| 李焱力,陈杰,向玉华.多囊卵巢综合征不孕和非多囊卵巢综合征不孕妇女的焦虑、抑郁和身体形象比较[J].安徽医药,2026,30(1):174-180. |
| 多囊卵巢综合征不孕和非多囊卵巢综合征不孕妇女的焦虑、抑郁和身体形象比较 |
| Comparison of anxiety, depression, and body image between infertile women with polycystic ovary syndrome and those without polycystic ovary syndrome |
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| DOI：10.3969/j.issn.1009-6469.2026.01.035 |
| 中文关键词: 多囊卵巢综合征 不育，女(雌)性 身体形象 焦虑 抑郁 |
| 英文关键词: Polycystic ovary syndrome Infertility, female Body image Anxiety Depressed |
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| 中文摘要: |
| 目的对比分析多囊卵巢综合征( polycystic ovary syndrome，PCOS)不孕和非 PCOS不孕妇女的焦虑、抑郁和身体形象评分。方法应用横断面调查研究方法。选取 2022年 7月至 2024年 4月在恩施土家族苗族自治州中心医院就诊的不孕症妇女 383例作为研究对象。采用问卷形式对 PCOS不孕症和非 PCOS不孕症妇女进行调查，对比分析两组妇女的焦虑、抑郁和身体形象评分，应用 logistic回归探讨影响不孕症妇女焦虑、抑郁和身体形象评分的相关因素。结果非 PCOS组年龄(33.48±3.94)岁、身体质量指数( BMI)(24.19±3.08)kg/m2均低于 PCOS组( 30.82±3.76)岁、(26.43±4.51)kg/m2非 PCOS组既往 12个月内月经周期数(12.31±1.96)次高于 PCOS妇女( 8.94±2.73)次。与非 PCOS组相比， PCOS组的身体形分明显偏高(P<0.05)。年龄(≥30岁)、象评，结婚年限(≥5年)、不孕病程(≥36个月)及丈夫精子质量下降等 4个因素为调查对象焦虑症患病的显著影响因素(P<0.05)其中丈夫精子质量下降为保护因素。年龄(≥30岁)BMI(≥28 kg/m2)受教育程度(大专及以上)及不孕病程(≥36个月)等 4个因素，为调查对象抑郁症患病的显著影响因素( P<0.05)、其中受教育程度为、保护因素。年龄( ≥30岁)、 BMI(≥28 kg/m2)、不孕病程( ≥36个月)、有既往受孕史是 PCOS等 5个因素为调查对象，身体形象的显著影响因素(P<0.05)，其中年龄和有既往受孕史为保护因素。结论相较于非 PCOS不孕妇女， PCOS不会增加不孕妇女的焦虑、抑郁，但会降低其身体形象评分。 |
| 英文摘要: |
| Objective To compare and analyze the anxiety, depression, and body image scores of infertile women with polycystic ova-ry syndrome (PCOS) and those without PCOS.Method The cross-sectional survey research method was applied. A total of 383 infer-tile women who visited the Enshi Tujia and Miao Autonomous Prefecture Central Hospital from July 2022 to April 2024 were selectedas the study subjects. A questionnaire survey was conducted on non PCOS infertile women and PCOS infertile women. The anxiety, de-pression, and body image scores of two groups of infertile women were compared and analyzed. The logistic regression was applied to ex-plore the related factors affecting anxiety, depression, and body image scores in infertile women.Results The age [(33.48±3.94) years]and Body Mass Index (BMI) [(24.19±3.08) kg/m2] of women in the non PCOS group were lower than those in the PCOS group [(30.82±3.76) years, (26.43±4.51) kg/m2]. Additionally, the number of menstrual cycles in the past 12 months (12.31±1.96) was higher in thenon PCOS group compared to the PCOS group (8.94±2.73). The body image score of the PCOS group was significantly higher than thatof the non PCOS group, and the difference was statistically significant (P<0.05). Age (≥ 30 years), length of marriage (≥ 5 years), dura-tion of infertility (≥ 36 months), and decreased sperm quality of the husband were significant influencing factors for anxiety disorder inthe survey subjects (P<0.05), with decreased sperm quality of the husband being a protective factor. Age (≥ 30 years old), BMI (≥ 28 kg/ m2), highest education level (college diploma or above), and duration of infertility (≥ 36 months) were four significant influencing factorsfor depression in the survey subjects (P<0.05), with the highest education level being the protective factor. Age (≥ 30 years old), BMI (≥ 28 kg/m2), duration of infertility (≥ 36 months), history of previous pregnancies, and presence of PCOS were significant influencing fac-tors on the body image of the survey subjects (P<0.05), with age and history of previous pregnancies being protective factors.Conclu. sion Compared to infertile women without PCOS, PCOS does not increase infertile women's anxiety and depression, but reduces theirbody image score. |
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