Study On The Correlation Among Body Image Distress,Anxiety And Depression And Quality Of Life In Patients With Polycystic Ovarian Syndrome

Purpose:Describe the current situation of body image distress,anxiety and depression and quality of life in patients with polycystic ovary syndrome;to analyze the relationship between body image distress,anxiety and depression and quality of life in patients;to explore the mediating role of anxiety and depression between body image distress and quality of life in patients.Methods:A cross-sectional study method was used to distribute questionnaires offline at gynecology clinics in two tertiary hospitals in Hunan Province and online through Questionnaire Star to the national polycystic ovary syndrome patient group as well as to the polycystic ovary syndrome patient group in each hospital.The survey tools included general information questionnaire,multidimensional self-image relationship questionnaireappearance subscale,revised quality of life questionnaire for polycystic ovary syndrome,and hospital anxiety and depression scale.Descriptive statistics,one-way analysis of variance,Pearson correlation analysis,stratified regression analysis and path analysis were used to describe and analyze the data.Results:1.1.The mean scores of the five dimensions of the multidimensional self-body relationship questionnaire-appearance subscale(appearance assessment,appearance tendency,body part satisfaction,overweight,and self-categorized weight)were 2.97(0.65),3.59(0.45),2.92(0.67),2.82(0.79),and 3.35(0.88),respectively;the mean score of anxiety was 6.94(3.85),40.4% of patients were positive for anxiety,the mean score of depression was 5.61(3.50),26.5% of patients were positive for depression;the mean scores of the seven subscales of the Quality of Life Questionnaire for polycystic ovary syndrome(weight,infertility,predicted menstruation,menstrual symptoms,acne,hirsutism,mood disorders)were 3.79(1.59),3.72(1.69)3.69(1.53),4.72(1.43),4.48(1.83),4.45(1.64),and 3.94(1.40).There were differences in body image annoyance and quality of life scores among patients with different demographic and disease-related characteristics(Ps < 0.05).2.pearson correlation analysis showed that the higher the assessment of PCOS patients’ looks,the lower their anxiety(r=-0.361),depression(r=-0.39),patients’ weight(r=0.521),infertility(r=0.328),predicted menstruation(r=0.218),menstrual symptoms(r=0.19)acne(r=0.30),hirsutism(r= 0.298),mood disorders(r=0.464)the better.The subscales of the multidimensional self-body image relationship questionnaire,appearance assessment and body part satisfaction,were significantly negatively correlated with anxiety and depression(P < 0.01)and positively correlated with all seven quality of life subscales(P < 0.01);appearance tendencies were negatively correlated with the quality of life infertility and acne subscales(P < 0.05);being overweight was positively correlated with depression(P < 0.05)and with the quality of life weight,acne and mood disorders subscales(P < 0.05);self-categorized weight was significantly and positively correlated with the quality of life weight subscale(P < 0.01);anxiety and depression were significantly and negatively correlated with the seven quality of life subscales(P < 0.01).3.Stratified regression results showed that patients with education level of university and above,unmarried,no reproductive needs,monthly income greater than 6000,and disease duration less than one year had higher quality of life levels(P < 0.05);patients with high satisfaction with appearance assessment,body parts,low tendency to look good,overweight,low self-categorized weight levels,and low anxiety levels had higher quality of life levels(P < 0.05).4.The results of the path analysis showed that anxiety played a fully mediating role between the phase appearance assessment and patients’ quality of life(P < 0.05).Conclusions:1.The body image distress scores of our PCOS patients are relatively low,and the BMI level of PCOS patients is significantly correlated with their body image distress level.Health care professionals should promptly assess the level of body image distress in PCOS patients and pay more attention to patients with higher BMI level,lower education level and poorer economic level.2.PCOS patients have more positive anxiety and depression and are significantly negatively correlated with their quality of life.The mental health of PCOS patients needs to be paid attention to,and also as a basis for improving the quality of life of patients.3.Patients with higher satisfaction with their own appearance assessment and body parts and lower anxiety levels had higher quality of life levels,suggesting that patients should be guided to establish the correct concept of body image so as to improve their quality of life.4.Anxiety plays a mediating role between appearance assessment and patients’ quality of life,which provides a theoretical basis for designing intervention activities to improve the current situation of patients’ quality of life level in China’s PCOS patients.