Polycystic Ovary Syndrome and Mental Health: A Review

Himelein, Melissa J.; Thatcher, Samuel S.

doi:10.1097/01.ogx.0000243772.33357.84

Cited by 239Ovarian function and disordersEndometriosis Research and TreatmentEating Disorders and Behaviors

Polycystic Ovary Syndrome and Mental Health: A Review

Himelein, Melissa J., Thatcher, Samuel S.·2006·Obstetrical & Gynecological Survey

DOI 10.1097/01.ogx.0000243772.33357.84

Open this paper in CoChat — free account

Abstract

UNLABELLED: Although physical symptoms of polycystic ovary syndrome (PCOS) are increasingly recognized by practicing clinicians, little attention has focused on psychological correlates of this frequent endocrine disorder. This review of medical and psychological literature indicates that PCOS is associated with several mental health problems, including depression and anxiety, body dissatisfaction and eating disorders, diminished sexual satisfaction, and lowered health-related quality of life. Although the causal direction of these relationships has not been established, it is clear that effective and comprehensive treatment of women with PCOS must encompass careful attention to psychological symptomatology. Recommendations for the assessment of specific mental health problems, management of related physical concerns, and treatment of obesity among women with PCOS are presented. TARGET AUDIENCE: Obstetricians & Gynecologists, Family Physicians. LEARNING OBJECTIVES: After completion of this article, the reader should be able to explain that, in addition to physiologic changes, women with polycystic ovary syndrome (PCOS) have various mental health problems and lowered health-related quality of life issues and state that treatment must address these concerns.

Integrity signals

Registry

Crossref · 10.1097/01.ogx.0000243772.33357.84

Cites

81 of 81 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

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 present with psychological, reproductive and metabolic implications.
“Women with PCOS present with psychological, 5,23 reproductive 24 and metabolic implications.”
From Assessment and management of polycystic ovary syndrome: Summary of an evidence-based guideline (2011) · cites this paper as [23]
Challenges to feminine identity and body image due to obesity, acne, excess hair, infertility and long-term health-related concerns compromise QoL and adversely affect mood and psychological wellbeing in women with PCOS.
“challenges to feminine identity and body image due to obesity, acne, excess hair, infertility and long-term health-related concerns compromise QoL and adversely affect mood and psychological wellbeing.”
From Assessment and management of polycystic ovary syndrome: Summary of an evidence-based guideline (2011) · cites this paper as [23]

The PHQ-9: Validity of a brief depression severity measure
Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.2001.016009606.x · Cited by 44,910 · see citing works
Untitled work
(1992) · PubMed · Cited by 33,716 · see citing works
The MOS 36-ltem Short-Form Health Survey (SF-36): I. Conceptual Framework and Item Selection
Ware, J. E., & Sherbourne, C. D. (1992) · Medical Care · doi:10.1097/00005650-199206000-00002 · Cited by 30,033 · see citing works
Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults: The evidence report
(1998) · PsycEXTRA Dataset · doi:10.1037/e565682010-001 · Cited by 9,452 · see citing works
The Patient Health Questionnaire-2: Validity of a Two-Item Depression Screener
Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2003) · Medical Care · doi:10.1097/01.mlr.0000093487.78664.3c · Cited by 6,359 · see citing works
Obesity
Haslam, D. W., & James, W. P. T. (2005) · The Lancet · doi:10.1016/s0140-6736(05)67483-1 · Cited by 3,757 · see citing works
Exacting beauty: Theory, assessment, and treatment of body image disturbance.
Thompson, J. K., Heinberg, L. J., Altabe, M., & Tantleff-Dunn, S. (1999) · doi:10.1037/10312-000 · Cited by 3,100 · see citing works
Exercise and well-being: A review of mental and physical health benefits associated with physical activity
Penedo, F. J., & Dahn, J. R. (2005) · Current Opinion in Psychiatry · doi:10.1097/00001504-200503000-00013 · Cited by 2,851 · see citing works
The Prevalence and Features of the Polycystic Ovary Syndrome in an Unselected Population
Azziz, R., Woods, K. S., Reyna, R., Key, T. J., Knochenhauer, E. S., & Yıldız, B. O. (2004) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2003-032046 · Cited by 2,715 · see citing works
Men at risk: occupation and male infertility.
Claman, P. (2004) · Fertility and Sterility · doi:10.1016/s0015-0282(03)01188-9 · Cited by 2,219 · see citing works
The Diabetes Prevention Program (DPP)
The Diabetes Prevention Program (DPP) Research Group (2002) · Diabetes Care · doi:10.2337/diacare.25.12.2165 · Cited by 1,938 · see citing works
Measuring depression outcome with a brief self-report instrument: sensitivity to change of the Patient Health Questionnaire (PHQ-9)
Löwe, B., Kroenke, K., Herzog, W., & Gräfe, K. (2004) · Journal of Affective Disorders · doi:10.1016/s0165-0327(03)00198-8 · Cited by 1,558 · see citing works
Detecting and monitoring depression with a two-item questionnaire (PHQ-2)
Löwe, B., Kroenke, K., & Gräfe, K. (2005) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2004.09.006 · Cited by 1,473 · see citing works
The SCOFF questionnaire: Assessment of a new screening tool for eating disorders
Morgan, J. F., Reid, F., & Lacey, J. H. (1999) · BMJ · doi:10.1136/bmj.319.7223.1467 · Cited by 1,416 · see citing works
S<scp>UCCESSFUL</scp> W<scp>EIGHT</scp> L<scp>OSS</scp> M<scp>AINTENANCE</scp>
Wing, R. R., & Hill, J. O. (2001) · Annual Review of Nutrition · doi:10.1146/annurev.nutr.21.1.323 · Cited by 1,382 · see citing works
Causes of eating disorders
Polivy, J., & Herman, C. P. (2002) · Annual Review of Psychology · doi:10.1146/annurev.psych.53.100901.135103 · Cited by 1,228 · see citing works
Screening for Depression in Adults: A Summary of the Evidence for the U.S. Preventive Services Task Force
Pignone, M. P., Gaynes, B. N., Rushton, J. L., Burchell, C. M., Orleans, C. T., Mulrow, C. D., & Lohr, K. N. (2002) · Annals of Internal Medicine · doi:10.7326/0003-4819-136-10-200205210-00013 · Cited by 1,086 · see citing works
Depression and obesity
Stunkard, A. J., Faith, M. S., & Allison, K. C. (2003) · Biological Psychiatry · doi:10.1016/s0006-3223(03)00608-5 · Cited by 820 · see citing works
Systematic Review: An Evaluation of Major Commercial Weight Loss Programs in the United States
Tsai, A. G., & Wadden, T. A. (2005) · Annals of Internal Medicine · doi:10.7326/0003-4819-142-1-200501040-00012 · Cited by 815 · see citing works
Long-term weight loss after diet and exercise: a systematic review
Curioni, C. C., & Lourenço, P. M. C. (2005) · International Journal of Obesity · doi:10.1038/sj.ijo.0803015 · Cited by 694 · see citing works
Body-image and eating disturbances predict onset of depression among female adolescents: A longitudinal study.
Stice, E. M., Hayward, C., Cameron, R. P., Killen, J. D., & Taylor, C. B. (2000) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.109.3.438 · Cited by 632 · see citing works
Size Acceptance and Intuitive Eating Improve Health for Obese, Female Chronic Dieters
Bacon, L., Stern, J. S., Van Loan, M. D., & Keim, N. L. (2005) · Journal of the American Dietetic Association · doi:10.1016/j.jada.2005.03.011 · Cited by 483 · see citing works
Quality of Life, Psychosocial Well-Being, and Sexual Satisfaction in Women with Polycystic Ovary Syndrome
Elsenbruch, S., Hahn, S., Kowalsky, D., Öffner, A. H., Schedlowski, M., Mann, K., & Janssen, O. E. (2003) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2003-030562 · Cited by 437 · see citing works
‘The thief of womanhood’: women's experience of polycystic ovarian syndrome
Kitzinger, C., & Willmott, J. (2002) · Social Science & Medicine · doi:10.1016/s0277-9536(01)00034-x · Cited by 435 · see citing works
Polycystic ovaries and associated clinical and biochemical features in young women
Michelmore, K. F., Balen, A. H., Dunger, D. B., & Vessey, M. P. (1999) · Clinical Endocrinology · doi:10.1046/j.1365-2265.1999.00886.x · Cited by 433 · 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
Long-Term Effects of Aerobic Exercise on Psychological Outcomes
DiLorenzo, T. M., Bargman, E. P., Stucky‐Ropp, R. C., Brassington, G. S., Frensch, P. A., & LaFontaine, T. P. (1999) · Preventive Medicine · doi:10.1006/pmed.1998.0385 · Cited by 361 · see citing works
Development of a Health-Related Quality-of-Life Questionnaire (PCOSQ) for Women with Polycystic Ovary Syndrome (PCOS)
Cronin, L., Guyatt, G. H., Griffith, L. E., Wong, E. Y. L., Azziz, R., Futterweit, W., Cook, D., & Dunaif, A. E. (1998) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.83.6.4990 · Cited by 348 · see citing works
The role of lifestyle modification in polycystic ovary syndrome
Norman, R. J., Davies, M. J., Lord, J., & Moran, L. J. (2002) · Trends in Endocrinology & Metabolism · doi:10.1016/s1043-2760(02)00612-4 · Cited by 326 · see citing works
Diet and Physical Activity Behaviors among Americans Trying to Lose Weight: 2000 Behavioral Risk Factor Surveillance System
Bish, C. L., Blanck, H. M., Serdula, M. K., Marcus, M., Kohl, H. W., & Khan, L. K. (2005) · Obesity Research · doi:10.1038/oby.2005.64 · Cited by 299 · see citing works
A randomized, 48-week, placebo-controlled trial of intensive lifestyle modification and/or metformin therapy in overweight women with polycystic ovary syndrome: A pilot study
Hoeger, K. M., Kochman, L., Wixom, N., Craig, K., Miller, R. K., & Guzick, D. S. (2004) · Fertility and Sterility · doi:10.1016/j.fertnstert.2004.02.104 · Cited by 278 · see citing works
Weight management through lifestyle modification for the prevention and management of type 2 diabetes: rationale and strategies. A statement of the American Diabetes Association, the North American Association for the Study of Obesity, and the American Society for Clinical Nutrition
Klein, S., Sheard, N. F., Pi‐Sunyer, X., Daly, A. E., Wylie‐Rosett, J., Kulkarni, K. D., & Clark, N. G. (2004) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/80.2.257 · Cited by 275 · see citing works
The SCOFF questionnaire and clinical interview for eating disorders in general practice: comparative study
Luck, A., MorganLuck, J. F., Reid, F., O’Brien, A. A., Brunton, J., Price, C., Perry, L., & Lacey, J. H. (2002) · BMJ · doi:10.1136/bmj.325.7367.755 · Cited by 252 · see citing works
A randomized trial of the effects of two types of short-term hypocaloric diets on weight loss in women with polycystic ovary syndrome
Stamets, K., Taylor, D. S., Kunselman, A., Demers, L. M., Pelkman, C. L., & Legro, R. S. (2004) · Fertility and Sterility · doi:10.1016/j.fertnstert.2003.08.023 · Cited by 252 · see citing works
Androgens and Mood Dysfunction in Women: Comparison of Women With Polycystic Ovarian Syndrome to Healthy Controls
Weiner, C. L., Primeau, M., & Ehrmann, D. A. (2004) · Psychosomatic Medicine · doi:10.1097/01.psy.0000127871.46309.fe · Cited by 231 · see citing works
Depression in women with polycystic ovary syndrome: clinical and biochemical correlates
Rasgon, N., Rao, R. C., Hwang, S., Altshuler, L. L., Elman, S., Zuckerbrow-Miller, J., & Korenman, S. G. (2003) · Journal of Affective Disorders · doi:10.1016/s0165-0327(02)00117-9 · Cited by 210 · see citing works
Health-related quality of life in women with polycystic ovary syndrome: A comparison with the general population using the Polycystic Ovary Syndrome Questionnaire (PCOSQ) and the Short Form-36 (SF-36)
Coffey, S., Bano, G., & Mason, H. D. (2006) · Gynecological Endocrinology · doi:10.1080/09513590600604541 · Cited by 206 · see citing works
Hirsutism and acne in polycystic ovary syndrome
Archer, J. S., & Chang, R. J. (2004) · Best Practice & Research Clinical Obstetrics & Gynaecology · doi:10.1016/j.bpobgyn.2004.05.007 · Cited by 204 · see citing works
Health-Related Quality of Life Issues in Women With Polycystic Ovary Syndrome
McCook, J. G., Reame, N. E., & Thatcher, S. S. (2005) · Journal of Obstetric, Gynecologic & Neonatal Nursing · doi:10.1177/0884217504272945 · Cited by 194 · see citing works
Self-citation
Quality of life of hirsute women
Sonino, N., Fava, G. A., Mani, E., Belluardo, P., & Boscaro, M. (1993) · Postgraduate Medical Journal · doi:10.1136/pgmj.69.809.186 · Cited by 193 · see citing works
Valproate Potentiates Androgen Biosynthesis in Human Ovarian Theca Cells
Nelson-DeGrave, V. L., Wickenheisser, J. K., Cockrell, J. E., Wood, J. R., Legro, R. S., Strauss, J. F., & McAllister, J. M. (2003) · Endocrinology · doi:10.1210/en.2003-0940 · Cited by 185 · see citing works
Physical Activity Promotion Through Primary Care
Estabrooks, P. A. (2003) · JAMA · doi:10.1001/jama.289.22.2913 · Cited by 183 · see citing works
Quality of life in adolescent girls with polycystic ovary syndrome
Trent, M. E., Rich, M., Austin, S. B., & Gordon, C. M. (2002) · Archives of Pediatrics & Adolescent Medicine · doi:10.1001/archpedi.156.6.556 · Cited by 164 · see citing works
The Polycystic Ovary Syndrome Health-Related Quality of Life Questionnaire (PCOSQ): a validation
Jones, G. L. (2004) · Human Reproduction · doi:10.1093/humrep/deh048 · Cited by 164 · see citing works
Infertility caused by PCOS—health-related quality of life among Austrian and Moslem immigrant women in Austria
Schmid, J., Kirchengast, S., Vytiska-Binstorfer, E., & Huber, J. (2004) · Human Reproduction · doi:10.1093/humrep/deh432 · Cited by 152 · see citing works
Health-related quality of life in women with polycystic ovary syndrome, a self-administered questionnaire, was validated
Guyatt, G. H., Weaver, B., Cronin, L., Dooley, J. A., & Azziz, R. (2004) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2003.10.018 · Cited by 151 · see citing works
Effects of a circuit weight training program on the body images of college students
Williams-Piehota, P. A., & Cash, T. F. (2001) · International Journal of Eating Disorders · doi:10.1002/eat.1056 · Cited by 150 · see citing works
Overweight status of adolescent girls with polycystic ovary syndrome: body mass index as mediator of quality of life
Trent, M., Austin, S. B., Rich, M., & Gordon, C. M. (2005) · Ambulatory Pediatrics · doi:10.1367/a04-130r.1 · Cited by 147 · see citing works
Diagnosis and Treatment of Obesity in Adults: An Applied Evidence-Based Review
Orzano, A. J., & Scott, J. G. (2004) · The Journal of the American Board of Family Medicine · doi:10.3122/jabfm.17.5.359 · Cited by 145 · see citing works
Fertility Concerns and Sexual Behavior in Adolescent Girls with Polycystic Ovary Syndrome
Trent, M., Rich, M., Austin, S. B., & Gordon, C. M. (2003) · Journal of Pediatric and Adolescent Gynecology · doi:10.1016/s1083-3188(02)00205-x · Cited by 138 · see citing works
Determinants of emotional distress in women with polycystic ovary syndrome
Elsenbruch, S., Benson, S., Hahn, S., Tan, S., Mann, K., Pleger, K., Kimmig, R., & Janssen, O. E. (2006) · Human Reproduction · doi:10.1093/humrep/dei409 · Cited by 137 · see citing works
Factors Contributing to Gender Differences in Depressive Symptoms: A Test of Three Developmental Models
Seiffge-Krenke, I., & Stemmler, M. (2002) · Journal of Youth and Adolescence · doi:10.1023/a:1020269918957 · Cited by 128 · see citing works
Menstrual Abnormalities and Polycystic Ovary Syndrome in Women Taking Valproate for Bipolar Mood Disorder
O’Donovan, C., Kusumakar, V., Graves, G. R., & Bird, D. (2002) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v63n0409 · 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
Impaired cholecystokinin secretion and disturbed appetite regulation in women with polycystic ovary syndrome
Lindén Hirschberg, A., Naessén, S., Stridsberg, M., Byström, B., & Holte, J. (2004) · Gynecological Endocrinology · doi:10.1080/09513590400002300 · Cited by 123 · see citing works
Diagnosis of eating disorders in primary care.
Pritts, S. D., & Susman, J. L. (2003) · PubMed · Cited by 121 · see citing works
Reproductive function and risk for PCOS in women treated for bipolar disorder
Rasgon, N., Altshuler, L. L., Fairbanks, L. A., Elman, S., Bitran, J. A., Labarca, R., Saad, M. F., Kupka, R., Nolen, W. A., Frye, M. A., et al. (2005) · Bipolar Disorders · doi:10.1111/j.1399-5618.2005.00201.x · Cited by 118 · see citing works
'Hirsutism': A Psychological Analysis
Keegan, A., Liao, L., & BOYLE, M. (2003) · Journal of Health Psychology · doi:10.1177/13591053030083004 · Cited by 117 · see citing works
Weight Maintenance: What’s Missing?
Hill, J. O., Thompson, H., & Wyatt, H. (2005) · Journal of the American Dietetic Association · doi:10.1016/j.jada.2005.02.016 · Cited by 115 · see citing works
Polycystic ovary syndrome and bulimia
Mccluskey, S., Evans, C., Lacey, J. H., Pearce, J. M., & Jacobs, H. S. (1992) · International Journal of Gynecology & Obstetrics · doi:10.1016/0020-7292(92)91015-g · Cited by 87 · see citing works
Understanding and managing disturbances in insulin metabolism and body weight in women with polycystic ovary syndrome
Moran, L., & Norman, R. J. (2004) · Best Practice & Research Clinical Obstetrics & Gynaecology · doi:10.1016/j.bpobgyn.2004.05.003 · Cited by 83 · see citing works
Polycystic ovary syndrome and bulimia
McCluskey, S. E., Evans, C., Lacey, J. H., Pearce, J. M., & Jacobs, H. S. (1991) · Fertility and Sterility · doi:10.1016/s0015-0282(16)54117-x · Cited by 80 · see citing works
Polycystic ovarian morphology and bulimia nervosa: a 9-year follow-up study
Morgan, J. F., McCluskey, S. E., Brunton, J. N., & Hubert Lacey, J. (2002) · Fertility and Sterility · doi:10.1016/s0015-0282(02)03063-7 · Cited by 79 · see citing works
The Relationship Between Polycystic Ovary Syndrome and Antiepileptic Drugs
Rasgon, N. (2004) · Journal of Clinical Psychopharmacology · doi:10.1097/01.jcp.0000125745.60149.c6 · Cited by 73 · see citing works
Nobody likes damaged goods: The experience of adult visible acne
Murray, C. D., & Rhodes, K. (2005) · British Journal of Health Psychology · doi:10.1348/135910705x26128 · Cited by 69 · see citing works
Biomedical Rationale for a Wellness Approach to Obesity: An Alternative to a focus on Weight Loss
Ernsberger, P. R., & Koletsky, R. J. (1999) · Journal of Social Issues · doi:10.1111/0022-4537.00114 · Cited by 62 · see citing works
Ovarian morphology and insulin sensitivity in women with bulimia nervosa
Raphael, F. J., Rodin, D. A., Peattle, A., Bano, G., Kent, A. S. H., Nussey, S., & Lacey, J. H. (1995) · Clinical Endocrinology · doi:10.1111/j.1365-2265.1995.tb02617.x · Cited by 61 · see citing works
Autonomic and neuroendocrine responses to stress in patients with functional hypothalamic secondary amenorrhea
Gallinelli, A., Matteo, M. L., Volpe, A., & Facchinetti, F. (2000) · Fertility and Sterility · doi:10.1016/s0015-0282(99)00601-9 · Cited by 60 · see citing works
The impact of the weight status on subjective symptomatology of the Polycystic Ovary Syndrome: A cross-cultural comparison between Brazilian and Austrian women
Hashimoto, D. M., Schmid, J., Martins, F. M., Fonseca, A. M., Andrade, L. H. B., Kirchengast, S., & Eggers, S. (2003) · Anthropologischer Anzeiger · doi:10.1127/anthranz/61/2003/297 · Cited by 56 · see citing works
Bulimia nervosa and polycystic ovary syndrome
Jahanfar, S., Eden, J., & Nguyent, T. V. (1995) · Gynecological Endocrinology · doi:10.3109/09513599509160199 · Cited by 54 · see citing works
Depression Screening Is Not Enough
Kroenke, K. (2001) · Annals of Internal Medicine · doi:10.7326/0003-4819-134-5-200103060-00014 · Cited by 51 · see citing works
Polycystic Ovary Syndrome and Its Differential Diagnosis
Lane, D. E. (2006) · Obstetrical & Gynecological Survey · doi:10.1097/01.ogx.0000197817.93201.04 · Cited by 51 · see citing works
Endocrine and Metabolic Responses to Long-Term Monotherapy with the Antiepileptic Drug Valproate in the Normally Cycling Rhesus Monkey
Ferin, M., Morrell, M. J., Xiao, E., Kochan, L. D., Qian, F., Wright, T. C., & Sauer, M. V. (2003) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2002-021614 · Cited by 45 · see citing works
Polycystic ovaries and eating disorders: are they related?
Michelmore, K. F., Balen, A. H., & Dunger, D. B. (2001) · Human Reproduction · doi:10.1093/humrep/16.4.765 · Cited by 42 · see citing works
Relationship of Social Cognitive Theory Factors to Exercise Maintenance in Adults
Annesi, J. J. (2004) · Perceptual and Motor Skills · doi:10.2466/pms.99.1.142-148 · Cited by 39 · see citing works
Sexual Desire in Women Presenting for Antiandrogen Therapy
Conaglen, H. M., & Conaglen, J. V. (2003) · Journal of Sex & Marital Therapy · doi:10.1080/00926230390195498 · Cited by 36 · see citing works
Endocrine and behavioral responses to psychological stress in hyderandrogenic women
Modell, E., Goldstein, D. B., & Reyes, F. (1991) · International Journal of Gynecology & Obstetrics · doi:10.1016/0020-7292(91)90573-n · Cited by 24 · see citing works
Endocrine and behavioral responses to psychological stress in hyperandrogenic women
Modell, E., Goldstein, D. B., & Reyes, F. I. (1990) · Fertility and Sterility · doi:10.1016/s0015-0282(16)53340-8 · Cited by 21 · see citing works
A Putative Relationship between Valproic Acid and Polycystic Ovarian Syndrome: Implications for Treatment of Women with Seizure and Bipolar Disorders
Joffe, H., Hall, J. E., Cohen, L. S., Taylor, A. E., & Baldessarini, R. J. (2003) · Harvard Review of Psychiatry · doi:10.1080/10673220303957 · Cited by 18 · see citing works
Increased Risk Of Depression In Women With Polycystic Ovary Syndrome
Hollinrake, E., Abreu, A. C., Sparks, A. E., Voorhis, B. J. V., & Dokras, A. (2005) · Fertility and Sterility · doi:10.1016/j.fertnstert.2005.07.131 · Cited by 9 · see citing works
Combined Pharmacotherapy and Psychological Treatment for Depression: A Systematic Review
Pampallona, S., Bollini, P., Tibaldi, G., Kupelnick, B., & Munizza, C. (2004) · Archives of General Psychiatry · doi:10.1001/archpsyc.61.7.714 · Cited by 5 · see citing works

Flagged first, then by citations

Sorted by citations

Consensus on women’s health aspects of polycystic ovary syndrome (PCOS): the Amsterdam ESHRE/ASRM-Sponsored 3rd PCOS Consensus Workshop Group
Fauser, B. C. J. M., Tarlatzis, B. C., Rebar, R. W., Legro, R. S., Balen, A. H., Lobo, R., Carmina, E., Chang, J., Yildiz, B. O., Laven, J. S. E., et al. (2012) · Fertility and Sterility · doi:10.1016/j.fertnstert.2011.09.024 · Cited by 1,976 · see citing works
Polycystic ovary syndrome: a complex condition with psychological, reproductive and metabolic manifestations that impacts on health across the lifespan
Teede, H., Deeks, A., & Moran, L. (2010) · BMC Medicine · doi:10.1186/1741-7015-8-41 · Cited by 1,565 · see citing works
Impaired Glucose Tolerance, Type 2 Diabetes and Metabolic Syndrome in Polycystic Ovary Syndrome: A Systematic Review and Meta-Analysis
Moran, L. J., Misso, M. L., Wild, R. A., & Norman, R. J. (2010) · Human Reproduction Update · doi:10.1093/humupd/dmq001 · Cited by 1,108 · see citing works
Overweight, obesity and central obesity in women with polycystic ovary syndrome: a systematic review and meta-analysis
Lim, S. S., Davies, M. J., Norman, R. J., & Moran, L. J. (2012) · Human Reproduction Update · doi:10.1093/humupd/dms030 · Cited by 939 · see citing works
The effect of obesity on polycystic ovary syndrome: a systematic review and meta‐analysis
Lim, S. S., Norman, R. J., Davies, M. J., & Moran, L. J. (2013) · Obesity Reviews · doi:10.1111/j.1467-789x.2012.01053.x · Cited by 539 · see citing works
Assessment and management of polycystic ovary syndrome: Summary of an evidence-based guideline
Teede, H. J., Misso, M. L., Deeks, A. A., Moran, L. J., Stuckey, B. G. A., Wong, J. L. A., Norman, R. J., Costello, M. F., & Groups, O. B. O. T. G. D. (2011) · Medical Journal of Australia · doi:10.5694/mja11.10915 · Cited by 379 · see citing works
Consensus on women's health aspects of polycystic ovary syndrome (PCOS)
The Amsterdam ESHRE/ASRM-Sponsored 3rd PCOS Consensus Workshop Group, Fauser, B. C. J. M., Tarlatzis, B. C., Rebar, R. W., Legro, R. S., Balen, A. H., Lobo, R. A., Carmina, H., Chang, R. J., Yıldız, B. O., et al. (2011) · Human Reproduction · doi:10.1093/humrep/der396 · Cited by 368 · see citing works
Metabolic features of the reproductive phenotypes of polycystic ovary syndrome
Moran, L., & Teede, H. (2009) · Human Reproduction Update · doi:10.1093/humupd/dmp008 · Cited by 362 · see citing works
Longitudinal Change in Reproductive Hormones and Depressive Symptoms Across the Menopausal Transition
Bromberger, J. T., Schott, L. L., Kravitz, H. M., Sowers, M. R., Avis, N. E., Gold, E. B., Randolph, J. F., & Matthews, K. A. (2010) · Archives of General Psychiatry · doi:10.1001/archgenpsychiatry.2010.55 · Cited by 321 · see citing works
Vitamin D in the aetiology and management of polycystic ovary syndrome
Thomson, R. L., Spedding, S. J., & Buckley, J. D. (2012) · Clinical Endocrinology · doi:10.1111/j.1365-2265.2012.04434.x · Cited by 312 · see citing works
Health-related quality of life measurement in women with polycystic ovary syndrome: a systematic review
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
Obesity and Polycystic Ovary Syndrome
Vrbíková, J., & Hainer, V. (2009) · Obesity Facts · doi:10.1159/000194971 · Cited by 237 · see citing works
Risk of depression and other mental health disorders in women with polycystic ovary syndrome: a longitudinal study
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
Is polycystic ovary syndrome associated with high sympathetic nerve activity and size at birth?
Sverrisdóttir, Y. B., Mogren, T., Kataoka, J., Janson, P. O., & Stener-Victorin, E. (2008) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.00725.2007 · Cited by 216 · see citing works
Lifestyle management improves quality of life and depression in overweight and obese women with polycystic ovary syndrome
Thomson, R. L., Buckley, J. D., Lim, S. S., Noakes, M., Clifton, P. M., Norman, R. J., & Brinkworth, G. D. (2010) · Fertility and Sterility · doi:10.1016/j.fertnstert.2009.11.001 · Cited by 207 · see citing works
Anxiety and depression symptoms in women with polycystic ovary syndrome compared with controls matched for body mass index
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 177 · see citing works
The Australian Institute of Sport (AIS) and National Eating Disorders Collaboration (NEDC) position statement on disordered eating in high performance sport
Wells, K. R., Jeacocke, N. A., Appaneal, R., Smith, H. D., Vlahovich, N., Burke, L. M., & Hughes, D. (2020) · British Journal of Sports Medicine · doi:10.1136/bjsports-2019-101813 · Cited by 209 · 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
Prevalence and implications of anxiety in polycystic ovary syndrome: results of an internet-based survey in Germany
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
Obesity, depression, and chronic low-grade inflammation in women with polycystic ovary syndrome
Benson, S., Janssen, O. E., Hahn, S., Tan, S., Dietz, T., Mann, K., Pleger, K., Schedlowski, M., Arck, P., & Elsenbruch, S. (2007) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2007.07.003 · Cited by 156 · see citing works
Risk of psychiatric disorders following polycystic ovary syndrome: a nationwide population-based cohort study
Hung, J.-H., Hu, L.-Y., Tsai, S.-J., Yang, A. C., Huang, M.-W., Chen, P.-M., Wang, S.-L., Lu, T., & Shen, C.-C. (2014) · PLoS ONE · doi:10.1371/journal.pone.0097041 · Cited by 152 · see citing works
Animal models of the polycystic ovary syndrome phenotype
Padmanabhan, V., & Veiga‐Lopez, A. (2013) · Steroids · doi:10.1016/j.steroids.2013.05.004 · Cited by 131 · see citing works
Endocrine Aspects of Women’s Sexual Function
Wierman, M. E., Nappi, R. E., Avis, N. E., Davis, S. R., Labrie, F., Rosner, W., & Shifren, J. L. (2010) · The Journal of Sexual Medicine · doi:10.1111/j.1743-6109.2009.01629.x · Cited by 132 · see citing works
The Role of Lifestyle Interventions in PCOS Management: A Systematic Review
Gautam, R., Maan, P., Jyoti, A., Kumar, A., Malhotra, N., & Arora, T. (2025) · Nutrients · doi:10.3390/nu17020310 · Cited by 115 · 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
Fertility treatment and risk of childhood and adolescent mental disorders: register based cohort study
Bay, B., Mortensen, E. L., Hvidtjørn, D., & Kesmodel, U. S. (2013) · BMJ · doi:10.1136/bmj.f3978 · Cited by 106 · see citing works
Psychological well-being and sexarche in women with polycystic ovary syndrome
de Niet, J. E., de Koning, C. M., Pastoor, H., Duivenvoorden, H. J., Valkenburg, O., Ramakers, M. J., Passchier, J., de Klerk, C., & Laven, J. S. E. (2010) · Human Reproduction · doi:10.1093/humrep/deq068 · Cited by 103 · see citing works
Psychological benefits of a high-protein, low-carbohydrate diet in obese women with polycystic ovary syndrome—A pilot study
Galletly, C., Moran, L., Noakes, M., Clifton, P., Tomlinson, L., & Norman, R. (2007) · Appetite · doi:10.1016/j.appet.2007.03.222 · Cited by 103 · see citing works
Acupuncture in Polycystic Ovary Syndrome: Current Experimental and Clinical Evidence
Stener‐Victorin, E., Jedel, E., & Mannerås, L. (2007) · Journal of Neuroendocrinology · doi:10.1111/j.1365-2826.2007.01634.x · Cited by 100 · see citing works
Prediction of PCOS and Mental Health Using Fuzzy Inference and SVM
Kodipalli, A., & Devi, S. (2021) · Frontiers in Public Health · doi:10.3389/fpubh.2021.789569 · Cited by 97 · see citing works
Psychological implications of infertility in women with polycystic ovary syndrome
Tan, S., Hahn, S., Benson, S., Janssen, O. E., Dietz, T., Kimmig, R., Hesse-Hussain, J., Mann, K., Schedlowski, M., Arck, P. C., et al. (2008) · Human Reproduction · doi:10.1093/humrep/den227 · Cited by 128 · see citing works
17β-Estradiol Differentially Regulates Stress Circuitry Activity in Healthy and Depressed Women
Jacobs, E. G., Holsen, L. M., Lancaster, K., Makris, N., Whitfield-Gabrieli, S., Remington, A., Weiss, B. K., Buka, S. L., Klibanski, A., & Goldstein, J. M. (2014) · Neuropsychopharmacology · doi:10.1038/npp.2014.203 · Cited by 89 · see citing works
Psychological investigation in patients with polycystic ovary syndrome
Bazarganipour, F., Ziaei, S., Montazeri, A., Foroozanfard, F., Kazemnejad, A., & Faghihzadeh, S. (2013) · Health and Quality of Life Outcomes · doi:10.1186/1477-7525-11-141 · Cited by 95 · see citing works
Diet and nutrition in polycystic ovary syndrome (PCOS): Pointers for nutritional management
Farshchi, H., Rane, A., Love, A., & Kennedy, R. L. (2007) · Journal of Obstetrics and Gynaecology · doi:10.1080/01443610701667338 · Cited by 87 · see citing works
Direct economic burden of mental health disorders associated with polycystic ovary syndrome: systematic review and meta-analysis
Yadav, S., Delau, O., Bonner, A. J., Markovic, D., Patterson, W., Ottey, S., Buyalos, R. P., & Azziz, R. (2023) · eLife · doi:10.7554/elife.85338 · Cited by 85 · see citing works
Sexual function in women with polycystic ovary syndrome: a systematic review and meta-analysis
Pastoor, H., Timman, R., de Klerk, C., Bramer, W. M., Laan, E. T. M., & Laven, J. S. E. (2018) · Reproductive BioMedicine Online · doi:10.1016/j.rbmo.2018.09.010 · Cited by 84 · see citing works
Polycystic ovary syndrome: a brain disorder characterized by eating problems originating during puberty and adolescence
Steegers-Theunissen, R. P. M., Wiegel, R. E., Jansen, P. W., Laven, J. S. E., & Sinclair, K. D. (2020) · International Journal of Molecular Sciences · doi:10.3390/ijms21218211 · Cited by 82 · see citing works
The clinical evaluation of hirsutism
Somani, N., Harrison, S. C., & Bergfeld, W. F. (2008) · Dermatologic Therapy · doi:10.1111/j.1529-8019.2008.00219.x · Cited by 77 · see citing works
Developmental Origin of Reproductive and Metabolic Dysfunctions: Androgenic Versus Estrogenic Reprogramming
Padmanabhan, V., & Veiga‐Lopez, A. (2011) · Seminars in Reproductive Medicine · doi:10.1055/s-0031-1275519 · Cited by 75 · see citing works
Testosterone and mood dysfunction in women with polycystic ovarian syndrome compared to subfertile controls
Barry, J. A., Hardiman, P. J., Saxby, B. K., & Kuczmierczyk, A. R. (2011) · Journal of Psychosomatic Obstetrics & Gynecology · doi:10.3109/0167482x.2011.568129 · Cited by 75 · see citing works
Vitamin D and Polycystic Ovary Syndrome: a Narrative Review
Yang, M., Cheng, D., Yin, T., & Yang, J. (2020) · Reproductive Sciences · doi:10.1007/s43032-020-00369-2 · Cited by 74 · see citing works
Psychological distress, anger and quality of life in polycystic ovary syndrome: associations with biochemical, phenotypical andsocio-demographic factors
Borghi, L., Leone, D., Vegni, E. A. M., Galiano, V., Lepadatu, C., Sulpizio, P., & Garzia, E. (2017) · Journal of Psychosomatic Obstetrics & Gynecology · doi:10.1080/0167482x.2017.1311319 · Cited by 73 · see citing works
Young women's experiences living with polycystic ovary syndrome
Weiss, T. R., & Bulmer, S. M. (2011) · Journal of Obstetric, Gynecologic & Neonatal Nursing · doi:10.1111/j.1552-6909.2011.01299.x · Cited by 73 · see citing works
Polycystic ovarian syndrome–related depression in adolescent girls: A Review
Sadeeqa, S., Mustafa, T., & Latif, S. (2018) · Journal of Pharmacy And Bioallied Sciences · doi:10.4103/jpbs.jpbs_1_18 · Cited by 72 · see citing works
Nurse‐led peer support group: experiences of women with polycystic ovary syndrome
Percy, C. A., Gibbs, T., Potter, L., & Boardman, S. (2009) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2009.05061.x · Cited by 71 · see citing works
Polycystic Ovary Syndrome and Weight Management
Moran, L., Lombard, C. B., Lim, S. S., Noakes, M., & Teede, H. J. (2010) · Women s Health · doi:10.2217/whe.09.89 · Cited by 68 · see citing works
What has sex got to do with it? The role of hormones in the transgender brain
Nguyen, H. B., Loughead, J., Lipner, E., Hantsoo, L. V., Kornfield, S. L., & Epperson, C. N. (2018) · Neuropsychopharmacology · doi:10.1038/s41386-018-0140-7 · Cited by 69 · see citing works
Exercise and Polycystic Ovary Syndrome
Woodward, A., Klonizakis, M., & Broom, D. R. (2020) · Advances in experimental medicine and biology · doi:10.1007/978-981-15-1792-1_8 · Cited by 64 · see citing works
Fetal hormonal programming of sex differences in depression: linking women's mental health with sex differences in the brain across the lifespan
Goldstein, J. M., Holsen, L. M., Handa, R. J., & Tobet, S. A. (2014) · Frontiers in Neuroscience · doi:10.3389/fnins.2014.00247 · Cited by 63 · see citing works
Managing Polycystic Ovary Syndrome: What Our Patients Are Telling Us
Crete, J., & Adamshick, P. (2011) · Journal of Holistic Nursing · doi:10.1177/0898010111398660 · Cited by 61 · see citing works
Body image, personality profiles and alexithymia in patients with polycystic ovary syndrome (PCOS)
Scaruffi, E., Franzoi, I. G., Civilotti, C., Guglielmucci, F., La Marca, L., Tomelini, M., Veglia, F., & Granieri, A. (2019) · Journal of Psychosomatic Obstetrics & Gynecology · doi:10.1080/0167482x.2018.1530210 · Cited by 62 · see citing works
Anxiety is associated with hormonal and metabolic profile in women with polycystic ovarian syndrome
Livadas, S., Chaskou, S., Kandaraki, A., Skourletos, G., Economou, F., Christou, M., Boutzios, G., Karachalios, A., Zerva, A., Xyrafis, X., et al. (2011) · Clinical Endocrinology · doi:10.1111/j.1365-2265.2011.04122.x · Cited by 60 · see citing works
Effectiveness of cognitive-behavioral therapy (CBT) in improving the quality of life and psychological fatigue in women with polycystic ovarian syndrome: a randomized controlled clinical trial
Abdollahi, L., Mirghafourvand‬‬‬‬‬‬‬‬‬‬‬‬‬‬, M., Babapour, J., & Mohammadi, M. (2018) · Journal of Psychosomatic Obstetrics & Gynecology · doi:10.1080/0167482x.2018.1502265 · Cited by 60 · see citing works
The Diagnostic Experiences of Women With Polycystic Ovary Syndrome (PCOS) in Ontario, Canada
Soucie, K., Samardzic, T., Schramer, K., Ly, C., & Katzman, R. (2021) · Qualitative Health Research · doi:10.1177/1049732320971235 · Cited by 56 · see citing works
Changes in Sexual Function Among Women with Polycystic Ovary Syndrome: A Pilot Study
Ferrarese, S. R., Lara, L. A. D. S., dos Reis, R. M., & Silva, A. C. J. D. S. R. E. (2012) · The Journal of Sexual Medicine · doi:10.1111/jsm.12011 · Cited by 59 · see citing works
The Experience of Women Affected by Polycystic Ovary Syndrome: A Qualitative Study From Iran
Amiri, F. N., Tehrani, F. R., Simbar, M., Montazeri, A., & Mohammadpour, R. A. (2014) · Intern J Endocrinol Metab · doi:10.5812/ijem.13612 · Cited by 59 · see citing works
Update on management of polycystic ovarian syndrome for dermatologists
Gainder, S., & Sharma, B. (2019) · Indian Dermatology Online Journal · doi:10.4103/idoj.idoj_249_17 · Cited by 59 · see citing works
Maladaptive coping with illness in women with polycystic ovary syndrome
Benson, S., Hahn, S., Tan, S., Janssen, O. E., Schedlowski, M., & Elsenbruch, S. (2010) · Journal of Obstetric, Gynecologic & Neonatal Nursing · doi:10.1111/j.1552-6909.2009.01086.x · Cited by 56 · see citing works
Exploration of Lifestyle Choices, Reproductive Health Knowledge, and Polycystic Ovary Syndrome (PCOS) Awareness Among Female Emirati University Students
Pramodh, S. (2020) · International Journal of Women s Health · doi:10.2147/ijwh.s272867 · Cited by 56 · see citing works
Women's perceptions of polycystic ovary syndrome following participation in a clinical research study: implications for knowledge, feelings, and daily health practices
Colwell, K., Lujan, M. E., Lawson, K. L., Pierson, R. A., & Chizen, D. R. (2010) · Journal of Obstetrics and Gynaecology Canada · doi:10.1016/s1701-2163(16)34499-1 · Cited by 51 · see citing works
Polycystic ovary syndrome and its multidimensional impacts on women’s mental health: A narrative review
Almhmoud, H., Alatassi, L., Baddoura, M., Sandouk, J., Alkayali, M. Z., Najjar, H., & Zaino, B. (2024) · Medicine · doi:10.1097/md.0000000000038647 · Cited by 51 · see citing works
Polycystic Ovary Syndrome, Depression, and Affective Disorders
Bishop, S. C., Basch, S., & Futterweit, W. (2009) · Endocrine Practice · doi:10.4158/ep09083.rar · Cited by 47 · see citing works
A life course perspective on polycystic ovary syndrome
Sanchez, N. (2014) · International Journal of Women's Health · doi:10.2147/ijwh.s55748 · Cited by 43 · 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
Psychosocial Factors Associated with Polycystic Ovary Syndrome: a Case Control Study
Sayyah-Melli, M., Alizadeh, M., Pourafkari, N., Ouladsahebmadarek, E., Jafari-Shobeiri, M., Abbassi, J., Kazemi-Shishvan, M. A., & Sedaghat, K. (2015) · Journal of Caring Sciences · doi:10.15171/jcs.2015.023 · Cited by 43 · 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
Characterization of polycystic ovary syndrome among Flo app users around the world
Jain, T., Negris, O., Brown, D., Galic, I., Salimgaraev, R., & Zhaunova, L. (2021) · Reproductive Biology and Endocrinology · doi:10.1186/s12958-021-00719-y · Cited by 37 · see citing works
Investigating the association between infertility and psychological distress using Australian Longitudinal Study on Women's Health (ALSWH)
Bagade, T., Thapaliya, K., Breuer, E., Kamath, R., Li, Z., Sullivan, E., & Majeed, T. (2022) · Scientific Reports · doi:10.1038/s41598-022-15064-2 · Cited by 39 · see citing works
Health-related quality of life in Iranian women with polycystic ovary syndrome: a qualitative study
Taghavi, S. A., Bazarganipour, F., Hugh‐Jones, S., & Hosseini, N. (2015) · BMC Women s Health · doi:10.1186/s12905-015-0272-4 · Cited by 39 · see citing works
Co-involvement of psychological and neurological abnormalities in infertility with polycystic ovarian syndrome
Shi, X., Zhang, L., Fu, S., & Li, N. (2011) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-011-1947-1 · Cited by 38 · see citing works
Psychological aspects of the polycystic ovary syndrome
Farkas, J., Rigó, A., & Demetrovics, Z. (2013) · Gynecological Endocrinology · doi:10.3109/09513590.2013.852530 · Cited by 38 · see citing works
Association of PCOS and Its Clinical Signs with Sexual Function among Iranian Women Affected by PCOS
Hashemi, S., Tehrani, F. R., Farahmand, M., & Khomami, M. B. (2014) · The Journal of Sexual Medicine · doi:10.1111/jsm.12627 · Cited by 36 · see citing works
Effect of Metabolic Syndrome on Sexual Function in Pre- and Postmenopausal Women
Ötünçtemur, A., Dursun, M., Özbek, E., Şahin, S., Beşiroğlu, H., Köklü, İ., Polat, E. C., Erkoç, M., Danış, E., & Bozkurt, M. (2014) · Journal of Sex & Marital Therapy · doi:10.1080/0092623x.2014.918068 · Cited by 36 · see citing works
Higher Metabolic Risk with National Institutes of Health Versus Rotterdam Diagnostic Criteria for Polycystic Ovarian Syndrome in Turkish Women
Anaforoğlu, İ., Algün, E., İnceçayır, Ö., & Ersoy, K. (2011) · Metabolic Syndrome and Related Disorders · doi:10.1089/met.2011.0019 · Cited by 35 · see citing works
An exploration of the hypothesis that testosterone is implicated in the psychological functioning of women with polycystic ovary syndrome (PCOS)
Barry, J. A., Qu, F., & Hardiman, P. J. (2017) · Medical Hypotheses · doi:10.1016/j.mehy.2017.10.019 · Cited by 34 · see citing works
The Clinical Manifestations of Polycystic Ovary Syndrome (PCOS) and The Treatment Options
Karkera, S., Agard, E., & Sankova, L. (2023) · European Journal of Biology and Medical Science Research · doi:10.37745/ejbmsr.2013/vol11n15791 · Cited by 34 · see citing works
“It's not very feminine to have a mustache”: Experiences of Danish women with polycystic ovary syndrome
Pfister, G. U., & Rømer, K. (2016) · Health Care For Women International · doi:10.1080/07399332.2016.1236108 · Cited by 30 · see citing works
Sexual function and hormonal profiles in women with and without polycystic ovary syndrome: a population-based study
Noroozzadeh, M., Tehrani, F. R., Mobarakabadi, S. S., Farahmand, M., & Dovom, M. R. (2016) · International Journal of Impotence Research · doi:10.1038/ijir.2016.35 · Cited by 30 · see citing works
Sexual function in women with polycystic ovary syndrome and their hormonal and clinical correlations
Amiri, F. N., Tehrani, F. R., Esmaeilzadeh, S., Tohidi, M., Azizi, F., & Basirat, Z. (2017) · International Journal of Impotence Research · doi:10.1038/s41443-017-0006-2 · Cited by 30 · see citing works
Axis I and Axis II diagnoses in women with PCOS
Şahingöz, M., Uğuz, F., Gezginç, K., & Korucu, D. G. (2013) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2013.04.003 · Cited by 28 · see citing works
The Potential Utility of Tirzepatide for the Management of Polycystic Ovary Syndrome
Anala, A. D., Saifudeen, I. S. H., Ibrahim, M., Nanda, M., Naaz, N., & Atkin, S. L. (2023) · Journal of Clinical Medicine · doi:10.3390/jcm12144575 · Cited by 29 · see citing works
Psychiatric disorders related to polycystic ovary syndrome.
Krępuła, K., Bidzińska−Speichert, B., Lenarcik, A., & Tworowska-Bardzińska, U. (2012) · PubMed · Cited by 26 · see citing works
Outcomes of a Mindfulness-Based Healthy Lifestyle Intervention for Adolescents and Young Adults with Polycystic Ovary Syndrome
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
Anxiety, cognitive, and depressive assessment in adolescents with polycystic ovarian syndrome: a pilot study.
Ghazeeri, G., Fakih, A., Abbas, H., Harajly, S., & Awwad, J. (2013) · Journal of Pediatric and Adolescent Gynecology · doi:10.1016/j.jpag.2013.04.005 · Cited by 27 · 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
The Enigma of the Adrenarche: Identifying the Early Life Mechanisms and Possible Role in Postnatal Brain Development
Cumberland, A. L., Hirst, J. J., Badoer, E., Wudy, S. A., Greaves, R. F., Zacharin, M., & Walker, D. W. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms22094296 · Cited by 26 · see citing works
The impact of eating behavior on psychological symptoms typical of reactive hypoglycemia. A pilot study comparing women with polycystic ovary syndrome to controls
Barry, J. A., Bouloux, P. M., & Hardiman, P. J. (2011) · Appetite · doi:10.1016/j.appet.2011.03.003 · Cited by 24 · see citing works
Polycystic ovarian syndrome in adolescence
Yii, M. F., Lim, C. E. D., Luo, X., Wong, W. S. F., Cheng, N. C. L., & Zhan, X. L. (2009) · Gynecological Endocrinology · doi:10.1080/09513590903015551 · Cited by 24 · see citing works
miRNA expression in PCOS: unveiling a paradigm shift toward biomarker discovery
Rashid, G., Khan, N. A., Elsori, D. H., Youness, R. A., Hassan, H., Siwan, D., Seth, N., Kamal, M. A., Rizvi, S., Babker, A. M. A., et al. (2024) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-024-07379-4 · Cited by 24 · see citing works
Differential Contributions of Polycystic Ovary Syndrome (PCOS) Manifestations to Psychological Symptoms
McCook, J. G., Bailey, B. A., Williams, S. L., Anand, S., & Reame, N. E. (2014) · The Journal of Behavioral Health Services & Research · doi:10.1007/s11414-013-9382-7 · Cited by 23 · see citing works
Comparing Sexual Function and Quality of Life in Polycystic Ovary Syndrome and Healthy Women.
Shafti, V., & Shahbazi, S. (2016) · Europe PMC (PubMed Central) · Cited by 23 · see citing works
Psychosomatic Aspects of Polycystic Ovarian Syndrome: A Review
Azizi, M., & Elyasi, F. (2017) · Iranian Journal of Psychiatry and Behavioral Sciences · doi:10.5812/ijpbs.6595 · Cited by 22 · see citing works
PCOS in lesbian and heterosexual women treated with artificial donor insemination
Sutter, P. D., Dutré, T., Meerschaut, F. V., Stuyver, I., Maele, G. V., & Dhont, M. A. (2008) · Reproductive BioMedicine Online · doi:10.1016/s1472-6483(10)60224-6 · Cited by 22 · see citing works
Sexuality and psychological well-being in different polycystic ovary syndrome phenotypes compared with healthy controls: a cross-sectional study
Bahadori, F., Sadatmahalleh, S. J., Montazeri, A., & Nasiri, M. (2022) · BMC Women s Health · doi:10.1186/s12905-022-01983-9 · Cited by 21 · see citing works
A comprehensive mental health care program for women with polycystic ovary syndrome: protocol for a mixed methods study
ZareMobini, F., Kazemi, A., & Farajzadegan, Z. (2018) · Reproductive Health · doi:10.1186/s12978-018-0488-5 · Cited by 24 · see citing works
Women’s use of online health and social media resources to make sense of their polycystic ovary syndrome (PCOS) diagnosis: a qualitative study
Gomula, J., Warner, M., & Blandford, A. (2024) · BMC Women's Health · doi:10.1186/s12905-024-02993-5 · Cited by 22 · see citing works
What does a diagnostic label of ‘polycystic ovary syndrome’ really mean in adolescence? a review of current practice recommendations
Morris, S., Grover, S. R., & Sabin, M. A. (2015) · Clinical Obesity · doi:10.1111/cob.12123 · Cited by 20 · see citing works
Impaired Sexual Function in Young Women with PCOS: The Detrimental Effect of Anovulation
Μάντζου, Δ., Stamou, M. I., Armeni, A. K., Roupas, N. D., Assimakopoulos, K., Adonakis, G. L., Georgopoulos, N. A., & Markantes, G. Κ. (2021) · The Journal of Sexual Medicine · doi:10.1016/j.jsxm.2021.09.004 · Cited by 20 · see citing works
Predictors of Depression in Iranian Women with Polycystic Ovarian Syndrome
Mirghafourvand‬‬‬‬‬‬‬‬‬‬‬‬‬‬, M., Mohammad‐Alizadeh‐Charandabi, S., Behroozi-Lak, T., & Aliasghari, F. (2017) · Community Mental Health Journal · doi:10.1007/s10597-017-0188-6 · Cited by 20 · see citing works
The impact of irritable bowel syndrome on health-related quality of life in women with polycystic ovary syndrome
Bazarganipour, F., Taghavi, S.-A., Asemi, Z., Allan, H. T., Khashavi, Z., Safarzadeh, T., Pourchangiz, S., Zare, F., Ghasemi, S., Karimi, Z., et al. (2020) · Health and Quality of Life Outcomes · doi:10.1186/s12955-020-01428-7 · Cited by 18 · see citing works

Management of polycystic ovary syndrome must include assessment and treatment of mental health symptoms
Alur-Gupta, S., Dokras, A., & Cooney, L. G. (2024) · Fertility and Sterility · doi:10.1016/j.fertnstert.2024.01.018 · Cited by 53 · see citing works
Psychological aspects of polycystic ovary syndrome
Adamczak, A., Głowińska, A., Banaszewska, B., Wysocka, E., & Remlinger-Molenda, A. (2025) · Neuropsychiatria i Neuropsychologia · doi:10.5114/nan.2025.159054 · Cited by 1 · see citing works
THE IMPACT OF POLYCYSTIC OVARY SYNDROME ON MENTAL HEALTH AND BODY IMAGE IN WOMEN: A CLINICAL LITERATURE REVIEW
Mazurkiewicz, A., Bednarczyk, N., Bednarczyk, R., Binkowski, R. K., Kurek, A., Krajewska, N., Lejman, A., Sidor, H., Wołosik, M., & Zysiak, S. (2026) · International Journal of Innovative Technologies in Social Science · doi:10.31435/ijitss.1(49).2026.4691
Mental Health in Women with Polycystic Ovary Syndrome (PCOS): A Scoping Review
Devi, D. A., & Kartini, F. (2022) · DOAJ (DOAJ: Directory of Open Access Journals)
The mental health of women with polycystic ovary syndrome: a systematic review and meta-analysis
Yin, X., Ji, Y., Chan, C., & Chan, C. (2020) · Archives of Women s Mental Health · doi:10.1007/s00737-020-01043-x · Cited by 125 · see citing works

Authors: Himelein, M. J., & Thatcher, S. S.
Affiliations: University of North Carolina at Asheville (US)
Corresponding author: Himelein, Melissa J.
Venue: Obstetrical & Gynecological Survey
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2006-11
Volume: 61
Issue: 11
Pages: 723-732
ISSN: 0029-7828 (ISSN-L)
DOI: 10.1097/01.ogx.0000243772.33357.84
OpenAlex: W2046428082
Cited by: 239
References: 81
Citations by year: 2026: 8 · 2025: 15 · 2024: 13 · 2023: 14 · 2022: 13 · 2021: 17 · 2020: 15 · 2019: 5 · 2018: 9 · 2017: 15 · 2016: 11 · 2015: 11 · 2014: 14 · 2013: 13 · 2012: 10
FWCI: 1.23
Type: journal article
Language: en
Open access: closed
Locations: Obstetrical & Gynecological Survey (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Reproductive Medicine › Ovarian function and disorders
Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
Keywords: polycystic ovary syndrome, mental health, depression, anxiety, body dissatisfaction, eating disorders, sexual satisfaction, health-related quality of life, obesity treatment, psychological assessment, women's health
MeSH terms: Affective Symptoms, Body Image, Female, Humans, Infertility, Female, Mental Health, Obesity, Personal Satisfaction, Polycystic Ovary Syndrome, Quality of Life, Self Concept, Sexuality

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

Polycystic Ovary Syndrome and Mental Health: A Review

Abstract

Integrity signals

Claims the paper makes

Claims other papers make about this one

Cites

Cited by

Related

Record

About these checks