Depression, anxiety and cardiometabolic risk in polycystic ovary syndrome

BACKGROUND Polycystic ovary syndrome (PCOS) is associated with psychological and metabolic disturbances. The aim of this study was to determine whether depression, anxiety and reduced health-related quality of life (HRQOL) are more common in women with PCOS and associated with metabolic risk. METHOD...

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Bibliographic Details
Published in:Human reproduction (Oxford) 2011-12, Vol.26 (12), p.3339-3345
Main Authors: Cinar, Nese, Kizilarslanoglu, Muhammed Cemal, Harmanci, Ayla, Aksoy, Duygu Yazgan, Bozdag, Gurkan, Demir, Basaran, Yildiz, Bulent Okan
Format: Article
Language:English
Subjects:
Adolescent
Adult
Anxiety Disorders - complications
Anxiety Disorders - epidemiology
Biological and medical sciences
Depression
Depression - complications
Depression - epidemiology
Female
Female genital diseases
Glucose
Gynecology. Andrology. Obstetrics
Hospitals
Humans
Insulin
Linear Models
Lipids
Medical sciences
Metabolic Syndrome - complications
Metabolic Syndrome - epidemiology
Multivariate Analysis
Non tumoral diseases
Obesity
Obesity - complications
Obesity - epidemiology
Polycystic Ovary Syndrome - complications
Quality of life
Reproduction
Risk Factors
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Summary:BACKGROUND Polycystic ovary syndrome (PCOS) is associated with psychological and metabolic disturbances. The aim of this study was to determine whether depression, anxiety and reduced health-related quality of life (HRQOL) are more common in women with PCOS and associated with metabolic risk. METHODS The study included 226 PCOS patients and 85 BMI-matched healthy control women. All participants completed standardized questionnaires assessing depression (Beck Depression Inventory), anxiety (State-Trait Anxiety Inventory) and both depression and anxiety (Hospital Anxiety and Depression Scale and General Health Questionnaire). Patients also completed a PCOS HRQOL questionnaire. Hirsutism scores, serum androgens and lipids were obtained. All subjects underwent a standard oral glucose tolerance test. RESULTS 28.6% of PCOS women versus 4.7% of control women had clinical depression scores indicating an 8.1-fold increased risk of depression in PCOS (P < 0.001). Depression and anxiety scores were higher in PCOS women than controls (P < 0.01 for all subscales). Obese PCOS subjects had higher depression scores and rates than non-obese PCOS women (P < 0.05). Depression scores were significantly correlated with insulin resistance and lipid parameters and with the number of components comprising the metabolic syndrome. Menstrual and hirsutism problems were the most serious concerns followed by emotional problems on the HRQOL. CONCLUSIONS Depression and anxiety are more common in patients with PCOS compared with healthy women. Depression in PCOS might be associated with obesity and metabolic abnormalities including insulin resistance and dyslipidemia.
ISSN:0268-1161
1460-2350
DOI:10.1093/humrep/der338