Insulin resistance, obesity, inflammation, and depression in polycystic ovary syndrome: biobehavioral mechanisms and interventions
Objective To summarize physiological and psychological characteristics that are common among women diagnosed with polycystic ovary syndrome (PCOS) and provide evidence suggesting that addressing psychological disturbances can reduce or alleviate physical symptoms of PCOS through behavioral pathways...
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| Veröffentlicht in: | Fertility and sterility 2010-10, Vol.94 (5), p.1565-1574 |
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| container_title | Fertility and sterility |
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| creator | Farrell, Kristen, M.S Antoni, Michael H., Ph.D |
| description | Objective To summarize physiological and psychological characteristics that are common among women diagnosed with polycystic ovary syndrome (PCOS) and provide evidence suggesting that addressing psychological disturbances can reduce or alleviate physical symptoms of PCOS through behavioral pathways and physiological pathways. Method(s) Empirical studies and expert consensuses pertaining to physiological, psychological, and medical management aspects of PCOS were identified and presented in this review. Articles were identified by searching Pubmed, PsycInfo, Medline ISI, CINAHL, or a Web browser (i.e., Google) using numerous combinations of terms pertaining to physiological, psychological, and medical management aspects of PCOS. An article was chosen to be included in this review if it reported findings and/or provided information that related to and helped support the main purpose(s) of this review article. Result(s) Available literature on the physiological (i.e., hyperandrogenism, central obesity, inflammation, insulin resistance) and psychological (i.e., depression, anxiety, eating disorders) factors among women with PCOS provides evidence that these various aspects of PCOS are strongly interrelated. Conclusion(s) The existence of these relationships among physiological and psychological factors strongly suggests that medical management of PCOS would greatly benefit from inclusion of psychological and behavioral approaches. |
| doi_str_mv | 10.1016/j.fertnstert.2010.03.081 |
| format | Article |
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Method(s) Empirical studies and expert consensuses pertaining to physiological, psychological, and medical management aspects of PCOS were identified and presented in this review. Articles were identified by searching Pubmed, PsycInfo, Medline ISI, CINAHL, or a Web browser (i.e., Google) using numerous combinations of terms pertaining to physiological, psychological, and medical management aspects of PCOS. An article was chosen to be included in this review if it reported findings and/or provided information that related to and helped support the main purpose(s) of this review article. Result(s) Available literature on the physiological (i.e., hyperandrogenism, central obesity, inflammation, insulin resistance) and psychological (i.e., depression, anxiety, eating disorders) factors among women with PCOS provides evidence that these various aspects of PCOS are strongly interrelated. Conclusion(s) The existence of these relationships among physiological and psychological factors strongly suggests that medical management of PCOS would greatly benefit from inclusion of psychological and behavioral approaches.</description><identifier>ISSN: 0015-0282</identifier><identifier>EISSN: 1556-5653</identifier><identifier>DOI: 10.1016/j.fertnstert.2010.03.081</identifier><identifier>PMID: 20471009</identifier><identifier>CODEN: FESTAS</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult and adolescent clinical studies ; Behavior Therapy ; Biological and medical sciences ; Depression ; Depression - physiopathology ; Depression - psychology ; Female ; Female genital diseases ; Gynecology. Andrology. Obstetrics ; Humans ; hyperandrogenism ; inflammation ; Inflammation - physiopathology ; Inflammation - psychology ; insulin resistance ; Insulin Resistance - physiology ; Internal Medicine ; Life Style ; Medical sciences ; Metabolic diseases ; Mood disorders ; Non tumoral diseases ; Obesity ; Obesity, Abdominal - physiopathology ; Obesity, Abdominal - psychology ; Obstetrics and Gynecology ; Polycystic ovary syndrome ; Polycystic Ovary Syndrome - physiopathology ; Polycystic Ovary Syndrome - psychology ; Polycystic Ovary Syndrome - therapy ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; stress management ; visceral fat</subject><ispartof>Fertility and sterility, 2010-10, Vol.94 (5), p.1565-1574</ispartof><rights>American Society for Reproductive Medicine</rights><rights>2010 American Society for Reproductive Medicine</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2010 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.</rights><rights>2010 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved 2010</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c563t-c1e811af5687449b36e30254bb9c90d5235bfc966fe6718d7c8d74510ea2ab873</citedby><cites>FETCH-LOGICAL-c563t-c1e811af5687449b36e30254bb9c90d5235bfc966fe6718d7c8d74510ea2ab873</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.fertnstert.2010.03.081$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,780,784,885,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23301932$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20471009$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Farrell, Kristen, M.S</creatorcontrib><creatorcontrib>Antoni, Michael H., Ph.D</creatorcontrib><title>Insulin resistance, obesity, inflammation, and depression in polycystic ovary syndrome: biobehavioral mechanisms and interventions</title><title>Fertility and sterility</title><addtitle>Fertil Steril</addtitle><description>Objective To summarize physiological and psychological characteristics that are common among women diagnosed with polycystic ovary syndrome (PCOS) and provide evidence suggesting that addressing psychological disturbances can reduce or alleviate physical symptoms of PCOS through behavioral pathways and physiological pathways. Method(s) Empirical studies and expert consensuses pertaining to physiological, psychological, and medical management aspects of PCOS were identified and presented in this review. Articles were identified by searching Pubmed, PsycInfo, Medline ISI, CINAHL, or a Web browser (i.e., Google) using numerous combinations of terms pertaining to physiological, psychological, and medical management aspects of PCOS. An article was chosen to be included in this review if it reported findings and/or provided information that related to and helped support the main purpose(s) of this review article. Result(s) Available literature on the physiological (i.e., hyperandrogenism, central obesity, inflammation, insulin resistance) and psychological (i.e., depression, anxiety, eating disorders) factors among women with PCOS provides evidence that these various aspects of PCOS are strongly interrelated. Conclusion(s) The existence of these relationships among physiological and psychological factors strongly suggests that medical management of PCOS would greatly benefit from inclusion of psychological and behavioral approaches.</description><subject>Adult and adolescent clinical studies</subject><subject>Behavior Therapy</subject><subject>Biological and medical sciences</subject><subject>Depression</subject><subject>Depression - physiopathology</subject><subject>Depression - psychology</subject><subject>Female</subject><subject>Female genital diseases</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>hyperandrogenism</subject><subject>inflammation</subject><subject>Inflammation - physiopathology</subject><subject>Inflammation - psychology</subject><subject>insulin resistance</subject><subject>Insulin Resistance - physiology</subject><subject>Internal Medicine</subject><subject>Life Style</subject><subject>Medical sciences</subject><subject>Metabolic diseases</subject><subject>Mood disorders</subject><subject>Non tumoral diseases</subject><subject>Obesity</subject><subject>Obesity, Abdominal - physiopathology</subject><subject>Obesity, Abdominal - psychology</subject><subject>Obstetrics and Gynecology</subject><subject>Polycystic ovary syndrome</subject><subject>Polycystic Ovary Syndrome - physiopathology</subject><subject>Polycystic Ovary Syndrome - psychology</subject><subject>Polycystic Ovary Syndrome - therapy</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>stress management</subject><subject>visceral fat</subject><issn>0015-0282</issn><issn>1556-5653</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNUk2P0zAQjRCIXRb-AsoFcWnL2I7zwWElWPGx0kocAImb5TgT6pLYxZNWypVfzpSWXeDEwbbG8-bN07zJslzASoAoX2xWPaYp0MT3SgJ_g1pBLe5l50LrcqlLre5n5wBCL0HW8ix7RLQBgFJU8mF2JqGoBEBznv24DrQbfMgTkqfJBoeLPLYcTPMi96Ef7DjaycewyG3o8g63jCSOOZlv4zC7mSbv8ri3ac5pDl2KI77MW88sa7v3MdkhH9GtbfA00i8WH1j5HsOBlx5nD3o7ED45vRfZ57dvPl29X958eHd99epm6XSppqUTWAthe13WVVE0rSpRgdRF2zaugU5LpdveNWXZY1mJuqscn0ILQCttW1fqIrs88m537Yid4_YszWyTH1m6idabvzPBr83XuDeyKYRWwATPTwQpft8hTWb05HAYbMC4I1NpXQCPWzOyPiJdikQJ-9suAszBQbMxdw6ag4MGlGEHufTpnypvC39bxoBnJ4AlZ4c-sWee7nBKgWiUZNzrIw55pnuPyZDzyP52PqGbTBf9_6i5_IfE8bJ47vsNZ6RN3KXAnhlhSBowHw8bd1g4Vgq6kF_UT26R2Nw</recordid><startdate>20101001</startdate><enddate>20101001</enddate><creator>Farrell, Kristen, M.S</creator><creator>Antoni, Michael H., Ph.D</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20101001</creationdate><title>Insulin resistance, obesity, inflammation, and depression in polycystic ovary syndrome: biobehavioral mechanisms and interventions</title><author>Farrell, Kristen, M.S ; Antoni, Michael H., Ph.D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c563t-c1e811af5687449b36e30254bb9c90d5235bfc966fe6718d7c8d74510ea2ab873</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adult and adolescent clinical studies</topic><topic>Behavior Therapy</topic><topic>Biological and medical sciences</topic><topic>Depression</topic><topic>Depression - physiopathology</topic><topic>Depression - psychology</topic><topic>Female</topic><topic>Female genital diseases</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>hyperandrogenism</topic><topic>inflammation</topic><topic>Inflammation - physiopathology</topic><topic>Inflammation - psychology</topic><topic>insulin resistance</topic><topic>Insulin Resistance - physiology</topic><topic>Internal Medicine</topic><topic>Life Style</topic><topic>Medical sciences</topic><topic>Metabolic diseases</topic><topic>Mood disorders</topic><topic>Non tumoral diseases</topic><topic>Obesity</topic><topic>Obesity, Abdominal - physiopathology</topic><topic>Obesity, Abdominal - psychology</topic><topic>Obstetrics and Gynecology</topic><topic>Polycystic ovary syndrome</topic><topic>Polycystic Ovary Syndrome - physiopathology</topic><topic>Polycystic Ovary Syndrome - psychology</topic><topic>Polycystic Ovary Syndrome - therapy</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>stress management</topic><topic>visceral fat</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Farrell, Kristen, M.S</creatorcontrib><creatorcontrib>Antoni, Michael H., Ph.D</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Fertility and sterility</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Farrell, Kristen, M.S</au><au>Antoni, Michael H., Ph.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Insulin resistance, obesity, inflammation, and depression in polycystic ovary syndrome: biobehavioral mechanisms and interventions</atitle><jtitle>Fertility and sterility</jtitle><addtitle>Fertil Steril</addtitle><date>2010-10-01</date><risdate>2010</risdate><volume>94</volume><issue>5</issue><spage>1565</spage><epage>1574</epage><pages>1565-1574</pages><issn>0015-0282</issn><eissn>1556-5653</eissn><coden>FESTAS</coden><abstract>Objective To summarize physiological and psychological characteristics that are common among women diagnosed with polycystic ovary syndrome (PCOS) and provide evidence suggesting that addressing psychological disturbances can reduce or alleviate physical symptoms of PCOS through behavioral pathways and physiological pathways. Method(s) Empirical studies and expert consensuses pertaining to physiological, psychological, and medical management aspects of PCOS were identified and presented in this review. Articles were identified by searching Pubmed, PsycInfo, Medline ISI, CINAHL, or a Web browser (i.e., Google) using numerous combinations of terms pertaining to physiological, psychological, and medical management aspects of PCOS. An article was chosen to be included in this review if it reported findings and/or provided information that related to and helped support the main purpose(s) of this review article. Result(s) Available literature on the physiological (i.e., hyperandrogenism, central obesity, inflammation, insulin resistance) and psychological (i.e., depression, anxiety, eating disorders) factors among women with PCOS provides evidence that these various aspects of PCOS are strongly interrelated. 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| ispartof | Fertility and sterility, 2010-10, Vol.94 (5), p.1565-1574 |
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| language | eng |
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| source | MEDLINE; Access via ScienceDirect (Elsevier); EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Adult and adolescent clinical studies Behavior Therapy Biological and medical sciences Depression Depression - physiopathology Depression - psychology Female Female genital diseases Gynecology. Andrology. Obstetrics Humans hyperandrogenism inflammation Inflammation - physiopathology Inflammation - psychology insulin resistance Insulin Resistance - physiology Internal Medicine Life Style Medical sciences Metabolic diseases Mood disorders Non tumoral diseases Obesity Obesity, Abdominal - physiopathology Obesity, Abdominal - psychology Obstetrics and Gynecology Polycystic ovary syndrome Polycystic Ovary Syndrome - physiopathology Polycystic Ovary Syndrome - psychology Polycystic Ovary Syndrome - therapy Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry stress management visceral fat |
| title | Insulin resistance, obesity, inflammation, and depression in polycystic ovary syndrome: biobehavioral mechanisms and interventions |
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