Increased prevalence of eating disorders, low self-esteem, and psychological distress in women with polycystic ovary syndrome: a community-based cohort study

Chau T. Tay, Helena J. Teede, Briony Hill, Deborah Loxton, Anju E. Joham

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Objective: To evaluate the prevalence of eating disorders in women with polycystic ovary syndrome (PCOS) compared with women without PCOS and examine the relationship between PCOS, body mass index, self-esteem, and psychological distress scores. Design: Cross-sectional, community-based study. Setting: Not applicable. Patient(s): A total of 8,467 participants born between 1989 and 1995 in the Australian Longitudinal Study on Women's Health with self-reported PCOS status (PCOS n = 875 vs. non-PCOS n = 7,592). Intervention(s): None. Main Outcome Measures(s): Self-reported eating disorders, Rosenberg Self-Esteem Scale, and Kessler psychological distress scale. Result(s): Compared with women not reporting PCOS, women reporting PCOS had higher prevalence of eating disorders (11.0% vs. 7.6%), low self-esteem (31.7% vs. 24.2%), and psychological distress (severe psychological distress: 21.0% vs. 13.5%). After adjusting for confounders, women reporting PCOS were more likely to report eating disorders (adjusted odds ratio [OR] 1.6, 95% confidence interval [CI] 1.2–2.0). Low self-esteem and psychological distress were highly correlated and further increased the odds of eating disorders in women reporting PCOS. Polycystic ovary syndrome was significantly associated with low self-esteem and psychological distress but not after adjusting for confounders. Obesity was associated with low self-esteem (adjusted OR 1.5, 95% CI 1.2–1.8) and psychological distress (adjusted OR 1.2, 95% CI 1.0–1.4) but not eating disorders. Underweight women had increased odds for eating disorders (adjusted OR 2.5, 95% CI 1.8–3.4). Conclusion(s): Women with PCOS are more likely to report low self-esteem, psychological distress, and eating disorders. Low self-esteem and psychological distress are highly correlated and further increased the risk for eating disorders.

Original languageEnglish
Number of pages8
JournalFertility and Sterility
DOIs
Publication statusAccepted/In press - 2 May 2019

Keywords

  • Eating disorder
  • polycystic ovary syndrome
  • psychological distress
  • self-esteem

Cite this

@article{ce09b604d32d4881b4a1bb0bf2105702,
title = "Increased prevalence of eating disorders, low self-esteem, and psychological distress in women with polycystic ovary syndrome: a community-based cohort study",
abstract = "Objective: To evaluate the prevalence of eating disorders in women with polycystic ovary syndrome (PCOS) compared with women without PCOS and examine the relationship between PCOS, body mass index, self-esteem, and psychological distress scores. Design: Cross-sectional, community-based study. Setting: Not applicable. Patient(s): A total of 8,467 participants born between 1989 and 1995 in the Australian Longitudinal Study on Women's Health with self-reported PCOS status (PCOS n = 875 vs. non-PCOS n = 7,592). Intervention(s): None. Main Outcome Measures(s): Self-reported eating disorders, Rosenberg Self-Esteem Scale, and Kessler psychological distress scale. Result(s): Compared with women not reporting PCOS, women reporting PCOS had higher prevalence of eating disorders (11.0{\%} vs. 7.6{\%}), low self-esteem (31.7{\%} vs. 24.2{\%}), and psychological distress (severe psychological distress: 21.0{\%} vs. 13.5{\%}). After adjusting for confounders, women reporting PCOS were more likely to report eating disorders (adjusted odds ratio [OR] 1.6, 95{\%} confidence interval [CI] 1.2–2.0). Low self-esteem and psychological distress were highly correlated and further increased the odds of eating disorders in women reporting PCOS. Polycystic ovary syndrome was significantly associated with low self-esteem and psychological distress but not after adjusting for confounders. Obesity was associated with low self-esteem (adjusted OR 1.5, 95{\%} CI 1.2–1.8) and psychological distress (adjusted OR 1.2, 95{\%} CI 1.0–1.4) but not eating disorders. Underweight women had increased odds for eating disorders (adjusted OR 2.5, 95{\%} CI 1.8–3.4). Conclusion(s): Women with PCOS are more likely to report low self-esteem, psychological distress, and eating disorders. Low self-esteem and psychological distress are highly correlated and further increased the risk for eating disorders.",
keywords = "Eating disorder, polycystic ovary syndrome, psychological distress, self-esteem",
author = "Tay, {Chau T.} and Teede, {Helena J.} and Briony Hill and Deborah Loxton and Joham, {Anju E.}",
year = "2019",
month = "5",
day = "2",
doi = "10.1016/j.fertnstert.2019.03.027",
language = "English",
journal = "Fertility and Sterility",
issn = "0015-0282",
publisher = "Elsevier",

}

TY - JOUR

T1 - Increased prevalence of eating disorders, low self-esteem, and psychological distress in women with polycystic ovary syndrome

T2 - a community-based cohort study

AU - Tay, Chau T.

AU - Teede, Helena J.

AU - Hill, Briony

AU - Loxton, Deborah

AU - Joham, Anju E.

PY - 2019/5/2

Y1 - 2019/5/2

N2 - Objective: To evaluate the prevalence of eating disorders in women with polycystic ovary syndrome (PCOS) compared with women without PCOS and examine the relationship between PCOS, body mass index, self-esteem, and psychological distress scores. Design: Cross-sectional, community-based study. Setting: Not applicable. Patient(s): A total of 8,467 participants born between 1989 and 1995 in the Australian Longitudinal Study on Women's Health with self-reported PCOS status (PCOS n = 875 vs. non-PCOS n = 7,592). Intervention(s): None. Main Outcome Measures(s): Self-reported eating disorders, Rosenberg Self-Esteem Scale, and Kessler psychological distress scale. Result(s): Compared with women not reporting PCOS, women reporting PCOS had higher prevalence of eating disorders (11.0% vs. 7.6%), low self-esteem (31.7% vs. 24.2%), and psychological distress (severe psychological distress: 21.0% vs. 13.5%). After adjusting for confounders, women reporting PCOS were more likely to report eating disorders (adjusted odds ratio [OR] 1.6, 95% confidence interval [CI] 1.2–2.0). Low self-esteem and psychological distress were highly correlated and further increased the odds of eating disorders in women reporting PCOS. Polycystic ovary syndrome was significantly associated with low self-esteem and psychological distress but not after adjusting for confounders. Obesity was associated with low self-esteem (adjusted OR 1.5, 95% CI 1.2–1.8) and psychological distress (adjusted OR 1.2, 95% CI 1.0–1.4) but not eating disorders. Underweight women had increased odds for eating disorders (adjusted OR 2.5, 95% CI 1.8–3.4). Conclusion(s): Women with PCOS are more likely to report low self-esteem, psychological distress, and eating disorders. Low self-esteem and psychological distress are highly correlated and further increased the risk for eating disorders.

AB - Objective: To evaluate the prevalence of eating disorders in women with polycystic ovary syndrome (PCOS) compared with women without PCOS and examine the relationship between PCOS, body mass index, self-esteem, and psychological distress scores. Design: Cross-sectional, community-based study. Setting: Not applicable. Patient(s): A total of 8,467 participants born between 1989 and 1995 in the Australian Longitudinal Study on Women's Health with self-reported PCOS status (PCOS n = 875 vs. non-PCOS n = 7,592). Intervention(s): None. Main Outcome Measures(s): Self-reported eating disorders, Rosenberg Self-Esteem Scale, and Kessler psychological distress scale. Result(s): Compared with women not reporting PCOS, women reporting PCOS had higher prevalence of eating disorders (11.0% vs. 7.6%), low self-esteem (31.7% vs. 24.2%), and psychological distress (severe psychological distress: 21.0% vs. 13.5%). After adjusting for confounders, women reporting PCOS were more likely to report eating disorders (adjusted odds ratio [OR] 1.6, 95% confidence interval [CI] 1.2–2.0). Low self-esteem and psychological distress were highly correlated and further increased the odds of eating disorders in women reporting PCOS. Polycystic ovary syndrome was significantly associated with low self-esteem and psychological distress but not after adjusting for confounders. Obesity was associated with low self-esteem (adjusted OR 1.5, 95% CI 1.2–1.8) and psychological distress (adjusted OR 1.2, 95% CI 1.0–1.4) but not eating disorders. Underweight women had increased odds for eating disorders (adjusted OR 2.5, 95% CI 1.8–3.4). Conclusion(s): Women with PCOS are more likely to report low self-esteem, psychological distress, and eating disorders. Low self-esteem and psychological distress are highly correlated and further increased the risk for eating disorders.

KW - Eating disorder

KW - polycystic ovary syndrome

KW - psychological distress

KW - self-esteem

UR - http://www.scopus.com/inward/record.url?scp=85065034394&partnerID=8YFLogxK

U2 - 10.1016/j.fertnstert.2019.03.027

DO - 10.1016/j.fertnstert.2019.03.027

M3 - Article

JO - Fertility and Sterility

JF - Fertility and Sterility

SN - 0015-0282

ER -