因此，我们建议对 PCOS 患者进行适当的治疗、提高公众意识和促进健康的生活方式，以促进其良好的心理健康。
