育龄期多囊卵巢综合征患者合并焦虑抑郁的相关因素分析

The related factors of anxiety and depression in polycystic ovary syndrome of reproductive age

目的分析育龄期多囊卵巢综合征(polycystic ovary syndrome,PCOS)患者合并焦虑、抑郁的相关因素。方法选取2021年1月至2022年6月于北京中医药大学东直门医院妇科确诊为PCOS的132例患者作为研究对象,使用焦虑自评量表、抑郁自评量表和艾森克人格问卷简式量表中文版对患者的焦虑、抑郁情绪以及人格特性进行调查,并采集一般临床资料及生殖内分泌指标进行分析。结果有43例(32.6%)出现焦虑症状,51例(38.6%)出现抑郁症状,患者发生焦虑与经色、不孕时长和神经质人格相关,发生抑郁与运动习惯、经行浮肿和神经质人格相关。结论育龄期PCOS患者容易出现焦虑、抑郁,不孕是导致育龄期PCOS患者出现焦虑症状的主要压力来源之一,月经异常和神经质人格是导致患者出现焦虑和抑郁症状的危险因素,运动习惯会降低患者出现抑郁症状的概率。在临床中应及时了解患者心理健康问题,疏导不良情绪,并重视生活方式调节对PCOS的干预作用。

Objective To analyze the related factors of anxiety and depression in patients with polycystic ovary syndrome(PCOS)of reproductive age.Methods From January 2021 to June 2022,132 PCOS patients were included in the Dongzhimen Hospital,Beijing University of Chinese Medicine.The self rating anxiety scales,self rating depression scale and the eysenck personality questionaire-revised short scale for China were used to investigate anxiety,depression and personality trait of patients,and then collected the general clinical data and reproductive endocrine indicators for analysis.Results There were 43(32.6%)patients had anxiety symptoms,and 51(38.6%)patients had depression symptoms.Anxiety in PCOS patients was related to menstrual color,infertility duration and neurotic.Depression was related to exercise habits,symptoms during menstruation and neurotic.Conclusion PCOS patients of reproductive age are prone to anxiety and depression,and infertility is one of the main stressors leading to anxiety.Abnormal menstruation and neurotic are risk factors for anxiety and depression.Exercise can reduce the probability of depression.In clinical practice,timely understanding of patients'mental health issues,alleviating negative emotions,and emphasizing the intervention effect of lifestyle regulation on PCOS should be emphasized.