Presentation 1_Depression and anxiety among women with polycystic ovarian syndrome in low- and middle-income countries: a systematic review and meta-analysis.pdf

Background<p>Increasing evidence links Polycystic ovary syndrome (PCOS) with adverse mental health outcomes, particularly depression and anxiety. These challenges may be amplified in low- and middle-income countries (LMICs) due to limited awareness, restricted healthcare access, and sociocultu...

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मुख्य लेखक: Atimi Atinga (22679123) (author)
अन्य लेखक: Hameed Akande Bashiru (18346527) (author), Abiola Olajumoke Solomon (22679126) (author), Oziegbe Oghide (22679129) (author), Iyanu Adufe (22679132) (author), Posi Emmanuel Aduroja (18567883) (author), Adebukunola Olajumoke Afolabi (22679135) (author), Ayobami Adebayo Bakare (16076193) (author), Oluwaseyi Isaiah Olabisi (22679138) (author), Philemon Paul Mshelia (22556105) (author), Amaka Harry Ononuju (22679144) (author), Amuchechukwu Veronica Nwafor (22679147) (author), Ayokunmi Stephen Olusa (17949645) (author), Oluchukwu Perpetual Okeke (21177881) (author), Folahanmi Tomiwa Akinsolu (18404542) (author), Olunike Rebecca Abodunrin (18625535) (author), Olajide Odunayo Sobande (21177884) (author)
प्रकाशित: 2025
विषय:
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_version_ 1849927636149600256
author Atimi Atinga (22679123)
author2 Hameed Akande Bashiru (18346527)
Abiola Olajumoke Solomon (22679126)
Oziegbe Oghide (22679129)
Iyanu Adufe (22679132)
Posi Emmanuel Aduroja (18567883)
Adebukunola Olajumoke Afolabi (22679135)
Ayobami Adebayo Bakare (16076193)
Oluwaseyi Isaiah Olabisi (22679138)
Philemon Paul Mshelia (22556105)
Amaka Harry Ononuju (22679144)
Amuchechukwu Veronica Nwafor (22679147)
Ayokunmi Stephen Olusa (17949645)
Oluchukwu Perpetual Okeke (21177881)
Folahanmi Tomiwa Akinsolu (18404542)
Olunike Rebecca Abodunrin (18625535)
Olajide Odunayo Sobande (21177884)
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author_facet Atimi Atinga (22679123)
Hameed Akande Bashiru (18346527)
Abiola Olajumoke Solomon (22679126)
Oziegbe Oghide (22679129)
Iyanu Adufe (22679132)
Posi Emmanuel Aduroja (18567883)
Adebukunola Olajumoke Afolabi (22679135)
Ayobami Adebayo Bakare (16076193)
Oluwaseyi Isaiah Olabisi (22679138)
Philemon Paul Mshelia (22556105)
Amaka Harry Ononuju (22679144)
Amuchechukwu Veronica Nwafor (22679147)
Ayokunmi Stephen Olusa (17949645)
Oluchukwu Perpetual Okeke (21177881)
Folahanmi Tomiwa Akinsolu (18404542)
Olunike Rebecca Abodunrin (18625535)
Olajide Odunayo Sobande (21177884)
author_role author
dc.creator.none.fl_str_mv Atimi Atinga (22679123)
Hameed Akande Bashiru (18346527)
Abiola Olajumoke Solomon (22679126)
Oziegbe Oghide (22679129)
Iyanu Adufe (22679132)
Posi Emmanuel Aduroja (18567883)
Adebukunola Olajumoke Afolabi (22679135)
Ayobami Adebayo Bakare (16076193)
Oluwaseyi Isaiah Olabisi (22679138)
Philemon Paul Mshelia (22556105)
Amaka Harry Ononuju (22679144)
Amuchechukwu Veronica Nwafor (22679147)
Ayokunmi Stephen Olusa (17949645)
Oluchukwu Perpetual Okeke (21177881)
Folahanmi Tomiwa Akinsolu (18404542)
Olunike Rebecca Abodunrin (18625535)
Olajide Odunayo Sobande (21177884)
dc.date.none.fl_str_mv 2025-11-25T06:16:38Z
dc.identifier.none.fl_str_mv 10.3389/fgwh.2025.1688913.s006
dc.relation.none.fl_str_mv https://figshare.com/articles/presentation/Presentation_1_Depression_and_anxiety_among_women_with_polycystic_ovarian_syndrome_in_low-_and_middle-income_countries_a_systematic_review_and_meta-analysis_pdf/30703841
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Medicine
polycystic ovary syndrome
mental health disorder
psychological distress
meta-analysis
women health
endocrine disorder
dc.title.none.fl_str_mv Presentation 1_Depression and anxiety among women with polycystic ovarian syndrome in low- and middle-income countries: a systematic review and meta-analysis.pdf
dc.type.none.fl_str_mv Text
Presentation
info:eu-repo/semantics/publishedVersion
text
description Background<p>Increasing evidence links Polycystic ovary syndrome (PCOS) with adverse mental health outcomes, particularly depression and anxiety. These challenges may be amplified in low- and middle-income countries (LMICs) due to limited awareness, restricted healthcare access, and sociocultural stigma.</p>Objectives<p>To estimate the pooled prevalence of depression and anxiety among women of reproductive age with PCOS in LMICs and to examine clinical factors associated with these outcomes.</p>Methods<p>Following PRISMA guidelines (PROSPERO CRD420251069068), we systematically searched PubMed, Scopus, Web of Science, and CINAHL for studies published between January 2005 and June 2025. Eligible studies included observational research reporting the prevalence of depression and/or anxiety in women aged 15–49 years with clinically diagnosed PCOS and assessed using validated tools. Data were pooled using a random-effects model. Subgroup and meta-regression analyses explored variations by study design, age, body mass index (BMI), country, and assessment tools. Heterogeneity was quantified with the I² statistic, and publication bias was assessed using funnel plots and Egger's test. Study quality was evaluated with the Joanna Briggs Institute checklist.</p>Results<p>From 3,860 records, 40 studies met the inclusion criteria. All were rated low risk of bias (quality scores 75%–100%). The pooled prevalence of depression was 51% (95% CI: 43–59; I² = 97%), and anxiety was 45% (95% CI: 36–54; I² = 96%). The highest prevalence was observed among women aged 20–25 years (depression: 63%; anxiety: 56%) and in studies conducted in India (depression: 55%; anxiety: 51%). Clinical features such as infertility, hirsutism, and acne showed non-significant associations with depression or anxiety. No publication bias was detected.</p>Conclusion<p>Depression and anxiety are highly prevalent among women with PCOS in LMICs, affecting nearly half of this population. These findings underscore the urgent need for integrating routine mental health screening and culturally tailored interventions into PCOS management in resource-limited settings.</p>Systematic Review Registration<p>PROSPERO CRD420251069068.</p>
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id Manara_af1fc563cb5a5323f46c7de1967e5d7e
identifier_str_mv 10.3389/fgwh.2025.1688913.s006
network_acronym_str Manara
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oai_identifier_str oai:figshare.com:article/30703841
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spelling Presentation 1_Depression and anxiety among women with polycystic ovarian syndrome in low- and middle-income countries: a systematic review and meta-analysis.pdfAtimi Atinga (22679123)Hameed Akande Bashiru (18346527)Abiola Olajumoke Solomon (22679126)Oziegbe Oghide (22679129)Iyanu Adufe (22679132)Posi Emmanuel Aduroja (18567883)Adebukunola Olajumoke Afolabi (22679135)Ayobami Adebayo Bakare (16076193)Oluwaseyi Isaiah Olabisi (22679138)Philemon Paul Mshelia (22556105)Amaka Harry Ononuju (22679144)Amuchechukwu Veronica Nwafor (22679147)Ayokunmi Stephen Olusa (17949645)Oluchukwu Perpetual Okeke (21177881)Folahanmi Tomiwa Akinsolu (18404542)Olunike Rebecca Abodunrin (18625535)Olajide Odunayo Sobande (21177884)Medicinepolycystic ovary syndromemental health disorderpsychological distressmeta-analysiswomen healthendocrine disorderBackground<p>Increasing evidence links Polycystic ovary syndrome (PCOS) with adverse mental health outcomes, particularly depression and anxiety. These challenges may be amplified in low- and middle-income countries (LMICs) due to limited awareness, restricted healthcare access, and sociocultural stigma.</p>Objectives<p>To estimate the pooled prevalence of depression and anxiety among women of reproductive age with PCOS in LMICs and to examine clinical factors associated with these outcomes.</p>Methods<p>Following PRISMA guidelines (PROSPERO CRD420251069068), we systematically searched PubMed, Scopus, Web of Science, and CINAHL for studies published between January 2005 and June 2025. Eligible studies included observational research reporting the prevalence of depression and/or anxiety in women aged 15–49 years with clinically diagnosed PCOS and assessed using validated tools. Data were pooled using a random-effects model. Subgroup and meta-regression analyses explored variations by study design, age, body mass index (BMI), country, and assessment tools. Heterogeneity was quantified with the I² statistic, and publication bias was assessed using funnel plots and Egger's test. Study quality was evaluated with the Joanna Briggs Institute checklist.</p>Results<p>From 3,860 records, 40 studies met the inclusion criteria. All were rated low risk of bias (quality scores 75%–100%). The pooled prevalence of depression was 51% (95% CI: 43–59; I² = 97%), and anxiety was 45% (95% CI: 36–54; I² = 96%). The highest prevalence was observed among women aged 20–25 years (depression: 63%; anxiety: 56%) and in studies conducted in India (depression: 55%; anxiety: 51%). Clinical features such as infertility, hirsutism, and acne showed non-significant associations with depression or anxiety. No publication bias was detected.</p>Conclusion<p>Depression and anxiety are highly prevalent among women with PCOS in LMICs, affecting nearly half of this population. These findings underscore the urgent need for integrating routine mental health screening and culturally tailored interventions into PCOS management in resource-limited settings.</p>Systematic Review Registration<p>PROSPERO CRD420251069068.</p>2025-11-25T06:16:38ZTextPresentationinfo:eu-repo/semantics/publishedVersiontext10.3389/fgwh.2025.1688913.s006https://figshare.com/articles/presentation/Presentation_1_Depression_and_anxiety_among_women_with_polycystic_ovarian_syndrome_in_low-_and_middle-income_countries_a_systematic_review_and_meta-analysis_pdf/30703841CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/307038412025-11-25T06:16:38Z
spellingShingle Presentation 1_Depression and anxiety among women with polycystic ovarian syndrome in low- and middle-income countries: a systematic review and meta-analysis.pdf
Atimi Atinga (22679123)
Medicine
polycystic ovary syndrome
mental health disorder
psychological distress
meta-analysis
women health
endocrine disorder
status_str publishedVersion
title Presentation 1_Depression and anxiety among women with polycystic ovarian syndrome in low- and middle-income countries: a systematic review and meta-analysis.pdf
title_full Presentation 1_Depression and anxiety among women with polycystic ovarian syndrome in low- and middle-income countries: a systematic review and meta-analysis.pdf
title_fullStr Presentation 1_Depression and anxiety among women with polycystic ovarian syndrome in low- and middle-income countries: a systematic review and meta-analysis.pdf
title_full_unstemmed Presentation 1_Depression and anxiety among women with polycystic ovarian syndrome in low- and middle-income countries: a systematic review and meta-analysis.pdf
title_short Presentation 1_Depression and anxiety among women with polycystic ovarian syndrome in low- and middle-income countries: a systematic review and meta-analysis.pdf
title_sort Presentation 1_Depression and anxiety among women with polycystic ovarian syndrome in low- and middle-income countries: a systematic review and meta-analysis.pdf
topic Medicine
polycystic ovary syndrome
mental health disorder
psychological distress
meta-analysis
women health
endocrine disorder