Polycystic ovary syndrome and mental disorders: a systematic review and exploratory meta-analysis

Sergio Luís Blay,1 João Vicente Augusto Aguiar,2 Ives Cavalcante Passos3 1Department of Psychiatry, Federal University of São Paulo (Escola Paulista de Medicina – UNIFESP), São Paulo, SP, Brazil; 2Department of Psychiatry, Fortaleza University,...

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Autores principales: Blay SL, Aguiar JV, Passos IC
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Publicado: Dove Medical Press 2016
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spelling oai:doaj.org-article:57480dc80c8f476eae961bfaa15ad6462021-12-02T00:56:46ZPolycystic ovary syndrome and mental disorders: a systematic review and exploratory meta-analysis1178-2021https://doaj.org/article/57480dc80c8f476eae961bfaa15ad6462016-11-01T00:00:00Zhttps://www.dovepress.com/polycystic-ovary-syndrome-and-mental-disorders-a-systematic-review-and-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Sergio Luís Blay,1 João Vicente Augusto Aguiar,2 Ives Cavalcante Passos3 1Department of Psychiatry, Federal University of São Paulo (Escola Paulista de Medicina – UNIFESP), São Paulo, SP, Brazil; 2Department of Psychiatry, Fortaleza University, Fortaleza, Ceará, Brazil; 3Laboratory of Molecular Psychiatry and Department of Psychiatry, Federal University of Rio Grande do Sul, Rio Grande do Sul, Brazil Background: The association between depression, anxiety, and polycystic ovary syndrome (PCOS) is still unclear. Therefore, a systematic review and meta-analysis was conducted to assess the rates of comorbid psychiatric disorders among women with PCOS compared to women without it. Methods: PubMed/MEDLINE, Embase, PsycINFO, and Web of Science databases were searched from inception to November 27, 2015. Studies were eligible for inclusion if they were original reports in which the rates of mood (bipolar disorder, dysthymia, or major depressive disorder), obsessive–compulsive spectrum disorders, trauma- and stressor-related disorders, anxiety disorders or psychotic disorders, somatic symptom and related disorders, or eating disorders had been investigated among women with an established diagnosis of PCOS and compared with women without PCOS. Psychiatric diagnosis should have been established by means of a structured diagnostic interview or through a validated screening tool. Data were extracted and pooled using random effects models. Results: Six studies were included in the meta-analysis; of these, five reported the rates of anxiety and six provided data on the rates of depression. The rate of subjects with anxiety symptoms was higher in patients with PCOS compared to women without PCOS (odds ratio (OR) =2.76; 95% confidence interval (CI) 1.26 to 6.02; Log OR =1.013; P=0.011). The rate of subjects with depressive symptoms was higher in patients with PCOS compared to women without PCOS (OR =3.51; 95% CI 1.97 to 6.24; Log OR =1.255; P<0.001). Conclusion: Anxiety and depression symptoms are more prevalent in patients with PCOS. Keywords: polycystic ovary syndrome, depression, anxiety, epidemiological survey, meta-analysis, systematic reviewBlay SLAguiar JVPassos ICDove Medical Pressarticlepolycystic ovary syndromedepressionanxietyepidemiological surveymeta-analysissystematic reviewNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 12, Pp 2895-2903 (2016)
institution DOAJ
collection DOAJ
language EN
topic polycystic ovary syndrome
depression
anxiety
epidemiological survey
meta-analysis
systematic review
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle polycystic ovary syndrome
depression
anxiety
epidemiological survey
meta-analysis
systematic review
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Blay SL
Aguiar JV
Passos IC
Polycystic ovary syndrome and mental disorders: a systematic review and exploratory meta-analysis
description Sergio Luís Blay,1 João Vicente Augusto Aguiar,2 Ives Cavalcante Passos3 1Department of Psychiatry, Federal University of São Paulo (Escola Paulista de Medicina – UNIFESP), São Paulo, SP, Brazil; 2Department of Psychiatry, Fortaleza University, Fortaleza, Ceará, Brazil; 3Laboratory of Molecular Psychiatry and Department of Psychiatry, Federal University of Rio Grande do Sul, Rio Grande do Sul, Brazil Background: The association between depression, anxiety, and polycystic ovary syndrome (PCOS) is still unclear. Therefore, a systematic review and meta-analysis was conducted to assess the rates of comorbid psychiatric disorders among women with PCOS compared to women without it. Methods: PubMed/MEDLINE, Embase, PsycINFO, and Web of Science databases were searched from inception to November 27, 2015. Studies were eligible for inclusion if they were original reports in which the rates of mood (bipolar disorder, dysthymia, or major depressive disorder), obsessive–compulsive spectrum disorders, trauma- and stressor-related disorders, anxiety disorders or psychotic disorders, somatic symptom and related disorders, or eating disorders had been investigated among women with an established diagnosis of PCOS and compared with women without PCOS. Psychiatric diagnosis should have been established by means of a structured diagnostic interview or through a validated screening tool. Data were extracted and pooled using random effects models. Results: Six studies were included in the meta-analysis; of these, five reported the rates of anxiety and six provided data on the rates of depression. The rate of subjects with anxiety symptoms was higher in patients with PCOS compared to women without PCOS (odds ratio (OR) =2.76; 95% confidence interval (CI) 1.26 to 6.02; Log OR =1.013; P=0.011). The rate of subjects with depressive symptoms was higher in patients with PCOS compared to women without PCOS (OR =3.51; 95% CI 1.97 to 6.24; Log OR =1.255; P<0.001). Conclusion: Anxiety and depression symptoms are more prevalent in patients with PCOS. Keywords: polycystic ovary syndrome, depression, anxiety, epidemiological survey, meta-analysis, systematic review
format article
author Blay SL
Aguiar JV
Passos IC
author_facet Blay SL
Aguiar JV
Passos IC
author_sort Blay SL
title Polycystic ovary syndrome and mental disorders: a systematic review and exploratory meta-analysis
title_short Polycystic ovary syndrome and mental disorders: a systematic review and exploratory meta-analysis
title_full Polycystic ovary syndrome and mental disorders: a systematic review and exploratory meta-analysis
title_fullStr Polycystic ovary syndrome and mental disorders: a systematic review and exploratory meta-analysis
title_full_unstemmed Polycystic ovary syndrome and mental disorders: a systematic review and exploratory meta-analysis
title_sort polycystic ovary syndrome and mental disorders: a systematic review and exploratory meta-analysis
publisher Dove Medical Press
publishDate 2016
url https://doaj.org/article/57480dc80c8f476eae961bfaa15ad646
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