Maladaptive Coping With Illness in Women With Polycystic Ovary Syndrome
- 1 January 2010
- journal article
- Published by Elsevier BV in Journal of Obstetric, Gynecologic & Neonatal Nursing
- Vol. 39 (1), 37-45
- https://doi.org/10.1111/j.1552-6909.2009.01086.x
Abstract
To investigate associations between active and passive coping, psychiatric symptoms of depression and anxiety, and quality of life in women with polycystic ovary syndrome (PCOS). To assess the relative contribution of these coping strategies to reduced quality of life in an attempt to clarify the possible relevance of coping for impaired psychosocial well-being in PCOS. Internet-based survey. 448 German women with PCOS. Coping (Freiburg Questionnaire of Coping-with-Illness), anxiety and depression (Hospital Anxiety and Depression Scale [HADS]), and quality of life (Short Form 12 Health Survey [SF-12]) were assessed in an Internet-based survey. Correlation and regression analyses were conducted. In women with PCOS, passive coping was significantly associated with greater anxiety (r= .65; p < .001), depression (r= .61; p < .001), and reduced psychological quality of life (r=-.64, p < .001). In stepwise multiple regression analyses, passive coping, together with depression, anxiety and body mass index (BMI), explained 50.1% of the SF-12 psychological sum score, while active coping did not enter any regression model. Data suggested that faced with the diagnosis of PCOS, passive coping may constitute a maladaptive strategy associated with anxiety and depression symptoms and compromised quality of life. Hence, efforts to incorporate psychosocial aspects into counselling and care for women with PCOS should take coping strategies into consideration. Nurses and other health care providers may help to improve coping strategies through education and psychosocial support in women with PCOS.Keywords
This publication has 25 references indexed in Scilit:
- Prevalence and implications of anxiety in polycystic ovary syndrome: results of an internet-based survey in GermanyHuman Reproduction, 2009
- Pregnancy after early pregnancy loss: A prospective study of anxiety, depressive symptomatology and copingJournal of Psychosomatic Obstetrics & Gynecology, 2008
- Polycystic ovarian syndrome: marked differences between endocrinologists and gynaecologists in diagnosis and managementClinical Endocrinology, 2005
- Quality of Life, Psychosocial Well-Being, and Sexual Satisfaction in Women with Polycystic Ovary SyndromeJournal of Clinical Endocrinology & Metabolism, 2003
- Coping Effectiveness Training for Men Living With HIV: Results From a Randomized Clinical Trial Testing a Group-Based InterventionPsychosomatic Medicine, 2003
- Coping and Survival in Lung Cancer: A 10-Year Follow-UpAmerican Journal of Psychiatry, 2002
- Developing interventions for chronically ill patientsClinical Psychology Review, 2001
- Promoting psychological well-being in the face of serious illness: when theory, research and practice inform each otherPsycho‐Oncology, 2000
- Dissociation, Somatization, Substance Abuse, and Coping in Women With Chronic Pelvic PainObstetrics & Gynecology, 1997
- The relationship between coping and emotion: Implications for theory and researchSocial Science & Medicine, 1988