育龄女性多囊卵巢综合征患者焦虑抑郁负性情绪影响因素及健康管理的研究进展

Abstract
Figure/Table
References
Related Citation (15)

Download: PDF (528 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Polycystic ovary syndrome (PCOS) is a more common reproductive endocrine disease in clinical practice, and the cause of the pathogenesis has an important relationship with the hormone secretion disorder in the patients' body, resulting in female PCOS patients of childbearing age are more likely to show irritability, nervousness, emotional instability, anxiety, depression and other negative emotions than the normal population, and anxiety and depression are the most important psychological distress of PCOS patients of childbearing age, which have serious adverse effects on their fertility, quality of life and physical health. In recent years, a series of studies at home and abroad have shown that the factors affecting the negative emotions of anxiety and depression in women of childbearing age are mainly sociodemographic factors, sleep quality, complications and sexual dysfunction. The domestic and foreign PCOS clinical diagnosis and treatment guidelines point out that effective and standardized health management can significantly improve the treatment compliance of PCOS patients, and then improve their clinical prognosis. The manager-led multidisciplinary collaborative whole-process health management, family-participatory case health management and "Internet+" based mobile health management are the main management strategies for anxiety and depression in women of childbearing age with PCOS, which can effectively regulate negative emotions such as anxiety and depression. Based on this, this paper will review the status quo, influencing factors and health management strategies of anxiety and depression in female PCOS patients of childbearing age, hoping to arouse the attention of society to the anxiety and depression of PCOS patients of childbearing age and provide reference for helping them establish a healthy lifestyle with long-term compliance.

Key words： Polycystic ovary syndrome Anxiety Depression Influencing factors Health management

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	WANG Dan ZHONG Xiaolin LUO Zefang

Cite this article:

WANG Dan ZHONG Xiaolin LUO Zefang. Research progress on factors affecting anxiety, depression negative emotions and health management in women of childbearing age with polycystic ovary syndrome[J]. 中国当代医药, 2024, 31(1): 180-185.

URL:

https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2024/V31/I1/180

[1]	魏鏡讚，赵彦艳.多囊卵巢综合征的卵巢血管生成[J].中国实用妇科与产科杂志，2020，36（6）：567-570.
[2]	Armanini D，Boscaro M，Bordin L，et al.Controversies in the Pathogenesis，Diagnosis and Treatment of PCOS：Focus on Insulin Resistance，Inflammation，and Hyperandrogenism[J].Int J Mol Sci，2022，23（8）：4110
[3]	赵洪强，时敬爱，王金权，等.大豆异黄酮调节Nrf2/HO-1信号通路对多囊卵巢综合征大鼠卵巢组织损伤的影响[J].中国药学杂志，2023，58（8）：699-707.
[4]	Rodriguez-Paris D，Remlinger-Molenda A，Kurzawa R，et al.Psychiatric disorders in women with polycystic ovary syndrome[J].Psychiatria Polska，2019，53（4）：955-966.
[5]	Zehravi M，Maqbool M，Ara I.Depression and anxiety in women with polycystic ovarian syndrome：a literature survey[J].Int J Adolesc Med Health，2021，33（6）：367-373.
[6]	Alkoudsi KT，Basheti IA.Prevalence of anxiety and depression among women with Polycystic Ovary Syndrome living in war versus non-war zone countries：A randomized controlled trial assessing a pharmacist intervention[J].Res Social Adm Pharm，2020，16（5）：689-698.
[7]	中华医学会妇产科学分会内分泌学组及指南专家组.多囊卵巢综合征中国诊疗指南[J].中华妇产科杂志，2018，53（1）：2-6.
[8]	Balen AH，Morley LC，Misso M，et al.The management of anovulatory infertility in women with polycystic ovary syndrome：an analysis of the evidence to support the development of global WHO guidance[J].Hum Reprod Update，2016，22（6）：687-708.
[9]	Mehrabadi S，Sadatmahalleh SJ，Kazemnejad A，et al.Association of acne，hirsutism，androgen，anxiety，and depression on cognitive performance in polycystic ovary syndrome：A cross-sectional study[J].Int J Reprod Biomed，2020，18（12）：1049-1058.
[10]	Damone AL，Joham AE，Loxton D，et al.Depression，anxiety and perceived stress in women with and without PCOS：a community-based study[J].Psychol Med，2019，49（9）：1510- 1520.
[11]	Alur-Gupta S，Chemerinski A，Liu C，et al.Body-image distress is increased in women with polycystic ovary syndrome and mediates depression and anxiety[J].Fertil Steril，2019， 112（5）：930-938.
[12]	严欣，王连红，郭云梅，等.中国多囊卵巢综合征患者焦虑抑郁患病率的meta分析[J].中国医药导报，2022，19（27）：92-96.
[13]	张浩琳，霍则军，王海宁，等.针刺改善多囊卵巢综合征患者负性情绪：随机对照研究[J].中国针灸，2020，40（4）：385-390.
[14]	Yin X，Ji Y，Chan CLW，et al.The mental health of women with polycystic ovary syndrome：a systematic review and meta-analysis[J].Arch Womens Ment Health，2021，24（1）：11-27.
[15]	Majidzadeh S，Mirghafourvand M，Farvareshi M，et al.The effect of cognitive behavioral therapy on depression and anxiety of women with polycystic ovary syndrome：a randomized controlled trial[J].BMC Psychiatry，2023，23（1）：332.
[16]	Yang Y，Deng H，Li T，et al.The mental health of Chinese women with polycystic ovary syndrome is related to sleep disorders，not disease status[J].J Affect Disord，2021，282：51-57.
[17]	张莉莉，马将，张成，等.多囊卵巢综合征患者焦虑、抑郁状态及其相关影响因素研究[J].国际生殖健康/计划生育杂志，2018，37（4）：269-272.
[18]	Dybciak P，Humeniuk E，Raczkiewicz D，et al.Anxiety and Depression in Women with Polycystic Ovary Syndrome[J].Medicina （Kaunas），2022，58（7）：942.
[19]	Wang Y，Ni Z，Li K.The prevalence of anxiety and depression of different severity in women with polycystic ovary syndrome：a meta-analysis[J].Gynecol Endocrinol，2021，37（12）：1072-1078.
[20]	Zhou X，Jaswa E，Pasch L，et al.Association of obstructive sleep apnea risk with depression and anxiety symptoms in women with polycystic ovary syndrome[J].J Clin Sleep Med，2021，17（10）：2041-2047.
[21]	谭秋晓，张红梅，李洁明，等.多囊卵巢综合征患者抑郁和焦虑发病现状及影响因素分析[J].实用医学杂志，2020，36（23）：3288-3292.
[22]	Kite C，Atkinson L，McGregor G，et al.Sleep Disruption and Depression，Stress and Anxiety Levels in Women With Polycystic Ovary Syndrome （PCOS） During the Lockdown Measures for COVID-19 in the UK[J].Front Glob Womens Health，2021，2：649104.
[23]	Lin H，Liu M，Zhong D，et al.The Prevalence and Factors Associated With Anxiety-Like and Depression-Like Behaviors in Women With Polycystic Ovary Syndrome[J].Front Psychiatry，2021，12：709674.
[24]	Ethirajulu A，Alkasabera A，Onyali CB，et al.Insulin Resistance，Hyperandrogenism，and Its Associated Symptoms Are the Precipitating Factors for Depression in Women With Polycystic Ovarian Syndrome[J].Cureus，2021，13（9）：e18013.
[25]	Franik G，Krysta K，Witkowska A，et al.The impact of sex hormones and metabolic markers on depressive symptoms and cognitive functioning in PCOS patients[J].Gynecol Endocrinol，2019，35（11）：965-969.
[26]	田国华，张建芳，武雁，等.PCOS不孕患者的抑郁、焦虑发生率及其影响因子的分析[J].临床医学研究与实践，2022，7（7）：6-8.
[27]	Tian X，Ruan X，Du J，et al.Sexual Function in Chinese Women with Polycystic Ovary Syndrome and Correlation with Clinical and Biochemical Characteristics[J].Reprod Sci，2021，28（11）：3181-3192.
[28]	Kogure GS，Ribeiro VB，Lopes IP，et al.Body image and its relationships with sexual functioning，anxiety，and depression in women with polycystic ovary syndrome[J].J Affect Disord，2019，253：385-393.
[29]	Mojahed BS，Ghajarzadeh M，Khammar R，et al.Depression，sexual function and sexual quality of life in women with polycystic ovary syndrome （PCOS） and healthy subjects[J].J Ovarian Res，2023，16（1）：105.
[30]	Shakil M，Ashraf F，Wajid A.Sexual functioning as predictor of depressive symptoms and life satisfaction in females with Polycystic Ovary Syndrome （PCOS）[J].Pak J Med Sci，2020， 36（7）：1500-1504.
[31]	Sheikh J，Khalil H，Shaikh S，et al.Emotional and psychosexual well-being is influenced by ethnicity and birthplace in women and individuals with polycystic ovary syndrome in the UK and India[J].BJOG，2023，130（8）：978-986.
[32]	李昕.多囊卵巢综合征心理问题及管理[J].中国实用妇科与产科杂志，2019，35（3）：295-297.
[33]	刘宝琴，赵莉娜，张宗久.多囊卵巢综合征中西医结合多学科联合门诊的组建与实践[J].现代医院管理，2022，20（4）：32-35.
[34]	马亚楠，刘瑞云，姬燕慧，等.多囊卵巢综合征不孕病人治疗依从性现状及影响因素分析[J].护理研究，2022，36（13）：2404-2409.
[35]	万婠，朱亚捷，胡萍，等.我国男性不育症健康管理的研究进展[J].中国性科学，2022，31（8）：9-13.
[36]	史莉，张浩琳，许冬梅，等.健康管理模式在肥胖多囊卵巢综合征患者中的应用[J].中国护理管理，2017，17（9）：1264-1268.
[37]	卢山，孙小玲，王静，等.多囊卵巢综合征不孕患者治疗期间生活方式管理方案的构建及应用研究[J].中华护理杂志，2023，58（2）：141-149.
[38]	Modarres M，Abunasri M，Alhani F，et al.The Effectiveness of Implementing Family-Centered Empowerment Model on Irrational Thoughts of Iranian Infertile Women：A Randomized Clinical Trial[J].J Caring Sci，2022，11（4）：224-231.
[39]	倪燕萍，曹文丽，叶飞君，等.基于“医院-家庭”健康信息满足护理对多囊卵巢综合征取卵移植术患者妊娠结局的影响[J].温州医科大学学报，2022，52（3）：237-240.
[40]	刘才琪，孙小玲，王静，等.超重或肥胖型多囊卵巢综合征患者的家庭参与式个案健康管理[J].护理学杂志，2023，38（8）：5-9.
[41]	区玉怡，刘爽，梁结芬.“互联网+”长期管理服务模式对多囊卵巢综合征患者自护能力、治疗依从性及生活质量的影响[J].国际护理学杂志，2023，42（5）：942-945.
[42]	Williams A，Farhall J，Fossey E，et al.Internet-based interventions to support recovery and self-management：A scoping review of their use by mental health service users and providers together[J].BMC Psychiatry，2019，19（1）：191.
[43]	唐玉珠，苏椿淋，王经纬，等.基于人体成分测定进行互联网线上生活方式干预在多囊卵巢综合征患者治疗中作用的多中心前瞻性研究[J].中华生殖与避孕杂志，2019， 39（3）：177-184.
[44]	史迅，陈洁.基于施拉姆双向传播理论的“互联网+健康教育”对不孕症患者负性情绪及妊娠率影响的研究[J].护理管理杂志，2021，21（9）：680-684.
[45]	李萍，曾晓琴，何耀娟，等.“互联网+”多囊卵巢综合征患者长期管理服务模式初探[J].河北医学，2018，24（5）：862-865.