The impact of hirsutism on the mental status of Indian women
Keywords:
Hirsutism, Ferriman-Gallwey score, polycystic ovarian syndrome, hospital anxiety and depression scaleAbstract
Objective To determine mental status of the hirsute women using Hospital Anxiety and Depression Scale (HADS). Methods Hirsutism was assessed quantitatively by Ferriman-Gallwey score (F-G score) and qualitatively by self-administered questionnaires of Hospital Anxiety and Depression Scale (HADS). Other parameters such as age, occupation, comorbidities, socio-economic status, marriage status, religion, educational status were assessed. Results Mean HADS score of 100 hirsute patients was 12.66±6.11 which is abnormal. HADS was normal in 18%, 24% had borderline abnormal and in 58% it was abnormal. Mean anxiety score of HADS was 8.71±4.06, which was higher than the mean depression score which was 3.95±2.93, which was statistically significant (p=0.008). HADS score was not affected by severity of hirsutism, age, occupation, socio-economic status, marriage status, presence of polycystic ovarian syndrome, religion and educational status. Conclusion The presence of hirsutism had significant impact on the mental status of the patients which lead to anxiety and depression. There was a greater increase of anxiety in comparison with depression.References
References:
Hodeeb YM, Dinary AMA, Hassan HM, Samy DA. Hirsutism and Health Related Quality of Life. Mod Chem appl Nov 2015;2:170.
Rahnama Z, Sohbati S, Safizadeh H. Effect of hirsutism on quality of life: a study in Iranian women. J Pak Assoc Dermatol 2013; 23(1);28-33.
Singh T, Sharma S, Nagesh S. Socio-economic status scales updated for 2017. Int J Res Med Sci 2017;5:3264-7.
Zigmond AS, Snaith RP . The hospital anxiety and depression scale. Acta Psychiatr Scand 1983;67(6):361–70.
Chabra S, Gautam RK, Kulusshreshta B, Prasad A, Sharma N. Hirsutism: a Clinico-investigative study. Int J Trichol 2012;4:246-50.
Sharma NL, Mahajan VK, Jindal R, Gupta M, Lath A. Hirsutism:Clinico-investigative profile of 50 indian patient. Indian J Dermatol 2008;53:111-4.
Baig T, Aman S, Nadeem M, Kazmi AH. Quality of life in patients of hirsutism. J Pak Assoc Dermatol 2014;24(3):217-3.
Pate C. The story plot of living the embrassment of hirsutism. Arch Psychiatr Nurs 2013; 27(3)156-7.
Ekback MP, Lindberg M, Benzein E, Arestedt K. Health related quality of life, Depression and Anxiety correlate with the degree of hirsutism. Dermatol 2013; 227:278-84.
Lipton MG, Sherr L, Elford J, Rustin MH, Clayton WJ. Women living with facial hair: the psychological and behavioral burden. J Psychosom Res 2006;61:161-8.
