Sven Benson1, Susanne Hahn2, Susanne Tan3, Onno E Janssen4, Manfred Schedlowski5, Sigrid Elsenbruch6. 1. Institute of Medical Psychology & Behavioral Immunobiology, University Hospital Essen, Essen, Germany.. Electronic address: sven.benson@uk-essen.de. 2. Endocrinologist in endocrine practice in Wuppertal, Germany. 3. Resident in the Department of Endocrinology and Division of Laboratory Research, University Hospital of Essen, Essen, Germany. 4. Endocrinologist in the Endokrinologikum Hamburg Center for Endocrine and Metabolic Diseases, Hamburg, Germany. 5. Institute of Medical Psychology & Behavioral Immunobiology, University Hospital of Essen, Essen, Germany. 6. Institute of Medical Psychology & Behavioral Immunobiology, University Hospital Essen, Germany.
Abstract
OBJECTIVE: To investigate associations between active and passive coping, psychiatric symptoms of depression and anxiety, and quality of life in women with polycystic ovary syndrome (PCOS). To assess the relative contribution of these coping strategies to reduced quality of life in an attempt to clarify the possible relevance of coping for impaired psychosocial well-being in PCOS. DESIGN: Internet-based survey. PARTICIPANTS: 448 German women with PCOS. METHODS: Coping (Freiburg Questionnaire of Coping-with-Illness), anxiety and depression (Hospital Anxiety and Depression Scale [HADS]), and quality of life (Short Form 12 Health Survey [SF-12]) were assessed in an Internet-based survey. Correlation and regression analyses were conducted. RESULTS: In women with PCOS, passive coping was significantly associated with greater anxiety (r= .65; p < .001), depression (r= .61; p < .001), and reduced psychological quality of life (r=-.64, p < .001). In stepwise multiple regression analyses, passive coping, together with depression, anxiety and body mass index (BMI), explained 50.1% of the SF-12 psychological sum score, while active coping did not enter any regression model. CONCLUSION: Data suggested that faced with the diagnosis of PCOS, passive coping may constitute a maladaptive strategy associated with anxiety and depression symptoms and compromised quality of life. Hence, efforts to incorporate psychosocial aspects into counselling and care for women with PCOS should take coping strategies into consideration. Nurses and other health care providers may help to improve coping strategies through education and psychosocial support in women with PCOS.
OBJECTIVE: To investigate associations between active and passive coping, psychiatric symptoms of depression and anxiety, and quality of life in women with polycystic ovary syndrome (PCOS). To assess the relative contribution of these coping strategies to reduced quality of life in an attempt to clarify the possible relevance of coping for impaired psychosocial well-being in PCOS. DESIGN: Internet-based survey. PARTICIPANTS: 448 German women with PCOS. METHODS: Coping (Freiburg Questionnaire of Coping-with-Illness), anxiety and depression (Hospital Anxiety and Depression Scale [HADS]), and quality of life (Short Form 12 Health Survey [SF-12]) were assessed in an Internet-based survey. Correlation and regression analyses were conducted. RESULTS: In women with PCOS, passive coping was significantly associated with greater anxiety (r= .65; p < .001), depression (r= .61; p < .001), and reduced psychological quality of life (r=-.64, p < .001). In stepwise multiple regression analyses, passive coping, together with depression, anxiety and body mass index (BMI), explained 50.1% of the SF-12 psychological sum score, while active coping did not enter any regression model. CONCLUSION: Data suggested that faced with the diagnosis of PCOS, passive coping may constitute a maladaptive strategy associated with anxiety and depression symptoms and compromised quality of life. Hence, efforts to incorporate psychosocial aspects into counselling and care for women with PCOS should take coping strategies into consideration. Nurses and other health care providers may help to improve coping strategies through education and psychosocial support in women with PCOS.
Authors: Mohd Hanafiah Ahmad Hijazi; Mohammad Saffree Jeffree; Nicholas Tze Ping Pang; Syed Sharizman Syed Abdul Rahim; Azizan Omar; Fatimah Ahmedy; Mohd Hanafi Ahmad Hijazi; Mohd Rohaizat Hassan; Rozita Hod; Azmawati Mohammed Nawi; Sylvia Daim; Walton Wider Journal: Int J Environ Res Public Health Date: 2022-06-02 Impact factor: 4.614
Authors: Renae C Fernandez; Vivienne M Moore; Emer M Van Ryswyk; Tamara J Varcoe; Raymond J Rodgers; Wendy A March; Lisa J Moran; Jodie C Avery; R Doug McEvoy; Michael J Davies Journal: Nat Sci Sleep Date: 2018-02-01