Skip to main content
Top
Published in: Reproductive Health 1/2018

Open Access 01-12-2018 | Study protocol

A comprehensive mental health care program for women with polycystic ovary syndrome: protocol for a mixed methods study

Authors: Fatemeh ZareMobini, Ashraf Kazemi, Ziba Farajzadegan

Published in: Reproductive Health | Issue 1/2018

Login to get access

Abstract

Background

Psychological health is related to the management of polycystic ovary syndrome (PCOS) and is an essential component of self-efficacy and enjoying a healthy lifestyle. Need assessment and plans to improve the psychological health of these women provides significantly valuable information to design an advantageous intervention program to reach that goal. Therefore, this study will conduct to improve the psychological health for women with PCOS through a designed comprehensive care.

Methods

This is an exploratory mixed method study using consecutive qualitative-quantitative methods, including three consecutive phases. In the first phase, a qualitative study will be conducted to assess their needs and will design a care protocol for improving mental health of women with PCOS. Participants in this phase will select by purposive sampling method and data will collect using semi-structured interviews by taking notes at same time. Data will analyze using conventional content analysis method. At second phase, according the information obtained from previous phase and a literature review a comprehensive program to mental health care will be proposed. Then multidisciplinary team will review and finalize it according to priorities. The third phase will follow a quantitative approach using quasi-experimental study with two groups to measure the effectiveness of this program on the women’s psychological health.

Discussion

Designing a program based on a qualitative study and a review article and updated evidences can lead to improving of these women’s psychological health and quality of life. Consequently, we expect to show that mental health program provided by a multidisciplinary team improves reproductive outcomes while at the same time being cost-effective in women with PCOS.
Literature
1.
go back to reference Blagojevic IP, Eror T, Pelivanovic J, Jelic S, Kotur-Stevuljevic J, Ignjatovic S. Women with polycystic ovary syndrome and risk of cardiovascular disease. J Med Biochem. 2017;36:259–69.CrossRef Blagojevic IP, Eror T, Pelivanovic J, Jelic S, Kotur-Stevuljevic J, Ignjatovic S. Women with polycystic ovary syndrome and risk of cardiovascular disease. J Med Biochem. 2017;36:259–69.CrossRef
2.
go back to reference Raja-Khan N, Agito K, Shah J, Stetter CHM, Gustafson TS, Socolow H, et al. Mindfulness-based stress reduction for overweight/obese women with and without polycystic ovary syndrome: design and methods of a pilot randomized controlled trial. Contemp Clin Trials. 2015;41:287–97.CrossRefPubMedPubMedCentral Raja-Khan N, Agito K, Shah J, Stetter CHM, Gustafson TS, Socolow H, et al. Mindfulness-based stress reduction for overweight/obese women with and without polycystic ovary syndrome: design and methods of a pilot randomized controlled trial. Contemp Clin Trials. 2015;41:287–97.CrossRefPubMedPubMedCentral
3.
go back to reference Conte F, Banting L, Teede HJ, Stepto NK. Mental health and physical activity in women with polycystic ovary syndrome: a brief review. Sports Med. 2015;45:497–504.CrossRefPubMed Conte F, Banting L, Teede HJ, Stepto NK. Mental health and physical activity in women with polycystic ovary syndrome: a brief review. Sports Med. 2015;45:497–504.CrossRefPubMed
4.
go back to reference Rees DA, S J-J, Morgan CL. Contemporary reproductive outcomes for patients with polycystic ovary syndrome: a retrospective observational study. J Clin Endocrinol Metab. 2016;101(4):1664–72.CrossRefPubMedPubMedCentral Rees DA, S J-J, Morgan CL. Contemporary reproductive outcomes for patients with polycystic ovary syndrome: a retrospective observational study. J Clin Endocrinol Metab. 2016;101(4):1664–72.CrossRefPubMedPubMedCentral
5.
go back to reference Hart R, Doherty DA. The potential implications of a PCOS diagnosis on a woman's long-term health using data linkage. J Clin Endocrinol Metab. 2015;100(3):911–9.CrossRefPubMed Hart R, Doherty DA. The potential implications of a PCOS diagnosis on a woman's long-term health using data linkage. J Clin Endocrinol Metab. 2015;100(3):911–9.CrossRefPubMed
6.
go back to reference Palomba S, Santagni S, Falbo A, Battista G. Complications and challenges associated with polycystic ovary syndrome: current perspectives. Int J Women’s Health. 2015;7:745–63.CrossRef Palomba S, Santagni S, Falbo A, Battista G. Complications and challenges associated with polycystic ovary syndrome: current perspectives. Int J Women’s Health. 2015;7:745–63.CrossRef
7.
go back to reference Aziz M, Sidelmann JJ, Faber J, Wissing ML, Naver KV, Mikkelsen AL, et al. Polycystic ovary syndrome: cardiovascular risk factors according to specific phenotypes. Acta Obstet Gynecol Scand. 2015;94(10):1082–9.CrossRefPubMed Aziz M, Sidelmann JJ, Faber J, Wissing ML, Naver KV, Mikkelsen AL, et al. Polycystic ovary syndrome: cardiovascular risk factors according to specific phenotypes. Acta Obstet Gynecol Scand. 2015;94(10):1082–9.CrossRefPubMed
8.
go back to reference Balen AH. Polycystic ovary syndrome (PCOS). The Obstetrician & Gynaecologist. 2017;19:119–29.CrossRef Balen AH. Polycystic ovary syndrome (PCOS). The Obstetrician & Gynaecologist. 2017;19:119–29.CrossRef
9.
go back to reference Teede H, Deeks A, Moran L. Polycystic ovary syndrome: a complex condition with psychological, reproductive and metabolic manifestations that impacts on health across the lifespan. BMC Med. 2010;8:41–51.CrossRefPubMedPubMedCentral Teede H, Deeks A, Moran L. Polycystic ovary syndrome: a complex condition with psychological, reproductive and metabolic manifestations that impacts on health across the lifespan. BMC Med. 2010;8:41–51.CrossRefPubMedPubMedCentral
10.
go back to reference Y L, Li Y, Yu Ng EH, Stener-Victorin E, Hou L, Wu T. Polycystic ovary syndrome is associated with negatively variable impacts on domains of health-related quality of life: evidence from a meta-analysis. Fertil Steril. 2011;96(2):452–8.CrossRef Y L, Li Y, Yu Ng EH, Stener-Victorin E, Hou L, Wu T. Polycystic ovary syndrome is associated with negatively variable impacts on domains of health-related quality of life: evidence from a meta-analysis. Fertil Steril. 2011;96(2):452–8.CrossRef
11.
go back to reference Scaruffi E, Gambineri A, Cattaneo S, Turra J, Vettor R, Mioni R. Personality and psychiatric disorders in women affected by polycystic ovary syndrome. Front Endocrinol (Lausanne). 2014;5:185. Scaruffi E, Gambineri A, Cattaneo S, Turra J, Vettor R, Mioni R. Personality and psychiatric disorders in women affected by polycystic ovary syndrome. Front Endocrinol (Lausanne). 2014;5:185.
12.
go back to reference Tan J, Wang QY, Feng GM, Li XY, Huang W. Increased risk of psychiatric disorders in women with polycystic ovary syndrome in Southwest China. Chin Med J. 2017;130:262–6.CrossRefPubMedPubMedCentral Tan J, Wang QY, Feng GM, Li XY, Huang W. Increased risk of psychiatric disorders in women with polycystic ovary syndrome in Southwest China. Chin Med J. 2017;130:262–6.CrossRefPubMedPubMedCentral
13.
go back to reference Himelein M, Thatcher S. Polycystic ovary syndrome and mental health: a review. Obstetrical & Gynecological Survey. 2006;61:723–32.CrossRef Himelein M, Thatcher S. Polycystic ovary syndrome and mental health: a review. Obstetrical & Gynecological Survey. 2006;61:723–32.CrossRef
14.
go back to reference Kerchner A, Lester W, Stuart S, Dokras A. Risk of depression and other mental health disorders in women with polycystic ovary syndrome: a longitudinal study. Fertil Steril. 2009;91:207–12.CrossRefPubMed Kerchner A, Lester W, Stuart S, Dokras A. Risk of depression and other mental health disorders in women with polycystic ovary syndrome: a longitudinal study. Fertil Steril. 2009;91:207–12.CrossRefPubMed
15.
go back to reference Rachel N. PCOS T.A.C.T.: a program to assist psychologists in understanding and helping women diagnosed with polycystic ovary syndrome. The Chicago school of Prof Psychol. 2012;154 Rachel N. PCOS T.A.C.T.: a program to assist psychologists in understanding and helping women diagnosed with polycystic ovary syndrome. The Chicago school of Prof Psychol. 2012;154
16.
go back to reference Hung JH, et al. Risk of psychiatric disorders following polycystic ovary syndrome: a Nationwide population-based cohort study. PLoS One. 2014;9(5):e97041.CrossRefPubMedPubMedCentral Hung JH, et al. Risk of psychiatric disorders following polycystic ovary syndrome: a Nationwide population-based cohort study. PLoS One. 2014;9(5):e97041.CrossRefPubMedPubMedCentral
17.
go back to reference Asik M, Altinbas K, Eroglu M, Karaahmet E, Erbag G, Ertekin H, et al. Evaluation of affective temperament and anxiety-depression levels of patients with polycystic ovary syndrome. J Affect Disord 2015, 1. 185:214–8. Asik M, Altinbas K, Eroglu M, Karaahmet E, Erbag G, Ertekin H, et al. Evaluation of affective temperament and anxiety-depression levels of patients with polycystic ovary syndrome. J Affect Disord 2015, 1. 185:214–8.
18.
go back to reference Annagür BB, Kerimoglu ÖS, Tazegül A, Gündüz Ş, Gençoglu BB. Psychiatric comorbidity in women with polycystic ovary syndrome. J Obstet Gynaecol Res. 2015;41(8):1229–33.CrossRefPubMed Annagür BB, Kerimoglu ÖS, Tazegül A, Gündüz Ş, Gençoglu BB. Psychiatric comorbidity in women with polycystic ovary syndrome. J Obstet Gynaecol Res. 2015;41(8):1229–33.CrossRefPubMed
19.
go back to reference Stefanaki C, Bacopoulou F, Livadas S, Kandaraki A, Karachalios A, Chrousos GP, et al. Impact of a mindfulness stress management program on stress, anxiety, depression and quality of life in women with polycystic ovary syndrome: a randomized controlled trial. Stress. 2015;18(1):57–66.CrossRefPubMed Stefanaki C, Bacopoulou F, Livadas S, Kandaraki A, Karachalios A, Chrousos GP, et al. Impact of a mindfulness stress management program on stress, anxiety, depression and quality of life in women with polycystic ovary syndrome: a randomized controlled trial. Stress. 2015;18(1):57–66.CrossRefPubMed
20.
go back to reference Rodrigues CEG, Ferreira L, Jansen K, Lopez M. Evaluation of common mental disorders in women with polycystic ovary syndrome and its relationship with body mass index. Rev Bras Ginecol Obstet. 2012;34:442–6.CrossRefPubMed Rodrigues CEG, Ferreira L, Jansen K, Lopez M. Evaluation of common mental disorders in women with polycystic ovary syndrome and its relationship with body mass index. Rev Bras Ginecol Obstet. 2012;34:442–6.CrossRefPubMed
21.
go back to reference Podfigurna-Stopa A, Luisi S, Regini C, Katulski K, Centini G, Meczekalski B, et al. Mood disorders and quality of life in polycystic ovary syndrome. Gynecol Endocrinol. 2015;31(6):431–4.CrossRefPubMed Podfigurna-Stopa A, Luisi S, Regini C, Katulski K, Centini G, Meczekalski B, et al. Mood disorders and quality of life in polycystic ovary syndrome. Gynecol Endocrinol. 2015;31(6):431–4.CrossRefPubMed
22.
go back to reference Barry MM, Clarke AM, Jenkins R, Patel V. A systematic review of the effectiveness of mental health promotion interventions for young people in low and middle income countries. BMC Public Health. 2013;13:835.CrossRefPubMedPubMedCentral Barry MM, Clarke AM, Jenkins R, Patel V. A systematic review of the effectiveness of mental health promotion interventions for young people in low and middle income countries. BMC Public Health. 2013;13:835.CrossRefPubMedPubMedCentral
23.
go back to reference Molarius A. Mental health symptoms in relation to socio-economic conditions and lifestyle factors – a population-based study in Sweden. BMC Public Health. 2009;9:302.CrossRefPubMedPubMedCentral Molarius A. Mental health symptoms in relation to socio-economic conditions and lifestyle factors – a population-based study in Sweden. BMC Public Health. 2009;9:302.CrossRefPubMedPubMedCentral
24.
go back to reference Whiteford HA, Ferrari AJ, Degenhardt L, Feigin V, Vos T. The global burden of mental, neurological and substance use disorders: an analysis from the global burden of disease study 2010. PLoS One. 2015;10(2):1–14.CrossRef Whiteford HA, Ferrari AJ, Degenhardt L, Feigin V, Vos T. The global burden of mental, neurological and substance use disorders: an analysis from the global burden of disease study 2010. PLoS One. 2015;10(2):1–14.CrossRef
25.
go back to reference Banting LK, Gibson-Helm M, Polman R, Teede HJ, Stepto NK. Physical activity and mental health in women with polycystic ovary syndrome. BMC Womens Health. 2014;14:51.CrossRefPubMedPubMedCentral Banting LK, Gibson-Helm M, Polman R, Teede HJ, Stepto NK. Physical activity and mental health in women with polycystic ovary syndrome. BMC Womens Health. 2014;14:51.CrossRefPubMedPubMedCentral
26.
go back to reference Domecq JP, Prutsky G, Mullan RJ, Hazem A, Sundaresh V, Elamin MB, et al. Lifestyle modification programs in polycystic ovary syndrome: systematic review and meta-analysis. J Clin Endocrinol Metab. 2013;98(12):4655–63.CrossRefPubMed Domecq JP, Prutsky G, Mullan RJ, Hazem A, Sundaresh V, Elamin MB, et al. Lifestyle modification programs in polycystic ovary syndrome: systematic review and meta-analysis. J Clin Endocrinol Metab. 2013;98(12):4655–63.CrossRefPubMed
27.
go back to reference Deeks AA, Gibson-Helm ME, Teede HJ. Anxiety and depression in polycystic ovary syndrome: a comprehensive investigation. Fertil Steril. 2010;93:2421–3.CrossRefPubMed Deeks AA, Gibson-Helm ME, Teede HJ. Anxiety and depression in polycystic ovary syndrome: a comprehensive investigation. Fertil Steril. 2010;93:2421–3.CrossRefPubMed
28.
go back to reference Moran LJ, March WA, Whitrow MJ, Giles LC, Davies MJ, Moore VM. Sleep disturbances in a community-based sample of women with polycystic ovary syndrome. Hum Reprod. 2015;30(2):466–72.CrossRefPubMed Moran LJ, March WA, Whitrow MJ, Giles LC, Davies MJ, Moore VM. Sleep disturbances in a community-based sample of women with polycystic ovary syndrome. Hum Reprod. 2015;30(2):466–72.CrossRefPubMed
29.
go back to reference Streubert HJ, Carpenter DR. Qualitative research in nursing. Fifth ed. Philadelphia: Lippincott Williams & Wilkins; 2011. Streubert HJ, Carpenter DR. Qualitative research in nursing. Fifth ed. Philadelphia: Lippincott Williams & Wilkins; 2011.
30.
go back to reference Fitch K, Bernstein SJ, Aguilar MS, Burnand B, Lacalle JR, et al. Rand appropriateness method user,s manual. Santa monica, CA: RAND Corporation; 2001. Fitch K, Bernstein SJ, Aguilar MS, Burnand B, Lacalle JR, et al. Rand appropriateness method user,s manual. Santa monica, CA: RAND Corporation; 2001.
31.
go back to reference Farrell-Turner KA. Women's health providers: don't forget about polycystic ovary syndrome. Am Psychol. 2015;70(1):49–50.CrossRefPubMed Farrell-Turner KA. Women's health providers: don't forget about polycystic ovary syndrome. Am Psychol. 2015;70(1):49–50.CrossRefPubMed
32.
go back to reference Lara LA, Ramos FK, Kogure GS, Costa RS, Silva de Sá MF, Ferriani RA, et al. Impact of physical resistance training on the sexual function of women with polycystic ovary syndrome. J Sex Med. 2015;12(7):1584–90.CrossRefPubMed Lara LA, Ramos FK, Kogure GS, Costa RS, Silva de Sá MF, Ferriani RA, et al. Impact of physical resistance training on the sexual function of women with polycystic ovary syndrome. J Sex Med. 2015;12(7):1584–90.CrossRefPubMed
33.
go back to reference Greenwood EA, Pasch LA, Shinkai K, Cedars MI, Huddleston HG. Putative role for insulin resistance in depression risk in polycystic ovary syndrome. Fertil Steril. 2015;104(3):707–14.CrossRefPubMed Greenwood EA, Pasch LA, Shinkai K, Cedars MI, Huddleston HG. Putative role for insulin resistance in depression risk in polycystic ovary syndrome. Fertil Steril. 2015;104(3):707–14.CrossRefPubMed
34.
go back to reference Nasiri Amiri F, Ramezani Tehrani F, Simbar M, Montazeri A, Mohammadpour RA. The experience of women affected by polycystic ovary syndrome: a qualitative study from Iran. Int J Endocrinol Metab. 2014;12(2):e13612.CrossRefPubMedPubMedCentral Nasiri Amiri F, Ramezani Tehrani F, Simbar M, Montazeri A, Mohammadpour RA. The experience of women affected by polycystic ovary syndrome: a qualitative study from Iran. Int J Endocrinol Metab. 2014;12(2):e13612.CrossRefPubMedPubMedCentral
Metadata
Title
A comprehensive mental health care program for women with polycystic ovary syndrome: protocol for a mixed methods study
Authors
Fatemeh ZareMobini
Ashraf Kazemi
Ziba Farajzadegan
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Reproductive Health / Issue 1/2018
Electronic ISSN: 1742-4755
DOI
https://doi.org/10.1186/s12978-018-0488-5

Other articles of this Issue 1/2018

Reproductive Health 1/2018 Go to the issue