多囊卵巢综合征不育患者与其他不育患者心理健康状况对比研究

应用症状自评量表（SCL-90）对122例多囊卵巢综合征（PCOS）不育患者与112例非PCOS不育患者的心理健康状况进行调查及对比分析，结果表明排除不育症对心理健康的影响，PCOS患者本身就存在强迫、人际关系敏感、抑郁及敌对的心理障碍；痤疮是引起PCOS患者心理障碍的危险因素（OR=3．379，95％CI=1．096～10．419）；继发不育的PCOS不育患者心理障碍较原发不育的患者尤为明显（P〈0．05）。临床诊治过程中应考虑心理因素对该病的影响，以进行综合全面的治疗，改善治疗效果。

Comparison of psychological health status between infertile women with and without polycystic ovary syndrome

One hundred and twenty-two infertile women with polycystic ovary syndrome (PCOS) and 112 infertile women without PCOS were interviewed with symptom checklist 90 ( SCL-90) and questionnaire of demographic and clinical characteristics to understand their psychological health status. Results demonstrated that scores of depression, interpersonal sensitivity, obsessive-compulsive and aggressive symptoms in infertile patients with PCOS were significantly higher than those in non-PCOS infertile ones (P < 0. 05 ). Acne had negative effect on their psychological health status (OR =3. 379, 95% CI = 1.096 ±10.419) . Scores of somzatization, interpersonal sensitivity, anxiety, obsessive-compulsive, aggressive and paranoid ideation symptoms were significantly higher in secondary infertile patients with PCOS than those in primary infertile ones (P<0. 05). Patients with PCOS had obviously psychological problems, especially in secondary infertile patients with PCOS ( P < 0. 05 ). Thus, it is suggested that psychological health status be evaluated in clinical diagnosis for infertile women so that they can be predicted and treated to improve its effectiveness.