Abstract
Study Objective
To assess psychiatric disorders in adolescents with polycystic ovary syndrome (PCOS)
and evaluate health-related quality of life and self-esteem in this group.
Design
Cross-sectional design. The survey was composed of validated measures and a semistructured
interview.
Setting
University School of Medicine, Turkey.
Participants
Female adolescents aged 13-18 years.
Interventions and Main Outcome Measures
Assessment of psychiatric disorders through a semistructured interview (Schedule for
Affective Disorders and Schizophrenia for School Age Children) conducted by a child
and adolescent psychiatrist. Health-related quality of life was measured using the
Pediatric Quality of Life Inventory (PedsQL) and self-esteem was measured using the
Rosenberg Self-Esteem Scale (RSES).
Results
A total of 28 adolescent with PCOS and 31 age- and sex-matched healthy peers were
recruited. The psychiatric diagnosis rate was higher in the PCOS group than in the
control group (P < .5). In the patient group, 6 of 28 patients (21%) were diagnosed with depressive
disorder and the most common single diagnosis was major depressive disorder. There
were no significant differences in the PCOS and control groups in terms of RSES and
PedsQL scores. There was no significant relationship between RSES scores and body
image related to hirsutism, acne, and body mass index. Also, there was no significant
relationship between PedsQL scores and hirsutism, acne, and body mass index.
Conclusion
Adolescents with PCOS frequently experience psychiatric disorders. Physicians should
be aware that adolescents with PCOS are at a high risk for major depression and anxiety
disorders.
Key Words
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Article info
Publication history
Published online: July 27, 2019
Footnotes
The authors indicate no conflicts of interest.
Identification
Copyright
© 2019 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc.
