Department of Endocrinological Gynecology, School of Medicine in Katowice, Medical University of Silesia, 40-752 Katowice, Poland.
Pathophysiology Unit, Department of Pathophysiology, School of Medicine in Katowice, Medical University of Silesia, 40-752 Katowice, Poland.
Int J Environ Res Public Health. 2022 Dec 15;19(24):16871. doi: 10.3390/ijerph192416871.
Polycystic ovary syndrome (PCOS) is a disorder that substantially affects women's health. It is particularly diagnosed in young patients. Women with PCOS are burdened with excessive weight gain, overweight and obesity (74%) compared to a healthy female population. Excessive weight influences psychological state and emotional well-being, whereas in the meantime, psychological and behavioral dysfunction is increasingly being diagnosed among patients with PCOS.
To assess depressive symptoms and emotional control among women with PCOS in relation to BMI.
The study was conducted among 671 self-reported PCOS women. The standardized Beck Depression Inventory (BDI) was used to assess depressive disorders. Emotion control was assessed using the Courtauld Emotional Control Scale (CECS).
Moderate and severe depressive symptoms were more common in PCOS women with abnormal BMI compared to normal BMI subjects ( < 0.01). In total, 27.1% of obese women had moderate depression and 28.8% had severe depression. Among overweight women, 19.9% suffered from moderate and 25% from severe depressive symptoms. Underweight women also reported moderate (25.6%) and severe (33.3%) depressive signs. There were no statistically significant differences between the body weight of the women studied and the CECS scores.
Depressive symptoms are more common in women with PCOS and abnormal BMI than in women with PCOS and proper BMI. The severity of depressive symptoms increases with BMI, but underweight women with PCOS are also at risk of depressive disorders. The level of suppression of negative emotions is independent of BMI in women with PCOS.
多囊卵巢综合征（PCOS）是一种严重影响女性健康的疾病，尤其在年轻患者中更为常见。与健康女性人群相比，患有 PCOS 的女性更容易出现体重过度增加、超重和肥胖（74%）的问题。体重过多会影响心理状态和情绪健康，而与此同时，越来越多的 PCOS 患者被诊断出存在心理和行为功能障碍。
评估多囊卵巢综合征患者的抑郁症状和情绪控制与 BMI 的关系。
本研究纳入了 671 名自我报告的 PCOS 女性。使用标准化贝克抑郁量表（BDI）评估抑郁障碍。使用考尔达情绪控制量表（CECS）评估情绪控制。
与 BMI 正常的受试者相比，BMI 异常的 PCOS 女性更易出现中度和重度抑郁症状（<0.01）。总的来说，27.1%的肥胖女性患有中度抑郁，28.8%患有重度抑郁。超重女性中，19.9%患有中度抑郁，25%患有重度抑郁。体重不足的女性也报告了中度（25.6%）和重度（33.3%）抑郁症状。研究中女性的体重和 CECS 评分之间没有统计学上的显著差异。
与 BMI 正常的 PCOS 女性相比，BMI 异常的 PCOS 女性更容易出现抑郁症状。随着 BMI 的增加，抑郁症状的严重程度也会增加，但 PCOS 体重不足的女性也存在抑郁障碍的风险。PCOS 女性抑制负面情绪的能力与 BMI 无关。
