STUDY OBJECTIVE To investigate adolescents with polycystic ovary syndrome (PCOS) in terms of body perception, self-esteem, and comorbid psychiatric diseases by comparing them with their healthy peers .
DESIGN Cross-sectional design .
SETTING The Department of Child and Adolescent Psychiatry and the Department of Pediatric Endocrinology outpatient clinic of Cumhuriyet University in Sivas, Turkey .
PARTICIPANTS Fifty female adolescents aged 12-18 years who were diagnosed as having PCOS and 37 healthy adolescents aged 12-18 years.
MAIN OUTCOME MEASURES All adolescents were evaluated by a child and adolescent psychiatrist using a semi-structured interview (Schedule for Affective Disorders and Schizophrenia for School-Age Children) and asked to complete the Rosenberg Self-Esteem Scale (RSES), Children's Depression Inventory (CDI), and Body Image Scale (BIS).
RESULTS The rate of psychiatric disorders in the PCOS group was significantly higher than in the controls (32% vs. 13.5%, respectively, p=0.046). The most common disorder was major depressive disorder . The RSES and BIS scores of the PCOS group were lower (p=0.03; p <0.001, respectively), and CDI scores were higher (p=0.03) than in the control group . There was no significant relationship between obesity, hirsutism, and insulin resistance with any psychiatric disorders in the PCOS group .
CONCLUSION Adolescents with PCOS had more psychopathology than their peers . Moreover, their self-esteem was lower and their body perceptions were more dissatisfied compared with their peers.