269631 Differential Contributions of Polycystic Ovary Syndrome (PCOS) Manifestations to Psychological Symptoms

Monday, October 29, 2012

Judy McCook, PhD, CNS, RN-BC , College of Nursing, East Tennessee State University, Johnson City, TN
Stacey Williams, PhD , Department of Psychology, East Tennessee State University, Johnson City, TN
Beth Bailey, PhD , James H. Quillen College of Medicine, Family Medicine, East Tennessee State University, Johnson City, TN
Sheeba Anand, MD, MPH , James H Quillen College of Medicine, Internal Medicine PGY-1, East Tennessee State University, James H Quillen College of Medicine, Johnson City, TN
Nancy Reame, MSN, PhD, FAAN , School of Nursing, Columbia University, New York, NY
Objective: Although women with PCOS have elevated levels of psychological distress, findings regarding which aspects of PCOS contribute to psychological symptoms are inconsistent. The purpose of this study was to investigate the independent and differential contributions of the previously identified key PCOS manifestations (infertility, hirsutism, obesity, menstrual problems) to multiple psychological symptoms. Methods: Participants were 126 endocrinology patient volunteers diagnosed with PCOS who completed a cross-sectional study of key manifestations of PCOS (including the PCOSQ) and psychological symptoms (BSI). Results: Participants had significantly elevated scores on all nine BSI subscales of psychological symptoms. Menstrual problems were significantly associated with all symptom subscales as well as the global indicator, while hirsutism and obesity were significantly related to five or more subscales. Neither infertility status nor infertility concerns significantly predicted any of the psychological symptoms. After controlling for demographic factors, menstrual problems remained the strongest predictor of psychological symptoms. Conclusions: Findings suggest that for women with PCOS, the features of excess body hair, obesity and menstrual abnormalities are especially troubling and carry unique risks for serious adverse psychologic symptoms including depression, anxiety, somatization and interpersonal sensitivity. Specific manifestations of PCOS were differentially related to psychological symptoms suggesting that the predictive value of PCOS for depression and other mental health problems may vary according to the specific symptoms experienced. Menstrual problems may be the most salient of these features and deserve particular attention as a marker for psychological risk among women with PCOS.

Learning Areas:
Public health or related nursing

Learning Objectives:
1)Identify key psychological symptoms which contribute to adverse mental health in women with polycystic ovary syndrome 2) Utilize clinical features of PCOS to identify women with marked psychological distress

Keywords: Women's Health, Mental Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been a clinical nurse specialist for more than 30 years and have spent the last 15 years studying female infertility and researching women with polycystic ovary syndrome(PCOS).
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 3295.0: PRSH Posters