The prevalence of eating disorders in women with facial hirsutism: An epidemiological cohort study

Morgan, John F.; Scholtz, Samantha; Lacey, Hubert; Conway, Gerard S.

doi:10.1002/eat.20527

Cited by 48 publications

(40 citation statements)

References 21 publications

(17 reference statements)

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“…23,25,29,39,40 The participants with higher scores on the PHQ-9 and its 2 subscales reported lower self-esteem, higher mental health service use, and more physical illnesses, indicating good concurrent validity. Previous studies have also reported that an increase in the severity of depression was associated with negative self-esteem, [40][41][42] more physical illnesses, 43,44 and higher mental health service use. [43][44][45] In the current study, the AUC for MDD was 0.90 for the PHQ-9 and 0.87 for the PHQ-2, which are comparable to those in previous studies on adolescents in primary care.…”

Section: Discussionmentioning

confidence: 80%

Patient Health Questionnaire for School-Based Depression Screening Among Chinese Adolescents

et al. 2014

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WHAT'S KNOWN ON THIS SUBJECT: Major depression is common among adolescents. The PHQ-9 has good sensitivity and specificity for detecting depression among adolescents in primary care settings. However, no study has examined the psychometric properties of the PHQ-9 among Chinese adolescents in school settings. WHAT THIS STUDY ADDS:This is the first study to validate the use of the PHQ-9, Patient Health Questionnaire-2 item, and Patient Health Questionnaire-1 item among Chinese adolescents in Taiwan. The PHQ-9 and its 2 subscales have good sensitivity and specificity for detecting depression among school adolescents.abstract OBJECTIVE: The aim of this study was to determine the reliability and validity of a Chinese version of the Patient Health Questionnaire-9 item (PHQ-9) and its 2 subscales (1 item and 2 items) for the screening of major depressive disorder (MDD) among adolescents in Taiwan.METHODS: A total of 2257 adolescents were recruited from high schools in Taipei. The participants completed assessments including demographic information, the Chinese version of the PHQ-9, and the Rosenberg Self-Esteem Scale, and data on the number of physical illnesses and mental health service utilizations were recorded. Among them, 430 were retested using the PHQ-9 within 2 weeks. Child psychiatrists interviewed a subsample of the adolescents (n = 165) using the Kiddie-Schedule for Affective Disorder and Schizophrenia Epidemiological Version as the criterion standard. RESULTS:The PHQ-9 had good internal consistency (a = 0.84) and acceptable test-retest reliability (0.80). The participants with higher PHQ-9 scores were more likely to have MDD. Principal component factor analysis of the PHQ-9 yielded a 1-factor structure, which accounted for 45.3% of the variance. A PHQ-9 score $15 had a sensitivity of 0.72 and a specificity of 0.95 for recognizing MDD. The area under the receiver operating characteristic curve was 0.90. The screening accuracy of the 2 subscales was also satisfactory, with a Patient Health Questionnaire-2 item cutoff of $3 being 94.4% sensitive and 82.5% specific and a Patient Health Questionnaire-1 item cutoff of $2 being 61.1% sensitive and 87.7% specific. CONCLUSIONS:The PHQ-9 and its 2 subscales appear to be reliable and valid for detecting MDD among ethnic Chinese adolescents in Taiwan.

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Section: Discussionmentioning

confidence: 80%

Patient Health Questionnaire for School-Based Depression Screening Among Chinese Adolescents

et al. 2014

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“…Studies of anxiety and PCOS are limited, on the basis of a Medline-PubMed-PsycINFO literature search (e.g., references [9][10][11][12][13][14]. Even though anxiety and depression often coexist, most of the past research on mood in PCOS is limited to prevalence of depression (e.g., references 15,16) with few data on prevalence and severity of anxiety or severity of depression (14).…”

mentioning

confidence: 98%

Anxiety and depression in polycystic ovary syndrome: a comprehensive investigation

Deeks

Gibson-Helm

Teede

2010

Fertility and Sterility

198

142

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“…Ghrelin and cholecystokinin secretion following meals are impaired in PCOS, suggesting changed appetite regulation [75,76]. The prevalence of eating disorders was 36% in women presenting with hirsutism [77], and conversely, PCOS was overrepresented in bulimic women [78]. The main study outcome of previous studies was to establish differences in calorie intake and diet composition between patients with PCOS and controls and differences in the intake of vitamin D-rich food substances was not especially mentioned.…”

Section: Vitamin D Levels In Pcosmentioning

confidence: 97%

Bone mineral density and vitamin D in PCOS and hirsutism

Glintborg

Hermann

Andersen

2013

Expert Review of Endocrinology & Metabolism

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Polycystic ovary syndrome (PCOS) is the most frequent endocrinopathy in reproductive-aged women. The majority of hirsute patients are diagnosed with PCOS. Hyperandrogenemia, central obesity and insulin resistance may protect patients with PCOS from osteoporosis, whereas increased cortisol levels, low growth hormone and amenorrhea may be associated with decreased bone mineral density (BMD). Recent studies suggested that insulin resistance in PCOS is associated with decreased vitamin D levels that could not be explained by obesity alone. Vitamin D treatment may therefore have positive effects on insulin sensitivity and perhaps also hyperandrogenemia in patients with PCOS. In the present article, we review the evidence of changed BMD, bone mineral turnover and vitamin D status in PCOS and hirsutism compared with healthy women and the effects of medical intervention on BMD in PCOS.

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The prevalence of eating disorders in women with facial hirsutism: An epidemiological cohort study

Abstract: Our study demonstrates that hirsute women are at high risk of developing an eating disorder. Factors associated with eating disorders are examined and explanatory hypotheses are suggested for the possible underlying mechanisms in these women.

Cited by 48 publications

References 21 publications

Patient Health Questionnaire for School-Based Depression Screening Among Chinese Adolescents

Patient Health Questionnaire for School-Based Depression Screening Among Chinese Adolescents

Anxiety and depression in polycystic ovary syndrome: a comprehensive investigation

Bone mineral density and vitamin D in PCOS and hirsutism

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