PSYCHOSOCIAL EFFECTS OF PCOS ON REPRODUCTIVE-AGE WOMEN; A PRELIMINARY EXPLORATORY STUDY BASED IN KERALA
Polycystic ovary syndrome (PCOS) is a hormonal disorder found in reproductive age women without a finite cause of existence. While clinical aspects of the study attribute itself to a more significant part of the research, there is also a need to understand patients' perception of better design interventions. The purpose of this study was to perform a preliminary qualitative study to analyse and apprehend the feelings, expressions, perceptions, and experiences expressed by patients associated with the PCOS. The study exercised in-depth interviews with women between 18 to 35 years in Kollam district, Kerala, India. The study results reveal that psychosocial aspects such as lifestyle changes, coping mechanisms, attitudes and beliefs, awareness levels, and physician-patient relations are affecting women among this population. The study concluded that for any behavioural intervention to work for women affected by PCOS, it is essential to take into account the aforementioned psychosocial aspects.
2. Matzke A. The Underdiagnosis of Polycystic Ovarian Syndrome in Normal Weight Adolescent Females.
3. Rotterdam ESHRE/ASRM‐Sponsored PCOS Consensus Workshop Group. Revised 2003 consensus on diagnostic criteria and long‐term health risks related to polycystic ovary syndrome (PCOS). Human reproduction. 2004 Jan 1;19(1):41-7.
4. Holte J, Gennarelli G, Wide L, Lithell H, Berne C. High prevalence of polycystic ovaries and associated clinical, endocrine, and metabolic features in women with previous gestational diabetes mellitus. The Journal of Clinical Endocrinology & Metabolism. 1998 Apr 1;83(4):1143-50.
5. Jahanfar S, Eden JA. Genetic and non-genetic theories on the etiology of polycystic ovary syndrome. Gynecological Endocrinology. 1996 Jan 1;10(5):357-64.
6. Bharathi RV, Swetha S, Neerajaa J, Madhavica JV, Janani DM, Rekha SN, Ramya S, Usha B. An epidemiological survey: Effect of predisposing factors for PCOS in Indian urban and rural population. Middle East Fertility Society Journal. 2017 Dec 1;22(4):313-6.
7. Azziz R, Woods KS, Reyna R, Key TJ, Knochenhauer ES, Yildiz BO. The prevalence and features of the polycystic ovary syndrome in an unselected population. The Journal of Clinical Endocrinology & Metabolism. 2004 Jun 1;89(6):2745-9.
8. Knochenhauer ES, Key TJ, Kahsar-Miller M, Waggoner W, Boots LR, Azziz R. Prevalence of the polycystic ovary syndrome in unselected black and white women of the southeastern United States: a prospective study. The Journal of Clinical Endocrinology & Metabolism. 1998 Sep 1;83(9):3078-82.
9. Asunción M, Calvo RM, San Millán JL, Sancho J, Avila S, Escobar-Morreale HF. A prospective study of the prevalence of the polycystic ovary syndrome in unselected Caucasian women from Spain. The Journal of Clinical Endocrinology & Metabolism. 2000 Jul 1;85(7):2434-8.
10. Nidhi R, Padmalatha V, Nagarathna R, Amritanshu R. Prevalence of polycystic ovarian syndrome in Indian adolescents. Journal of pediatric and adolescent gynecology. 2011 Aug 1;24(4):223-7.
11. Raj M, Kumar RK. Obesity in children & adolescents. The Indian journal of medical research. 2010 Nov;132(5):598.
12. Indhumol TD, Pavithran S, George LK. Effectiveness Of Structured Teaching Program On Knowledge Regarding Prevention Of Urinary Tract Infection Among Adolescent Girls. International Journal of Pharma Medicine and Biological Sciences. 2014 Jul 1;3(3):121.
13. Sumithra NU, Lakshmi RL, Menon NL, Subhakumari KN, Sheejamol VS. Evaluation of oxidative stress and hsCRP in polycystic ovarian syndrome in a tertiary care hospital. Indian journal of clinical biochemistry. 2015 Apr 1;30(2):161-6.
14. Nesbitt Jr RE, Rollender M, Fisher S, Osofsky HJ. Psychologic correlates of the polycystic ovary syndrome and organic infertility. Fertility and Sterility. 1968 Sep 1;19(5):778-86.
15. Jones GL, Hall JM, Balen AH, Ledger WL. Health-related quality of life measurement in women with polycystic ovary syndrome: a systematic review. Human reproduction update. 2008 Jan 1;14(1):15-25.
16. Trent ME, Rich M, Austin SB, Gordon CM. Quality of life in adolescent girls with polycystic ovary syndrome. Archives of pediatrics & adolescent medicine. 2002 Jun 1;156(6):556-60.
17. Trent ME, Rich M, Austin SB, Gordon CM. Fertility concerns and sexual behavior in adolescent girls with polycystic ovary syndrome: implications for quality of life. Journal of pediatric and adolescent gynecology. 2003 Feb 1;16(1):33-7.
18. Trent M, Austin SB, Rich M, Gordon CM. Overweight status of adolescent girls with polycystic ovary syndrome: body mass index as mediator of quality of life. Ambulatory Pediatrics. 2005 Mar 1;5(2):107-11.
19. Sundararaman PG, Sridhar GR. Psychosocial aspects of women with polycystic ovary syndrome from south India. The Journal of the Association of Physicians of India. 2008 Dec 1;56:945-8.
20. Norman RJ, Mahabeer S, Masters S. Ethnic differences in insulin and glucose response to glucose between white and Indian women with polycystic ovary syndrome. Fertility and sterility. 1995 Jan 1;63(1):58-62.
21. Norman RJ, Davies MJ, Lord J, Moran LJ. The role of lifestyle modification in polycystic ovary syndrome. Trends in Endocrinology & Metabolism. 2002 Aug 1;13(6):251-7.
22. Crouch M, McKenzie H. The logic of small samples in interview-based qualitative research. Social science information. 2006 Dec;45(4):483-99.
23. Lauenborg J, Mathiesen E, Hansen T, Glumer C, Jørgensen T, Borch-Johnsen K, Hornnes P, Pedersen O, Damm P. The prevalence of the metabolic syndrome in a Danish population of women with previous gestational diabetes mellitus is three-fold higher than in the general population. The Journal of Clinical Endocrinology & Metabolism. 2005 Jul 1;90(7):4004-10.
24. Coyne JC, Downey G. Social factors and psychopathology: Stress, social support, and coping processes. Annual review of psychology. 1991 Feb;42(1):401-25.
25. Kaczmarek C, Haller DM, Yaron M. Health-related quality of life in adolescents and young adults with polycystic ovary syndrome: a systematic review. Journal of pediatric and adolescent gynecology. 2016 Dec 1;29(6):551-7.
26. Lewis PR, Travers CA, Esler DM, Guttikonda K, Dixon A. The psychosocial experience of women with PCOS: a case control study. Australian family physician. 2007 Nov;36(11):965.
27. Moran L, Gibson-Helm M, Teede H, Deeks A. Polycystic ovary syndrome: a biopsychosocial understanding in young women to improve knowledge and treatment options. Journal of Psychosomatic Obstetrics & Gynecology. 2010 Mar 1;31(1):24-31.