| Objective: because women menstrual regulation mechanism is disorder,appear a series of clinical manifestations such as menstruation to be notmoved, amenorrhea, infertility, and so on and so forth a syndrome calledpolycystic ovary syndrome (PCOS), and this is one of the more common infemale endocrine disorder disease category, through the investigation ofpatients with polycystic ovary syndrome under the action of socialpsychological factors, and compared with normal women, and to explore thesocial psychological factors for the occurrence and development of polycysticovary syndrome effect, so as to initiate somewhat to research of etiology ofPCOS, to do further analysis and research of the disease, at the same time totreatment, outcome and prognosis of the disease guidance.Methods:This study adopts the method of case-control study. Choose according tothe medical situation in March2012-December2013to Hebei medicaluniversity affiliated hospital outpatient service of department of gynecologypatients with polycystic ovary syndrome, conforms to the PCOS diagnosticcriteria, to prepare detailed survey, eliminate interference factors.Choose normal women case-control, matching conditions are: age, levelof education, marital status, menstruation, etc. Screening one by one accordingto the conditions, including in the same period in Hebei medical universityaffiliated hospital outpatient service of department of gynecology to carry onthe examination of women, in schools, organs, enterprises, such as selection ofhealthy women, healthy check-up report, normal women get body withoutmajor disease, without menstrual disorders and mental diseases.Collected in accordance with the sample of PCOS women and normalwomen are required to complete the questionnaire to fill in, can not leave a blank project, otherwise the questionnaire. Designed the questionnaire contentincluding general situation questionnaire, Eysenck personality questionnaire(EPQ) and symptom self-assessment scale (SCL-90), life events scale (LES),the scale printing binder, to conform to the conditions of the object of study.For all eligible subjects after completed the questionnaire, the questionnaireback in time, seriously do a good job in checking the results conclude andinput computer, finally will be collected by the questionnaire result analysissummarized, in order to come to the conclusion. Using SPSS13.0statisticalsoftware for data statistics processing.Results:1The PCOS group and normal control group on the age has no statisticalsignificance (P>0.05). There was no significant difference between twogroups on the ground often live (P>0.05); Two groups of women in thecultural degree, marital status, family situation, the menstruation situation hasvery obvious differences, statistically significant (P<0.05). Description on"cultural" project, PCOS group of women with normal group, the juniormiddle school and the cultural level of women prone to PCOS, is a risk factorfor PCOS; In the "marital status, birth, period" project, PCOS group of womenwith normal group, married, have fertility, irregular menstruation of womenprone to PCOS, is a risk factor for PCOS.2The PCOS group and normal control group of women, there were nosignificant differences in the diet had no statistical significance (P>0.05); Twogroups of women in the bad living habits, sleep, employment, economicpressure and the pressure of competition on the differences were statisticallysignificant, with statistical significance (P<0.05). In "bad living habits, sleep,employment situation, economic pressure, the pressure of competition" project,PCOS group of women with normal group, have bad living habits, sleepdisorders, there is a job, the economic pressure and the pressure ofcompetition prone to PCOS women, are high risk factors of the PCOSoccurred.3The PCOS group and normal control group of women in the relation of parents and there were no significant differences, there is no statisticalsignificance (P>0.05); Two groups of women in the growing environment,family condition, study result, the differences were statistically significantlearning pressure, with statistical significance (P<0.05).In "growingenvironment, family condition, study result" project, PCOS group of womenwith normal group, the puberty growth environment, family conditions,women are susceptible to disease, with poor grades are high risk factors of thePCOS occurred; On the learning pressure, PCOS group of women with normalgroup, learning a lot of pressure of women with polycystic ovary syndrome, isa high risk factors of the PCOS happen.4The PCOS group and normal control group of women personalityfactors, outgoing and hide there was no significant difference in sex, nostatistical significance (P>0.05); Two groups of women in the psychoticismand neuroticism have obvious difference in particular, with statisticalsignificance (P<0.05). Instructions on the spirit of "quality, neurotic" project,PCOS group spirit of "quality, degree of nervousness" compared to normalwomen.5The PCOS group and normal control group of women in interpersonalsensitivity, depression, terror, paranoia, psychosis, there were no significantdifferences on sex had no statistical significance (P>0.05); Two groups ofwomen in the somatization, force have prominent differences in symptoms,anxiety, hostility, statistically significant (P<0.05). In "somatization, forcingsymptoms, anxiety, hostility" project, PCOS group "somatization, forcingsymptoms, anxiety, hostility" degree than normal women.6The PCOS group and normal control group of women in negative lifeevents stimulating quantity and life events on the total amount of stimuluswere statistically significant differences, statistically significant (P<0.05).Show the PCOS group of women in the negative life events stimulatingquantity and life events compared to normal women always stimulate more.Conclusion:1The development of polycystic ovary syndrome and social psychological factors have a close relationship.2Lower cultural degree, married fertility, irregular menstruation, badliving habits, sleep disorders, economic pressure and the pressure ofcompetition professional women prone to PCOS.3The puberty growth environment, family conditions, poor grades, learna lot of pressure prone to PCOS women, is the important cause of PCOS.4PCOS in terms of personality factors, mental quality, compared withthe normal female level of neuroticism, and more prone to anxiety, tension,irritability, poor sleep, with psychosomatic disorders. Emotional instability,poor ability to adapt to the environment, often hostile.5Somatization, forcing symptoms of PCOS group, compared with thenormal female level of anxiety, hostility, and showed that the patients hadobvious feeling of body discomfort, chest tightness,fatigue. Accompanied byanxious and nervous, and hostile.6PCOS patients mental pressure is big, the greater the influence on thepsychosomatic health. The appropriate psychological intervention for patientswith PCOS is very necessary. |
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