Intimacy and Emotional Well-Being in Partners Living With Polycystic Ovarian Syndrome Women
Abstract
Objective. PCOS is a persistent medical condition that can act as a vulnerability to psychological
well-being and reduce marital satisfaction. Chronic illness that makes an individual vulnerable to poorer
health greatly reduces marital satisfaction and intimacy in a relationship. This study aimed to find out the
association between emotional intimacy, social intimacy, and emotional well-being in partners living with
PCOS women.
Method. The study used a correlational cross-sectional research design. The sample consisted of N=76
couples of PCOS women and their husbands. Emotional Intimacy Scale (Sinclair & Dowdy, 2005), Miller
Social Intimacy Scale (Miller & Lefcourt, 1982), and Warwick-Edinburgh Mental Well-Being Scale (Teede,
et al. 2018)were used for data collection from men and PCOSQOL Scale(Williams, et al. 2018) was used for
assessment of HRQOL from women.
Results. Pearson product-moment correlation analysis revealed that HRQOL of women is significantly
positively correlated with emotional intimacy, social intimacy, and emotional well-being of partners living
with PCOS women. Furthermore, it was revealed that Emotional intimacy and social intimacy are
significantly positively correlated with emotional well-being. Hierarchal regression analysis found emotional
intimacy and social intimacy as significant positive predictors of emotional well-being.
Conclusion. It was a unique contribution to the field of health, family, and counseling psychology. It can
help in understanding problems associated with management and adherence in PCOS women. It also
highlights the impact of these types of metabolic chronic illnesses on the family members and their spouses.
It is a very initial study that could act as a groundwork that could help healthcare providers to raise awareness
about the psychological well-being of couples where women are suffering from PCOS, and design and create
couple-based interventions for PCOS women and their partners.
Downloads
References
Amini, L., Seyedfatemi, N., Montazeri, A., Mahmoodi, Z., Arefi, S., Hosseini, F., ... & Ghorbani, B. (2012). Health related quality of life in women with Polycystic Ovary Syndrome (PCOS). 11(6);857-862
Azziz, R., Carmina, E., Chen, Z., Dunaif, A., Laven, J. S., Legro, R. S., ... & Yildiz, B. O. (2016). "Polycystic ovary syndrome." Nature reviews Disease primers 2(1):1-18.
Czyżowska, D., Gurba, E., Czyżowska, N., & Kalus, A. (2020). Intimate relationship and its significance for eudaimonic well-being in young adults. Health Psychology Report 8(2): 155-166.
Dokras, A., Stener-Victorin, E., Yildiz, B. O., Li, R., Ottey, S., Shah, D., ... & Teede, H. (2018). Androgen Excess-Polycystic Ovary Syndrome Society: position statement on depression, anxiety, quality of life, and eating disorders in polycystic ovary syndrome. Fertility and sterility 109(5): 888-899.
Dorval, M., Guay, S., Mondor, M., Masse, B., Falardeau, M., Robidoux, A., ... & Maunsell, E. (2005). Couples who get closer after breast cancer: frequency and predictors in a prospective investigation. Journal of Clinical Oncology 23(15): 3588-3596.
Elsenbruch, S., Hahn, S., Kowalsky, D., Öffner, A. H., Schedlowski, M., Mann, K., & Janssen, O. E. (2003). Quality of life, psychosocial well-being, and sexual satisfaction in women with polycystic ovary syndrome. The Journal of Clinical Endocrinology & Metabolism 88(12): 5801-5807.
Eriksson, E., Wejåker, M., Danhard, A., Nilsson, A., & Kristofferzon, M. L. (2019). Living with a spouse with chronic illness–the challenge of balancing demands and resources. BMC Public Health 19(1): 1-9.
Eriksson, E., Wejåker, M., Danhard, A., Nilsson, A., & Kristofferzon, M. L. (2018). Polycystic ovary syndrome: definition, aetiology, diagnosis and treatment. Nature Reviews Endocrinology 14(5): 270-284.
Gul, S., Zahid, S. A., & Ansari, A. (2014). PCOS: symptoms and awareness in urban Pakistani women. Int J Pharma Res Health Sci, 2(5), 356-60.
Haq, N., Khan, Z., Riaz, S., Nasim, A., Shahwani, R., & Tahir, M. (2017). Prevalence and knowledge of polycystic ovary syndrome (PCOS) among female science students of different public Universities of Quetta, Pakistan. Imperial Journal of Interdisciplinary Research, 35(6), 385-92.
Knafl, K. A., & Deatrick, J. A. (2002). The challenge of normalization for families of children with chronic conditions. Pediatric Nursing, 28(1), 49.
Lobel, M., Dunkel-Schetter, C., & Scrimshaw, S. C. (1992). Prenatal maternal stress and prematurity: a prospective study of socioeconomically disadvantaged women. Health psychology, 11(1), 32.
Lookingbill, D. P., Demers, L. M., Wang, C., Leung, A., Rittmaster, R. S., & Santen, R. J. (1991). Clinical and biochemical parameters of androgen action in normal healthy Caucasian versus Chinese subjects. The Journal of Clinical Endocrinology & Metabolism, 72(6), 1242-1248.
Manne, S., & Badr, H. (2008). Intimacy and relationship processes in couples' psychosocial adaptation to cancer. Cancer, 112(S11), 2541-2555.
Miller, R. S., & Lefcourt, H. M. (1982). The assessment of social intimacy. Journal of personality Assessment, 46(5), 514-518.
Moos, R. H., & Schaefer, J. A. (1984). The crisis of physical illness. Coping with physical illness, 3-25.
Naz, S., Anjum, N., & Gul, I. (2020). A Community Based Cross Sectional Study on Prevalence Of Polycystic Ovarian Syndrome (PCOS) and Health Related Quality of Life in Pakistani Females. Retreived from; https://www.researchsquare.com/article/rs-47444/v1
Niet, J., Pastoor, H., Timman, R., & Laven, J. (2012). Psycho-social and sexual well-being in women with polycystic ovary syndrome. Polycystic Ovary Syndrome.
Palmer, S. E., Canzona, L., & Wai, L. (1984). Helping families respond effectively to chronic illness. In Coping with Physical Illness (pp. 283-294). Springer, Boston, MA.
Pekhlivanov, B., Kolarov, G., Kavŭrdzhikova, S., & Stoĭkov, S. (2006). Determinants of health related quality of life in women with polycystic ovary syndrome. Akusherstvo i ginekologiia, 45(7), 29-34. Pereira, M. G., Brito, L., & Smith, T. (2012). Dyadic adjustment, family coping, body image, quality of life and psychological morbidity in patients with psoriasis and their partners. International Journal of Behavioral Medicine, 19(3), 260-269.
Rao, M., Broughton, K. S., & LeMieux, M. J. (2020). Cross-sectional study on the knowledge and prevalence of PCOS at a multiethnic university. Progress in Preventive Medicine, e0028.
Repetti, R., Wang, S. W., & Saxbe, D. (2009). Bringing it all back home: How outside stressors shape families' everyday lives. Current Directions in Psychological Science, 18(2), 106-111.
Revenson, T. A., & DeLongis, A. (2011). Couples coping with chronic illness. In S. Folkman (Ed.), The Oxford handbook of stress, health, and coping (pp. 101–123). Oxford University Press.
Sánchez-Ferrer, M. L., Adoamnei, E., Prieto-Sánchez, M. T., Mendiola, J., Corbalán-Biyang, S., Moñino-García, M., ... & Torres-Cantero, A. M. (2020). Health-related quality of life in women with polycystic ovary syndrome attending to a tertiary hospital in Southeastern Spain: a case-control study. Health and quality of life outcomes, 18(1), 1-10.
Shishehgar, F., Tehrani, F. R., Mirmiran, P., Hajian, S., Baghestani, A. R., & Moslehi, N. (2016). Comparison of dietary intake between polycystic ovary syndrome women and controls. Global journal of health science, 8(9), 302.
Sinclair, V. G. & S. W. Dowdy (2005). Development and validation of the Emotional Intimacy Scale. Journal of nursing measurement 13(3): 193-206.
Story, L. B. & T. N. Bradbury (2004). Understanding marriage and stress: Essential questions and challenges. Clinical psychology review 23(8): 1139-1162.
Teede, H. J., Misso, M. L., Costello, M. F., Dokras, A., Laven, J., Moran, L., ... & Norman, R. J. (2018). Recommendations from the international evidence-based guideline for the assessment and management of polycystic ovary syndrome. Human reproduction, 33(9), 1602-1618.
Tennant, R., Hiller, L., Fishwick, R., Platt, S., Joseph, S., Weich, S., ... & Stewart-Brown, S. (2007). The Warwick-Edinburgh mental well-being scale (WEMWBS): development and UK validation. Health and Quality of life Outcomes, 5(1), 1-13.
Wijeyaratne, C. N., Balen, A. H., Barth, J. H., & Belchetz, P. E. (2002). Clinical manifestations and insulin resistance (IR) in polycystic ovary syndrome (PCOS) among South Asians and Caucasians: is there a difference?. Clinical endocrinology, 57(3), 343-350.
Wiley, J. A., & Camacho, T. C. (1980). Life-style and future health: evidence from the Alameda County Study. Preventive medicine, 9(1), 1-21.
Williams, S., Sheffield, D., & Knibb, R. C. (2018). The Polycystic Ovary Syndrome Quality of Life scale (PCOSQOL): development and preliminary validation. Health psychology open, 5(2), 2055102918788195.
Zafar, U., Memon, Z., Moin, K., Agha, S., Hassan, J. A., & Zehra, D. (2019). Prevalence of PCOS with associated symptoms and complications at tertiary care hospital of Karachi. J Adv Med Med Res, 30(4), 1-9.