The effect of hyperandrogenism and obesity on mindfulness and metacognition in adolescents with polycystic ovary syndrome

Kara, Özlem; Kaymaz, Nazan; Uzun, Mehmet Erdem

doi:10.1007/s00737-022-01264-2

Cited by 4 publications

(2 citation statements)

References 59 publications

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“…In this study, higher fT values were associated with lower verbal fluency. In contrast, Kara et al [42] in their study among 70 adolescents with PCOS, found that mindfulness was not associated with high serum androgen levels. Evidence also suggests that PCOS can affect the function of parts of the brain, reducing face processing and visuospatial working memory.…”

Section: Hormonesmentioning

confidence: 79%

Possible cognition changes in women with polycystic ovary syndrome: a narrative review

Naz¹,

Rahnemaei²,

Tehrani³

et al. 2023

Obstet Gynecol Sci

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Nowadays, polycystic ovary syndrome (PCOS) and cognitive dysfunction are major health problems among female. This narrative review aimed to investigate cognitive dysfunction in female with PCOS. English and Persian articles published in PubMed, Scopus, Web of Science, Google Scholar, PsycINFO, Scientific Information Database, and Cochrane Database of Systematic Reviews until May 2022 were searched. Sixteen studies involving 850 female with PCOS and 974 controls were assessed. In these studies, the association between biochemical factors and symptoms of PCOS and memory, attention, executive functioning, information processing speed, and visuospatial skills was evaluated. The literature review revealed the possible cognitive changes in female with PCOS. This study summarized the different aspects of cognitive function in female with PCOS due to medication, psychological problems (mood disorders caused by disease symptoms and complications), and biochemical markers, such as metabolic and sex hormone abnormalities. Considering the existing scientific gap regarding the possibility of cognitive complications in female with PCOS, further biological studies should be conducted to evaluate the potential mechanisms involved.

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Section: Hormonesmentioning

confidence: 79%

Possible cognition changes in women with polycystic ovary syndrome: a narrative review

Naz¹,

Rahnemaei²,

Tehrani³

et al. 2023

Obstet Gynecol Sci

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“…COVID-19大流行期间，重精患者的照料者面临着更加巨大的挑战，他们需要将患者送至医院就医，承担着就医途中感染COVID-19的风险，照料患者及自身患病风险的双重压力导致个体的焦虑抑郁水平比以往更加突出。受疫情的影响，基于网络的心理干预逐渐兴起［ 23 ］。本研究实施的时间段正处于COVID-19大流行期间，考虑到外界环境以及照料者时间、空间的限制，选用了基于互联网的MBSR干预模式。在以往标准的8周MBSR基础上，充分听取具有网络教学经验专家的经验，将本次课题的MBSR干预进行了部分改良：①根据照料者的特殊性，补充了重精的发病机制、预后及转归的部分宣教，以帮助照料者减缓照料的耻感；②正念躺式瑜伽练习和站式瑜伽练习除了听取引导语，还需要模仿带领者的动作，均录制了相关的视频，便于学员在课后观看视频，进一步巩固练习效果，以便学员之间练习的同质性；③课后练习情况需要学员在群内打卡。本文资料显示，8周后干预组的SAS、SDS分值较基线时显著降低，且趋于文献报道的正常对照人群的分值［SAS为（29.78±10.07）分，SDS为（41.88±10.57）分］［ 10 ， 16 ］。关于MBSR为何可以缓解个体的焦虑、抑郁水平，不同研究领域的学者的见解并不一致。心理学界认为：①正念练习让个体在觉察当下情绪及情绪背后的原因时，带着自我包容及接纳的态度，而不是评判其好或坏、对或错［ 24 ］；②正念不再试图去压制和抵抗焦虑、抑郁情绪的产生，这并不是说遇到事情时必须听之任之、听天由命，也不是说放弃任何为改变处境做出的努力，而是先着眼于自己容易做出改变的内容，去尝试与这些不良情绪共处的过程［ 25 ］；③正念练习可以帮助个体更加处于当下，增强觉察能力，觉察清晰后在力所能及的范围内做出改变，培养个体稳定的心境，以此达到缓解焦虑、抑郁情绪的效果［ 26 ］。脑科学的学者却认为：①正念练习中身体扫描练习可以通过影响中枢神经系统的可塑性（如增加海马体和腹侧/背侧前额叶的体积）改善静息状态网络，对认知表现间接提供积极的、有价值的影响，促进不良情绪的缓解［ 27 - 28 ］；②正念练习中瑜伽练习使个体处于开放、扩张的姿势，提高大脑中的睾酮浓度，从而提升个体的自信心，使其有能力面对问题、解决问题［ 29 ］。…”

Section: 讨论unclassified

Online mindfulness-based stress reduction improves anxiety and depression status and quality of life in caregivers of patients with severe mental disorders

DUAN,

WANG,

TONG

et al. 2024

J Zhejiang Univ (Med Sci)

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目的探索网络正念减压疗法（MBSR）对严重精神障碍患者的照料者焦虑抑郁水平及生活质量的影响。方法纳入2021年3月在云南省精神病医院封闭病房住院治疗的、诊断为精神分裂症或双相情感障碍患者的照料者93名作为研究对象，使用随机数字表法随机分为两组：对照组47名和MBSR干预组46名。对照组给予健康宣教、康复技能训练，干预组在健康宣教、康复技能训练的基础上给予8周基于网络的MBSR。分别于基线及8周后采用焦虑自评量表（SAS）、抑郁自评量表（SDS）、SF-36健康量表（The 36-item Short Form Health Survey）进行效果评价。结果 8周后，两组共脱落13名（对照组7名，干预组6名）。对照组与干预组基线SAS、SDS分值差异无统计学意义（均 P >0.05）。8周后，干预组SAS、SDS分值较基线值均降低（均 P <0.01），且明显低于对照组（均 P <0.01），而对照组较基线值无明显变化（均 P >0.05）。对照组与干预组基线SF-36总分及各个维度分值差异均无统计学意义（均 P >0.05）。8周后，干预组SF-36总分及各个维度分值较基线时均升高，除生理功能维度外，差异均有统计学意义（均 P <0.05），且明显高于对照组（均 P <0.01）；而对照组较基线时无明显变化（均 P >0.05）。结论网络MBSR可以减轻严重精神障碍患者照料者的焦虑抑郁水平，提高生活质量。

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Treatment and complications of PCOS in adolescents - what’s new in 2023?

Jakubowska-Kowal,

Skrzyńska,

Gawlik-Starzyk

2024

Front. Endocrinol.

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Polycystic ovary syndrome (PCOS) is a disease affecting as many as about 10% of women of reproductive age, also 3-11% of teenage patients, and can lead to numerous complications and coexists with many diseases. Research is ongoing to establish an appropriate diagnostic and therapeutic path for adolescent girls with PCOS. It is also important to implement appropriate check-ups among teenagers with PCOS in order to prevent PCOS complications and initiate appropriate treatment as soon as possible and prevent the long-term consequences of these complications. The relationship between the co-occurrence of PCOS and diseases such as metabolic syndrome, hypertension, obesity, insulin resistance, type 2 diabetes and non-alcoholic fatty liver disease (NAFLD) is increasingly being investigated. A great attention is also being paid to the problem of mental health in this group of patients. In our study, we will review the latest reports on the treatment of PCOS and look at the complications that this syndrome can cause.

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The effect of hyperandrogenism and obesity on mindfulness and metacognition in adolescents with polycystic ovary syndrome

Cited by 4 publications

References 59 publications

Possible cognition changes in women with polycystic ovary syndrome: a narrative review

Possible cognition changes in women with polycystic ovary syndrome: a narrative review

Online mindfulness-based stress reduction improves anxiety and depression status and quality of life in caregivers of patients with severe mental disorders

Treatment and complications of PCOS in adolescents - what’s new in 2023?

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