Increased prevalence of anxiety symptoms in women with polycystic ovary syndrome: systematic review and meta-analysis
Open accessAbstract
Objective To perform a systematic review and meta-analysis of studies that compared the prevalence of anxiety symptoms in women with polycystic ovary syndrome (PCOS) and control women. Design Meta-analysis and systematic review. Setting University practice. Patient(s) Cross-sectional studies comparing PCOS subjects and geographically matched clearly defined non-PCOS control subjects with data on age and body mass index (BMI). Intervention(s) Anxiety screening tool. Main outcome measure(s) The primary analysis contrasted prevalence of anxiety. Cochrane Review Manager 5.0.24 software was used to construct forest plots comparing frequency of anxiety symptoms in case and control subjects. Result(s) Of 613 screened articles, nine met our selection criteria for a systematic review and four were included in the meta-analysis. The prevalence of generalized anxiety symptoms was available in four studies and was significantly greater in PCOS subjects (42/206, 20.4%) compared to controls (8/204, 3.9%). The odds for anxiety symptoms were significantly greater in women with PCOS compared with control subjects (odds ratio 6.88, 95% confidence interval 2.5-18.9). The mean anxiety score was significantly increased in three of the remaining five studies. Other anxiety disorders, such as social phobia, panic attacks, and obsessive compulsive disorders, were assessed infrequently. Conclusion(s) Our systematic review suggests an increased odds of anxiety symptoms in women with PCOS, underscoring the importance of screening all women with PCOS for anxiety symptoms. Follow-up evaluation and treatment are essential, because generalized anxiety disorder is a chronic condition. Potential contributors for anxiety symptoms, such as hirsutism, obesity, and/or infertility may be specific to women with PCOS but need further investigation.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Women with PCOS encounter heightened levels of anxiety, depression, and body image concerns, which can drive substantial changes in their lifestyle choices.
“An important fact is that women with PCOS encounter heightened levels of anxiety, depression, and body image concerns, which can drive substantial changes in their lifestyle choices [14,15].”
From Dietary Patterns and Metabolic and Hormonal Parameters in Women with Suspected PCOS (2025) · cites this paper as [14]
Cites
Kessler, R. C., Chiu, W. T., Demler, O., & Walters, E. E. (2005) · Archives of General Psychiatry · doi:10.1001/archpsyc.62.6.617 · Cited by 12,052 · see citing works
(2004) · Fertility and Sterility · doi:10.1016/j.fertnstert.2003.10.004 · Cited by 9,050 · see citing works
The Rotterdam ESHRE/ASRM-sponsored PCOS consensus workshop group (2004) · Human Reproduction · doi:10.1093/humrep/deh098 · Cited by 6,138 · see citing works
Wild, R. A., Carmina, E., Diamanti-Kandarakis, E., Dokras, A., Escobar-Morreale, H. F., Futterweit, W., Lobo, R., Norman, R. J., Talbott, E., & Dumesic, D. A. (2010) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2009-2724 · Cited by 1,010 · see citing works
Self-citationIncreased risk of depressive disorders in women with polycystic ovary syndrome
Hollinrake, E., Abreu, A., Maifeld, M., Van Voorhis, B. J., & Dokras, A. (2007) · Fertility and Sterility · doi:10.1016/j.fertnstert.2006.11.039 · Cited by 631 · see citing works
Self-citationDistressed high utilizers of medical care
Katon, W., Von Korff, M., Lin, E., Lipscomb, P., Russo, J., Wagner, E., & Polk, E. (1990) · General Hospital Psychiatry · doi:10.1016/0163-8343(90)90002-t · Cited by 512 · see citing works
Epidemiology of Anxiety Disorders
Kessler, R. C., Ruscio, A. M., Shear, K., & Wittchen, H.-U. (2009) · Current Topics in Behavioral Neurosciences · doi:10.1007/7854_2009_9 · Cited by 496 · see citing works
Why do people with anxiety disorders become depressed? A prospective‐longitudinal community study
Wittchen, H., Kessler, R. C., Pfister, H., Höfler, M., & Lieb, R. (2000) · Acta Psychiatrica Scandinavica · doi:10.1111/j.0065-1591.2000.acp29-03.x · Cited by 458 · see citing works
Quality of life and psychological well being in polycystic ovary syndrome
Barnard, L., Ferriday, D., Guenther, N., Strauss, B. M., Balen, A. H., & Dye, L. (2007) · Human Reproduction · doi:10.1093/humrep/dem108 · Cited by 388 · see citing works
Clinical and psychological correlates of quality-of-life in polycystic ovary syndrome
Hahn, S., Janssen, O. E., Tan, S., Pleger, K., Mann, K., Schedlowski, M., Kimmig, R., Benson, S., Balamitsa, E., & Elsenbruch, S. (2005) · European Journal of Endocrinology · doi:10.1530/eje.1.02024 · Cited by 387 · see citing works
Anxiety and depression in polycystic ovary syndrome: a systematic review and meta-analysis
Barry, J. A., Kuczmierczyk, A. R., & Hardiman, P. J. (2011) · Human Reproduction · doi:10.1093/humrep/der197 · Cited by 336 · see citing works
Women with polycystic ovary syndrome are often depressed or anxious—A case control study
Månsson, M., Holte, J., Landin-Wilhelmsen, K., Dahlgren, E., Johansson, A., & Landén, M. (2008) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2008.06.003 · Cited by 260 · see citing works
Jones, G. L., Hall, J., Balen, A. H., & Ledger, W. J. (2007) · Human Reproduction Update · doi:10.1093/humupd/dmm030 · Cited by 244 · see citing works
Kerchner, A., Lester, W. S., Stuart, S. P., & Dokras, A. (2008) · Fertility and Sterility · doi:10.1016/j.fertnstert.2007.11.022 · Cited by 232 · see citing works
Self-citationWeiner, C. L., Primeau, M., & Ehrmann, D. A. (2004) · Psychosomatic Medicine · doi:10.1097/01.psy.0000127871.46309.fe · Cited by 231 · see citing works
Increased Risk for Abnormal Depression Scores in Women With Polycystic Ovary Syndrome
Dokras, A., Clifton, S. C., Futterweit, W., & Wild, R. A. (2010) · Obstetrics and Gynecology · doi:10.1097/aog.0b013e318202b0a4 · Cited by 229 · see citing works
Self-citationPsychiatric comorbidity in patients with generalized anxiety disorder
Brawman‐Mintzer, O., Lydiard, R. B., Emmanuel, N. P., Payeur, R., Johnson, M. J., Roberts, J., Jarrell, M. P., & Ballenger, J. C. (1993) · American Journal of Psychiatry · doi:10.1176/ajp.150.8.1216 · Cited by 201 · see citing works
Jedel, E., Wærn, M., Gustafson, D., Landén, M., Eriksson, E., Holm, G., Nilsson, L., Lind, A. K., Janson, P. O., & Stener‐Victorin, E. (2009) · Human Reproduction · doi:10.1093/humrep/dep384 · Cited by 176 · see citing works
Benson, S., Hahn, S., Tan, S., Mann, K., Janssen, O. E., Schedlowski, M., & Elsenbruch, S. (2009) · Human Reproduction · doi:10.1093/humrep/dep031 · Cited by 160 · see citing works
Moran, L., Gibson-Helm, M., Teede, H., & Deeks, A. (2010) · Journal of Psychosomatic Obstetrics & Gynecology · doi:10.3109/01674820903477593 · Cited by 127 · see citing works
A randomized controlled trial of laser treatment among hirsute women with polycystic ovary syndrome
Clayton, W. J., Lipton, M., Elford, J., Rustin, M., & Sherr, L. (2005) · British Journal of Dermatology · doi:10.1111/j.1365-2133.2005.06426.x · Cited by 127 · see citing works
The generalized anxiety spectrum: prevalence, onset, course and outcome
Angst, J., Gamma, A., Baldwin, D. S., Ajdacic‐Gross, V., & Wulf Rössler, A. (2008) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-008-0832-9 · Cited by 101 · see citing works
Laggari, V., Diareme, S., Christogiorgos, S., Deligeoroglou, E., Christopoulos, P., Tsiantis, J., & Creatsas, G. (2009) · Journal of Psychosomatic Obstetrics & Gynecology · doi:10.1080/01674820802546204 · Cited by 99 · see citing works
Jedel, E., Gustafson, D., Wærn, M., Sverrisdóttir, Y. B., Landén, M., Janson, P. O., Labrie, F., Ohlsson, C., & Stener‐Victorin, E. (2011) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2011.04.001 · Cited by 57 · see citing works
Quality of life, mental health and self-esteem in hirsute adolescent females
Drosdzol-Cop, A. B., Skrzypulec, V., & Plinta, R. (2010) · Journal of Psychosomatic Obstetrics & Gynecology · doi:10.3109/0167482x.2010.501398 · Cited by 44 · see citing works
Evaluation of hand functions in women with polycystic ovary syndrome
Soyupek, F., Güney, M., Eriş, S., Çerçi, S. S., Yıldız, S., & Mungan, T. (2008) · Gynecological Endocrinology · doi:10.1080/09513590802288218 · Cited by 23 · see citing works
Haydardedeo, B., Kılıçdağ, E. B., & Ba, T. (2008) · Cited by 22 · see citing works
Marques, A. R. (2017) · Diabetes Case Reports · doi:10.4172/2572-5629.1000e103 · Cited by 15 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Legro, R. S., Arslanian, S. A., Ehrmann, D. A., Hoeger, K. M., Murad, M. H., Pasquali, R., & Welt, C. K. (2013) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2013-2350 · Cited by 1,919 · see citing works
Epidemiology, diagnosis, and management of polycystic ovary syndrome
Sirmans, S. M., & Pate, K. (2013) · Clinical Epidemiology · doi:10.2147/clep.s37559 · Cited by 1,301 · see citing works
A systematic review of reviews on the prevalence of anxiety disorders in adult populations
Remes, O., Brayne, C., van der Linde, R., & Lafortune, L. (2016) · Brain and Behavior · doi:10.1002/brb3.497 · Cited by 802 · see citing works
Cooney, L. G., Lee, I., Sammel, M. D., & Dokras, A. (2017) · Human Reproduction · doi:10.1093/humrep/dex044 · Cited by 631 · see citing works
Self-citationGibson-Helm, M., Teede, H., Dunaif, A., & Dokras, A. (2016) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2016-2963 · Cited by 428 · see citing works
Self-citationAdolescent polycystic ovary syndrome according to the international evidence-based guideline
Peña, A. S., Witchel, S. F., Hoeger, K. M., Oberfield, S. E., Vogiatzi, M. G., Misso, M. L., Garad, R. M., Dabadghao, P., & Teede, H. J. (2020) · BMC Medicine · doi:10.1186/s12916-020-01516-x · Cited by 331 · see citing works
Complications and challenges associated with polycystic ovary syndrome: current perspectives
Palomba, S., Santagni, S., Falbo, A., & La Sala, G. B. (2015) · International Journal of Women's Health · doi:10.2147/ijwh.s70314 · Cited by 287 · see citing works
Dokras, A., Stener-Victorin, E., Yildiz, B. O., Li, R., Ottey, S., Shah, D., Epperson, N., & Teede, H. (2018) · Fertility and Sterility · doi:10.1016/j.fertnstert.2018.01.038 · Cited by 285 · see citing works
Self-citationBeyond fertility: polycystic ovary syndrome and long-term health
Cooney, L. G., & Dokras, A. (2018) · Fertility and Sterility · doi:10.1016/j.fertnstert.2018.08.021 · Cited by 270 · see citing works
Self-citationDepression, anxiety and perceived stress in women with and without PCOS: a community-based study
Damone, A. L., Joham, A. E., Loxton, D., Earnest, A., Teede, H. J., & Moran, L. J. (2019) · Psychological Medicine · doi:10.1017/s0033291718002076 · Cited by 230 · see citing works
Dokras, A., Saini, S., Gibson-Helm, M., Schulkin, J., Cooney, L., & Teede, H. (2017) · Fertility and Sterility · doi:10.1016/j.fertnstert.2017.04.011 · Cited by 218 · see citing works
Self-citationVeltman-Verhulst, S. M., Boivin, J., Eijkemans, M. J. C., & Fauser, B. J. C. M. (2012) · Human Reproduction Update · doi:10.1093/humupd/dms029 · Cited by 215 · see citing works
Myo-inositol effects in women with PCOS: a meta-analysis of randomized controlled trials
Unfer, V., Facchinetti, F., Orrù, B., Giordani, B., & Nestler, J. E. (2017) · Endocrine Connections · doi:10.1530/ec-17-0243 · Cited by 190 · see citing works
Anxiety Disorders Among Women: A Female Lifespan Approach
Hantsoo, L., & Epperson, C. N. (2017) · Focus · doi:10.1176/appi.focus.20160042 · Cited by 183 · see citing works
Comorbidities and complications of polycystic ovary syndrome: An overview of systematic reviews
Gilbert, E. W., Tay, C. T., Hiam, D. S., Teede, H. J., & Moran, L. J. (2018) · Clinical Endocrinology · doi:10.1111/cen.13828 · Cited by 166 · see citing works
Dokras, A., Sarwer, D. B., Allison, K. C., Milman, L., Kris-Etherton, P. M., Kunselman, A. R., Stetter, C. M., Williams, N. I., Gnatuk, C. L., Estes, S. J., et al. (2016) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2016-1896 · Cited by 161 · see citing works
Self-citationAlur-Gupta, S., Chemerinski, A., Liu, C., Lipson, J., Allison, K., Sammel, M. D., & Dokras, A. (2019) · Fertility and Sterility · doi:10.1016/j.fertnstert.2019.06.018 · Cited by 161 · see citing works
Self-citationEnvironmental determinants of polycystic ovary syndrome
Merkin, S. S., Phy, J. L., Sites, C. K., & Yang, D. (2016) · Fertility and Sterility · doi:10.1016/j.fertnstert.2016.05.011 · Cited by 158 · see citing works
Is foetal hyperexposure to androgens a cause of PCOS?
Filippou, P., & Homburg, R. (2017) · Human Reproduction Update · doi:10.1093/humupd/dmx013 · Cited by 152 · see citing works
Palomba, S., Marotta, R., Di Cello, A., Russo, T., Falbo, A., Orio, F., Tolino, A., Zullo, F., Esposito, R., & Sala, G. B. L. (2012) · Clinical Endocrinology · doi:10.1111/j.1365-2265.2012.04443.x · Cited by 144 · see citing works
Barrett, E. S., Hoeger, K. M., Sathyanarayana, S., Abbott, D. H., Redmon, J. B., Nguyen, R. H. N., & Swan, S. H. (2018) · Journal of Developmental Origins of Health and Disease · doi:10.1017/s2040174417001118 · Cited by 145 · see citing works
Fernandez, R., Moore, V., Van Ryswyk, E., Varcoe, T., Rodgers, R., March, W., Moran, L., Avery, J., McEvoy, D., & Davies, M. (2018) · Nature and Science of Sleep · doi:10.2147/nss.s127475 · Cited by 137 · see citing works
Mood and anxiety disorders in women with PCOS.
Dokras, A. (2012) · Steroids · doi:10.1016/j.steroids.2011.12.008 · Cited by 128 · see citing works
Self-citationIncreased risk of disordered eating in polycystic ovary syndrome
Lee, I., Cooney, L. G., Saini, S., Smith, M. E., Sammel, M. D., Allison, K. C., & Dokras, A. (2017) · Fertility and Sterility · doi:10.1016/j.fertnstert.2016.12.014 · Cited by 127 · see citing works
Self-citationKarjula, S., Morin-Papunen, L. C., AUVINEN, J. P., Ruokonen, A., Puukka, K. S., Franks, S., Järvelin, M., Tapanainen, J. S., Jokelainen, J. J., Miettunen, J., et al. (2017) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2016-3863 · Cited by 122 · see citing works
Hu, M., Richard, J. E., Maliqueo, M. A., Kokosar, M., Fornes, R., Benrick, A., Jansson, T., Ohlsson, C., Wu, X., Skibicka, K. P., et al. (2015) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1507514112 · Cited by 116 · see citing works
Polycystic Ovary Syndrome Is Associated With Adverse Mental Health and Neurodevelopmental Outcomes
Berni, T. R., Morgan, C. L., Berni, E. R., & Rees, D. A. (2018) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2017-02667 · Cited by 111 · see citing works
PCOS and Depression: Common Links and Potential Targets
Kolhe, J. V., Chhipa, A. S., Butani, S., Chavda, V. K., & Patel, S. S. (2021) · Reproductive Sciences · doi:10.1007/s43032-021-00765-2 · Cited by 108 · see citing works
Binge eating behaviours and food cravings in women with polycystic ovary syndrome
Jeanes, Y. M., Reeves, S., Gibson, E. L., Piggott, C., May, V. A., & Hart, K. H. (2017) · Appetite · doi:10.1016/j.appet.2016.11.010 · Cited by 85 · see citing works
Epidemiology and Comorbidities of Polycystic Ovary Syndrome in an Indigent Population
Sirmans, S. M., Parish, R. C., Blake, S., & Wang, X. (2014) · Journal of Investigative Medicine · doi:10.1097/01.jim.0000446834.90599.5d · Cited by 79 · see citing works
Polycystic ovary syndrome in adolescence: diagnostic and therapeutic strategies
Kamboj, M. K., & Bonny, A. E. (2017) · Translational Pediatrics · doi:10.21037/tp.2017.09.11 · Cited by 74 · see citing works
Karacan, E., Çağlar, G. S., Gürsoy, A. Y., & Yılmaz, M. B. (2014) · Journal of Pediatric and Adolescent Gynecology · doi:10.1016/j.jpag.2013.08.003 · Cited by 73 · see citing works
Polycystic Ovarian Syndrome: Long-Term Health Consequences
Zore, T., Joshi, N., Lizneva, D., & Azziz, R. (2017) · Seminars in Reproductive Medicine · doi:10.1055/s-0037-1603096 · Cited by 72 · see citing works
Ismayilova, M., & Yaya, S. (2022) · BMC Women's Health · doi:10.1186/s12905-022-01630-3 · Cited by 68 · see citing works
Wang, Y., Ni, Z., & Li, K. (2021) · Gynecological Endocrinology · doi:10.1080/09513590.2021.1942452 · Cited by 69 · see citing works
Greenwood, E. A., Yaffe, K. S., Wellons, M., Cedars, M. I., & Huddleston, H. G. (2019) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2019-00234 · Cited by 64 · see citing works
Personality and Psychiatric Disorders in Women Affected by Polycystic Ovary Syndrome
Scaruffi, E., Gambineri, A., Cattaneo, S., Turra, J., Vettor, R., & Mioni, R. (2014) · Frontiers in Endocrinology · doi:10.3389/fendo.2014.00185 · Cited by 63 · see citing works
Maliqueo, M. A., Benrick, A., & Stener‐Victorin, E. (2014) · Seminars in Reproductive Medicine · doi:10.1055/s-0034-1371090 · Cited by 60 · see citing works
Dokras, A. (2016) · Fertility and Sterility · doi:10.1016/j.fertnstert.2016.10.027 · Cited by 60 · see citing works
Self-citationCopp, T., Hersch, J. K., Muscat, D. M., McCaffery, K. J., Doust, J. A., Dokras, A., Mol, B. W., & Jansen, J. (2019) · Human Reproduction Open · doi:10.1093/hropen/hoz026 · Cited by 60 · see citing works
Self-citationCopp, T., Muscat, D. M., Hersch, J., McCaffery, K. J., Doust, J., Dokras, A., Mol, B. W., & Jansen, J. (2022) · Patient Education and Counseling · doi:10.1016/j.pec.2021.05.038 · Cited by 59 · see citing works
Self-citationKrug, I., Giles, S., & Paganini, C. (2019) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s168944 · Cited by 50 · see citing works
Manti, M., Fornes, R., Qi, X., Folmerz, E., Hirschberg, A. L., Barbosa, T. D. C., Maliqueo, M. A., Benrick, A., & Stener‐Victorin, E. (2018) · The FASEB Journal · doi:10.1096/fj.201701263rr · Cited by 48 · see citing works
Papalou, O., & Diamanti-Kandarakis, E. (2017) · Expert Review of Endocrinology & Metabolism · doi:10.1080/17446651.2017.1266250 · Cited by 47 · see citing works
Howard, L. M., Wilson, C. A., Reilly, T. J., Moss, K. M., Mishra, G. D., Coupland‐Smith, E., Riecher‐Rössler, A., Seedat, S., Smith, S. M., Steinberg, J. R., et al. (2025) · World Psychiatry · doi:10.1002/wps.21305 · Cited by 56 · see citing works
Are expanding disease definitions unnecessarily labelling women with polycystic ovary syndrome?
Copp, T., Jansen, J., Doust, J. A., Mol, B. W., Dokras, A., & McCaffery, K. J. (2017) · BMJ · doi:10.1136/bmj.j3694 · Cited by 45 · see citing works
Self-citationPolycystic Ovary Syndrome and Hyperandrogenic States
Chang, R. J., & Dumesic, D. A. (2019) · Elsevier eBooks · doi:10.1016/b978-0-323-47912-7.00021-4 · Cited by 41 · see citing works
Quality of life and sexual function in women with polycystic ovary syndrome: a comprehensive review
Castelo‐Branco, C., & Naumova, I. (2019) · Gynecological Endocrinology · doi:10.1080/09513590.2019.1670788 · Cited by 42 · see citing works
The Source of Polycystic Ovarian Syndrome
Raperport, C., & Homburg, R. (2019) · Clinical Medicine Insights Reproductive Health · doi:10.1177/1179558119871467 · Cited by 42 · see citing works
Psychological aspects of hyperandrogenic states in late adolescent and young women
Guidi, J., Gambineri, A., Zanotti, L., Fanelli, F., Fava, G. A., & Pasquali, R. (2015) · Clinical Endocrinology · doi:10.1111/cen.12783 · Cited by 40 · see citing works
Anxiety, depression, and body image among infertile women with and without polycystic ovary syndrome
Jannink, T. I., Bordewijk, E. M., Aalberts, J. L., Hendriks, J., Lehmann, V., Hoek, A., Goddijn, M., van Wely, M., ANDES study group, de Bruin, J. P., et al. (2024) · Human Reproduction · doi:10.1093/humrep/deae016 · Cited by 39 · see citing works
Maternal polycystic ovarian syndrome and early offspring development
Bell, G. A., Sundaram, R., Mumford, S. L., Park, H., Mills, J. L., Bell, E. M., Broadney, M. M., & Yeung, E. H. (2018) · Human Reproduction · doi:10.1093/humrep/dey087 · Cited by 38 · see citing works
Psychological burden among women with polycystic ovarian syndrome in Oman: a case–control study
Sulaiman, M., Al-Farsi, Y. M., Al‐Khaduri, M., Waly, M. I., Saleh, J., & Al‐Adawi, S. (2017) · International Journal of Women s Health · doi:10.2147/ijwh.s145383 · Cited by 38 · see citing works
Chaudhari, N., & Nampoothiri, L. P. (2016) · Hormone Molecular Biology and Clinical Investigation · doi:10.1515/hmbci-2016-0035 · Cited by 37 · see citing works
Paganini, C., Peterson, G. M., Stavropoulos, V., & Krug, I. (2017) · Current Pharmaceutical Design · doi:10.2174/1381612824666171204151209 · Cited by 35 · see citing works
Polycystic ovary syndrome and periodontal disease: Underlying links- A review
Tanguturi, S. C., & Nagarakanti, S. (2018) · Indian Journal of Endocrinology and Metabolism · doi:10.4103/ijem.ijem_577_17 · Cited by 37 · see citing works
Spielberg, J. M., Schwarz, J. M., & Matyi, M. A. (2019) · Frontiers in Neuroendocrinology · doi:10.1016/j.yfrne.2019.100791 · Cited by 34 · see citing works
Asselmann, E., Kische, H., Haring, R., Hertel, J., Schmidt, C. O., Nauck, M. A., Beesdo‐Baum, K., Grabe, H. J., & Pané‐Farré, C. A. (2018) · Journal of Affective Disorders · doi:10.1016/j.jad.2018.11.052 · Cited by 31 · see citing works
Ilie, I. R. P. (2019) · Advances in clinical chemistry · doi:10.1016/bs.acc.2019.11.004 · Cited by 32 · see citing works
Sanchez, N., & Jones, H. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.5417 · Cited by 30 · see citing works
Gao, Y., Liu, H., Qiao, L., Liang, J., Yao, H., Lin, X., & Gao, Y. (2023) · Healthcare · doi:10.3390/healthcare11040562 · Cited by 27 · see citing works
Sex and Sleep Disruption as Contributing Factors in Alzheimer’s Disease
Johnson, C. E., Duncan, M. J., & Murphy, M. P. (2023) · Journal of Alzheimer s Disease · doi:10.3233/jad-230527 · Cited by 34 · see citing works
Effects of Cangfu Daotan Decoction on obese polycystic ovary syndrome and its mechanism
Yi, W., Li, X., Chen, K., Zhu, M., Cai, X., & Pan, A. (2020) · Steroids · doi:10.1016/j.steroids.2020.108740 · Cited by 27 · see citing works
Sharma, M., Barai, R. S., Kundu, I., Bhaye, S., Pokar, K., & Idicula‐Thomas, S. (2020) · Scientific Reports · doi:10.1038/s41598-020-71418-8 · Cited by 26 · see citing works
Sayer-Jones, K., & Sherman, K. A. (2021) · Health Psychology and Behavioral Medicine · doi:10.1080/21642850.2021.1920949 · Cited by 26 · see citing works
Young, C. C., Monge, M. C., Minami, H., Rew, L., Conroy, H. E., Peretz, C., & Tan, L. (2021) · Journal of Pediatric and Adolescent Gynecology · doi:10.1016/j.jpag.2021.10.016 · Cited by 26 · see citing works
Formononetin ameliorates polycystic ovary syndrome through suppressing NLRP3 inflammasome
Liu, Z., Wang, R., & Wang, K. (2025) · Molecular Medicine · doi:10.1186/s10020-025-01092-x · Cited by 25 · see citing works
Endocrine comorbidities of pediatric obesity
Lee, J., & Kim, J. H. (2021) · Korean Journal of Pediatrics · doi:10.3345/cep.2021.00213 · Cited by 26 · see citing works
Self-Concept, Depression, and Anxiety Levels of Adolescents with Polycystic Ovary Syndrome
Almış, H., Orhon, F. Ş., Bolu, S., & Almış, B. H. (2020) · Journal of Pediatric and Adolescent Gynecology · doi:10.1016/j.jpag.2020.12.011 · Cited by 24 · see citing works
Polycystic ovary Syndrome in Adolescents: Pitfalls in Diagnosis and Management
Kostopoulou, E., Anagnostis, P. G., Bosdou, J. Κ., Spiliotis, B. E., & Goulis, D. G. (2020) · Current Obesity Reports · doi:10.1007/s13679-020-00388-9 · Cited by 24 · see citing works
Basirat, Z., Faramarzi, M., Chehrazi, M., Amiri, M., Ghofrani, F., & Tajalli, Z. (2019) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-019-05391-7 · Cited by 23 · see citing works
Polycystic Ovary Syndrome, Affective Symptoms, and Neuroactive Steroids: a Focus on Allopregnanolone
Standeven, L. R., Olson, E. M., Leistikow, N., Payne, J. L., Osborne, L. M., & Hantsoo, L. V. (2021) · Current Psychiatry Reports · doi:10.1007/s11920-021-01244-w · Cited by 23 · see citing works
Tay, C. T., Joham, A. E., Hiam, D., Gadalla, M. A., Pundir, J., Thangaratinam, S., Teede, H. J., & Moran, L. (2018) · Clinical Endocrinology · doi:10.1111/cen.13753 · Cited by 23 · see citing works
Young, C. C., Rew, L., & Monge, M. C. (2019) · Journal of Pediatric Nursing · doi:10.1016/j.pedn.2019.04.024 · Cited by 22 · see citing works
Perceived Stress Scale Among Adolescents with Polycystic Ovary Syndrome
Khafagy, G. M., Sayed, I. T. E., Abbas, S. M., & Soliman, S. (2020) · International Journal of Women s Health · doi:10.2147/ijwh.s279245 · Cited by 21 · see citing works
Altuntaş, S. Ç., Celik, O., Özer, Ü., & Çolak, S. (2022) · Gynecological Endocrinology · doi:10.1080/09513590.2022.2118708 · Cited by 21 · see citing works
Morris, S., Grover, S. R., & Sabin, M. A. (2015) · Clinical Obesity · doi:10.1111/cob.12123 · Cited by 20 · see citing works
Amiri, F. N., Tehrani, F. R., Simbar, M., Montazeri, A., & Mohammadpour, R. A. (2018) · Intern J Endocrinol Metab · doi:10.5812/ijem.12400 · Cited by 19 · see citing works
Asdaq, S. M. B., & Yasmin, F. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.05.086 · Cited by 19 · see citing works
Polycystic Ovary Syndrome: Is Obesity a Symptom?
Yıldız, B. O. (2013) · Women s Health · doi:10.2217/whe.13.53 · Cited by 18 · see citing works
Jethaliya, H., Gajjar, N., Patel, V., Deshpande, S., & Patel, R. (2022) · Reproductive Sciences · doi:10.1007/s43032-022-00933-y · Cited by 17 · see citing works
Kabiri, S. S., Javanbakht, Z., Zangeneh, M., Moludi, J., Saber, A., Salimi, Y., Tandorost, A., & Jamalpour, M. (2024) · British Journal Of Nutrition · doi:10.1017/s0007114524001168 · Cited by 17 · see citing works
Ressler, I. B., Grayson, B. E., & Seeley, R. J. (2014) · Obesity Surgery · doi:10.1007/s11695-013-1153-2 · Cited by 17 · see citing works
Diagnosis and Treatment of Polycystic Ovary Syndrome in Adolescent Females
Ebersole, A. M., & Bonny, A. E. (2020) · Clinical Obstetrics & Gynecology · doi:10.1097/grf.0000000000000538 · Cited by 17 · see citing works
Correa, J. B., Sperry, S. L., & Darkes, J. (2015) · Archives of Women s Mental Health · doi:10.1007/s00737-015-0506-3 · Cited by 17 · see citing works
Mezzullo, M., Fanelli, F., Dalmazi, G. D., Fazzini, A., Gasparini, D. I., Mastroroberto, M., Guidi, J., Morselli‐Labate, A. M., Pasquali, R., Pagotto, U., et al. (2018) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2018.02.022 · Cited by 17 · see citing works
Psychological aspects of endocrine disease
Sonino, N., Guidi, J., & Fava, G. A. (2015) · The Journal of the Royal College of Physicians of Edinburgh · doi:10.4997/jrcpe.2015.113 · Cited by 17 · see citing works
The prevalence of anxiety in adult endocrinology outpatients: A systematic review and meta–analysis
Kershaw, K. A., Storer, B., Braund, T. A., Chakouch, C., Coleshill, M. J., Haffar, S., Harvey, S. B., Newby, J. M., Sicouri, G., & Murphy, M. (2023) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2023.106357 · Cited by 16 · see citing works
Copp, T., Cvejic, E., McCaffery, K. J., Hersch, J. K., Doust, J. A., Mol, B. W., Dokras, A., Mishra, G. D., & Jansen, J. (2019) · Human Reproduction · doi:10.1093/humrep/dez274 · Cited by 16 · see citing works
Self-citationMoreira, S. D. N. T., de Sá, J. C. F., Costa, E. C., & Azevedo, G. D. (2013) · Revista Brasileira Ginecologia e Obstetrícia · doi:10.1590/s0100-72032013001100005 · Cited by 16 · see citing works
Midlife women’s health consequences associated with polycystic ovary syndrome
Ali, A. T., & Guidozzi, F. (2019) · Climacteric · doi:10.1080/13697137.2019.1679111 · Cited by 16 · see citing works
Saslow, L. R., & Aikens, J. E. (2020) · JMIR Formative Research · doi:10.2196/17126 · Cited by 15 · see citing works
Moll, E., van Wely, M., Lambalk, C. B., Bossuyt, P. M., & van der Veen, F. (2012) · Human Reproduction · doi:10.1093/humrep/des310 · Cited by 15 · see citing works
Infante-Cano, M., García‐Muñoz, C., Matias-Soto, J., Pineda-Escobar, S., Villar-Alises, O., & Martínez-Calderón, J. (2024) · Archives of Women s Mental Health · doi:10.1007/s00737-024-01526-1 · Cited by 19 · see citing works
Are CRH & NGF as psychoneuroimmune regulators in women with polycystic ovary syndrome?
Zangeneh, F. Z., Naghizadeh, M. M., Bagheri, M., & Jafarabadi, M. N. (2016) · Gynecological Endocrinology · doi:10.1080/09513590.2016.1250152 · Cited by 15 · see citing works
Coping in Women With Polycystic Ovary Syndrome: Implications for Practitioners
Carron, R., Kooienga, S., Boyle, D. K., & Alvero, R. J. (2017) · The Journal for Nurse Practitioners · doi:10.1016/j.nurpra.2017.08.004 · Cited by 14 · see citing works
Hu, R., Geng, Y., Huang, Y., Liu, Z., Li, F., Dong, H., Ma, W., Song, K., Zhang, M., Zhang, Z., et al. (2023) · International Journal of Gynecology & Obstetrics · doi:10.1002/ijgo.14988 · Cited by 13 · see citing works
Factitious disorders mimicking systemic lupus erythematosus.
Tlacuilo-Parra, J. A., Guevara‐Gutiérrez, E., & Torre, I. G.-D. L. (2000) · PubMed · Cited by 13 · see citing works
Percy, C., Turner, A., & Orr, C. (2024) · JMIR Formative Research · doi:10.2196/52427 · Cited by 12 · see citing works
Women's experience of polycystic ovary syndrome management: A systematic review and meta‐synthesis
Guan, M., Li, R., Shen, Q., Wang, G. P., Li, Z., Xiao, M., & Lei, J. (2023) · International Journal of Gynecology & Obstetrics · doi:10.1002/ijgo.15031 · Cited by 12 · see citing works
- Authors
- Dokras, A., Clifton, S., Futterweit, W., & Wild, R.
- Affiliations
- University of Pennsylvania (US)
- OU Health (US)
- Icahn School of Medicine at Mount Sinai (US)
- Corresponding author
- Dokras, Anuja
- Venue
- Fertility and Sterility
- Publisher
- Elsevier BV
- Published
- 2012-01
- Volume
- 97
- Issue
- 1
- Pages
- 225-230.e2
- ISSN
- 0015-0282 (ISSN-L)
- OpenAlex
- W2161363718
- Cited by
- 209
- References
- 28
- Citations by year
- 2026: 13 · 2025: 24 · 2024: 10 · 2023: 11 · 2022: 15 · 2021: 13 · 2020: 21 · 2019: 15 · 2018: 19 · 2017: 16 · 2016: 16 · 2015: 12 · 2014: 11 · 2013: 6 · 2012: 5
- FWCI
- 1.17
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- www.elsevier.com/legal/tdmrep-license (tdm)
- www.elsevier.com/open-access/userlicense/1.0/ (vor, 3799 d)
- doi.org/10.15223/policy-017 (stm-asf)
- doi.org/10.15223/policy-037 (stm-asf)
- doi.org/10.15223/policy-012 (stm-asf)
- doi.org/10.15223/policy-029 (stm-asf)
- doi.org/10.15223/policy-004 (stm-asf)
- Locations
- Fertility and Sterility (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Ovarian function and disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Keywords
- polycystic ovary syndrome, anxiety symptoms, generalized anxiety disorder, prevalence, anxiety screening, women's mental health, hirsutism, obesity, infertility
- MeSH terms
- Anxiety Disorders, Female, Humans, Polycystic Ovary Syndrome, Prevalence
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
