Volume 11, Issue 10 (12-2013)                   IJRM 2013, 11(10): 829-0 | Back to browse issues page

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Bazarganipour F, Ziaei S, Montazeri A, Foroozanfard F, Kazemnejad A, Faghihzadeh S. Body image satisfaction and self-esteem status among the patients with polycystic ovary syndrome. IJRM. 2013; 11 (10) :829-0
URL: http://journals.ssu.ac.ir/ijrmnew/article-1-349-en.html
1- Department of Reproductive Health and Midwifery, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
2- Department of Reproductive Health and Midwifery, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran , ziaei_sa@modares.ac.ir
3- Mental Health Research Group, Health Metrics Research Center, Iranian Institute for Health Sciences Research, ACECR, Tehran, Iran
4- Department of Obstetrics and Gynecology, Kashan University of Medical Sciences, Kashan, Iran
5- Department of Biostatistics, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
6- Faculty of Medical Sciences, Zanjan University of Medical Sciences, Zanjan, Iran
Abstract:   (490 Views)
Background: Most previous research has focused on polycystic ovary syndrome (PCOS) characteristics and their association with psychological disorders, such as anxiety and depression. Objective: In the present study, our aim was to study whether PCOS characteristics are associated with several aspects of psychological well-being namely self-esteem and body satisfaction. Materials and Methods: This was a cross-sectional study of 300 women with PCOS that was carried out in Kashan, Iran. Main outcome measures were the Body Image Concern Inventory (BICI) and the Rosenberg’s Self-Esteem Scale and clinical information of PCOS. Major clinical PCOS features including obesity (BMI), excessive body hair (hirsutism score), acne, menstrual cycle disturbances and infertility. Results: The findings of regression analysis indicated that infertile women had lower levels of self-esteem (=-0.11, p=0.049) and poorer body satisfaction (=0.121, p=0.036) compared with PCOS women without infertility. Furthermore, hirsute women experienced poorer self-esteem than women without hirsutism (=-0.124, p=0.032). Women with menstrual irregularities had higher body dissatisfaction (=0.159, p=0.005). Moreover, women with higher body mass index scores had poorer body satisfaction (=0.151, p=0.009) but were not associated with self-esteem. Conclusion: The emotional well-being of the patients presenting with the syndrome needs to be recognized more fully, particularly in relation to the low self-esteem, poor body image, and struggles with weight, menstrual irregularities, hirsutism and infertility. The results of this study raise implications for clinical practice and suggest that a multidisciplinary approach to the management of women with PCOS.
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Type of Study: Original Article |

References
1. Ehrmann DA. Polycystic ovary syndrome. N Engl J Med 2005; 352: 1223-1236. [DOI:10.1056/NEJMra041536]
2. Hahn S, Janssen OE, Tan S, Pleger K, Mann K, Chedlowski M, et al. Clinical and psychological correlates of quality-of-life in polycystic ovary syndrome. Euro J Endocrinol 2005; 153: 853-860. [DOI:10.1530/eje.1.02024]
3. Mansson M, Holte J, Landin-Wilhemsen K, Dahlgren E, Johansson A, Landen M. Women with polycystic ovary syndrome are often depressed or anxious: A case control study. Psychoneuroendocrinology 2008; 33: 1132-1138. [DOI:10.1016/j.psyneuen.2008.06.003]
4. Brady C, Mousa SS, Mousa SA. Polycystic ovary syndrome and its impact on women's quality of life: More than just an endocrine disorder. Drug Health Patient Saf 2009; 1: 9-15.
5. Lin HC, Tang TC, Yen JY, Ko CH, Huang CF, Liu SC, et al. Depression and its association with self-esteem, family, peer and school factors in a population of 9586 adolescents in southern Taiwan. Psychiatry Clin Neurosci 2008; 62: 412-420. [DOI:10.1111/j.1440-1819.2008.01820.x]
6. Orth U, Robins RW, Meier LL. Disentangling the effects of low self-esteem and stressful events on depression: findings from three longitudinal studies. J Pers Soc Psychol 2009; 97: 307-321. [DOI:10.1037/a0015645]
7. Weiner CL, Primeau M, Ehrmann DA. Androgens and mood dysfunction in women: comparison of women with polycystic ovarian syndrome to healthy controls. Psychosom Med 2004; 66: 356-362.
8. Himelein MJ, Thatcher SS. Depression and body image among women with polycystic ovary syndrome. J Health Psychol Jul 2006a; 11: 613-625. [DOI:10.1177/1359105306065021]
9. Mock V. Body image in women treated for breast cancer. Nurs Res 1993; 42: 153-157. [DOI:10.1097/00006199-199305000-00006]
10. Carver CS, Pozo-Kaderman C, Price AA, Noriega V, Harris SD, Derhagopian RP, et al. Concern about aspects of body image and adjustment to early stage breast cancer. Psychosom Med 1998; 60: 168-174. [DOI:10.1097/00006842-199803000-00010]
11. Hopwood P. The assessment of body image in cancer patients. Eur J Cancer 1993; 29A: 276-281. [DOI:10.1016/0959-8049(93)90193-J]
12. Cohen MZ, Kahn DL, Steeves RH. Beyond body image: The experience of breast cancer. Oncol Nurs Forum 1998; 25: 835-841.
13. White CA. Body image dimensions and cancer: A heuristic cognitive behavioral model. Psycho-Oncology 2000; 9: 183-192. https://doi.org/10.1002/1099-1611(200005/06)9:3<183::AID-PON446>3.0.CO;2-L [DOI:10.1002/1099-1611(200005/06)9:33.0.CO;2-L]
14. Kitzinger C, Willmott J. The thief of womanhood': women's experience of polycystic ovarian syndrome. Soc Sci Med 2002; 54: 349-361. [DOI:10.1016/S0277-9536(01)00034-X]
15. Deeks AA, Gibson-Helm ME, Paul E, Teede HJ. Is having polycystic ovary syndrome a predictor of poor psychological function including anxiety and depression? Hum Reprod 2011; 26: 1399-1407. [DOI:10.1093/humrep/der071]
16. Rosenberg M. Society and the adolescent self-image. Princeton (NJ): Princeton University Press; 1989.
17. Paxton SJ, Neumark-Sztainer D, Hannan PJ, Eisenberg M. Body dissatisfaction prospectively predicts depressive mood and low self-esteem in adolescent girls and boys. J Clin Child Adolescent Psychol 2006; 35: 539-49. [DOI:10.1207/s15374424jccp3504_5]
18. Stice E. Risk and maintenance factors for eating pathology: A meta-analytic review. Psychological Bulletin 2002; 128: 825-848. [DOI:10.1037/0033-2909.128.5.825]
19. Dudas S, Carlson CE. Cancer rehabilitation. Oncol Nurs Forum 1988; 15: 183-188.
20. Rotterdam ESHRE/ASRM-Sponsored PCOS consensus workshop group. Revised 2003 consensus on diagnostic criteria and long-term health risks related to polycystic ovary syndrome (PCOS). Hum Reprod 2004; 19: 41-47. [DOI:10.1093/humrep/deh098]
21. Littleton HL, Axsom DS, Pury CL. Development of the body image concern inventory. Behav Res Ther 2005; 43: 229-241. [DOI:10.1016/j.brat.2003.12.006]
22. Ghadakzadeh S, Ghazipour A, Khajeddin N, Karimian N, Borhani M. Body Image Concern Inventory (BICI) for identifying patients with BDD seeking rhinoplasty: using a Persian (Farsi) version. Aesthetic Plast Surg 2011; 35: 989-994. [DOI:10.1007/s00266-011-9718-8]
23. Mosavi M, Mohamadkhani P, Kavyani H, Delavar A. Effectiveness of couples therapy system - behavior on family functioning and self-esteem of women with dysthymic disorder. Fam Res 2006; 5: 5-19.
24. McCook J, Reame N, Thatcher S. Health-related quality of life issues in women with polycystic ovary syndrome. J Obstet Gynecol Neonatal Nurs 2005; 34: 12-20. [DOI:10.1177/0884217504272945]
25. Ferrimanm D, Gallwey JD. Clinical assessment of body hair growth in women. J Clin Endocrinol Metab 1961; 21: 1440-1447. [DOI:10.1210/jcem-21-11-1440]
26. Lever WF, Schaumburg-Lever G. Acne vulgaris. Histopatbology of the Skin. 7th Ed. Philadelphia, JB Lippincott; 1990: 218-219.
27. Donyavi T, Naieni KH, Nedjat S, Vahdaninia M, Najafi M, Montazeri A. Socioeconomic status and mortality after acute myocardial infarction: a study from Iran. Int J Equity Health 2011; 10: 9. [DOI:10.1186/1475-9276-10-9]
28. Keegan A, Liao L, Boyle M. Hirsutism: A psychological analysis. J Health Psychol 2003; 8: 327-345. [DOI:10.1177/1359105303008003004]
29. De Niet JE, De Koning CM, Pastoor H, Duivenvoorden HJ, Valkenburg O, Ramakers MJ, et al. Psychological well-being and sexarche in women with polycystic ovary syndrome. Hum Reprod 2010; 25: 1497-1503. [DOI:10.1093/humrep/deq068]
30. Greil A. Not Yet Pregnant: Infertile Couples in Contemporary America. London, Rutgers University Press; 1991.
31. Winkvist A, Akhtar HZ. God should give daughters to rich families only: attitudes toward childbearing among low-income women in Punjab. Pakistan. Soc Sci Med 2000; 51: 73-78. [DOI:10.1016/S0277-9536(99)00440-2]
32. Penn R, Lambert P. Attitudes toward ideal family size of different ethnic/nationality groups in Great Britain, France and Germany. Popular Trends 2002; 108: 49-58.
33. Deurenberg P, Deurenberg-Yap M, Guricci S. Asians are different from Caucasians and from each other in their body mass index/body fat per cent relationship. Obesity Rev 2002; 3: 141-146. [DOI:10.1046/j.1467-789X.2002.00065.x]
34. Ching HL, Burke V, Stuckey BG. Quality of life and psychological morbidity in women with polycystic ovary syndrome: body mass index, age and the provision of patient information are significant modifiers. Clin Endocrinol (Oxf) 2007; 66: 373-379. [DOI:10.1111/j.1365-2265.2007.02742.x]
35. Benson S, Hahn S, Tan S, Mann K, Janssen OE, Schedlowski M, et al. Prevalence and implications of anxiety in polycystic ovary syndrome: results of an internet-based survey in Germany. Hum Reprod 2009; 24: 1446-1451. [DOI:10.1093/humrep/dep031]
36. Lipton MG, Sherr L, Elford J, Rustin MH, Clayton WJ. Women living with facial hair: the psychological and behavioral burden. J Psychosom Res 2006; 61: 161-168. [DOI:10.1016/j.jpsychores.2006.01.016]
37. Stokes R, Frederick-Recascino CW. Women's perceived body image: relations with personal happiness. J Women Aging 2003; 15: 17-29. [DOI:10.1300/J074v15n01_03]

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