Risk Factors for Psychological Distress and Impaired Quality of Life in Women with Polycystic Ovary Syndrome: Implications for Effective Nursing Care

2.50
Hdl Handle:
http://hdl.handle.net/10755/201931
Type:
Presentation
Title:
Risk Factors for Psychological Distress and Impaired Quality of Life in Women with Polycystic Ovary Syndrome: Implications for Effective Nursing Care
Abstract:
(41st Biennial Convention) Objective: Polycystic ovary syndrome (PCOS) is a multidimensional endocrine disorder characterized by at least two of the following three features: hyperandrogenism, ovulatory dysfunction and/or polycystic ovaries. Rather than a distinct disease entity, PCOS is characterized as a clustering of clinical concerns which include hyperandrogenism, obesity, and menstrual abnormalities/infertility. Our intent was to examine how these three PCOS characteristics impact psychological symptoms and PCOS health related quality of life concerns. Design: Cross-sectional, correlational Setting: Private endocrinology practice in the rural Southeastern U.S.   Participants: The study sample consisted of 126 women with PCOS. The average woman in the study was 30 years of age (M=30.3, range=18-48), White (98 %) and married (79%).  Methods: Convenience sampling yielded 126 subjects who met the diagnosis for PCOS, underwent laboratory testing and physical assessment, completed psychological and quality of life survey instruments and were included in data analysis. Results: Results of multiple regression analyses, controlling for demographic covariates, were completed on markers of hyperandrogenism, obesity and current fertility intent. Findings revealed hirsutism was significantly related to increased symptoms of anxiety and somatization and decreased quality of life among women with PCOS, while elevated androgen levels were significantly related to decreased quality of life. Current fertility intent significantly impacted symptoms related to interpersonal sensitivity, anxiety, psychoticism, and the global symptom severity index. Specifically, women not currently trying to have a baby had higher levels of these psychological symptom outcomes. Conclusion/Implications for nursing practice: Women with PCOS are at elevated risk for psychological distress, and psychological symptoms appear to increase with increasing severity of PCOS symptoms. Women not currently trying to conceive appear to be at higher risk for psychological distress and lower quality of life. Future attention might focus on screening and referral to mental health services for women not trying or no longer trying to conceive.
Keywords:
polycystic ovary syndrome (PCOS); psychological distress; impaired quality of life
Repository Posting Date:
11-Jan-2012
Date of Publication:
4-Jan-2012
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleRisk Factors for Psychological Distress and Impaired Quality of Life in Women with Polycystic Ovary Syndrome: Implications for Effective Nursing Careen_GB
dc.identifier.urihttp://hdl.handle.net/10755/201931-
dc.description.abstract(41st Biennial Convention) Objective: Polycystic ovary syndrome (PCOS) is a multidimensional endocrine disorder characterized by at least two of the following three features: hyperandrogenism, ovulatory dysfunction and/or polycystic ovaries. Rather than a distinct disease entity, PCOS is characterized as a clustering of clinical concerns which include hyperandrogenism, obesity, and menstrual abnormalities/infertility. Our intent was to examine how these three PCOS characteristics impact psychological symptoms and PCOS health related quality of life concerns. Design: Cross-sectional, correlational Setting: Private endocrinology practice in the rural Southeastern U.S.   Participants: The study sample consisted of 126 women with PCOS. The average woman in the study was 30 years of age (M=30.3, range=18-48), White (98 %) and married (79%).  Methods: Convenience sampling yielded 126 subjects who met the diagnosis for PCOS, underwent laboratory testing and physical assessment, completed psychological and quality of life survey instruments and were included in data analysis. Results: Results of multiple regression analyses, controlling for demographic covariates, were completed on markers of hyperandrogenism, obesity and current fertility intent. Findings revealed hirsutism was significantly related to increased symptoms of anxiety and somatization and decreased quality of life among women with PCOS, while elevated androgen levels were significantly related to decreased quality of life. Current fertility intent significantly impacted symptoms related to interpersonal sensitivity, anxiety, psychoticism, and the global symptom severity index. Specifically, women not currently trying to have a baby had higher levels of these psychological symptom outcomes. Conclusion/Implications for nursing practice: Women with PCOS are at elevated risk for psychological distress, and psychological symptoms appear to increase with increasing severity of PCOS symptoms. Women not currently trying to conceive appear to be at higher risk for psychological distress and lower quality of life. Future attention might focus on screening and referral to mental health services for women not trying or no longer trying to conceive.en_GB
dc.subjectpolycystic ovary syndrome (PCOS)en_GB
dc.subjectpsychological distressen_GB
dc.subjectimpaired quality of lifeen_GB
dc.date.available2012-01-11T11:00:45Z-
dc.date.issued2012-01-04en_GB
dc.date.accessioned2012-01-11T11:00:45Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.