Evaluation of Depression and Mental Health Status in Women with Poly Cystic Ovary Syndrome
Abstract
Objective: Poly Cystic Ovary Syndrome (PCOS) is a common endocrine condition that affects up to one fifth of the women of reproductive age. The overall prevalence of the depressive disorders has been shown to be about 12% in a large multi-centric study of obstetric-gynecologic patients. This study was designed to evaluate the distribution of depression and mental health status in women with PCOS.
Materials and methods: This cross-sectional study was performed on 100 women with PCOS who were selected among patients attending the gynecologic and obstetric clinics of two referral centers. They completed Beck Depression Inventory (BDI) and General Health Questionnaire (GHQ-28).
Results: The prevalence of depression in women with PCOS was 45% according to BDI. According to GHQ-28, 30% of our patients were considered as possible cases of mental disorder.
Conclusion: We found that the prevalence of depression was significantly high in women with PCOS. We believe that the treatment of PCOS must include psychological treatment to improve mental health status as well.
Teede H, Deeks A, Moran L. Polycystic ovary syndrome: a complex condition with psychological, reproductive and metabolic manifestations that impacts on health across the lifespan. BMC Med 2010; 8: 41.
Rotterdam ESHRE/ASRM-Sponsored PCOS consensus workshop group. Revised 2003 consensus on diagnostic criteria and long-term health risks related to polycystic ovary syndrome (PCOS). Hum Reprod 2004 ;19:41-7.
March WA, Moore VM, Willson KJ, Phillips DI, Norman RJ, Davies MJ. The prevalence of Polycystic Ovarian Syndrome in a community sample assessed under contrasting diagnostic criteria. Hum Repord 2010; 25:544-51.
Bhattacharya SM, Jha A. Prevalence and risk of depressive disorders in women with polycystic ovary syndrome (PCOS). Fertil Steril 2010;94:357-9.
Elsenbruch S, Hahn S, Kowalsky D, Offner AH, Schedlowski M, Mann K, et al. Quality of life, psychosocial well-being, and sexual satisfaction in women with polycystic ovary syndrome. J Clin Endocrinol Metab 2003;88:5801-7.
Himelein MJ,Thatcher SS. Polycystic Ovarian Syndrome and Mental health: A Review. obstet Gynecol Surv 2006; 61:723-32.
Bishop SC, Basch S, Futterweit W. Polycystic Ovarian Syndrome, depression, and affective disorders. Endocr Pract 2009; 15:475-82.
Kaviani H, Mousavi A, Mohit A.[Interview and Psychological Tests]. First Ed.Tehran: Sana, 2001:170-84.
Noorbala AA, Bagheri Yazdi SA, Yasamy MT, Mohammad K. Mental health survey of the adult population in Iran. Br J Psychiatry 2004;184:70-3.
Dokras A, Clifton S, Futterweit W, Wild R. Increased risk for abnormal depression scores in women with polycystic ovary syndrome: a systematic review and meta-analysis. Obstet Gynecol 2011 ;117:145-52.
Barry JA, Kuczmierczyk AR, Hardiman PJ. Anxiety and depression in polycystic ovary syndrome: a systematic review and meta-analysis. Hum Reprod 2011;26:2442-51.
Tan S, Hahn S, Benson S, Janssen OE, Dietz T, Kimmig R, et al. Psychological implications of infertility in women with polycystic ovary syndrome.Hum Reprod 2008; 23: 2064-71.
Kerchner A, Lester W, Stuart SP, Dokras A. Risk of depression and other mental health disorders in women with polycystic ovary syndrome: a longitudinal study. Fertil Steril 2009; 91:207-12.
Hollinrake E, Abreu A, Maifeld M, Van Voorhis BJ, Dokras A.Increased risk of depressive disorders in women with polycystic ovary syndrome. Fertil Steril 2007 ; 87:1369-76.
Weiner CL, Primeau M, Ehrmann DA. Androgens and mood dysfunction in women: comparison of women with polycystic ovarian syndrome to healthy controls. Psychosom Med 2004; 66: 356-62.
Deeks AA, Gibson-Helm ME, Teede HJ. Anxiety and depression in polycystic ovary syndrome: a comprehensive investigation. Fertil Steril 2010; 93: 2421-3.
Ching HL, Burke V, Stuckey BG. Quality of life and psychological morbidity in women with polycystic ovary syndrome: body mass index, age and the provision of patient information are significant modifiers. Clin Endocrinol (Oxf) 2007;66:373-9.
Coffey S, Mason H. The effect of polycystic ovary syndrome on health-related quality of life. Gynecol Endocrinol 2003 ;17:379-86.
Rassi A, Veras AB, dos Reis M, Pastore DL, Bruno LM, Bruno RV, et al. Prevalence of psychiatric disorders in patients with polycystic ovary syndrome. Compr Psychiatry 2010; 51:599-602.
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Issue | Vol 5, No 3 (September 2011) | |
Section | Original Articles | |
Keywords | ||
PCOS depression mental health |
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