Sleep Disturbances and Quality of Life in Women with Polycystic Ovary Syndrome: The Mediating Role of Coping Styles
DOI:
https://doi.org/10.5281/zenodo.14686185Keywords:
Sleep Disturbances, Quality of Life, Coping Styles, Women with Polycystic Ovary SyndromeAbstract
Purpose: The present study explored the relational dynamics of sleep disturbances, coping styles, and quality of life in women diagnosed with Polycystic Ovary Syndrome (PCOS).
Design/Methodology/Approach: After observing all stipulated ethical considerations, this cross-sectional correlational research recruited 110 women with PCOS aged 18 to 44 years (Mage=25.3, SD=5.78) through a snowball sampling technique. A demographic information sheet and Urdu versions of the Jenkins Sleep Scale, The Brief COPE Scale, and the Quality of Life Scale were utilized to measure the study variables.
Findings: Results confirmed the significant negative relationship between sleep disturbances and quality of life. Whereas, a positive relationship emerged between sleep disturbances and coping styles (avoidant-focused and emotion-focused) in women with PCOS. Moreover, sleep disturbances, problem-focused coping, and emotion-focused coping significantly predicted quality of life; coping styles (problem-focused and emotion-focused coping) partially mediated the relationship between sleep disturbances and quality of life.
Implications/Originality/Value: This study has practical implications for healthcare providers and mental health practitioners in developing targeted interventions to better support women in managing the adverse physical and psychological effects of PCOS.
References
Ancoli-Israel, S., & Roepke, K. S. (2010). Sleep disorders in the elderly. The Indian Journal of Medical Research, 131(2), 302–310.
Aslam, M., Qurat-ul-Ain, A & Fatima, R. (2023). Psychological effect of polycystic ovary syndrome on health related quality of life among young women: Moderating role of proactive coping strategies. Review of Applied Management and Social Sciences, 6(2), 447-458. https://doi.org/10.47067/ramss.v6i2.340
Azziz, R., Carmina, E., Chen, Z., Dunaif, A., Laven, J. S., Legro, R. S., Lizneva, D., & colleagues. (2013). Polycystic ovary syndrome. Nature Reviews Disease Primers, 2, Article 16057.
Azziz, R., Woods, K. S., Reyna, R., Key, T. J., Knochenhauer, E. S., & Yildiz, B. O. (2004). The prevalence and features of the polycystic ovary syndrome in an unselected population. The Journal of Clinical Endocrinology & Metabolism, 89(6), 2745–2749. https://doi.org/10.1210/jc.2003-032046
Bennett, C. J., Mansfield, D. R., Mo, L., Joham, A. E., Cain, S. W., Blumfield, M. L., … Moran, L. J. (2021). Sleep disturbances may influence lifestyle behaviors in women with self-reported polycystic ovaries syndrome. British Journal of Nutrition. 127(9), 1395-1403. https://doi.org/10.1017/S0007114521002361.
Billings, A. G., & Moos, R. H. (1984). Coping, stress, and social resources among adults with unipolar depression. Journal of Personality and Social Psychology, 46(4), 877-891 https://doi.org/10.1037/0022=3514.46.4.877
Boerma, J. T., &Mgalla, Z. (2001). Women and infertility in sub-Saharan Africa: A multi-disciplinary perspective. Amsterdam: Royal Tropical Institute 2001, 285 p.
Burckhardt, C. S., Woods, S. L., Schultz, A. A., & Ziebarth, D. M. (1989). Quality of life of adults with chronic illness: A psychometric study. Research in Nursing & Health, 12(5), 347–354. https://doi.org/10.1002/nur.47701120604
Carver, C. S. (1997). You want to measure coping but your protocol is too long: Consider the brief cope. International Journal of Behavioral Medicine, 4(1), 92-100.
Carver, C. S., Scheier, M. F., & Weintraub, J. K. (1989). Assessing coping strategies: A theoretically based approach. Journal of Personality and Social Psychology, 56(2), 267–283. https://doi.org/10.1037/0022-3514.56.2.267
Chaudhari, A. P., Mazumdar, K., & Mehta, P. D. (2018). A profile of coping skills in patients with polycystic ovary syndrome. Indian Journal of Mental Health, 5(2).
Cobb-Clark, D. A., Kassenboehmer, S. C., & Schurer, S. (2014). Healthy habits: The connection between diet, exercise, and locus of control. Journal of Economic Behavior & Organization, 98, 1–28.
Cronkite, R. C., Moos, R. H., Twohey, J., Cohen, C., & Swindle, R., Jr. (1998). Life circumstances and personal resources as predictors of the 10-year course of depression. American Journal of Community Psychology, 26(2), 255–280.
Effati-Daryani, F. ., Mirghafourvand, M., Charandabi, S. M. A., Sarand, S. F., & Zarei, S. (2017). Sleep quality and its relationship with quality of life in Iranian pregnant women. International Journal of Nursing Practice. 23(2). https://doi.org/10.1111/ijn.12518
Fatima, I., Yaqoob, S., Jamil, F., & Butt, A. (2021). Relationship between loci of control and health-promoting behaviors in Pakistani women with polycystic ovary syndrome: Coping strategies as mediator. BMC Women’s Health 21, 356. https://doi.org/10.1186/s12905-021-01489-w
Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G* power 3: A flexible statistical power analysis program for social, behavioral, and biomedical sciences. Behavior Research Methods,39(2), 175-191. https://doi.org/10.2758/bf03193146
Field, A. (2018). Discovering statistics using IBM SPSS Statistics. Sage publications.
Flanagan, J. C. (1978). A research approach to improving our quality of life. American Psychologist. 33, 138-147. https://doi.org/10.1037//0003-066X.33.2.138.
Frankal, V. (1963). Man’s search for meaning. Pocket books.
Futterweit, W., Diamanti-Kandarakis, E., & Azziz, R. (2007). Clinical features of Polycystic ovarian disease. In Azziz, R., et al. (eds) Androgen excess disorders in women. Contemporary Endocrinology. Humana Press. https://doi.org/10.1007/978-1-59745-179-6-14
Harvey, A. G., Stinson, K., Whitaker, K. L., Moskovitz, D. & Virk, H. (2008) the subjective meaning of sleep
quality: comparison of individuals with and without insomnia. Sleep, 31(3), 383-393 https://doi.org/10.1093/sleep/31-3.383
Jenkins, C. D., Stanton, B. A., Niemcryk, S. J., & Rose, R. M. (1988). A scale for the estimation of sleep problems. Journal of Clinical Epidemiology, 41(4), 313–321.
Joshi, B., Patil, A., Kokate, P. P., Akula, A. J., Shaikh, S. A., Tandon, D., & Nayak, A. S. (2023). Assessment of Health-Related Quality of Life Using PCOSQ Tool, Its Determinants and Coping Mechanisms Used by Women with Polycystic Ovarian Syndrome Attending Multidisciplinary Clinic in Mumbai, India. Journal Obstetrics and Gynecology India 73, 172–179 (2023). https://doi.org/10.1007/s13224-022-01723-x
Kadioglu, N., Sert, U. Y., Sariaslan, S. G., Mursel, K., & Celen, S. (2022). Sleep disorders in pregnancy, influencing factors, and quality of life. Z Geburtshilfe Neonatol, 226(1), 34–40. https://doi.org/10.1055/a-1519-7517
Kahal, H., Tahrani, A. A., Kyrou, I., Dimitriadis, G. K., Kimani, P. K., Barber, T. M., Nicholls, M., Ali, A., Weickert, M. O., &Randeva, H. S. (2020). The relationship between obstructive sleep apnea and quality of life in women with polycystic ovary syndrome: a cross-sectional study. Therapeutic Advances in Endocrinology and Metabolism. (1), 1-12. https://doi.org/10.1177/2042018820906689.
Kim, S. M., Um, Y. H., Kim, T. W., Seo, H. J., Jeong, J H., & Hong, S. C. (2022). Mediation effect of the coping strategies on the relation between stress and sleep quality. Psychiatry Investigation, 19(7), 580-587. https://doi.org/10.30772/pi.2022.00155
Kowalczuk, K., Krajewska-Kulak, E., & Sobolewski, M. (2021). Relationships between sleep problems and stress coping strategies adopted by nurses, including socio-occupational factors. Frontiers in Psychiatry, 22, Article 660776. https://doi.org/10.3389/fpsyt.2021.660776
Kozusznik, M. W., Perez, S. P., Kozusznik, B., Pulopulos, M. M. (2020). The relationship between coping strategies and sleep problems. The role of depressive symptoms. Annals of Behavioral Medicine, 55(3), 253-265. https://doi.org/10.1093/abm/kaaa048
Lazarus, R. S. & Folkman, S. (1984). Stress, appraisal and coping. New York: Springer.
Lazarus, R. S. (1993). Coping theory and research. Past, present, and future. Psychosomatic Medicine, 55, 234-247.
Lazarus, R. S. (1996). “The role of coping in the emotions and how coping changes over the life course,” in Handbook of Emotion, Adult Development, and Aging, eds C. Maletesta-Magni and S. H. McFadden Academic Press, 289-306.
Lazarus, R. S., & Folkman, S. (1986). Transactional theory and research on emotions and coping. European Journal of Personality, 1, 141-169.
Malik, M., Latif, F., & Hussain, A. (2020). Health-related quality of life and depression among women with polycystic ovary syndrome (PCOS) in Pakistan. British Journal of Medical and Health Research, 7(12).
Menosa, F. & Albano, J. (2023). Quality of life of millennial within polycystic ovary syndrome. Research Square. https://doi.org/10.21203/rs.3.rs-3398125/v1
Morshedi, T., Salehi, M., Farzad, V., Hasani, F., & Shakibazadeh, E. (2020). The status of relationship between coping strategies and quality of life in women with polycystic ovary syndrome. Journal of Education and Health Promotion, 10(1): 185. https://doi.org/10.4103/jehp.jehp_1008_20
Morshedi, T., Salehi, M., Farzad, V., Hasani, F., & Shakibazadeh, E. (2022). Explaining the Structural Relationships of Quality of Life Based on Emotional and Marital Adjustment Mediated by Coping Strategies in Women with Polycystic Ovary Syndrome. Sal?mat-iijtim? ?? (Community Health), 9(3), 27-39. http://doi.org/10.22037/ch.v9i3.31376
Nosrati Hadiabad, S. F., Abdollahi, M., Sadrzadeh, S. M., & Karimi, F. Z. (2023). The relationship between sleep quality and quality of life among postmenopausal women. Journal of Client-Centered Nursing Care, 9(1), 47-56. https://doi.org/10.32598/JCCNC.9.1.463.1
Peters, A. E. J., Verspeek, L. B., Nieuwenhujize, M., Harskamp-van Ginkel, M. W., &Meertens, R. M. (2023). The relationship between sleep quality during pregnancy and health-related quality of life: A systematic review. The Journal of Maternal-Fetal & Neonatal Medicine, 36(1). https://doi.org/10.1080/14767058.2023.2212829
Richter, K. V. (2017). The relationship between exercise and sleep and health related quality of life in breast cancer patients.
Roland, N. (2011). Sleep disturbances among elderly people in nursing home: A non-pharmacological approach. https://www.theseus.fi/handle/10024/36268
Saif, J., Rohail, I., & Aqeel, M. (2021). Quality of life, coping strategies, and psychological distress in women with primary and secondary infertility: A mediating model. Nature-Nurture Journal of Psychology, 1(8). https://doi.org/10.47391/NNJP.02
Salman, M., Khan, A. H., Sulaiman, S. A. S., Saleem, F., Asif, N., Mustafa, Z. U., Hussain, K., Shehzadi, N., Mushtaq, S., Nasir, U., Hayat, H. U., & Kanwal, M. (2018). Psychometric validation of the Urdu version of the Jenkins Sleep Evaluation Questionnaire. Journal of Pharmacy and Community Medicine, 4(1), 4–6.
Sanchez, N. (2014). A life course perspective on polycystic ovary syndrome. International Journal of Women’s Health, 6, 115-122. https://doi.org/10.2147/IJWH.S55748
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) https://doi.org/10.1371/journal.pone.0223329
Singh, P., Bhowmik, S. R., Verma, T., & Deo, S. (2023). Impact of lifestyle modification behavior (LSMB) on physiological parameters, sleep patterns, and quality of life among patients with PCOS in tertiary care settings. International Journal of Scientific Development and Research, 8(4). https://doi.org/10.1729/journal.34861
Taylor, S. E. (1991). Health Psychology. The McGraw-Hill Companies.
Tsai, S. Y., Lee, P. L., Lin, J. W. (2016). Cross-sectional and longitudinal association between sleep and health-related quality of life in pregnant women: A prospective observational study. International Journal of Nursing Student. 56, 45-53.
Uchmanowicz, I. Markiewicz, K., Uchmanowicz, B., Koltuniuk, A., & Rosinczuk, J. (2019). The relationship between sleep disturbances and quality of life in elderly patient with hypertension. Clinical Interventions in Aging. 14, 155-165. https://doi.org/10.2147/CIA.S188499
Ventegodt, S., Merrick, J., & Andersen, N. (2003). Quality of life theory. The IQOL Theory: an integrate theory of the global quality of life concept. The Scientific World Journal, 3, 1030-1040. https://doi.org/10.1100/tsw.2003.82
Yildiz, B. O., Knochenhauer, E. S., & Azziz, R. (2008). Impact of obesity on the risk for polycystic ovary syndrome. Journal Clin Endocrinol Metab. 2008; 93: 162-168.
Zafar, U., Memon, Z., Moin, K., Agha, S., Hassam, J. A., & Zehra, D. (2019). Prevalence of PCOS with associated symptoms and complications at tertiary care of hospital of Karachi. Journal Adv Medicine Research. 2019; 30, 1-9.
Zhou, X. P., Morris, J. R., Shapiro, M., Jaswa, E. G., Cedars, M. I., & Huddleston, H. G. (2021). Obstructive sleep apnea risk is associated with lower health-related quality of life in women with polycystic ovary syndrome (PCOS).