title: Psychosocial Factors Associated with Polycystic Ovary Syndrome: a Case Control Study.
abstract: BACKGROUND
  Polycystic ovary syndrome (PCOS) is a disorder in women of reproductive age. Psychosocial factors can play a role in PCOS.
  
  
  METHODS
  To determine the psychosocial factors associated with PCOS in a case control study, 742 PCOS cases were compared to 798 women without PCOS for psychiatric disorders and social conditions. The data were collected using a validated questionnaire of the Minnesota Multiphasic Personality Inventory (MMPI). The Primary Care Evaluation of Mental Disorders. Patient Health Questionnaire (DSM-IV) was used to diagnose major psychopathological disorders and other depressive and anxiety syndromes. The suspected psychopathology was evaluated by a clinical psychiatrist.
  
  
  RESULTS
  There was a significant difference between cases and controls in education level (71.8% vs. 80.4%; (P<0.001), and employment status (60% vs. 53%; P=0.01) (respectively). Chronic anxiety (35.7% vs. 26.8%; P<0.001), depression (18.9% vs. 7.9 %; P<0.001), anxiety disorders (7.7% vs. 3.3%; P<0.001), and personality disorders (2.9% vs. 1.7%; P=0.01), were higher in the PCOS patients compared controls, respectively.
  
  
  CONCLUSIONS
  The results showed that chronic anxiety and depression were the most pscycologic pattern in PCO patients. Lower educational level and unemployment were higher in the cases than controls.
authors.affiliation: Department of Obstetrics and Gynecology, Women's Reproductive Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
authors.forename: Manizheh
authors.initials: M
authors.lastname: Sayyah-Melli
authors.affiliation: Department of Community Medicine, Social Determinants of Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
authors.forename: Mahasti
authors.initials: M
authors.lastname: Alizadeh
authors.affiliation: Department of Psychology, Tabriz University of Medical Sciences, Tabriz, Iran.
authors.forename: Nosratollah
authors.initials: N
authors.lastname: Pourafkary
authors.affiliation: Department of Obstetrics and Gynecology, Women's Reproductive Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
authors.forename: Elaheh
authors.initials: E
authors.lastname: Ouladsahebmadarek
authors.affiliation: Department of Obstetrics and Gynecology, Women's Reproductive Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
authors.forename: Mehri
authors.initials: M
authors.lastname: Jafari-Shobeiri
authors.affiliation: Department of Psychology, Tabriz University of Medical Sciences, Tabriz, Iran.
authors.forename: Jaleh
authors.initials: J
authors.lastname: Abbassi
authors.affiliation: Department of Community Medicine, Social Determinants of Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
authors.forename: Maryam Alsadat
authors.initials: MA
authors.lastname: Kazemi-Shishvan
authors.affiliation: Department of Sociology, Allameh Tabatabai University, Tehran, Iran.
authors.forename: Kamran
authors.initials: K
authors.lastname: Sedaghat
keywords: Anxiety; Depression; Polycystic ovary syndrome; Psychological