The DOI matches its Crossref record; 28 of the 28 references it cites were found in a registry or an index.
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.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
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?
In the citing paper
“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]
Citations
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
(2004) · Fertility and Sterility · doi:10.1016/j.fertnstert.2003.10.004 · Cited by 9,050
The Rotterdam ESHRE/ASRM-sponsored PCOS consensus workshop group (2004) · Human Reproduction · doi:10.1093/humrep/deh098 · Cited by 6,138
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
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
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
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
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
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 405
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
Flagged first, then by citations
Cited by
Sorted by citations
Items 201–210 of 210
The Role of Bariatric Surgery in the Treatment of Obese Women with Polycystic Ovary Syndrome
Söylemez, E. (2025) · Obstetrics and gynecology. · doi:10.5772/intechopen.1011572
Al-Shammari, S. M. H. (2023) · International Journal of Advanced Research in Medicine · doi:10.22271/27069567.2023.v5.i2b.651
Freire, J. A., Rivero, C. J., Santiago-Marrero, I. G., Mendez-Morales, A., González-Segarra, A. J., Pérez‐Cardona, E. U., Torres-Ramirez, R. J., & Segarra, A. C. (2025) · Scientific Reports · doi:10.1038/s41598-025-17890-6
Mo, T., Qiu, Y., He, S., Wang, G., Li, B., Shen, Q., Nie, X., Wei, J., Li, N., Pang, B., et al. (2025) · Journal of Ovarian Research · doi:10.1186/s13048-025-01918-6
Thiagarajan, N., Shanmugham, D., & Alexander, J. (2026) · Journal of South Asian Federation of Obstetrics and Gynaecology · doi:10.5005/jp-journals-10006-2668
Metabolic aspects of polycystic ovary syndrome
Pappas, D., Kandaraki, E., Kalogirou, A., & Diamanti‐Kandarakis, E. (2026) · Expert Review of Endocrinology & Metabolism · doi:10.1080/17446651.2026.2656240
Bachmann, A., Jordan, S., Karn, T., Chemogo-Gbellu, D., Alemi, B., Abbasova-Semiz, A., & Becker, S. (2026) · Gynecologic and Obstetric Investigation · doi:10.1159/000552803
Karafistan, M., & İnak, S. (2026) · Cyprus Turkish Journal of Psychiatry and Psychology · doi:10.35365/ctjpp.26.2.01
Hamraz, K., Mahto, P., & Chaudhuri, S. (2026) · Journal of Bodywork and Movement Therapies · doi:10.1016/j.jbmt.2026.08.024
Queering Embodiment and Desire: A Feminist Phenomenological Study of Bisexual Women with PCOS
David, S. (2026) · Journal of Bisexuality · doi:10.1080/15299716.2026.2721602
Metadata
- 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