EFFECT OF POLY-CYSTIC OVARIAN SYNDROME ON SELF-ESTEEM AND BODYIMAGE AMONG ADOLESCENT GIRLS ATTENDING ADOLESCENT CLINIC IN A TERTIARY CARE CENTRE

Author:

Arya Simran1,Jain Madhu2,Jain Shuchi3,Singh Tej Bali4

Affiliation:

1. PG Resident, Dept. Of Obstetrics and Gynecology, Institute Of Medical Sciences, Banaras Hindu University, Varanasi, India, 221005

2. Professor, Dept. of Obstetrics and Gynecology, Institute Of Medical Sciences, Banaras Hindu University, Varanasi, India, 221005.

3. Associate Professor, Dept. of Obstetrics and Gynecology, Institute Of Medical Sciences, Banaras Hindu University, Varanasi, India, 221005.

4. Professor, Dept. of Preventive and Social Medicine, Institute Of Medical Sciences, Banaras Hindu University, Varanasi, India, 221005.

Abstract

Background: Polycystic ovary syndrome (PCOS) have serious health issues, affecting female health, causing body disfigurement, lowers self- esteem decreases the quality of life and, lifelong health consequences related to metabolic disorders. Objective: The objective of the study was to evaluate, 'the impact of various clinical features of PCOS namely obesity, hirsutism, acne, menstrual irregularities on psychological well-being in adolescent girls'. Material and methods: A cross-sectional study conducted in the adolescent clinic, BHU. Tools used for data collection were a self-structured questionnaire which includes socio-demographic status, menstrual history, and anthropometric assessment. Hirsutism was assessed by the Ferriman-Gallwey scoring system, acne by the Global acne grading system, self-esteem by Rosenberg self-esteem scale, and body image by Body Image Concern Inventory scale. Statistical analysis was done by SPSS version '22'. Results: Findings of multiple regression analysis suggests that adolescent girls with hirsutism experienced poorer self-esteem (β= -2.621, p=0.01) and greater body dissatisfaction (β= 0.258, p= 0.02) than adolescents girls without hirsutism. Furthermore, obese adolescents had a lower level of self-esteem (β= -0.056, p=0.01) and negative body image (β= 0.748, p=0.01) compared with non- obese PCOS adolescents. Adolescent girls with menstrual irregularities had higher body dissatisfaction (β=0.143, p=0.05) than patients with a regular cycle. Conclusion: PCOS in adolescents having obesity, menstrual irregularities, and features of hyper-androgenism have a profound effect on psychological well being. So, the recognition of the early signs of PCOS during adolescence and early treatment can improve the quality of life.

Publisher

World Wide Journals

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