Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Sleep and Breathing
Published in: Sleep and Breathing 3/2020

01-09-2020 | Infertility | Sleep Breathing Physiology and Disorders • Original Article

The impact of depression, self-esteem, and body image on sleep quality in patients with PCOS: a cross-sectional study

Authors: Maryam Azizi Kutenaee, Shakiba Amirjani, Zatollah Asemi, Seyed-Abdolvahab Taghavi, Helen Allan, Seyedeh-Nastaran Kamalnadian, Zahra Khashavi, Fatemeh Bazarganipour

Published in: Sleep and Breathing | Issue 3/2020

Login to get access

Abstract

Background

To date, some factors associated with quality of sleep in patients with PCOS have been identified. Previous studies have mainly focused on limited psychological variables related to sleep disorder without evaluating them in a comprehensive framework.

Objective

The aim of the present study was to evaluate the impact of predictive factors on the sleep quality of PCOS patients using structural equation modeling (SEM).

Material and methods

The present study is a case control that is done in an infertility clinic in Hormozgan, Iran. The case group (n = 201) consisted of women with PCOS and the control group (n = 199) was healthy women whose partners had male infertility. All the women recruited to the study completed the Hospital Anxiety and Depression Scale, the Body Image Concern Investigation, the Rosenberg Self-esteem Scale, and the Pittsburgh Sleep Quality Index on attendance at the Hormozgan Infertility Clinic. Direct and indirect relationship between clinical signs, psychological situation, self-esteem, and body image was studied as independent predictors of sleep quality using structural equation modeling.

Results

Compared with the control group, there was a lower sleep quality in women with PCOS in all fields, especially subjective sleep quality (P < 0.05), daytime function (P = 0.001), and use of sleep medication (P = 0.003). The strongest effect from a psychological variable on sleep quality was body image which had negative impact on sleep quality of patients with PCOS.

Conclusion

Our study showed that body image plays an important role in the sleep quality of women with PCOS.
Literature
1.
Hays RD, Martin SA, Sesti AM, Spritzer KL (2005) Psychometric properties of the medical outcomes study sleep measure. Sleep Med 6:41–44PubMedCrossRef
2.
Tersigni C, Castellani R, de Waure C, Fattorossi A, De Spirito M, Gasbarrini A et al (2014) Celiac disease and reproductive disorders: meta-analysis of epidemiologic associations and potential pathogenic mechanisms. Hum Reprod Update 20:582–593PubMedCrossRef
3.
Bixler EO, Vgontzas AN, Lin HM, Calhoun SL, Vela-Bueno A, Kales A (2005) Excessive daytime sleepiness in a general population sample: the role of sleep apnea, age, obesity, diabetes, and depression. J Clin Endocrinol Metab 90:4510–4515PubMedCrossRef
4.
Lemola S, Raikkonen K, Gomez V, Allemand M (2013) Optimism and self-esteem are related to sleep. Results from a large community-based sample. Int J Behav Med 20:567–571PubMedCrossRef
5.
Azziz R (2003) Androgen excess is the key element in polycystic ovary syndrome. Fertil Steril 80:252–254PubMedCrossRef
6.
Mansson M, Holte J, Landin-Wilhelmsen K, Dahlgren E, Johansson A, Landen M (2008) Women with polycystic ovary syndrome are often depressed or anxious--a case control study. Psychoneuroendocrinology. 33:1132–1138PubMedCrossRef
7.
Downey J, Yingling S, McKinney M, Husami N, Jewelewicz R, Maidman J (1989) Mood disorders, psychiatric symptoms, and distress in women presenting for infertility evaluation. Fertil Steril 52:425–432PubMedCrossRef
8.
Paulson JD, Haarmann BS, Salerno RL, Asmar P (1988) An investigation of the relationship between emotional maladjustment and infertility. Fertil Steril 49:258–262PubMedCrossRef
9.
Moran LJ, March WA, Whitrow MJ, Giles LC, Davies MJ, Moore VM (2015) Sleep disturbances in a community-based sample of women with polycystic ovary syndrome. Hum Reprod 30:466–472PubMedCrossRef
10.
Lipton MG, Sherr L, Elford J, Rustin MH, Clayton WJ (2006) Women living with facial hair: the psychological and behavioral burden. J Psychosom Res 61:161–168PubMedCrossRef
11.
Yazici K, Baz K, Yazici AE, Kokturk A, Tot S, Demirseren D et al (2004) Disease-specific quality of life is associated with anxiety and depression in patients with acne. J Eur Acad Dermatol Venereol 18:435–439PubMedCrossRef
12.
Petry NM, Barry D, Pietrzak RH, Wagner JA (2008) Overweight and obesity are associated with psychiatric disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Psychosom Med 70:288–297PubMedCrossRef
13.
Lechner L, Bolman C, van Dalen A (2007) Definite involuntary childlessness: associations between coping, social support and psychological distress. Hum Reprod 22:288–294PubMedCrossRef
14.
Himelein MJ, Thatcher SS (2006) Depression and body image among women with polycystic ovary syndrome. J Health Psychol 11:613–625PubMedCrossRef
15.
Fogel RB, Malhotra A, Pillar G, Pittman SD, Dunaif A, White DP (2001) Increased prevalence of obstructive sleep apnea syndrome in obese women with polycystic ovary syndrome. J Clin Endocrinol Metab 86:1175–1180PubMed
16.
Ferriman D, Gallwey JD (1961) Clinical assessment of body hair growth in women. J Clin Endocrinol Metab 21:1440–1447PubMedCrossRef
17.
Shyangdan D, Clar C, Ghouri N, Henderson R, Gurung T, Preiss D et al (2011) Insulin sensitisers in the treatment of non-alcoholic fatty liver disease: a systematic review. Health Technol Assess 15:1–110PubMedPubMedCentral
18.
Herrmann C (1997) International experiences with the Hospital Anxiety and Depression Scale--a review of validation data and clinical results. J Psychosom Res 42:17–41PubMedCrossRef
19.
Montazeri A, Vahdaninia M, Ebrahimi M, Jarvandi S (2003) The Hospital Anxiety and Depression Scale (HADS): translation and validation study of the Iranian version. Health Qual Life Outcomes 1:14PubMedPubMedCentralCrossRef
20.
Vajro P, Lenta S, Pignata C, Salerno M, D’Aniello R, De Micco I et al (2012) Therapeutic options in pediatric non alcoholic fatty liver disease: current status and future directions. Ital J Pediatr 38:55PubMedPubMedCentralCrossRef
21.
Luque-Ramirez M, Escobar-Morreale HF (2014) Polycystic ovary syndrome as a paradigm for prehypertension, prediabetes, and preobesity. Curr Hypertens Rep 16:500PubMedCrossRef
22.
Littleton HL, Axsom D, Pury CL (2005) Development of the body image concern inventory. Behav Res Ther 43:229–241PubMedCrossRef
23.
Unfer V, Porcaro G (2014) Updates on the myo-inositol plus D-chiro-inositol combined therapy in polycystic ovary syndrome. Expert Rev Clin Pharmacol 7:623–631PubMedCrossRef
24.
Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ (1989) The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res 28:193–213CrossRef
25.
Rezaei E, Moghadam ZB, Saraylu K (2013) Quality of life in pregnant women with sleep disorder. J Family Reprod Health 7:87–93PubMedPubMedCentral
26.
Jenkins CD, Stanton BA, Niemcryk SJ, Rose RM (1988) A scale for the estimation of sleep problems in clinical research. J Clin Epidemiol 41:313–321PubMedCrossRef
27.
Lachin JM (2000) Statistical considerations in the intent-to-treat principle. Control Clin Trials 21:167–189PubMedCrossRef
28.
29.
Carver CS, Pozo-Kaderman C, Price AA, Noriega V, Harris SD, Derhagopian RP et al (1998) Concern about aspects of body image and adjustment to early stage breast cancer. Psychosom Med 60:168–174PubMedCrossRef
30.
Hopwood P (1993) The assessment of body image in cancer patients. Eur J Cancer 2:276–281CrossRef
31.
Cohen MZ, Kahn DL, Steeves RH (1998) Beyond body image: the experience of breast cancer. Oncol Nurs Forum 25:835–841PubMed
32.
Bazarganipour F, Ziaei S, Montazeri A, Foroozanfard F, Kazemnejad A, Faghihzadeh S (2013) Body image satisfaction and self-esteem status among the patients with polycystic ovary syndrome. Iran J Reprod Med 11:829–836PubMedPubMedCentral
33.
de Niet JE, de Koning CM, Pastoor H, Duivenvoorden HJ, Valkenburg O, Ramakers MJ et al (2010) Psychological well-being and sexarche in women with polycystic ovary syndrome. Hum Reprod 25:1497–1503PubMedCrossRef
34.
Iliescu EA, Coo H, McMurray MH, Meers CL, Quinn MM, Singer MA et al (2003) Quality of sleep and health-related quality of life in haemodialysis patients. Nephrol Dial Transplant 18:126–132PubMedCrossRef
Metadata
Title
The impact of depression, self-esteem, and body image on sleep quality in patients with PCOS: a cross-sectional study
Authors
Maryam Azizi Kutenaee
Shakiba Amirjani
Zatollah Asemi
Seyed-Abdolvahab Taghavi
Helen Allan
Seyedeh-Nastaran Kamalnadian
Zahra Khashavi
Fatemeh Bazarganipour
Publication date
01-09-2020
Publisher
Springer International Publishing
Published in
Sleep and Breathing / Issue 3/2020
Print ISSN: 1520-9512
Electronic ISSN: 1522-1709
DOI
https://doi.org/10.1007/s11325-019-01946-9

Other articles of this Issue 3/2020

Sleep and Breathing 3/2020 Go to the issue

Methods • Original Article

The impact of bedtime procrastination on depression symptoms in Chinese medical students

Epidemiology • Review

Sleep and frailty risk: a systematic review and meta-analysis

Psychiatrics • Review

Sleep quality in medical students: a comprehensive meta-analysis of observational studies

Sleep Breathing Physiology and Disorders • Original Article

Effect of lung function on the apnea-hypopnea index in patients with overlap syndrome: a multicenter cross-sectional study

Sleep Breathing Physiology and Disorders • Original Article

The serum YKL-40 level is a potential biomarker for OSAHS: a systematic review and meta-analysis

Sleep Breathing Physiology and Disorders • Review

Obstructive sleep apnea syndrome (OSAS) and swallowing function—a systematic review
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Reserve your place

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

Read more

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine
Image Credits