Abstract
Background: Polycystic Ovarian Syndrome (PCOS) is a prevalent endocrine disorder, affecting approximately 8–13% of women of reproductive age. Beyond its physiological implications, PCOS significantly influences emotional and psychological functioning, often manifesting in concerns related to body image, diminished self-esteem, and psychological distress tied to physical symptoms (Azizi & Elyasi, 2017; Dewani et al., 2023). Coping strategies play a pivotal role in navigating these challenges. Adaptive coping mechanisms, such as problem-focused strategies, have been shown to alleviate stress and enhance overall quality of life (Morshedi et al., 2021). Conversely, maladaptive responses like avoidance or escape strategies are associated with heightened distress, interpersonal difficulties, and increased sensitivity (Ding et al., 2021). Despite advancements in medical treatments for endocrine disorders, limited attention has been given to the psychological implications and management of PCOS. To bridge this gap, the present study aims to explore the impact of a CBT-based intervention in addressing psychological difficulties associated with PCOS.
Objectives: The primary aim is to reduce psychological distress and strengthen coping strategies in women with PCOS. Secondary objectives include improvements in body image, self-esteem, interpersonal sensitivity, and PCOS-related quality of life.
Research Design: A randomized controlled trial will be conducted involving 46 women aged 20–39 diagnosed with PCOS. Participants will be randomly assigned to either an experimental group (n = 23) or a waitlist control group (n = 23). The study will include three phases: pretest, intervention, and post-test. All participants will complete pre- and post-intervention assessments. However, only the experimental group will receive a 6-week CBT-based intervention, consisting of 12 structured sessions. Assessment tools will include the Depression Anxiety Stress Scale-21 (Lovibond & Lovibond, 1995), Brief COPE (Carver, 1997), Body Self-Image Questionnaire-Short Form (Rowe, 2005), Rosenberg Self-Esteem Scale (Rosenberg, 1997), Interpersonal Sensitivity Measure (Boyce & Parker, 1989), and the PCOS Quality of Life Scale (Williams et al., 2018).
Statistical Analysis: Data will be analyzed using IBM SPSS version 26. Paired and independent sample t-tests will be conducted to evaluate the effectiveness of the intervention on both primary and secondary outcomes.
Anticipated Results & Significance: The intervention is anticipated to yield significant reductions in psychological distress and improvements in coping abilities. Furthermore, favorable outcomes are expected in terms of body image, self-esteem, interpersonal sensitivity, and overall quality of life. Findings from this study will offer valuable evidence for the integration of CBT into comprehensive treatment plans for women with PCOS, addressing both psychological and physiological dimensions of the condition.