Axis I and Axis II diagnoses in women with PCOS

Sahingoz, Mine; Uğuz, Faruk; Gezginç, Kazım; KORUCU, Dilay GÖK

doi:10.1016/j.genhosppsych.2013.04.003

Cited by 22 publications

(17 citation statements)

References 30 publications

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“…Our results, in contrast, indicated that an intrinsic psychopathological characteristic of PCOS can be really consistent. According to our hypothesis, there are only three articles (17, 18, 34) that evidenced personality disorders in patients affected by PCOS, diagnosed by Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). However, these latter studies recorded lower percentage of psychological disorders, when compared with our data, so suggesting that a heterogeneous expression of the same psychopathological diseases can exist in PCOS or it was assessed a heterogeneous pool of subjects affected by PCOS, therefore, further studies that consider the same Diagnostic Criteria for PCOS and a more numerous group of person are needed.…”

Section: Resultsmentioning

confidence: 91%

“…Again, other psychological aspects, such as depression (8, 13), and/or anxiety (14, 15), have been emphasized in PCOS, but only few articles analyzed women’s personality structure (16). In women with PCOS, Sahingoz et al (17) assessed a high prevalence of psychiatric and personality disorders, about 29.0 and 14.0%, respectively. They also reported 9.6% of mood and 26.0% of anxiety disorders, 13.7% of social phobia, 11.0% of generalized anxiety, and 12.3% of avoidant personality disorders, according to DSM-IV axis I and II Diagnostic Criteria, respectively.…”

Section: Introductionmentioning

confidence: 99%

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Personality and Psychiatric Disorders in Women Affected by Polycystic Ovary Syndrome

et al. 2014

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Background: Polycystic ovary syndrome (PCOS) is the most prevalent endocrine disorder among fertile women. Studies show reduced quality of life, anxiety, depression, body dissatisfaction, eating disorder, and sexual dysfunction, but the etiology of these disturbs remains still debated. The aim of our study is to verify whether this hyperandrogenic syndrome characterizes a strong psycho(patho)logical personality.Method: Sixty PCOS subjects (mean age 25.8 ± 4.7 years) were evaluated by anthropometric, metabolic, hormonal, clinical, and psychological parameters. After the certainty of the diagnosis of PCOS, the Rorschach test, according to Exner’s comprehensive system (CS) and the Millon Clinical Multiaxial Inventory-III (MCMI-III) were administered to each patient. The control group, on which the comparison was carried out, was composed by 40 healthy and aged compared women who were exclusively administered the Rorschach test according to CS.Results: MCMI-III evidenced axis II DSM-IV personality disorders [4.1% schizoid, depressive, sadistic, negativistic (passive–aggressive), and masochistic, 6.1% avoiding, 12.2% dependent, 20.4% histrionic, 16.3% narcissistic, 2.0% obsessive–compulsive], and axis I DSM-IV psychiatric disorders: 10.2% anxiety, 2.0% somatoform disorder and bipolar disorder, 16.3% major depressive disorder. Finally, we found 44.9% delusional disorder and 4.1% thought disorder. Rorschach test’s results show 53.1% reduced coping abilities and social skills, 55.1% depression, 30.6% perceptual distortion and cognitive slippage, 24.5% constantly alert and worry, 8.1% at risk for suicide, and finally about 50% of our patients had chronic stress.Conclusion: PCOS women have relevant personality and psychiatric disorders, when compared with normal subjects.

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Section: Resultsmentioning

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Personality and Psychiatric Disorders in Women Affected by Polycystic Ovary Syndrome

et al. 2014

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“…Several metaanalyses demonstrate that women with PCOS are significantly more likely to report elevated symptoms of depression (Dokras et al 2011) and anxiety (Dokras et al 2012), and these symptoms may be particularly elevated in women with PCOS that are of high body mass index (Barry et al 2011). These symptomologies correspond to a significantly higher prevalence of major depressive disorder (Hollinrake et al 2007) and generalized anxiety disorder (Sahingoz et al 2013) in women with PCOS. Thus, effectively treating symptoms of depression and anxiety is an important component of PCOS management (Teede et al 2010); however, an optimal, comprehensive psychotherapy to treat depression and anxiety in this population has not yet been determined (Dokras 2012).…”

Section: Introductionmentioning

confidence: 87%

A case report demonstrating the efficacy of a comprehensive cognitive-behavioral therapy approach for treating anxiety, depression, and problematic eating in polycystic ovarian syndrome

Correa

Sperry

Darkes

2015

Arch Womens Ment Health

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Despite elevated prevalence of anxiety and depression among women with polycystic ovarian syndrome (PCOS), there is a dearth of evidence-based psychotherapies to treat mood-related symptoms among this population. This case report describes the efficacy of The PCOS Workbook in treating symptoms of anxiety, depression, and problematic eating in a 19-year-old female previously diagnosed with PCOS. Using the cognitive-behavioral framework presented in the workbook, the participant experienced a significant reduction in symptoms of anxiety, depression, problematic eating, and general psychosocial dysfunction while simultaneously losing a significant amount of weight during treatment. Six months after the termination of treatment, the participant maintained several improvements in psychological functioning, although she did report a resumption of problematic eating and experience weight regain. These findings provide initial empirical support for the efficacy of this manualized psychotherapy at improving psychosocial functioning in women with PCOS. Recommendations on ways to best utilize this resource and enhance its long-term efficacy, particularly when intervening for problematic eating, are also discussed.

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“…The findings revealed that patients with PCOS experience a great deal of stressful life events that can lead to psychological difficulties (6). Additionally, these patients are more susceptible to develop anxiety disorders, depression, personality, and other psychological disorders (6,50). Psychological distress has roots in several important factors such as changes in appearance, irregular or absent menstrual periods, and disturbances in sexual attitudes and behavior (8).…”

Section: Discussionmentioning

confidence: 99%

“…It has been revealed by several studies that PCOS has an association with personality disorders (including BPD), and emotional-behavioral difficulties. However, there is no clear explanation regarding its exact mechanism (49,50). An early study proposed 3 hypotheses as the possible mechanisms for borderline traits observed in both PCOS and BPD.…”

Section: Borderline Personality Disordersmentioning

confidence: 99%

Psychosomatic Aspects of Polycystic Ovarian Syndrome: A Review

Azizi

Elyasi

2017

Iran J Psychiatry Behav Sci

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Context: One the most prevalent endocrine disorders among females of the reproductive age is polycystic ovarian syndrome (PCOS). Studies have shown that a number of disorders are associated with PCOS, including depression, anxiety, impaired body image and body dissatisfaction, eating disorder, sexual dysfunction, and reduced quality of life. However, there is still a shadow of doubt regarding the etiology of these disorders in the literature. Based on a review of literature on PCOS symptoms and its disorder, it has been revealed that clinicians generally identify the physical symptoms of PCOS while the psychological aspects of PCOS have remained unexplored. The current study aimed at reviewing the psychosomatic aspects of PCOS.Evidence Acquisition: The current study aimed at reviewing the research regarding PCOS published in various databases, including Google Scholar and more specifically PubMed, ProQuest, Ovid, web of science, Science direct, magiran, scientific information database (SID), and IranMedex. The keywords used for finding relevant research articles were polycystic ovarian syndrome, mood disorders or psychological issues, psychosocial problems, borderline personality disorder or personality disorder, stress, coping styles, physical symptoms, obesity, sexual dysfunction, and quality of life. Research articles published from 1983 to 2016 with relevant topics were selected for this study. Overall, 130 articles were searched. However, after a screening procedure was carried out by the researchers based on the summary of all articles, 53 full articles were considered for this study.Results: Based on researchers' findings, 2 general categories emerged: (a) Psychosocial concerns related to PCOS (body dissatisfaction, body weight and body-image disturbances, sexual and relational functioning, femininity, fertility and sexuality concerns, health-related quality of life, stress, and coping responses); and (b) Psychiatric disorders (mood disorders, major depressive disorder, bipolar disorder, anxiety disorders, eating disorders, and borderline personality disorder). Conclusions:Given the high prevalence and the serious psychiatric complications associated with PCOS in females, clinicians should pay considerable attention to this condition and ensure that patients receive adequate psychotherapeutic and pharmacologic treatments. Additionally, it is suggested that nurses and health care providers, through providing psychosocial education and support, should improve coping strategies of females with PCOS.

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Axis I and Axis II diagnoses in women with PCOS

Cited by 22 publications

References 30 publications

Personality and Psychiatric Disorders in Women Affected by Polycystic Ovary Syndrome

Personality and Psychiatric Disorders in Women Affected by Polycystic Ovary Syndrome

A case report demonstrating the efficacy of a comprehensive cognitive-behavioral therapy approach for treating anxiety, depression, and problematic eating in polycystic ovarian syndrome

Psychosomatic Aspects of Polycystic Ovarian Syndrome: A Review

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