Manizheh Sayyah-Melli
1, Mahasti Alizadeh
2*, Nosratollah Pourafkary
3, Elaheh Ouladsahebmadarek
1, Mehri Jafari-Shobeiri
1, Jaleh Abbassi
3, Maryam alsadat Kazemi-Shishvan
2, Kamran Sedaghat
41 Department of Obstetrics and Gynecology, Women's Reproductive Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
2 Department of Community Medicine, Social Determinants of Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
3 Department of Psychology, Tabriz University of Medical Sciences, Tabriz, Iran
4 Department of Sociology, Allameh Tabatabai University, Tehran, Iran
Abstract
Introduction: Polycystic ovary syndrome (PCOS) is a disorder in women of reproductive age. Psychosocial factors can play a role in PCOS. Methods: To determine the psychosocial factors associated with PCOS in a case control study, 742 PCOS cases were compared to 798 women without PCOS for psychiatric disorders and social conditions. The data were collected using a validated questionnaire of the Minnesota Multiphasic Personality Inventory (MMPI). The Primary Care Evaluation of Mental Disorders. Patient Health Questionnaire (DSM-IV) was used to diagnose major psychopathological disorders and other depressive and anxiety syndromes. The suspected psychopathology was evaluated by a clinical psychiatrist. Results: There was a significant difference between cases and controls in education level (71.8% vs. 80.4%; (P<0.001), and employment status (60% vs. 53%; P=0.01) (respectively). Chronic anxiety (35.7% vs. 26.8%; P<0.001), depression (18.9% vs. 7.9 %; P<0.001), anxiety disorders (7.7% vs. 3.3%; P<0.001), and personality disorders (2.9% vs. 1.7%; P=0.01), were higher in the PCOS patients compared controls, respectively.Conclusion: The results showed that chronic anxiety and depression were the most pscycologic pattern in PCO patients. Lower educational level and unemployment were higher in the cases than controls.