Relationship between Emotional Disclosure, Family Communication, Disease-Related Stress, and Quality of Life in Women with Polycystic Ovarian Syndrome

Authors

  • Laiba Anjum Cheema BS (Hons) Scholar, Department of Applied Psychology, School of Professional Psychology, University of Management & Technology, Lahore, Pakistan. https://orcid.org/0009-0000-5085-1506
  • Hina Khan BS (Hons) Scholar, Department of Applied Psychology, School of Professional Psychology, University of Management & Technology, Lahore, Pakistan.
  • Sadia Huda Senior Assistant Professor, Department of Professional Psychology, Bahria University, Islamabad, Pakistan.

DOI:

https://doi.org/10.52053/jpap.v6i4.426

Keywords:

Disease-related Stress, Emotional Disclosure, Family Communication, Polycystic Ovary Syndrome, Quality of Life, Women

Abstract

Polycystic Ovary Syndrome (PCOS) is a chronic disease which mostly kept undiagnosed and is characterized by symptoms like hirsutism, infertility, weight gain, and irregular periods. Pakistan rated a high prevalence of nearly 52% affecting women (Azhar et al., 2020). The present study examines the relationship between emotional disclosure, family communication, disease-related stress, and quality of life of women diagnosed with PCOS. Despite growing research on PCOS, there remains a significant gap in understanding the influence of emotional disclosure and family communication on psychological well-being of affected women. Using a correlation research design, data were collected from N= 115 women with clinically diagnosed PCOS. Statistical analysis revealed that emotional disclosure positively correlated with quality of life (r= .30, p<.01) and family communication (r=.27, p<.01) whereas disease related stress showed a significant negative correlation with quality of life (r= -.68, p<.01). These results suggest that the strong emotional expression and family communication contribute to better psychological adjustment, while stress related to disease diminishes well-being. The study underscores the importance of integrating psychological and family-based intervention and promoting awareness of reproductive health in healthcare and educational settings to improve the overall quality of life for women with PCOS.

References

Angin, P., Yoldemir, T., & Atasayan, K. (2019). Quality of life among infertile PCOS patients. Archives of Gynecology and Obstetrics, 300, 461–467. https://doi.org/10.1007/s00404-019-05142-1

Azhar, A., Abid, F., & Rehman, R. (2020). Polycystic ovary syndrome, subfertility and vitamin D deficiency. Journal of the College of Physicians and Surgeons Pakistan, 30(5), 545. https://doi.org/10.29271/jcpsp.2020.05.545

Balikci, A., Erdem, M., Keskin, U., Zincir, S. B., Guelsuen, M., Oezcelik, F., & Erguen, A. (2014). Depression, anxiety, and anger in patients with polycystic ovary syndrome. Nöro Psikiyatri Ar?ivi, 51(4), 328. https://doi.org/10.5152/npa.2014.6898

Barry, J. A., Kuczmierczyk, A. R., & Hardiman, P. J. (2011). Anxiety and depression in polycystic ovary syndrome: A systematic review and meta-analysis. Human Reproduction, 26(9), 2442–2451. https://doi.org/10.1093/humrep/der197

Castelo-Branco, C., & Naumova, I. (2020). Quality of life and sexual function in women with polycystic ovary syndrome: A comprehensive review. Gynecological Endocrinology, 36(2), 96–103. https://doi.org/10.1080/09513590.2019.1670788

Chaudhari, A. P., Mazumdar, K., & Mehta, P. D. (2018). Anxiety, depression, and quality of life in women with polycystic ovarian syndrome. Indian Journal of Psychological Medicine, 40(3), 239–246. https://doi.org/10.4103/IJPSYM.IJPSYM_561_17

Cooney, L. G., & Dokras, A. (2017). Depression and anxiety in polycystic ovary syndrome: Etiology and treatment. Current Psychiatry Reports, 19, 1–10. https://doi.org/10.1007/s11920-017-0834-2

Duleba, A. J., & Dokras, A. (2012). Is PCOS an inflammatory process? Fertility and Sterility, 97(1), 7–12. https://doi.org/10.1016/j.fertnstert.2011.11.023

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. https://doi.org/10.1210/jc.2003-030562

Fernandez, R. C., Moore, V. M., Van Ryswyk, E. M., Varcoe, T. J., Rodgers, R. J., March, W. A., ... & Davies, M. J. (2018). Sleep disturbances in women with polycystic ovary syndrome: Prevalence, pathophysiology, impact and management strategies. Nature and Science of Sleep, 45–64. https://www.tandfonline.com/doi/full/10.2147/NSS.S127475

Ishaq, S., Rizwani, G. H., Fatima, S., Shareef, H., Anser, H., & Jamil, S. (2022). Relative risks associated with women’s quality of life suffering from metabolic, reproductive and psychological complications of PCOS: A comparative cross-sectional study. https://doi.org/10.21203/rs.3.rs-1371836/v2

Jivani, K. K., & Minaz, A. (2019). Sex health education: A cultural taboo in Pakistan. i-Manager's Journal on Nursing, 9(3), 38. https://doi.org/10.26634/jnur.9.3.16471

Khomami, M. B., Tehrani, F. R., Hashemi, S., Farahmand, M., & Azizi, F. (2015). Of PCOS symptoms, hirsutism has the most significant impact on the quality of life of Iranian women. PLoS One, 10(4), e0123608. https://doi.org/10.1371/journal.pone.0123608

Kim, M., Hong, J. E., & Ban, M. (2021). Mediating effects of emotional self-disclosure on the relationship between depression and quality of life for women undergoing in-vitro fertilization. International Journal of Environmental Research and Public Health, 18(12), 6247. https://doi.org/10.3390/ijerph18126247

Kogure, G. S., Ribeiro, V. B., Lopes, I. P., Furtado, C. L. M., Kodato, S., de Sá, M. F. S., Ferriani, R. A., da Silva Lara, L. A., & dos Reis, R. M. (2019). Body image and its relationships with sexual functioning, anxiety, and depression in women with polycystic ovary syndrome. Journal of Affective Disorders, 253, 385–393. https://doi.org/10.1016/j.jad.2019.05.006

Kumarapeli, V., Seneviratne, R. de A., & Wijeyaratne, C. (2011). Health-related quality of life and psychological distress in polycystic ovary syndrome: A hidden facet in South Asian women. BJOG: An International Journal of Obstetrics and Gynaecology, 118(3), 319–328. https://doi.org/10.1111/j.1471-0528.2010.02799.x

Lee, I., & Dokras, A. (2020). Mental health and body image in polycystic ovary syndrome. Current Opinion in Endocrine and Metabolic Research, 12, 85–90. https://doi.org/10.1016/j.coemr.2020.04.004

Lei, A., You, H., Luo, B., & Ren, J. (2021). The associations between infertility-related stress, family adaptability and family cohesion in infertile couples. Scientific Reports, 11(1), 24220. https://doi.org/10.1038/s41598-021-03715-9

Lim, J. W., & Ashing-Giwa, K. T. (2013). Is family functioning and communication associated with health-related quality of life for Chinese- and Korean-American breast cancer survivors? Quality of Life Research, 22(6), 1319–1329. https://doi.org/10.1007/s11136-012-0247-y

Meads, C., & Nouwen, A. (2005). Does emotional disclosure have any effects? A systematic review of the literature with meta-analyses. International Journal of Technology Assessment in Health Care, 21(2), 153–164. https://doi.org/10.1017/S026646230505021X

Mendes, T. P., Crespo, C. A., & Austin, J. K. (2017). Family cohesion, stigma, and quality of life in dyads of children with epilepsy and their parents. Journal of Pediatric Psychology, 42(6), 689–699. https://doi.org/10.1093/jpepsy/jsw105

Moghadam, Z. B., Fereidooni, B., Saffari, M., & Montazeri, A. (2018). Measures of health-related quality of life in PCOS women: A systematic review. International Journal of Women's Health, 397–408. https://doi.org/10.2147/IJWH.S165794

Mosalanejad, L., Khodabakhshi Koolaee, A., & Morshed Behbahani, B. (2012). Looking out for the secret wound: The effect of e-cognitive group therapy with emotional disclosure on the status of mental health in infertile women. International Journal of Fertility & Sterility, 6(2), 87–94. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4258246/

Mullis, M. D., Kastrinos, A., Wollney, E., Taylor, G., & Bylund, C. L. (2021). International barriers to parent-child communication about sexual and reproductive health topics: A qualitative systematic review. Sex Education, 21(4), 387–403. https://doi.org/10.1080/14681811.2020.1807316

Park, K. H., Kim, J. Y., Ahn, C. W., Song, Y. D., Lim, S. K., & Lee, H. C. (2001). Polycystic ovarian syndrome (PCOS) and insulin resistance. International Journal of Gynecology & Obstetrics, 74(3), 261–267. https://doi.org/10.1016/S0020-7292(01)00442-8

Reblin, M., & Uchino, B. N. (2008). Social and emotional support and its implication for health. Current Opinion in Psychiatry, 21(2), 201. https://doi.org/10.1097/YCO.0b013e3282f3ad89

Sarahian, N., Noroozzadeh, M., Saei Ghare Naz, M., Eskandari-Roozbahani, N., Mahboobifard, F., & Ramezani Tehrani, F. (2022). Is there any association between migraine headache and polycystic ovary syndrome (PCOS)? A review article. Molecular Biology Reports, 1–9. https://doi.org/10.1007/s11033-021-06799-8

Sayyah-Melli, M., Alizadeh, M., Pourafkary, N., Ouladsahebmadarek, E., Jafari-Shobeiri, M., Abbassi, J., & Sedaghat, K. (2015). Psychosocial factors associated with polycystic ovary syndrome: A case control study. Journal of Caring Sciences, 4(3), 225. https://doi.org/10.15171/jcs.2015.023

Sidra, S., Tariq, M. H., Farrukh, M. J., & Mohsin, M. (2019). Evaluation of clinical manifestations, health risks, and quality of life among women with polycystic ovary syndrome. PLoS ONE, 14(10), e0223329. https://doi.org/10.1371/journal.pone.0223329

Simon, V., Peigné, M., & Dewailly, D. (2023). The psychosocial impact of polycystic ovary syndrome. Reproductive Medicine, 4(1), 57–64. https://doi.org/10.3390/reprodmed4010007

Smet, M. E., & McLennan, A. (2018). Rotterdam criteria, the end. Australasian Journal of Ultrasound in Medicine, 21(2), 59–60. https://doi.org/10.1002/ajum.12096

Snell, W. E., Miller, R. S., & Belk, S. S. (1988). Development of the emotional self-disclosure scale. Sex Roles, 18, 59–73. https://doi.org/10.1007/BF00288017

Tang, N., Jia, Y., Zhao, Q., Liu, H., Li, J., Zhang, H., & Huangfu, C. (2022). Influencing factors of dyadic coping among infertile women: A path analysis. Frontiers in Psychiatry, 13, 830039. https://doi.org/10.3389/fpsyt.2022.830039

Tasali, E., Van Cauter, E., & Ehrmann, D. A. (2008). Polycystic ovary syndrome and obstructive sleep apnea. Sleep Medicine Clinics, 3(1), 37–46. https://doi.org/10.1016/j.jsmc.2007.11.001

Teede, H. J., Joham, A. E., Paul, E., Moran, L. J., Loxton, D., Jolley, D., & Lombard, C. (2013). Longitudinal weight gain in women identified with polycystic ovary syndrome: Results of an observational study in young women. Obesity, 21(8), 1526–1532. https://doi.org/10.1002/oby.20213

Trapp, S. K., Ertl, M. M., Gonzalez-Arredondo, S., Rodriguez-Agudelo, Y., & Arango-Lasprilla, J. C. (2019). Family cohesion, burden, and health-related quality of life among Parkinson’s disease caregivers in Mexico. International Psychogeriatrics, 31(7), 1039–1045. https://doi.org/10.1017/S1041610218001515

Wang, S., & Alvero, R. (2013, September). Racial and ethnic differences in physiology and clinical symptoms of polycystic ovary syndrome. In Seminars in Reproductive Medicine (Vol. 31, No. 05, pp. 365–369). Thieme Medical Publishers.

Watson, S. (2023). Polycystic ovary syndrome and weight gain. Women’s Health Guide. https://www.webmd.com/women/polycystic-ovary-syndrome-pcos-and-weight-gain

Weiss, T. R., & Bulmer, S. M. (2011). Young women's experiences living with polycystic ovary syndrome. Journal of Obstetric, Gynecologic & Neonatal Nursing, 40(6), 709–718. https://doi.org/10.1111/j.1552-6909.2011.01299.x

WHOQOL Group. (1998). Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychological Medicine, 28(3), 551–558. https://doi.org/10.1017/S0033291798006667

Yazdanfar, M., Manshaee, G., Agah Herris, M., Alipour, A., & Noorbala, A. (2015). The effectiveness of written emotional disclosure training on psychological well-being and quality of life in psychosomatic disorders. Journal of Research and Health, 5(1), 35–41. http://jrh.gmu.ac.ir/article-1-155-en.html

Zahra, S. T., & Saleem, S. (2021). The development of a family cohesion scale: A preliminary validation. FWU Journal of Social Sciences, 15(1), 120–131. http://doi.org/10.51709/19951272/spring2021/15-10

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Published

2025-12-31

How to Cite

Cheema, L. A., Khan, H., & Huda , S. . (2025). Relationship between Emotional Disclosure, Family Communication, Disease-Related Stress, and Quality of Life in Women with Polycystic Ovarian Syndrome. Journal of Professional & Applied Psychology, 6(4), 451–461. https://doi.org/10.52053/jpap.v6i4.426

Issue

Vol. 6 No. 4 (2025): Journal of Professional & Applied Psychology

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Original Articles

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Copyright (c) 2025 Laiba Anjum Cheema, Hina Khan, Sadia Huda

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