Study Objective

To investigate adolescents with polycystic ovary syndrome (PCOS) in terms of body perception, self-esteem, and comorbid psychiatric diseases by comparing them with their healthy peers.

Design

Cross-sectional design.

Setting

The Department of Child and Adolescent Psychiatry and the Department of Pediatric Endocrinology outpatient clinic of Cumhuriyet University in Sivas, Turkey.

Participants

Fifty female adolescents aged 12-18 years who were diagnosed as having PCOS and 37 healthy adolescents aged 12-18 years.

Interventions and Main Outcome Measures

All adolescents were evaluated by a child and adolescent psychiatrist using a semistructured interview (Schedule for Affective Disorders and Schizophrenia for School-Age Children) and asked to complete the Rosenberg Self-Esteem Scale, Children's Depression Inventory, and Body Image Scale.

Results

The rate of psychiatric disorders in the PCOS group was significantly higher than in the control participants (16/50 (32%) vs 5/37 (13.5%), respectively; P = .046). The most common disorder was major depressive disorder. The Rosenberg Self-Esteem Scale and Body Image Scale scores of the PCOS group were lower (P = .03; P < .001, respectively), and Children's Depression Inventory scores were higher (P = .03) than in the control group. There was no significant relationship between obesity, hirsutism, and insulin resistance with any psychiatric disorders in the PCOS group.

Conclusion

Adolescents with PCOS had more psychopathology than their peers. Moreover, their self-esteem was lower and their body perceptions were more dissatisfied compared with their peers.

中文翻译：

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被诊断为多囊卵巢综合征的青少年的身体知觉，自尊和合并精神病。

研究目的

通过将多囊卵巢综合征（PCOS）的青少年与健康同龄人进行比较，以他们的身体知觉，自尊和共病的精神疾病进行调查。

设计

横断面设计。

设置

土耳其锡瓦斯Cumhuriyet大学的儿童和青少年精神病学系以及儿科内分泌科门诊。

参加者

五十名年龄在12-18岁之间的女性青少年被诊断患有PCOS，另有37名健康的青少年在12-18岁之间。

干预措施和主要结果

儿童和青少年精神科医生使用半结构式访谈（情感障碍时间表和学龄儿童精神分裂症）对所有青少年进行了评估，并要求他们填写Rosenberg自尊量表（RSES），儿童抑郁量表（CDI），和人体影像比例（BIS）。

结果

PCOS组的精神疾病发生率显着高于对照组（分别为32％和13.5％，p = 0.046）。最常见的疾病是重度抑郁症。与对照组相比，PCOS组的RSES和BIS评分较低（分别为p = 0.03； p <0.001），而CDI评分较高（p = 0.03）。在PCOS组中，肥胖，多毛症和胰岛素抵抗与任何精神疾病之间均无显着关系。

结论

患有PCOS的青少年比同龄人有更多的心理病理学。此外，与同龄人相比，他们的自尊心较低，对身体的看法更不满意。