Journal of International Reproductive Health/Family Planning ›› 2023, Vol. 42 ›› Issue (6): 481-486.doi: 10.12280/gjszjk.20230325

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Assessment of Psychological State in Patients with Polycystic Ovary Syndrome, and Psychological Management

XU Si-liang, MA Xiang, LIU Jia-yin, GAO Yan()   

  1. Center of Reproductive Medicine, The First Affiliated Hospital, Nanjing Medical University, Nanjing 210029, China
  • Received:2023-08-02 Published:2023-11-15 Online:2023-11-09
  • Contact: GAO Yan E-mail:gaogao1971@126.com

Abstract:

Polycystic ovary syndrome (PCOS) is one of the most common ovulatory disorders among women of reproductive age. Due to the endocrine and metabolic disorders, dissatisfaction for shape and appearance, infertility and other factors, women with PCOS have decreased life satisfaction and are more susceptible to the mood disorders such as anxiety and depression. Maternal excessive androgen and metabolic disorders are common features of PCOS, and cause an unfavorable intrauterine environment that disturb the development of hypothalamic neuroendocrine system and contribute to long-term behavioral, cognitive, and emotional disorders in their offspring. We summarized the psychological traits of PCOS, analyzed the methods for psychological assessment for PCOS. The cause and origin of psychological characteristics of PCOS women and their offspring were also discussed. We then summarized and analyzed related researches of psychological disorders in PCOS offspring. Finally, we outlined the therapeutic methods for psychological disorders of PCOS. Early diagnosis and intervention for PCOS-related psychiatric problems deserve keen attention in the future. It is recommended that PCOS patients should undergo screening for anxiety and depression. Timely diagnosis and follow-up management should be taken for patients with positive results. Through psychotherapy, lifestyle intervention, metabolic regulation, menstrual cycle adjustment and ovulation treatment, psychological problems and life quality can be improved.

Key words: Polycystic ovary syndrome, Anxiety, Depression, Psychometrics, Psychotherapy