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Abstract
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Before
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.
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After
Polycystic Ovarian Syndrome (PCOS) is a common hormonal disorder among women of reproductive age that extends beyond physical symptoms to affect mental and emotional health. Women with PCOS often experience challenges such as low self-worth, dissatisfaction with body image, and elevated emotional distress. Coping strategies play a critical role in managing these difficulties, with adaptive approaches linked to better psychological outcomes. This study investigates the effectiveness of a cognitive behavioral therapy (CBT)-based intervention in reducing psychological distress and enhancing coping strategies in women diagnosed with PCOS. A randomized controlled design will be employed with 46 participants, divided equally into intervention and waitlist control groups. The CBT program will span six weeks and consist of twelve structured sessions. Standardized tools will be used to assess emotional distress, coping patterns, body image perception, self-esteem, interpersonal sensitivity, and quality of life before and after the intervention. It is expected that the intervention group will show notable improvements across all measured domains. The results aim to highlight the relevance of incorporating psychological interventions like CBT into the holistic management of PCOS.
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Intervention (Public)
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Before
Participants in the experimental group will undergo CBT-based intervention for a duration of 6 weeks. A brief description of the intervention plan is as follows:
12-session CBT-based Intervention (Beck, 1979). The goal of CBT-based intervention in the present research is to enable the participants to reduce psychological distress and develop effective coping skills (primary outcomes) and to improve body image, self-esteem, interpersonal sensitivity and PCOS-related quality of life (secondary outcomes). Participants of the present research will undergo 6-weeks CBT-based Intervention sessions (two sessions per week). These sessions will be designed to cover psycho-education; management of depression, anxiety, and stress; & developing effective coping skills. Each session will be of 45 minutes and will be taken one-to-one with the participants. The researcher will use a designed CBT-based intervention plan during the session. However, the participants will be facilitated through handouts and worksheets.
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After
Participants assigned to the experimental group will take part in a six-week individual cognitive behavioral therapy (CBT) program, drawing upon Beck’s framework (1979). The intervention comprises 12 structured sessions, held twice weekly, each lasting approximately 45 minutes. The primary aim is to reduce emotional distress and enhance adaptive coping, while also promoting improvements in body image, self-worth, interpersonal sensitivity, and quality of life specific to PCOS. Sessions will include psychoeducation, techniques to manage symptoms of depression, anxiety, and stress, and the development of healthier coping strategies. A structured intervention protocol will guide the sessions, and participants will be supported with printed materials, including worksheets and informational handouts to reinforce session content.
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