Department of Nursing, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China.
Nursing School of Zunyi Medical University, Zunyi, Guizhou, China.
Front Public Health. 2024 Aug 21;12:1454415. doi: 10.3389/fpubh.2024.1454415. eCollection 2024.
Depression symptoms are a growing concern for adolescent girls with PCOS around the world. However, relatively small samples have given varying reports of its prevalence and risk factors in previous studies. Therefore, there is an urgent need for further research on the prevalence and associated factors of depression among adolescent girls with PCOS.
A cross-sectional study was performed from October 2021 to May 2022 using a questionnaire and examination of the medical records of a convenience sample of 335 adolescent girls with PCOS. The Chinese version of the Children's Depression Scale (CDI) was used to investigate depression symptoms. A multivariate logistic regression model was used to determine factors that were significantly associated with depression symptoms.
The prevalence of depression symptoms was 36.12% among adolescent girls with PCOS. A multivariate logistic regression model identified significant factors as perceived social support (95% CI: 0.921 ~ 0.965%, = 0.000), sleep quality (95% CI: 1.134 ~ 1.324%, = 0.000), belief illness (95% CI, 1.040 ~ 1.102%, = 0.000), hirsutism (95% CI, 1.292 ~ 4.392%, = 0.005), and LH/FSH ≥ 2 (95% CI, 1.939 ~ 6.369%, = 0.000).
Depression symptoms are an important problem among adolescent girls with PCOS in China. A comprehensive approach that encompasses social support, structured health education for the disease, and evaluation of the psychological status of PCOS girls with hirsutism (and) or LH/FSH ≥ 2 in time is important to minimize depression symptoms and improve psychological health among adolescent girls with PCOS.
抑郁症状是全世界患有多囊卵巢综合征的青春期女孩日益关注的问题。然而，之前的研究中由于样本量较小，导致其患病率和风险因素的报告结果不一。因此，迫切需要进一步研究患有多囊卵巢综合征的青春期女孩的抑郁患病率及其相关因素。
本研究于 2021 年 10 月至 2022 年 5 月期间采用问卷调查和病历检查，对方便抽样的 335 例青春期多囊卵巢综合征女孩进行了横断面研究。采用中文版儿童抑郁量表（CDI）调查抑郁症状。采用多变量 logistic 回归模型确定与抑郁症状显著相关的因素。
青春期多囊卵巢综合征女孩的抑郁症状患病率为 36.12%。多变量 logistic 回归模型确定的显著因素包括感知社会支持（95%CI：0.9210.965，=0.000）、睡眠质量（95%CI：1.1341.324，=0.000）、疾病信念（95%CI，1.0401.102，=0.000）、多毛症（95%CI，1.2924.392，=0.005）和 LH/FSH≥2（95%CI，1.939~6.369，=0.000）。
抑郁症状是中国青春期多囊卵巢综合征女孩的一个重要问题。综合方法包括社会支持、针对疾病的结构化健康教育，以及及时评估有多毛症（和）或 LH/FSH≥2 的多囊卵巢综合征女孩的心理状况，对于减轻青春期多囊卵巢综合征女孩的抑郁症状和改善心理健康非常重要。
