PCOS: body image distress appears to mediate anxiety, depression

  • Alur-Gupta S & al.
  • Fertil Steril
  • 5 Aug 2019

  • International Clinical Digest
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Takeaway

  • Body image distress (BID) appears to be a significant factor in elevated symptoms of anxiety and depression among patients with polycystic ovary syndrome (PCOS).

Why this matters

  • Therapeutic interventions targeted at improving body image may be beneficial.

Key results

  • On Multidimensional Body-Self Relations-Appearance subscale (MBSRQ-AS) for BID, patients with PCOS had reduced scores for Appearance Evaluation (2.6 vs 3.4; P<.001 and body areas satisfaction vs p control individuals.>
  • Higher scores were observed for Appearance Orientation (3.8 vs 3.6; P=.002), Overweight Preoccupation (3.4 vs 2.8; P<.001 and self-classified weight vs p=".013).</li">
  • Patients with PCOS also had larger differences compared with control individuals for Stunkard Figure Rating Scale Score 1 (P=.020) and Score 2 (P=.011); for both, the values were indicative of BID.
  • Patients with PCOS had higher prevalence of depressive symptoms (28% vs 19.2%; P<.001 and anxiety symptoms vs p on the hospital depression scale in multivariate analysis.>
  • Most MBSRQ-AS subscale scores showed a statistically significant correlation with depression, anxiety, and QoL scores

Study design

  • 189 reproductive-aged women with PCOS and 225 control subjects were analyzed for BID, depression, and anxiety.
  • Funding: NIH.

Limitations

  • Observational study design could have residual confounders.

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