Differences between infertile women with and without PCOS in terms of anxiety, coping styles, personality traits, and social adjustment: a case–control study
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The aim of the study was to identify differences in the level of anxiety, stress coping ways, personality traits, and social adjustments in infertile women with polycystic ovary syndrome (PCOS) compared to those without PCOS.
In a case–control study, 257 infertile of women were recruited at Fatemeh Azahra Infertility and Reproductive Health Research Center (Babol, Iran) from May 2016 to December 2017. A total of 135 women with PCOS and 122 women without PCOS completed the following questionnaires; State-Trait Anxiety Inventory (STAI), Ways of Coping Questionnaire (WCQ), NEO Five-Factor Inventory (NEO-FFI), and Bell’s Adjustment Inventory.
Infertile women with PCOS had a higher mean score of trait anxiety than those without PCOS (46.19 ± 5.29 vs 44.49 ± 5.13, P = 0.004), but no difference was observed for state anxiety. The two groups did not have any significant differences in the mean scores of social adjustment and ways of coping, except for social support and problem-focused coping which were higher in the PCOS group. The PCOS personality traits of PCOS infertile women were not different regarding neuroticism, extraversion, agreeableness, conscientiousness. The only exception was that infertile PCOS women had a significantly higher mean score of openness to experience than those without PCOS (P = 0.049).
Clinicians could take advantage of the psychological differences of infertile women with PCOS and without PCOS for better management of PCOS in infertility settings; despite higher levels of anxiety they are more likely to cope with stress and are welcome to new experiences.
KeywordsPolycystic ovary syndrome Infertility Anxiety Personality Coping Psychological adjustment
The authors thank all of the infertile women who participated the study. The study approved by the Ethics Committee of Babol University of Medical Sciences (Grant no. 2292).
ZB: protocol/project development, manuscript editing. MF: protocol/project development, manuscript writing/editing. MC: data analysis. MA: protocol/project development. FG: data collection. ZT: data collection.
The Deputy Research of Babol University of Medical Sciences approved and supported the study (Grant no. 2292).
Compliance with ethical standards
Conflict of interest
All authors declare that they have no competing interest.
Informed written consent was completed by all participants.
- 3.Group REA-SPCW. Revised (2003) consensus on diagnostic criteria and long-term health risks related to polycystic ovary syndrome (PCOS). Hum Reprod 2004(19):41–47Google Scholar
- 8.Faramarzi M, Pasha H, Esmailzadeh S, Kheirkhah F, Heidary S, Afshar Z (2013) The effect of the cognitive behavioral therapy and pharmacotherapy on infertility stress, a randomized controlled trial. Int J Fertil Steril 7:99–206Google Scholar
- 14.Ozenli Y, Haydardedeoglu B, Micozkadioglu I, et al (2008) Anxiety, depression and ways of coping skills by women with polycystic ovary syndrome: a controlled study. Turkish-German Gyneco Assoc 9:190–194Google Scholar
- 15.Wei M, Ku T-Y, Russell DW, Mallinckrodt B, Liao KY-H (2008) Moderating effects of three coping strategies and self-esteem on perceived discrimination and depressive symptoms: a minority stress model for Asian international students. J Couns Psychol 55:451–462.Google Scholar
- 21.Basirat Z, Faramarzi M, Esmaelzadeh S, Abedi Firoozjai S, Mahouti T, Geraili Z (2019) Stress, depression, sexual function, and alexithymia in infertile females with and without polycystic ovary syndrome: a case–control study. Int J Fertil Steril 13(3):203–208Google Scholar
- 23.Spielberger CD, Gorsuch RL, Lushene R, Vagg PR, Jacobs GA (1983) Manual for the State-Trait Anxiety Inventory (Form Y). Consulting Psychologists Press, Palo Alto (Google Scholar) Google Scholar
- 24.Dadsetan P, Mansour M (1988) Mental illness. Roshd Press, Tehran [in Persian] Google Scholar
- 26.Vahedi H (2000) Investigating of being practical, validity, reliability and assessment of coping styles test among adolescence in high school of Tehran. Unpublished master’s thesis). Azad University, College of Educational Sciences and Psychology, Tehran , pp 40–45Google Scholar
- 27.Costa PT, McCrae RR (1992) Revised NEO Personality Inventory (NEO-PI-R) and NEO Five-Factor Inventory (NEO-FFI) professional manual. Psychological Assessment Resources, OdessaGoogle Scholar
- 28.Faramarzi M, Kashifard M, Shokri-Noshirvani J (2013) Comparison of some personality traits of patients with functional dyspepsia and healthy individual. J Babol Univ Med Sci 14:57–65Google Scholar
- 29.Faramarzi M, Salmalian H (2014) Association of psychologic and non psychologic factors with primary dysmenorrhea. Iran Red Cres Med J 6:e16307Google Scholar
- 30.Bell HM (1961) The adjustment inventory. Consulting Psychologists Press, Palo AltoGoogle Scholar
- 31.Naghshbandi S (2001) Evaluating psychometric properties of Bell’s adjustment inventory. Roudehen Islamic Azad University, TehranGoogle Scholar
- 32.Tan J, Wang QY, Feng GM, Li XY, Huang W (2017) Increased risk of psychiatric disorders in women with polycystic ovary syndrome in Southwest China. Chin Med J 130(3):262–266Google Scholar
- 36.Sayyah-Melli M, Alizadeh M, Pourafkary N, Ouladsahebmadarek E, Jafari-Shobeiri M, Abbassi J, Kazemi-Shishvan MA, Sedaghat K (2015) Psychosocial factors associated with polycystic ovary syndrome: a case control study. J Caring Sci 4(3):225–231Google Scholar
- 37.Açmaz G, Albayrak E, Acmaz B, Başer M, Soyak M, Zararsız G, IpekMüderris I (2013) Level of anxiety, depression, self-esteem, social anxiety, and quality of life among the women with polycystic ovary syndrome. Sci World J 9:851815Google Scholar
- 39.Scaruffi E, Franzoi IG, Civilotti C, Guglielmucci F, La Marca L, Tomelini M, Veglia F, Granieri A (2018) Body image, personality profiles and alexithymia in patients with polycystic ovary syndrome (PCOS). J Psychosom Obstet Gynaecol 6:1–10Google Scholar
- 40.Ahmadi M, Basirat Z, Faramarzi M, Khairkhah F (2018) Mental and personality disorders in infertile women with polycystic ovary: a case–control study. Medical Doctor Thesis, Faculty of Medicine. Babol University of Medical SciencesGoogle Scholar