The effect of hyperandrogenism and obesity on mindfulness and metacognition in adolescents with polycystic ovary syndrome

dc.authoridKARA, OZLEM/0000-0003-0915-5546
dc.authoridKAYMAZ, NAZAN/0000-0002-3962-4799
dc.contributor.authorKara, Ozlem
dc.contributor.authorKaymaz, Nazan
dc.contributor.authorUzun, Mehmet Erdem
dc.date.accessioned2025-01-27T20:54:01Z
dc.date.available2025-01-27T20:54:01Z
dc.date.issued2022
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractThe aim of this study was to determine whether serum androgen levels have an effect on mindfulness and metacognition in adolescents with polycystic ovary syndrome (PCOS). Adolescents diagnosed with PCOS were asked to answer a questionnaire that included socio-demographic information and two scales: the Mindful Attention Awareness Scale (MAAS) and the Metacognition Scale Child and Adolescent form (MCQ-C). The patients were divided into two groups, the hyperandrogenism group and the non-hyperandrogenism group, according to serum androgen levels. The scores of MAAS and MCQ-C were compared between the groups. The study sample consisted of 70 adolescents. Of these, 44 had hyperandrogenism according to a blood test. No statistically significant difference was found in MAAS scores between the hyperandrogenism and the non-hyperandrogenism groups (p = 0.79). However, the level of mindfulness was found to be lower in participants with a higher modified Ferriman-Gallwey score (mFGS) (r = 0.26, p = 0.02). Mindfulness levels were also lower for obese patients with PCOS compared to non-obese patients with PCOS (p = 0.02). Cognitive monitoring (MCQ-C-CM), one of the MCQ-C sub-scales, was significantly higher in the non-hyperandrogenism group (p = 0.03), and similarly, a positive correlation was detected between higher androgen levels and the positive meta-worry (MCQ-C-PM) sub-scale of the MCQ-C (for total testosterone; r = 0.348, p = 0.03, and for androstenedione; r = 0.35, p = 0.03). High serum androgen levels in PCOS had no effect on mindfulness, but as the modified Ferriman Gallwey score increased, mindfulness levels decreased. For the sub-scales of MCQ-C,MCQ-C-CM, and MCQ-C-PM, the scores increased as androgen levels increased. In line with the results of the present study, evaluating mindfulness in PCOS patients with increased hair growth and metacognition in PCOS patients with serum hyperandrogenism may contribute well-being in adulthood by reducing the psychological burden caused by the disease.
dc.identifier.doi10.1007/s00737-022-01264-2
dc.identifier.endpage921
dc.identifier.issn1434-1816
dc.identifier.issn1435-1102
dc.identifier.issue5
dc.identifier.pmid36074275
dc.identifier.scopus2-s2.0-85137592303
dc.identifier.scopusqualityQ1
dc.identifier.startpage911
dc.identifier.urihttps://doi.org/10.1007/s00737-022-01264-2
dc.identifier.urihttps://hdl.handle.net/20.500.12428/25943
dc.identifier.volume25
dc.identifier.wosWOS:000852267000001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer Wien
dc.relation.ispartofArchives of Womens Mental Health
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20250125
dc.subjectAdolescent
dc.subjectHyperandrogenism
dc.subjectMetacognition
dc.subjectMindfulness
dc.subjectPolycystic ovary syndrome
dc.titleThe effect of hyperandrogenism and obesity on mindfulness and metacognition in adolescents with polycystic ovary syndrome
dc.typeArticle

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