scholarly journals Comparison of Body Image Perception and Depression in Polycystic Ovarian Syndrome (PCOS) and Non-PCOS Women

2021 ◽  
Vol 20 (11) ◽  
Author(s):  
Sassi Kanwal ◽  
Syeda Sadia Fatima ◽  
Fatima Abid ◽  
Aliya Jafri ◽  
Fatima Hasan Kazmi ◽  
...  
Keyword(s):  
Body Image ◽  
Polycystic Ovarian Syndrome ◽  
Depressive Symptomatology ◽  
Reproductive Age ◽  
Control Group ◽  
Healthy Controls ◽  
Image Perception ◽  
Body Image Perception ◽  
Positive Body Image ◽  
Ovarian Syndrome

Objectives: The aim of the current study was to appraise the relationship between women’s body image perception and depression in case and controls. Methods: In this case-control study 60 polycystic ovarian syndrome patients established agreeing to the Rotterdam criteria and 60 healthy controls of reproductive age group were enrolled. The PCOS patients and healthy controls were evaluated on questionnaire for physical appearance and depression. Body image perception was accessed using the validated Body Esteem Scale. The symptoms of Depression were evaluated with the Quick Inventory of Depressive Symptomatology-Self Report. Results: 55% of PCOS patients had depression while 36.7% were found with depression in the control group. In the PCOS group 65% of patients were found with positive body image while 98.3% of patients were found with positive body image. Significant association of study cases group was found with BMI group (p=0.049), diet habit (p=0.013), depression (p=0.044) and body image (p=0.000). Patients with depression are also more likely to have PCOS in comparison with those who haven’t (OR=2.111). Conclusion: There was a significant association of study group with body image perception and depression. Therefore, health of the patients with this set of symptoms is essential to be acknowledged more fully, predominantly in relation to the despair and poor body image. The outcomes of this study foster implications for clinical practice and propose that a multidisciplinary team should be involved in treatment of PCOS. Key words: Polycystic Ovary Syndrome (PCOS), Quick Inventory of Depressive Symptomatology (QIDS), Depression.

Overweight/obese Patient Referrals to Plastic Surgery: Temperamental and Personality Traits

2017 ◽  
Vol 41 (S1) ◽  
pp. S259-S259
Author(s):  
C. Pavan ◽  
F. Bassetto ◽  
V. Vindigni
Keyword(s):  
Body Image ◽  
Personality Traits ◽  
Psychiatric Disorders ◽  
Plastic Surgery ◽  
Body Shape ◽  
Psychiatric Evaluation ◽  
Control Group ◽  
Obese Patients ◽  
Image Perception ◽  
Body Image Perception

IntroductionCorrelations between psychiatric disorders and overweight/obesity are reported in the literature. The study aimed at detecting correlations between psychiatric disorders, temperamental traits and body image perception in overweight and obese patients who seek surgical lipostructuring treatments.Methods28 overweight/obese patients (age 18–60 yrs, BMI 25 to 34.9 at recruitment) were enrolled in the period March 2008–June 2011 between those referring to the outpatient service for Obesity-related lipodystrophisms of the Institute of Plastic Surgery. Presence of psychiatric disorders, temperamental traits and body image perception were evaluated, and compared to a control group (n = 25) from general population sharing clinical/demographic features. Psychiatric evaluation was based on acquisition of clinical history, Mini-International Neuropsychiatric Interview, Beck Depression Inventory, Yale Brown Scale (YBOCS), Paykel Life Events Scale, NEO Five Factory Inventory, Tridimensional Personality Questionnaire (TPQ), Body Shape Questionnaire (BSQ).ResultsThe patients group presented higher scoring in lifetime depression and BSQ with moderate/mild concern with body shapes. With regard to personality traits, TPQ revealed higher score in subscale RD4 (dependence/independence) in the patients, while controls scored higher in “openness to experience” NEO-FFI sub-scale. At YBOCS obese patients presented higher prevalence of obsessive characters.ConclusionThe affective sphere is a relevant feature in obese patients, but also obsessive traits, as negative body shape perception and temperamental and personality characteristics appear to be involved in leading patients to seek surgical consultation. These aspects are implicated in medical/surgical outcome and compliance to treatments.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Polycystic ovarian syndrome in patients with schizophrenia treated with atypical anti-psychotics: A case control study

2017 ◽  
Vol 41 (S1) ◽  
pp. S751-S751
Author(s):  
V. De Silva ◽  
A. Senanayake ◽  
S.S. Ratnatunga ◽  
S. Dissanayake ◽  
S. Gamage ◽  
...  
Keyword(s):  
Polycystic Ovarian Syndrome ◽  
Reproductive Age ◽  
Ultra Sound ◽  
Control Group ◽  
Anti Psychotic ◽  
Androgenic Alopecia ◽  
Free T4 ◽  
Significant Difference ◽  
Ovarian Syndrome ◽  
Normal Controls

ObjectiveObjective was to compare the prevalence of probable polycystic ovarian syndrome (PCOS) in females treated with atypical anti-psychotics with normal controls.AimsTo compare the prevalence of PCOS in patients treated with atypical anti-psychotics and normal controls. To study the hormone profiles in these two groups.MethodsCases consisted of 102 reproductive age females with schizophrenia treated with atypical anti-psychotics for ≥6 months and had gained ≥10% body weight. Control group was 123 age and BMI matched females. Menstrual history, physical examination for hirsuitism, acne, androgenic alopecia, anthropometrics measures, Ultrasound abdomen and hormone analysis were done.ResultsMean age of cases = 33.17 years (SD 8.9) and controls = 33.08 years (SD 5.6). Mean BMI of cases = 25.92 (SD 5.2) and controls = 25.03 (SD 4.3). Polycystic ovarian morphology of ovaries on ultra sound scan was significantly more in cases 49 (48%) than controls 16 (13.%) (P < 0.001). Probable PCOS was significantly more in atypical anti-psychotic treated females (n = 22, 21.56%) than in normal controls (n = 10, 8.13%) (P = 0.04). Atypical anti-psychotic treated patients with PCOS had significantly lower mean LH levels 6.69 mIU/L than those without PCOS 10.30 (P = 0.35). There was no significant difference in testosterone, FSH, prolactin, TSH and free T4 levels.ConclusionTreatment with atypical anti-psychotics is associated with higher prevalence of PCOS. This has not been reported previously. The hormonal profile in these patients may be different with low testosterone and LH levels.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Breast density in polycystic ovarian syndrome patients: A case-control study

2019 ◽  
Author(s):  
Bita Eslami ◽  
Sadaf Alipour ◽  
Reihaneh Hosseini ◽  
Bentolhoda Fattah ◽  
Ashraf Moini
Keyword(s):  
Breast Cancer ◽  
Breast Density ◽  
Breast Imaging ◽  
Polycystic Ovarian Syndrome ◽  
Case Control Study ◽  
Case Control ◽  
Reproductive Age ◽  
Control Group ◽  
Ovarian Syndrome ◽  
Control Study

Background: Epidemiological studies suggested a positive relationship between breast density and risk of breast cancer. One of the common hormonal disorders in women’s reproductive age is polycystic ovarian syndrome (PCOS) and the results from the studies about the risk of breast cancer among PCOS patients are equivocal. Objective: The objective was to evaluate the breast density in PCOS patients compared with the control group. Materials and Methods: In this case-control study, the PCOS patients who were older than 40 years and were referred to infertility or gynecology outpatient clinic of Arash women’s hospital between 2015 and 2017 were selected as the case group. Control group was selected from healthy women who attended the same hospital and were older than 40 years. By digital mammography, breast density was classified according to the Breast Imaging Reporting and Data System (BIRADS) of the American College of Radiology and it was graded by one expert radiologist. Results: Final analysis in 68 cases and controls showed statistically significant differences between breast densities in PCOS patients compared to the control (p = 0.03), and when the analysis was conducted by considering the category of age, the control group who were younger than 45 years had higher breast density compared with PCOS patient. Multivariate logistic regression analyses manifested a statistically significant adverse association between body mass index (OR = 0.87, 95% CI: 0.79–0.95), vitamin D intake (OR = 0.35, 95% CI: 0.16–0.81), and breast density. Conclusion: Our data suggested that the PCOS patients had lower breast density compared with normal population. However, in multivariate analysis, considering other confounders, this association was not confirmed.

scholarly journals Psychosocial characteristics and motivational factors in woman seeking cosmetic breast augmentation surgery

2013 ◽  
Vol 70 (10) ◽  
pp. 940-946 ◽  
Author(s):  
Jelena Nikolic ◽  
Zlata Janjic ◽  
Marija Marinkovic ◽  
Jelica Petrovic ◽  
Teodora Bozic
Keyword(s):  
Body Image ◽  
Body Size ◽  
Breast Augmentation ◽  
Rating Scale ◽  
Preoperative Evaluation ◽  
Self Esteem ◽  
Breast Size ◽  
Control Group ◽  
Image Perception ◽  
Body Image Perception

Background/Aim. There are various opinions regarding the factors motivating women to undergo breast augmentation. The aim of this study was to estimate motivation for augmentation mammaplasty (AM), self-esteem and body image perception in breast augmentation patients. Methods. This prospective study involved AM patients operated in the Clinical Center of Vojvodina during a 3-year period. A total of 45 patients responded to our package of questionnaires designed to assess motivation for surgery, self-esteem level and body image perception. Those patients were compared to the control group of women who did not want to change their breast size, and who were similar in their age, social status and education level. Our package of questionnaires included a general questionnaire, Photographic Figure Rating Scale (PFRS) and Rosenberg?s Self-Esteem Scale. Results. Differences in marital status, educational level, habitation and employment status were statistically insignificant, but there was a significantly lower body mass index (BMI) in the operated women. Considering motives for surgery, a few factors were distinguished: desire to feel more feminine (82.2%), confident (75.5%) and attractive (73.3%), to feel less shy with men (64.4%), to improve their sex life (46.5%), teasing history (42.2%) and easier to find a partner (11.1%) and job (2.2%). Both groups demonstrated a high self-esteem level, but in the AM group results were lower than in the control group. The mean current self-rating by the PFRS in the group AM was lower than in the control group (4.28 ? 1.3 vs 5.12 ? 1.23, respectively) and this coincided with lower BMI in the AM group. The women in the AM group had chosen significantly smaller body size as maximally attractive, and had chosen a narrower attractive body size range than the women in the control group. Conclusion. Preoperative evaluation of patients? motives for surgery can help surgeons to exclude woman with unrealistic expectations and different psychological problems.

Uterine Function: From Normal to Polycystic Ovarian Syndrome Alterations

2018 ◽  
Vol 25 (15) ◽  
pp. 1792-1804 ◽  
Author(s):  
Silvana R. Ferreira ◽  
Alicia B. Motta
Keyword(s):  
Endometrial Cancer ◽  
Adhesion Molecules ◽  
Polycystic Ovarian Syndrome ◽  
Cellular Proliferation ◽  
Steroid Receptors ◽  
Reproductive Age ◽  
Present Review ◽  
Implantation Failure ◽  
Uterine Function ◽  
Ovarian Syndrome

Background: The endometrium is one of the most important female reproductive organs. Polycystic ovarian syndrome (PCOS) is a reproductive and endocrine pathology that affect women of reproductive age. PCOS negatively affects the endometrium, leading to implantation failure and proliferative aberrations. Methods: We conducted a search at the http://www.ncbi.nlm.nhi.gov/pubmed/electronic database using the following key words: endometrial steroid receptors, endometrium, uterine function, endometrium and PCOS, implantation window, implantation and PCOS, implantation markers, inflammation, oxidative stress. We selected the articles based on their titles and abstracts, then we analyzed the full text and classified the articles depending on the information provided according to the sections of the present review. Results: The endocrine and metabolic abnormalities displayed in women with PCOS promote complex effects on the endometrium, leading to a low rate of implantation and even infertility. Women with PCOS show alterations in the Hypothalamic-Pituitary- Ovarian axis, which results in constant circulating levels of estrogen, similar to those at the early follicular phase, and a deficiency in the withdrawal of estrogen and progesterone. Besides this deficiency in the withdrawal of estrogen and progesterone, the insulin/ glucose pathway, adhesion molecules, cytokines and the inflammatory cascade, together with the establishment of a pro-oxidative status, lead to an imbalance in the uterine function, which in turn leads to implantation failure or even endometrial cancer. Conclusion: Women with PCOS display a dysregulation of the Hypothalamic-Pituitary- Ovarian axis, which alters the steroid pathway. In addition, the deficiency in the withdrawal of estrogen and progesterone in the endometrium results in abnormal endometrial cellular proliferation. The imbalance in adipose tissue observed in PCOS patients reinforces the increase in circulating hormones. The present review describes the role of hormones, metabolites, cytokines, adhesion molecules and the insulin/glucose pathway related to the uterine endometrium in women with PCOS and their role in implantation failure and development of endometrial cancer.

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