School of Bio Sciences and Technology, Vellore Institute of Technology, Vellore, India.
School of Advanced Sciences, Vellore Institute of Technology, Vellore, India.
J Psychosom Obstet Gynaecol. 2024 Dec;45(1):2297166. doi: 10.1080/0167482X.2023.2297166. Epub 2023 Dec 27.
Polycystic ovarian syndrome (PCOS) is a common endocrine disorder that primarily affects women of reproductive age. It is particularly prevalent among adolescent females who receive an insufficient diagnosis despite having potentially adverse consequences. The use of PCOS screening questionnaires has the potential to aid in the early detection of symptoms. The goal of this study is to observe if a self-administered questionnaire may be useful for a clear cognizance of the associated conditions like mental stress and menstrual characteristics correlated to polycystic ovary syndrome. In this study, we selected women within an age group of 17-40 with and without PCOS based on the modified Rotterdam criteria to fill out a self-administrated questionnaire based on the signs and symptoms of PCOS majorly focusing on mental stress and menstrual characteristics. SPSS software, univariate analyses were employed to elucidate the associations among the components of PCOS, demographic factors, and lifestyle characteristics, hence providing insights into the interrelationships among those variables. 64 women with PCOS and 141 women without PCOS participated in the present study. The present study revealed PCOS is greatly influenced by age at menarche (-value= .043), typical cycle length (-value = .000) mental health problems during menstruation (-value = .032), and body mass index (-value = .001). Multivariate hierarchical logistic regression analysis showed only 2 variables BMI (a-OR 1.156,95% CI (1.067-1.242), -value = .000), and typical cycle length (a-OR 2.278, 95% CI (1.079-4.809), p-value = .003) were significant. The present study showed that BMI and menstrual cycle length were most closely associated with the incidence of PCOS, which is important in diagnosing and treating the condition. Considering the high incidence of PCOS among women of reproductive age and its potential for significant health implications, it would be prudent to incorporate inquiries regarding mental health concerns and menstrual patterns into routine medical assessments for this demographic analysis. This approach aims to ascertain whether additional diagnostic evaluations and screenings for PCOS are warranted.
多囊卵巢综合征(PCOS)是一种常见的内分泌疾病,主要影响育龄妇女。尽管可能有潜在的不良后果,但青春期女性的诊断不足尤为普遍。使用 PCOS 筛查问卷有助于早期发现症状。本研究旨在观察自我管理问卷是否有助于明确与多囊卵巢综合征相关的条件,如精神压力和月经特征。在这项研究中,我们根据改良的 Rotterdam 标准选择了年龄在 17-40 岁之间的有和没有 PCOS 的女性,填写了一份基于 PCOS 主要关注精神压力和月经特征的体征和症状的自我管理问卷。采用 SPSS 软件进行单变量分析,以阐明 PCOS 各组成部分、人口统计学因素和生活方式特征之间的关系,从而深入了解这些变量之间的相互关系。本研究共纳入 64 例 PCOS 患者和 141 例无 PCOS 患者。本研究表明,PCOS 受初潮年龄(-值=.043)、典型周期长度(-值=.000)、月经期间心理健康问题(-值=.032)和体重指数(-值=.001)的影响较大。多变量分层逻辑回归分析显示,只有 2 个变量 BMI(a-OR 1.156,95%CI(1.067-1.242),-值=.000)和典型周期长度(a-OR 2.278,95%CI(1.079-4.809),p 值=.003)具有统计学意义。本研究表明,BMI 和月经周期长度与 PCOS 的发生密切相关,这对诊断和治疗该病具有重要意义。鉴于育龄妇女中 PCOS 的高发病率及其对健康的潜在重大影响,在对这一年龄段进行人口分析时,明智的做法是将对心理健康问题和月经模式的询问纳入常规医疗评估中。这种方法旨在确定是否需要对 PCOS 进行额外的诊断评估和筛查。