Psychosocial Effects of Polycystic Ovary Syndrome (PCOS) in Adolescent Girls: A Mixed-Methods Study
1Ali Raza, 2Dr Aisha Yousaf, 3Dr Wajiha Mehwish, 4Qamar Abbas, 5Isma Abbas, 6Dr Muhammad Sami Bilal
1PIMS Islamabad
2Associate Professor Gynae and Obs, MIMC Mirpur Gynae Department
3Associate Professor, sialkot Medical College.
4PIMS Islamabad
5PIMS Islamabad
6Assistant Professor of Psychiatry, CPSP Karachi
Vol: 15/02
Received: January 25, 2025 Accepted: March 02, 2025 Published: July 06, 2025
Vol: 15/02
Received: May 25, 2025 Accepted: June 02, 2025 Published: July 06, 2025
ABSTRACT:
Background: Polycystic Ovary Syndrome (PCOS) is a prevalent endocrine disorder among adolescent girls, considered by a range of symptoms that can profoundly affect their psychosocial well-being. Despite considerable research on the physical manifestations of PCOS, its psychosocial impact remains less understood, particularly in the adolescent population. Aim: This study aimed to discover psychosocial effects of PCOS in adolescent girls, focusing on their emotional well-being, social interactions, and quality of life. Methods: A mixed-methods study was conducted from December 2022 to December 2024, involving 100 adolescent girls diagnosed with PCOS. Quantitative data were collected using standardized questionnaires measuring depression, anxiety, self-esteem, and quality of life. Qualitative data were obtained through semi-structured interviews, exploring applicants’ personal experiences and coping mechanisms. Statistical analysis of the quantitative data was accomplished by means of SPSS software, while thematic analysis was applied to qualitative data to recognize recurrent outlines and themes. Results: Quantitative findings indicated that 65% of the participants experienced moderate to severe levels of depression and anxiety. Low self-esteem was reported by 58% of the girls, and 72% perceived a substantial negative effect on their quality of life. The qualitative analysis revealed four main themes: emotional distress, social isolation, stigma and self-image issues, and adaptive coping strategies. Participants frequently described feelings of frustration and helplessness due to their symptoms, leading to withdrawal from social activities and strained peer relationships. Stigmatization and concerns about body image were common, exacerbating their emotional struggles. Despite these challenges, many girls employed various coping mechanisms, like seeking support from family and friends, engaging in hobbies, and accessing professional counseling. Conclusion: The study underscored the substantial psychosocial burden of PCOS on adolescent girls, highlighting need for inclusive care approaches that address both physical and emotional health. Interventions should include psychological support and strategies to enhance social integration and selfesteem.
Keywords: Polycystic Ovary Syndrome, PCOS, adolescent girls, psychosocial effects, mixed-methods study, depression, anxiety, self-esteem, quality of life.