Increased Risk for Abnormal Depression Scores in Women With Polycystic Ovary Syndrome: A Systematic Review and Meta-Analysis

Dokras, Anuja; Clifton, Shari; Futterweit, Walter; Wild, Robert D.

doi:10.1097/ogx.0b013e318227fc6a

Cited by 70 publications

(107 citation statements)

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“…Higher manifestation of depression symptoms in PCOS patients in the Polish population, demonstrated in the present study, is relatively pronounced, while remaining similar to the results obtained in other countries [10]. This justifies the use of short screening questionnaires assessing the risk for mood disorders in PCOS patients.…”

Section: Discussionsupporting

confidence: 67%

“…The results unequivocally indicate that depressive disorders are 4-5 times more frequent among PCOS patients, and that the vast majority of the investigated women present with mild or moderate symptoms of depression and slightly elevated anxiety levels. The main cause behind this remains unclear [10,11], with androgen levels, hirsutism, obesity, insulin resistance, and infertility among the suggested reasons. Interestingly, obesity and infertility treatment, which have been identified as strong risk factors for depression in studies unrelated to PCOS, do not appear to differentiate the group of PCOS patients in terms of risk for mood disorders, according to preliminary reports [12].…”

Section: Introductionmentioning

confidence: 99%

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Determinants of emotional problems and mood disorders in women with polycystic ovary syndrome

Głowińska

Zielona–Jenek²,

Pawelczyk³

et al. 2016

Ginekol Pol

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Objectives: The aim of the study was to assess the prevalence and severity of emotional problems among Polish women with polycystic ovary syndrome (PCOS) and seek factors which increase the risk of their occurrence. Material and methods:The study group consisted of 82 women (aged 18-48), who were diagnosed with PCOS based on the Rotterdam criteria. During hospitalization, the patients completed a number of questionnaires, providing their sociodemographic data and information concerning the inconvenience of disease-associated symptoms. The questionnaires included the Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI), and Multidimensional Self-Esteem Inventory (MSEI). Data obtained during medical examinations (blood tests, transvaginal ultrasound, height and body mass measurements) were analyzed.Results: Out of 82 women, the results detected risk for depression in 42 (51.22%), mild depressive disorders in 32, moderate disorders in 8, and severe disorder in 2 patients. No statistically significant correlation between BDI or state anxiety and the level of the analyzed hormones, insulin resistance, or infertility treatment, was found. General self-esteem, trait anxiety, and marital status were associated with the occurrence of depression symptoms. BMI was associated with the level of state anxiety during hospitalization. Conclusions:Women with PCOS are at risk for mood and anxiety disorders. Disease-related somatic factors are not directly associated with the risk for disorder occurrence. However, severity of depression symptoms has been shown to be influenced by permanent psychological characteristics of the studied women, i.e. self-esteem, trait anxiety, and life situation (marital status). Therefore, it is recommended to include interviews about patient life situation and screening questionnaires for assessing depression into the diagnostic procedures in PCOS patients. Patients should be referred for a psychological or psychiatric consultation, if needed.

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Section: Discussionsupporting

confidence: 67%

Section: Introductionmentioning

confidence: 99%

Determinants of emotional problems and mood disorders in women with polycystic ovary syndrome

Głowińska

Zielona–Jenek²,

Pawelczyk³

et al. 2016

Ginekol Pol

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“…The data presented here indicate that even healthy-weight women with PCOS have an increased risk of psychiatric comorbidity. These data are in agreement with a recent meta-analysis, which shows a four-fold increased risk for depression in women with PCOS independent of the BMI 21 . Limitations in this study included small number of obese women, especially those without a diagnosis of PCOS.…”

Section: References Discussionsupporting

confidence: 82%

Evaluation of common mental disorders in women with polycystic ovary syndrome and its relationship with body mass index

Rodrigues¹,

Ferreira²,

Jansen³

et al. 2012

Rev. Bras. Ginecol. Obstet.

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“…After all, undoubtedly, these hormonal changes affect the emotional state of the patients. Dokras et al suggested that the impaired psychosocial functions in patients with PCOS are associated with frustration feelings and anxiety (29).…”

Section: Discussionmentioning

confidence: 99%

2854 – Depression, anxiety and anger in patients with polycystic ovary syndrome

Erdem

Balıkçı

Keskin

et al. 2013

European Psychiatry

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Increased Risk for Abnormal Depression Scores in Women With Polycystic Ovary Syndrome: A Systematic Review and Meta-Analysis

Cited by 70 publications

References 0 publications

Determinants of emotional problems and mood disorders in women with polycystic ovary syndrome

Determinants of emotional problems and mood disorders in women with polycystic ovary syndrome

Evaluation of common mental disorders in women with polycystic ovary syndrome and its relationship with body mass index

2854 – Depression, anxiety and anger in patients with polycystic ovary syndrome

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