The relationship between clinicobiochemical markers and depression in women with polycystic ovary syndrome.

Mohammad Ehsan Rahiminejad, Amirhossein Moaddab, Soghra Rabiee, Farzaneh Esna-Ashari, Shiva Borzouei, Seyyed Mohammad Hosseini
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Abstract

Background: Previous studies have demonstrated that clinical features of Polycystic ovary syndrome (PCOS) are associated with a lower degree of health, self, and sex satisfaction.

Objective: Our study aimed to investigate possible associations between depression and different clinicobiochemical markers of PCOS.

Materials and methods: In a cross-sectional analytic study, 120 PCOS women aged 18-45 yr, were enrolled. Beck Depression Inventory was used to assess depression. Also, all participants underwent biochemical studies. Individuals with 15 points and more in Beck test were referred to a psychiatrist to participate in a complementary interview for the diagnosis of depression based on Diagnostic and Statistical Manual of Mental Disorders IV (DSMIV-TR) criteria.

Results: Among the study participants, 82 women (68.3%) were non-depressed, and 38 patients (31.7%) had some degrees of depression. According to the psychiatric interview, 10 patients (8.3%) had major depression, 22 patients (18.3%) had minor depression and 6 patients (5%) had dysthymia. We failed to show any significant difference in body mass index, hirsutism, infertility, serum total testosterone, lipid profile, and the homeostasis model assessment of insulin resistance (HOMA-IR) between depressed and non-depressed subjects (p>0.05). Using Spearman correlation, we did not find a positive correlation between BDI scores and clinicobiochemical markers for all PCOS subjects (-0.139≤r≤+0.121, p>0.05).

Conclusion: In spite of high rate of depression in women with PCOS, there was no significant association between Clinicobiochemical Markers and depression.

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多囊卵巢综合征女性临床生化指标与抑郁的关系。
背景:以往的研究表明,多囊卵巢综合征(PCOS)的临床特征与较低的健康、自我和性满意度有关。目的:探讨多囊卵巢综合征不同临床生化指标与抑郁的关系。材料和方法:在一项横断面分析研究中,纳入了120名年龄在18-45岁的PCOS女性。采用贝克抑郁量表评估抑郁程度。此外,所有参与者都进行了生化研究。Beck测试得分在15分及以上的个体被转介给精神科医生,根据精神障碍诊断与统计手册IV (DSMIV-TR)标准进行抑郁症诊断的补充访谈。结果:在研究参与者中,82名女性(68.3%)无抑郁,38名患者(31.7%)有不同程度的抑郁。精神病学访谈显示,重性抑郁10例(8.3%),轻性抑郁22例(18.3%),心境恶劣6例(5%)。我们没有发现抑郁和非抑郁受试者在体重指数、多毛、不育、血清总睾酮、血脂和胰岛素抵抗稳态模型评估(HOMA-IR)方面有任何显著差异(p>0.05)。采用Spearman相关分析,我们发现BDI评分与PCOS患者的临床生化指标之间没有正相关(-0.139≤r≤+0.121,p>0.05)。结论:尽管PCOS患者抑郁发生率高,但临床生化指标与抑郁无显著相关性。
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93
审稿时长
6-12 weeks
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