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Author: Michelle Shwarz
Publisher:
ISBN:
Category :
Languages : en
Pages : 202
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Book Description
Polycystic ovary syndrome (PCOS) is the most common endocrine disorder affecting up to 18% of all women, yet only 1.5% have been formally diagnosed. Untreated, PCOS is associated with the early onset of diabetes mellitus type II, heart disease, and cancer. One of the most common clinical symptoms of PCOS is mental health illness. The estimated lifetime prevalence of mental illness in women with PCOS is 80%. Therefore, mental health professionals may be especially poised to screen, refer, and address PCOS in their practices. This study was used to develop a survey tool as well as a brief educational intervention using framing theory to boost PCOS knowledge of diagnostic criteria and clinical symptoms, screening practices, and referrals for PCOS evaluation. The survey assessed mental health providers' knowledge about PCOS, estimates of PCOS prevalence in their practices, and evaluated attitudes about screening for PCOS in order to identify other potential barriers and facilitators to screening. This study was conducted using a randomized, two-group (experimental vs. attention control) design with three measurement periods: pre-intervention, 4-weeks, and 12-weeks. Participants were stratified by whether or not they had medical degrees. One-hundred and sixty three (N=163) participants completed the first survey and were randomized and completed one of the two educational interventions (PCOS related or attention control). Knowledge outcomes included number of correctly identified PCOS diagnostic criteria and clinical symptoms. Behavior outcomes included whether or not participants screened or referred clients for PCOS in the last 3 months. Fourteen attitude measures and two confidence measures were also separately evaluated as potential influencing factors of knowledge and behavior. The study resulted in no change in PCOS knowledge of diagnostic criteria or clinical symptoms or behavior based on intervention assignment in medical professionals; however, baseline knowledge in this group was high. Confidence in PCOS knowledge was associated with screening behavior. The PCOS educational intervention appears to have potential efficacy at increasing non-medical professional clinical symptom knowledge of PCOS (Chi-square(1)=5.341, p=0.021) but did not improve screening or referring behavior. The PCOS intervention resulted in greater confidence in PCOS knowledge in the PCOS intervention group than in the attention control group (p=.003). Framing theory appears to be a promising framework for messaging designed to increase knowledge about PCOS only in non-medical mental health practitioners. Results of this study should be interpreted with caution because sample size goals were not met and there was high attrition among medical mental health practitioners. Future intervention strategies should consider the inherent differences in the type of professional that are targeted (i.e. medical vs. non-medical) and the presence of specific barriers to screening and referral behavior. These strategies should improve upon the intensity of the intervention and the timing of the intervention to occur during provider training (i.e. during residency or early internships) in order to increase screening and referring behaviors for PCOS.
Author: Michelle Shwarz
Publisher:
ISBN:
Category :
Languages : en
Pages : 202
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Book Description
Polycystic ovary syndrome (PCOS) is the most common endocrine disorder affecting up to 18% of all women, yet only 1.5% have been formally diagnosed. Untreated, PCOS is associated with the early onset of diabetes mellitus type II, heart disease, and cancer. One of the most common clinical symptoms of PCOS is mental health illness. The estimated lifetime prevalence of mental illness in women with PCOS is 80%. Therefore, mental health professionals may be especially poised to screen, refer, and address PCOS in their practices. This study was used to develop a survey tool as well as a brief educational intervention using framing theory to boost PCOS knowledge of diagnostic criteria and clinical symptoms, screening practices, and referrals for PCOS evaluation. The survey assessed mental health providers' knowledge about PCOS, estimates of PCOS prevalence in their practices, and evaluated attitudes about screening for PCOS in order to identify other potential barriers and facilitators to screening. This study was conducted using a randomized, two-group (experimental vs. attention control) design with three measurement periods: pre-intervention, 4-weeks, and 12-weeks. Participants were stratified by whether or not they had medical degrees. One-hundred and sixty three (N=163) participants completed the first survey and were randomized and completed one of the two educational interventions (PCOS related or attention control). Knowledge outcomes included number of correctly identified PCOS diagnostic criteria and clinical symptoms. Behavior outcomes included whether or not participants screened or referred clients for PCOS in the last 3 months. Fourteen attitude measures and two confidence measures were also separately evaluated as potential influencing factors of knowledge and behavior. The study resulted in no change in PCOS knowledge of diagnostic criteria or clinical symptoms or behavior based on intervention assignment in medical professionals; however, baseline knowledge in this group was high. Confidence in PCOS knowledge was associated with screening behavior. The PCOS educational intervention appears to have potential efficacy at increasing non-medical professional clinical symptom knowledge of PCOS (Chi-square(1)=5.341, p=0.021) but did not improve screening or referring behavior. The PCOS intervention resulted in greater confidence in PCOS knowledge in the PCOS intervention group than in the attention control group (p=.003). Framing theory appears to be a promising framework for messaging designed to increase knowledge about PCOS only in non-medical mental health practitioners. Results of this study should be interpreted with caution because sample size goals were not met and there was high attrition among medical mental health practitioners. Future intervention strategies should consider the inherent differences in the type of professional that are targeted (i.e. medical vs. non-medical) and the presence of specific barriers to screening and referral behavior. These strategies should improve upon the intensity of the intervention and the timing of the intervention to occur during provider training (i.e. during residency or early internships) in order to increase screening and referring behaviors for PCOS.
Author: NADIR R. FARID
Publisher: Springer Science & Business Media
ISBN: 038709718X
Category : Medical
Languages : en
Pages : 275
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Book Description
Diagnosis and Management of Polycystic Ovary Syndrome is a comprehensive clinical reference work for primary care physicians, internists, general endocrinologists, obstetricians, gynecologists and students. PCOS is a common but frequently misdiagnosed disease. Many symptoms can be alleviated by early intervention and effective management. Prominent endocrinologists are gathered to detail current research and treatment in this metabolic disorder, affecting a growing population. The chapters are comprehensive, providing cutting edge knowledge on pathogenesis, manifestations, diagnosis and treatment of PCOS. Each chapter will be concise concluding with cogent practice points. The variety of medical issues presenting in PCOS patients result in late referrals or in- appropriate advice. This title will be a tool in a further understanding of the metabolic and genetic basis of PCOS, while providing management strategies.
Author: Rachel Niemi
Publisher:
ISBN:
Category : Psychology
Languages : en
Pages : 308
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Book Description
Polycystic ovary syndrome (PCOS) is a chronic illness affecting many women of all ages, races, ethnicities, and sexual orientations. PCOS has lifelong consequences related to both medical and mental illness. PCOS can greatly affect many aspects of a women's reproductive and metabolic health which can lead to long term issues such as diabetes, infertility, and cancer. Many of the women diagnosed with PCOS are also struggling with mental health issues including depression, anxiety, low self-esteem, eating disorders, poor body image, and other mood disorders. Despite the fact that PCOS has been linked to mental health issues, there is a general lack of awareness and understanding of the syndrome in the mental health community. As more and more research reveals the prevalence and severity of mental health issues related to PCOS, the need for psychosocial support and treatment needs to be examined. The purpose of PCOS T.A.C.T. is to create an initial foundation for the understanding and treatment of PCOS in the mental health field. A strong foundation is needed to promote awareness and understanding so that treatments for PCOS can be designed effectively and collaboratively. To inform the need for such a program a needs analysis was conducted utilizing both the available literature and public online support group forums. Both the literature review and the needs analysis revealed that psychological symptoms such as depression, anxiety, and mood swings correlated with the physical symptoms of PCOS. The literature revealed a need for collaboration and holistic care.
Author: Lubna Pal
Publisher: Springer
ISBN: 9781493952359
Category : Health & Fitness
Languages : en
Pages : 0
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Book Description
Presenting an overview of the current understanding of the pathophysiology of PCOS and a paradigm for the clinical evaluation and management of the disorder, Polycystic Ovary Syndrome is written in an easy to digest, concise format that, with bulleted key points introducing each chapter, is suitable for the trainee and the busy clinician. The breadth and depth of coverage of today’s queries and controversies will be of particular interest to the specialist and researcher. An international group of leading experts addresses the varied etiologies of PCOS, comprehensively covering the contemporary treatment approaches and long-term implications of PCOS, a common yet poorly understood disorder. Chapters on treatment will be of particular relevance to the clinician and the trainee as they cover conventional therapies, lifestyle, and diet, as well as address emerging strategies such as the use of statins and surgery in PCOS management. Spanning the breadth of clinical presentations and morbidities related to the diagnosis of PCOS, Polycystic Ovary Syndrome is an exceptional resource for primary care providers, gynecologists, reproductive endocrinologists, and others involved in the care of these patients, and provides the essential tools to aid clinicians in initiating a timely diagnostic workup and appropriate interventions to address both the immediate and long-term sequelae related to PCOS.
Author: Andrea Dunaif
Publisher: Springer Science & Business Media
ISBN: 1597451088
Category : Medical
Languages : en
Pages : 361
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Book Description
This volume includes the latest diagnostic criteria for PCOS and comprises the most up-to-date information about the genetic features and pathogenesis of PCOS. It critically reviews the methodological approaches and the evidence for various PCOS susceptibility genes. The book also discusses additional familial phenotypes of PCOS and their potential genetic basis. All four editors of this title are extremely prominent in the field of PCOS.
Author: Deepak Prabhakar
Publisher: Elsevier Health Sciences
ISBN: 0443182779
Category : Medical
Languages : en
Pages : 511
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Book Description
Advances in Psychiatry and Behavioral Health reviews the year’s most important findings and updates within the field in order to provide psychiatrists and primary care physicians with the current clinical information they need to improve patient outcomes. A distinguished editorial board, led by Dr. Deepak Prabhakar, identifies key areas of major progress and controversy and invites preeminent specialists to contribute original articles devoted to these topics. These insightful overviews in psychiatry and behavioral health inform and enhance clinical practice by bringing concepts to a clinical level and exploring their everyday impact on patient care. Contains 24 articles on such topics as OCD in sport; eating disorders in athletes during times of transition; treatment of misophonia; crisis management in psychiatry; physician wellness; and more, as well as current topics in geriatrics, child and adolescent psychiatry, women’s health, psychotherapeutics, neurosciences, and more. Provides in-depth, clinical reviews in psychiatry and behavioral health, providing actionable insights for clinical practice. Presents the latest information in the field under the leadership of an experienced editorial team. Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews.
Author: Mattias Månsson
Publisher:
ISBN: 9789180166133
Category :
Languages : en
Pages : 0
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Book Description
Author: Rehana Rehman
Publisher: Elsevier Health Sciences
ISBN: 0323879330
Category : Medical
Languages : en
Pages : 275
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Book Description
Providing a holistic, global approach to all aspects of PCOS, Polycystic Ovary Syndrome: Basic Science to Clinical Advances Across the Lifespan offers authoritative guidance on the diagnosis, treatment, and management of this challenging syndrome. It presents a coherent, evidence-based approach to diagnosis, as well as recommendations for clinical practice grounded in recent advances in basic sciences. Unique in the field, this practical resource provides decision-making tools for endocrinologists, fertility specialists, gynecologists, and internists who diagnose and treat patients with this complex chronic condition. Covers all aspects of PCOS and management across the lifespan, including short- and long-term metabolic, endocrine, and psychological challenges. Offers an integrative approach to the understanding of pathophysiology and management of PCOS in adult women and adolescent girls with a focus on genetics, microRNAs, and risk factors. Includes clinical, hormonal and metabolic features as well as diagnostic criteria and PCOS phenotypes. Presents treatment and management options for common symptoms, hirsutism, menstrual irregularity, and conception planning, including a chapter on subfertility and the male PCOS equivalent. Includes coverage of standard comorbidities, as well as a section on global approaches to patients with PCOS that addresses unique concerns, practices, and stigmas associated with how different cultures approach the disorder. Addresses the use of complementary/alternative medicine, lifestyle modification, and behavioral therapy in managing PCOS. An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud.
Author: Felice Petraglia
Publisher: Springer
ISBN: 9783030147815
Category : Medical
Languages : en
Pages : 0
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Book Description
Written by leading international specialists, this book provides a comprehensive, state-of-the-art overview of endocrine-based female reproductive disorders. Particularly focusing on the Hypothalamus – Pituitary – Ovary (HPO) axis as the main driver of reproduction in women, it discusses amenorrhea; chronic anovulation and polycystic ovary syndrome as the most common dysfunctions of the HPO axis; endocrine diseases as possible impacts on the HPO axis; uterine disorders related to estrogen/progesterone; and the impact of endometriosis and uterine fibroids on reproduction. It also addresses infertility and menopause as hormone-related disorders in women and endocrine changes during pregnancy and lactation, and in breast disorders. The book is intended as a major reference for endocrinologists, gynecologists, and obstetricians, as well as basic and clinical scientists. It is published as part of the SpringerReference program, which provides access to live editions constantly updated through a dynamic peer-review publishing process.
Author: Gabor T. Kovacs
Publisher: Cambridge University Press
ISBN: 1108997090
Category : Medical
Languages : en
Pages : 215
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Book Description
Polycystic ovary syndrome (PCOS) is one of the most common reproductive health problems of women, causing irregular periods and potential infertility amongst other challenging symptoms. Effective treatment remains a significant challenge and is largely achieved through hormonal medication and lifestyle changes. This third edition covers the aetiology, pathology, impact on fertility and effective medical and surgical management. The content has been thoroughly revised in line with updated guidelines and research developments in the field. A new chapter on the patient's perspective has been included, bringing valuable insight into the lived experience of the condition. Mood disorders and the psychological aspects of PCOS are also covered for the first time. This is a key reference for all clinicians involved in the care of patients with PCOS, including gynaecologists, IVF specialists and reproductive endocrinologists.
