Psychological burden among women with polycystic ovarian syndrome in Oman: a case&amp;ndash;control study

Sulaiman, Maha A.H.; Al‐Farsi, Yahya M.; Al-Khaduri, Maha; Waly, Mostafa I.; Saleh, Jumana; Al-Adawi, Samir

doi:10.2147/ijwh.s145383

Cited by 30 publications

(26 citation statements)

References 41 publications

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“…The experiences of the participants of this study showed that adaptation to illness could emerge as a depressive mood in some adolescents. The diagnosis of PCOS has psychological ramifications 31. Depression and moodiness in adolescents and the appearance of a depressive mood have been argued to be associated with symptoms such as disturbed sleep, lethargy, restlessness, changes in appetite and weight, decreased motivation and concentration, decreased self-esteem and isolation 32.…”

Section: Discussionmentioning

confidence: 99%

<p>Polycystic Ovary Syndrome in adolescents: a qualitative study</p>

Naz

Tehrani

Ozgoli

2019

PRBM

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BackgroundAdolescents with Polycystic Ovary Syndrome (PCOS) use different coping strategies to confront the challenges of this disorder. Various studies extracted coping strategies amongst adult women with PCOS, but regarding the mental difference between adults and adolescents, specific study was conducted to gain a deep understanding of how adolescents cope to the many health issues they experience.MethodsFifteen adolescents aged 13–19 years with PCOS participated in comprehensive individual interviews with goal-oriented, semi-structured questions. Sampling was purposive and continued until data saturation was reached. Data were analyzed using the thematic analysis technique. The validity of the data was verified through measures including credibility, transferability, dependability, confirmability and authenticity.ResultsThe analysis of the data helped extract the main theme of the research as “dealing with PCOS”. The main theme consisted of three themes and 12 sub-theme: (1) Escaping the problem (sub-themes: Adopting a forgetting mindset, and concealment and minimization of the disorder); (2) Depressive mood (sub-themes: Poor self-perception and low self-esteem, isolation, sleep disturbances, passive aggressive behavior, emotional turmoil, feelings of humiliation, and adolescents’ perceptions); and (3) Coping with the disease (sub-themes: Recovery of health, positive thinking, hope for recovery).ConclusionIn this study, the adolescents with PCOS showed a coping response to their disorder in the form of problem-solving, developing a depressive mood or adjusting to the disorder. Recognizing the mental health needs of these adolescents and improving their quality of life require the identification of ways through which they deal with PCOS.

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Section: Discussionmentioning

confidence: 99%

<p>Polycystic Ovary Syndrome in adolescents: a qualitative study</p>

Naz

Tehrani

Ozgoli

2019

PRBM

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“…Anxiety was the most prevalent psychological impairment noted in this research with prevalence rates of 63.4%. 17 Oman has geographic and cultural proximity to South Asia. Omani women may exhibit similar phenotypic expression of disease as in South Asian women due to shared genetic and socio-cultural factors and explains concordance of results.…”

Section: Resultsmentioning

confidence: 99%

Psychological complications of polycystic ovarian syndrome and women’s health

Fatima¹,

Naz²,

Zafar³

et al. 2019

Int J Res Med Sci

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Background: Polycystic Ovarian Syndrome (PCOS) affects approximately 5-10% females of reproductive age worldwide. Recent research shows that this syndrome is associated with psychological upset and devastating effects on women′s mental health and wellbeing. Lack of clinicians′ awareness of adverse psychological effects is a major concern in developing countries to provide standard care and to improve overall health outcomes.Purpose of study was to determine the frequency of anxiety and depression among women with PCOS in order to promote awareness among clinicians about psychological complications of disease.Methods: Present study was conducted in the department of Obstetrics and Gynaecology/ University Medical and Dental College, from October 2018 to March 2019. Sixty patients with diagnosis of PCOD and sixty participants without this disease were included in the study. Participants having other endocrine or metabolic disorders were excluded from study. Hospital anxiety and depression scale was used to detect anxiety and depression among both groups. SPSS version 16 was used for data analysis. Chi- square test was applied to compare prevalence of anxiety and depression in both groups, p-value ˂0.05 was taken as statistically significant.Results: Women having PCOD exhibited statistically significant prevalence of anxiety (78.3% vs 35%) and depression (60% vs 30%) with p value of 0.0001 and 0.001 respectively.Conclusions: It is highly recommended that initial evaluation of these patients should include assessment of psychological domain of disease to provide more comprehensive treatment to improve overall health related quality of life.

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“…Al-Fazari et al found that suboptimal nutritional and dietary practices are common among Omani women with PCOS compared to controls 27. Furthermore, we earlier reported higher rates of psychological burden indices among Omani PCOS women compared to controls 28. Despite this, the presence of oxidative stress among PCOS women in Oman has not been explored.…”

Section: Introductionmentioning

confidence: 89%

Polycystic ovarian syndrome is linked to increased oxidative stress in Omani women

Sulaiman¹,

Farsi²,

Al-Khaduri³

et al. 2018

IJWH

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PurposeLiterature emerging from Western countries has reported increased levels of serum oxidative stress markers among polycystic ovarian syndrome (PCOS) women. In the Arab region, there is limited research about the association between oxidative stress and PCOS. This study aimed to compare sociodemographic and clinical characteristics, sex hormones, and oxidative stress indices between PCOS women and non-PCOS women and to investigate the correlation between oxidative stress biomarkers and sex hormones.MethodsThis hospital-based case-control study was conducted among reproductive-aged women. The study included 51 women diagnosed with PCOS (as per Rotterdam 2003 criteria) and 45 control women who were not diagnosed with PCOS. Serum samples were collected to measure the mean levels of the following sex hormones: total testosterone, dehydroepiandrosterone sulfate, estradiol and progesterone, as well as to measure biomarkers of oxidative stress including glutathione peroxidase (GPx), glutathione reductase (GR), glutathione (GSH), and total antioxidant capacity (TAC).ResultsPCOS women exhibited clinical characteristics including irregular menses, hirsutism, and acne compared to the control group (P≤0.05). Significant differences were observed in the waist-hip ratio of PCOS women compared to controls (P=0.004). GPx and GR activity levels appeared to be higher among PCOS women compared to controls; however, no statistically significant differences were observed between the two groups (P>0.05). PCOS women had lower GSH and TAC levels compared to controls with a statistically significant difference observed for GSH levels (P=0.006). Correlation analysis showed a significant negative correlation between estradiol and TAC in the total sample (r=−0.284, P=0.005).ConclusionThis study provides supportive evidence that oxidative stress might play a role in the pathogenesis of PCOS and, hence, oxidative stress parameters could be suggested as diagnostic markers for early diagnosis of high-risk groups. Also, the study provides supportive evidence that obesity and sex hormones, particularly estradiol, in PCOS may contribute to enhanced oxidative stress.

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Psychological burden among women with polycystic ovarian syndrome in Oman: a case–control study

Cited by 30 publications

References 41 publications

<p>Polycystic Ovary Syndrome in adolescents: a qualitative study</p>

<p>Polycystic Ovary Syndrome in adolescents: a qualitative study</p>

Psychological complications of polycystic ovarian syndrome and women’s health

Polycystic ovarian syndrome is linked to increased oxidative stress in Omani women

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