Hum. Reprod. Advance Access published online on February 3, 2006
Human Reproduction, doi:10.1093/humrep/dei409
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
1 Department of Medical Psychology, Bochum, Germany
* To whom correspondence should be addressed. BACKGROUND: The goals were to analyse the incidence of mental distress in women with untreated polycystic ovary syndrome (PCOS) using self-report measures, to characterize PCOS patients at risk for psychiatric disease with regard to sociodemographic and clinical characteristics, and to assess the impact of emotional distress on quality of life. METHODS AND RESULTS: Complete metabolic, hormonal, clinical and self-report psychological data [emotional distress, Symptom Check List 90 (SCL-90-R); quality of life, Short-Form Health Survey 36 (SF-36); sexual satisfaction, visual analogue scales; sociodemographic data] were obtained from n = 143 untreated women with PCOS. Prior psychiatric diagnoses were exclusionary. Twenty-two patients (15.4%) had a possible psychological disorder, based on SCL-90-R global severity index (GSI) scores
Received September 14, 2005
Revised October 24, 2005
Accepted November 2, 2005
Article
Determinants of emotional distress in women with polycystic ovary syndrome
Sigrid Elsenbruch 1 *,
Sven Benson 1,
Susanne Hahn 2,
Susanne Tan 3,
Klaus Mann 3,
Katja Pleger 1,
Rainer Kimmig 4,
and
Onno E. Janssen 3
2 Endokrinologikum Ruhr, Center for Endocrine and Metabolic Diseases, Bochum, Germany
3 Division of Endocrinology, Department of Medicine, University Hospital of Essen Medical School, Hufelandstr. 55, 45122 Essen, Germany
4 Department of Obstetrics and Gynaecology, University Hospital of Essen Medical School, Hufelandstr. 55, 45122 Essen, Germany
Sigrid Elsenbruch, E-mail: sigrid.elsenbruch{at}uni-essen.de
Abstract 
63 (SCL cases). SCL cases had significantly elevated body mass index (BMI), but did not differ from SCL non-cases in other clinical, endocrine, metabolic or sociodemographic variables. Stepwise multiple regression analyses identified GSI as a significant predictor of SF-36 Psychological Sum score, along with age and current wish to conceive (R2 = 0.47); the SF-36 Physical Sum score was predicted by BMI and education (R2 = 0.27), but not GSI. CONCLUSIONS: Psychiatric illness may go undetected in a proportion of PCOS patients. Although the majority of patients exhibit subclinical levels of psychological disturbances, emotional distress together with obesity lead to large decrements in quality of life in PCOS.
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  S. Benson, S. Hahn, S. Tan, K. Mann, O.E. Janssen, M. Schedlowski, and S. Elsenbruch Prevalence and implications of anxiety in polycystic ovary syndrome: results of an internet-based survey in Germany Hum. Reprod., June 1, 2009; 24(6): 1446 - 1451. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Tan, S. Hahn, S. Benson, O.E. Janssen, T. Dietz, R. Kimmig, J. Hesse-Hussain, K. Mann, M. Schedlowski, P.C. Arck, et al. Psychological implications of infertility in women with polycystic ovary syndrome Hum. Reprod., September 1, 2008; 23(9): 2064 - 2071. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G.L. Jones, J.M. Hall, A.H. Balen, and W.L. Ledger Health-related quality of life measurement in women with polycystic ovary syndrome: a systematic review Hum. Reprod. Update, January 1, 2008; 14(1): 15 - 25. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. N.T. Moreira and G. D. Azevedo Incorporating qualitative approaches is the path to adequate understanding of the psychosocial impact of polycystic ovary syndrome Hum. Reprod., October 1, 2006; 21(10): 2723 - 2724. [Full Text] [PDF]
|
|