Health Promoting Lifestyle and it's Relationship with Depression and Quality of Life in Women with Polycystic Ovarian Syndrome referring to Public and Private Clinics of Infertility and Genecology in Urmia; 2015-2016

Abstract

Abstract: Health promoting lifestyle and it's relationship with depression and quality of life in women with Polycystic Ovarian Syndrome referring to public and private clinics of infertility and gynecology in Urmia; 2015-2016 Background: Improving and modifying of lifestyle could play an important role in long-term health of women with Poly Cystic Ovarian Syndrome (PCOS). Women with PCOS compared to healthy women exhibit high levels of psychological symptoms such as depressive symptoms as well as clinical and biochemical problems that can lower their quality of life. Quality of life in women with PCOS is one of the most important goals of the medical community and the importance of lifestyle is more apparent in this area. Thus, it is necessary to take steps in improving the health and quality of life of these women by identifying factors that influence their quality of life. This study aimed to determine the status of health prompting lifestyle and its relationship between depression and quality of life in women with polycystic ovarian syndrome have been performed. Methods: This analytical descriptive cross-sectional study was conducted on 174 women with PCOS who attended in public and private infertility clinics in Urmia (West Azerbaijan, Iran), 2015. Data gathering tools were consisted of four: demographic characteristics, health-promoting lifestyle (HPLP-II), Beck depression inventory-II (BDI-II) and quality of life (PCOSQ) questionnaires. Statistical test including Pearson test, t-test, one-way ANOVA and multiple linear regression were used for data analysis. Findings: The mean (SD) of total score of the health promoting lifestyle among women with PCOS was 2.2 (0.3) out of 4. Among the dimensions of health promoting lifestyle, the highest mean score was in nutrition subscale [2.9 (0.5)] and the lowest mean score was obtained in the subscale of stress control [1.2 (0.5)]. The mean (SD) of total score of the depression was obtained 27.4 (10.5) in the range of 0-63. The mean (SD) of total score of the quality of life was obtained 45.8 (11.3) in the range of 0-100. The highest and lowest mean scores were in the sub-domains of weight [52.2 (30.6)] and hirsutism [37.7 (18.1)]. There was a reversed relationship between health promoting lifestyle and depression, and there was positive relationship between health promoting lifestyle and quality of life (P<0.001). Conclusion: Based on the results and by considering the unfavorable status of total score of health promoting lifestyle and majority of its subscales, the high prevalence of depression in this women and its importance in women with PCOS to maintain and improve their quality of life and regarding the existence of an relationship between all this areas so it is necessary that alongside other therapies, take key strategies and suitable interventions for modifying and improving the lifestyles in women with PCOS in order to prevent depression its adverse effects and improve the quality of life of them.