Prevalence of Mental Disorders and its Severity among Patients with Polycystic Ovarian Disease-Observational Cross-Sectional Study

Abstract

Background: Polycystic ovarian disease (PCOD) is the most common endocrine disorder in females of reproductive age group. This is usually associated with increased prevalence in psychological disturbances; we undertook this research to study the prevalence & severity of depression and anxiety in patients with PCOD which can be helpful in identifying and thereby treating them in early stages. Aims & Objectives: To determine the prevalence of psychological disorder and its severity in PCOD patients. Methods & Materials: A total of 130 patients diagnosed as PCOD according to the Rotterdam criteria were recruited from the Gynecology OPD after informed consent and ethical approval, and were subjected to structured questionnaires. A proforma along with Hamilton Depression Rating Scale (HDRS) and Hamilton Anxiety Rating Scale (HARS) were provided to the patient in their own language for further assessment. Results: Out of 130 patients, a total of 101 (77%) patients of PCOD had depression on HDRS, of which majority had mild depression, accounting for 52 (40%) patients, followed by moderate depression in 29 (22.3%). Similarly, a total of 86 (66%) patients were found to have anxiety on HARS, of which moderate anxiety was found in 34 (26.1%) patients followed by severe anxiety in 28 (21.5%) patients. Of all the study variables considered, BMI was found to be significantly associated with depression and anxiety. Conclusion: The results of the study indicate a high prevalence and severity of depression and anxiety in PCOD patients. This condition warrants a multidisciplinary approach towards treatment; involving both a psychiatrist and a gynecologist will be helpful to the patient.