TY - JOUR
T1 - The psychosocial transition associated with spontaneous 46,XX primary ovarian insufficiency
T2 - Illness uncertainty, stigma, goal flexibility, and purpose in life as factors in emotional health
AU - Davis, Mary
AU - Ventura, June L.
AU - Wieners, Mary
AU - Covington, Sharon N.
AU - Vanderhoof, Vien H.
AU - Ryan, Mary E.
AU - Koziol, Deloris E.
AU - Popat, Vaishali B.
AU - Nelson, Lawrence M.
N1 - Funding Information:
This study was conducted at the National Institutes of Health Clinical Center in Bethesda, Maryland. The study is part of an ongoing longitudinal investigation designed to identify psychosocial factors (including personality, social environment, and coping responses) that contribute to emotional health in women with spontaneous 46,XX POI. This report assesses how psychosocial measures at baseline are related to affective disturbance. Subsequent analyses of this data set will address the broader array of psychosocial measures that predict adaptation over time.
PY - 2010/5/1
Y1 - 2010/5/1
N2 - Objective: To examine factors associated with emotional well-being in women with spontaneous primary ovarian insufficiency. Design: Cross-sectional and case-control study. Setting: Clinical research center, national U.S. health research facility. Patient(s): Women diagnosed with spontaneous 46,XX primary ovarian insufficiency (n = 100) at a mean age of 32.4 years and healthy control women of similar age (n = 60). Intervention(s): Administration of validated self-reporting instruments. Main Outcome Measure(s): Illness uncertainty, stigma, goal disengagement/re-engagement, purpose in life, Positive and Negative Affect Schedule, Center of Epidemiologic Studies Depression Scale, State-Trait Anxiety Inventory. Result(s): Compared with controls, women with spontaneous primary ovarian insufficiency scored adversely on all measures of affect. Illness uncertainty and purpose in life were significant independent factors associated with anxiety (R2 = 0.47), stigma and purpose in life were the significant independent factors associated with depression (R2 = 0.51), and goal re-engagement and purpose in life were significantly and independently associated with positive affect (R2 = 0.43). Conclusion(s): This evidence supports the need for prospective studies. Our findings are consistent with the hypothesis that clinicians could improve the emotional well-being of their patients with primary ovarian insufficiency by [1] informing them better about their condition, [2] helping them to feel less stigmatized by the disorder, and [3] assisting them in developing alternative goals with regard to family planning as well as other goals.
AB - Objective: To examine factors associated with emotional well-being in women with spontaneous primary ovarian insufficiency. Design: Cross-sectional and case-control study. Setting: Clinical research center, national U.S. health research facility. Patient(s): Women diagnosed with spontaneous 46,XX primary ovarian insufficiency (n = 100) at a mean age of 32.4 years and healthy control women of similar age (n = 60). Intervention(s): Administration of validated self-reporting instruments. Main Outcome Measure(s): Illness uncertainty, stigma, goal disengagement/re-engagement, purpose in life, Positive and Negative Affect Schedule, Center of Epidemiologic Studies Depression Scale, State-Trait Anxiety Inventory. Result(s): Compared with controls, women with spontaneous primary ovarian insufficiency scored adversely on all measures of affect. Illness uncertainty and purpose in life were significant independent factors associated with anxiety (R2 = 0.47), stigma and purpose in life were the significant independent factors associated with depression (R2 = 0.51), and goal re-engagement and purpose in life were significantly and independently associated with positive affect (R2 = 0.43). Conclusion(s): This evidence supports the need for prospective studies. Our findings are consistent with the hypothesis that clinicians could improve the emotional well-being of their patients with primary ovarian insufficiency by [1] informing them better about their condition, [2] helping them to feel less stigmatized by the disorder, and [3] assisting them in developing alternative goals with regard to family planning as well as other goals.
KW - Goal flexibility
KW - Hypergonadotropic hypogonadism
KW - Illness uncertainty
KW - Infertility
KW - Premature menopause
KW - Premature ovarian failure
KW - Primary ovarian insufficiency
KW - Stigma
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U2 - 10.1016/j.fertnstert.2008.12.122
DO - 10.1016/j.fertnstert.2008.12.122
M3 - Article
C2 - 19243752
AN - SCOPUS:77952564473
SN - 0015-0282
VL - 93
SP - 2321
EP - 2329
JO - Fertility and Sterility
JF - Fertility and Sterility
IS - 7
ER -