Depressive Symptoms and Control of Emotions among Polish Women with Polycystic Ovary Syndrome
Open accessAbstract
Introduction: Polycystic ovary syndrome (PCOS) is a disorder that substantially affects women’s health. It is particularly diagnosed in young patients. Women with PCOS are burdened with excessive weight gain, overweight and obesity (74%) compared to a healthy female population. Excessive weight influences psychological state and emotional well-being, whereas in the meantime, psychological and behavioral dysfunction is increasingly being diagnosed among patients with PCOS. Aim: To assess depressive symptoms and emotional control among women with PCOS in relation to BMI. Methods: The study was conducted among 671 self-reported PCOS women. The standardized Beck Depression Inventory (BDI) was used to assess depressive disorders. Emotion control was assessed using the Courtauld Emotional Control Scale (CECS). Results: Moderate and severe depressive symptoms were more common in PCOS women with abnormal BMI compared to normal BMI subjects (p < 0.01). In total, 27.1% of obese women had moderate depression and 28.8% had severe depression. Among overweight women, 19.9% suffered from moderate and 25% from severe depressive symptoms. Underweight women also reported moderate (25.6%) and severe (33.3%) depressive signs. There were no statistically significant differences between the body weight of the women studied and the CECS scores. Conclusions: Depressive symptoms are more common in women with PCOS and abnormal BMI than in women with PCOS and proper BMI. The severity of depressive symptoms increases with BMI, but underweight women with PCOS are also at risk of depressive disorders. The level of suppression of negative emotions is independent of BMI in women with PCOS.
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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 [15]
The Introduction reports elevated depression and anxiety among women with PCOS, psychological distress related to physical appearance, and an association between anxiety and disordered eating. The Discussion recommends lifestyle changes as therapy, but the paper does not show that anxiety, depression, and body-image concerns drive substantial changes in women’s lifestyle choices. (LLM, conf=0.84)
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- Authors
- Pokora, K., Kowalczyk, K., Wikarek, A., Rodak, M., Pędrys, K., Wójtowicz, M., Wyskida, K., & Jonderko, M.
- Affiliations
- Medical University of Silesia (PL)
- Corresponding author
- Kowalczyk, Karolina
- ORCID
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2022-12-15
- Volume
- 19
- Issue
- 24
- Pages
- 16871
- ISSN
- 1660-4601 (ISSN-L)
- PMC
- PMC9779637
- OpenAlex
- W4312194690
- Cited by
- 14
- References
- 54
- Citations by year
- 2025: 2 · 2024: 6 · 2023: 6
- FWCI
- 2.95
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Ovarian function and disorders
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- polycystic ovary syndrome, depressive symptoms, emotional control, body mass index, obesity, underweight, overweight, women's mental health
- MeSH terms
- Depression, Emotions, Female, Humans, Obesity, Poland, Polycystic Ovary Syndrome, Thinness, Body Mass Index, Overweight
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