Avaliação dos transtornos psicológicos associados à infertilidade em mulheres com Síndrome dos Ovários Policísticos
Polycystic Ovarian Syndrome (PCOS) is a gynecological endocrinopathy that affects about 20% of women of childbearing age. In addition to reproductive complications, this syndrome is associated with metabolic alterations and psychological disorders, such as reduced quality of life and increased ri...
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| Formato: | Dissertação |
| Idioma: | pt_BR |
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Brasil
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| Endereço do item: | https://repositorio.ufrn.br/jspui/handle/123456789/27434 |
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| Resumo: | Polycystic Ovarian Syndrome (PCOS) is a gynecological endocrinopathy that affects about 20% of
women of childbearing age. In addition to reproductive complications, this syndrome is associated
with metabolic alterations and psychological disorders, such as reduced quality of life and increased
risk factors for anxiety and depression, which can de-structure health and well-being over time.
Infertility can cause negative impacts that involve emotional, physical, psychological and social
suffering. As the syndrome is considered one of the main causes of female infertility, the present study
aimed to evaluate the psychic disorders associated with infertility in women with PCOS. The 100
women were analyzed for clinical, biochemical and psychological aspects. The participants were
submitted to the collection of biological material and to the questionnaire for clinical and
sociodemographic evaluation, BDI, WHOQOL-BREF and SCL-90-R. The analysis of the information
collected was performed using a statistical system based on Stata (n = 55) and fertile (45) presented
statistically significant differences in mean age (27.7 ± 5.1 vs 24.9 ± 5.7, p = 0.01), BMI ( 31.7 ± 5.2
kg / m2 vs 29.01 ± 5.1 kg / m2), in the percentage of android fat (49.1 ± 8.3 vs. 44.2 ± 9.7, p = 0.01 )
and systolic blood pressure (123.81 ± 14.1 mmHg vs 118.45 ± 12.9, p = 0.05). In addition, infertility
was observed in 55% (n = 55) of the participants and 66% (n = 66) of the women presented mean
scores that indicate the presence of depressive symptoms. The mean values of the WHOQOL-BREF
scores were: 56.9 ± 17.4 (Physical), 57.3 ± 18.8 (Psychological), 58.5 ± 23.3 (Social), 50.7 ± 16
(Environmental) and overall quality of life 54.8 ± 15. As for the evaluation of emotional distress by
the SCL-90-R instrument, none of the participants exceeded the normative value. In the logistic
regression model, infertility was not associated with symptoms of depression, reduced quality of life
and emotional distress. The results show that women with PCOS present complex symptoms that may
be related to the development of depressive symptoms, reduced quality of life, as well as emotional
distress, although infertility is not associated with impairment of psychological well-being. |
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