Prevalence of psychiatric disorders in patients with a diagnosis of polycystic ovary syndrome in kashmir.
BACKGROUND
Polycystic ovary syndrome (PCOS) is one of the common endocrine disorders and is associated with reproductive, metabolic, and psychological disturbances affecting one in five women of reproductive age group.


OBJECTIVE
To investigate the prevalence of psychiatric disorders among women in ambulatory treatment with a diagnosis of PCOS.


METHODS
One hundred and ten patients of PCOS were evaluated using Diagnostic and Statistical Manual for Mental Disorders, Fourth Edition criteria by means of Mini International Neuropsychiatric Interview, English version 5.0.0. Diagnosis of PCOS was confirmed according to the National Institute of Health/National Institute of Child Health and Human Development, 1990 consensus conference criteria. Forty subjects without PCOS who were matched for age and body mass index were taken as a comparison group.


RESULTS
About 23% of cases had major depressive disorder as compared to 7.5% of controls, 1.8% had dysthymia, 15.45% had panic disorder compared to 5% of controls, 6.36% had obsessive compulsive disorder compared to 2.5% of controls, 8% cases had suicidality, 2.72% of cases were bipolar affective disorder, and 15.45% had generalized anxiety disorder (GAD).


CONCLUSIONS
A high prevalence of mental disorders was observed, especially major depression, panic disorder, and GAD in patients with PCOS in our study. The results suggest that screening and appropriate management for psychiatric disorders should be part of the routine evaluation of these patients.
Department of Psychiatry, Government Medical College, Srinagar, Jammu and Kashmir, India.
Arshad
A
Hussain
Department of Psychiatry, Government Medical College, Srinagar, Jammu and Kashmir, India.
Rajesh Kumar
RK
Chandel
Department of Endocrinology and Metabolism, All India Institute of Medical Sciences, New Delhi, India.
Mohd Ashraf
MA
Ganie
Department of Psychiatry, Government Medical College, Srinagar, Jammu and Kashmir, India.
Mansoor Ahmad
MA
Dar
Department of Psychiatry, Government Medical College, Srinagar, Jammu and Kashmir, India.
Yasir Hassan
YH
Rather
Department of Psychiatry, Government Medical College, Srinagar, Jammu and Kashmir, India.
Zaid Ahmad
ZA
Wani
Consultant Psychiatrist, Directorate of Health, Srinagar, Jammu and Kashmir, India.
Javid Ahmad
JA
Shiekh
Department of Psychiatry, Government Medical College, Srinagar, Jammu and Kashmir, India.
Majid Shafi
MS
Shah
Depression; polycystic ovary syndrome; prevalence; suicide