The Impact of Childhood Abuse and Neglect on the Development of Features of Polycystic Ovary Syndrome: A Pilot Study

Objective: To determine associations of childhood emotional and physical abuse and neglect with the incidence of menstrual irregularity, male pattern hair growth, and possible PCOS. Design: Cross-sectional Study at University. Subjects: 410 individuals, 18–45 years old. Intervention: Survey. Main Ou...

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Main Authors: Akanksha Misra, Olivia Wolfe, Ricardo Azziz
Format: Article
Language:English
Published: Mary Ann Liebert 2025-01-01
Series:Women's Health Reports
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Online Access:https://www.liebertpub.com/doi/10.1089/whr.2024.0130
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author Akanksha Misra
Olivia Wolfe
Ricardo Azziz
author_facet Akanksha Misra
Olivia Wolfe
Ricardo Azziz
author_sort Akanksha Misra
collection DOAJ
description Objective: To determine associations of childhood emotional and physical abuse and neglect with the incidence of menstrual irregularity, male pattern hair growth, and possible PCOS. Design: Cross-sectional Study at University. Subjects: 410 individuals, 18–45 years old. Intervention: Survey. Main Outcome Measure(s): A questionnaire was administered to students, faculty, and staff at a regional State University of New York (SUNY) campus. Data on sociodemographic factors, menstrual dysfunction (irregularity, male pattern hair growth, and PCOS), and experiences of childhood abuse and neglect were collected. Results: Participants were sub-grouped into those with menstrual irregularity (MI: defined as >35 days between one period’s beginning and the next, or ≤8 cycles/year, or absent periods altogether), or male pattern hair growth (MHG: defined as excess hair on the upper lip, chin, chest, abdomen, buttocks, or back), both (MI+MHG), or those who did have neither (Unaffected). Family income status yielded some association with the presence of MI, MHG, or MI+MHG. There were significant correlations between individuals reporting MI, MHG, and MI+MHG and reported experiences of feeling loved by their caregiver (p value = 0.0029988), experiencing verbal abuse (p value = 0.0000004293), experiencing physical neglect (p value = 0.030228), feeling emotionally disconnected from their caregiver (p value = 0.0006138), and not having a peaceful home (p value = 0.00005760630462), vis-à-vis Unaffected individuals. Almost all respondents with a prior diagnosis of PCOS (97.6%) reported MI and/or MHG. Conclusions: All childhood experiences of abuse and neglect, except the loss of a parent, were significantly associated with features suggestive of PCOS. Larger, unbiased population studies across different demographics, are needed.
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spelling doaj-art-183d54eb2ab84c2f9897ce7823c1eb492025-08-20T02:30:55ZengMary Ann LiebertWomen's Health Reports2688-48442025-01-016141242010.1089/whr.2024.0130The Impact of Childhood Abuse and Neglect on the Development of Features of Polycystic Ovary Syndrome: A Pilot StudyAkanksha Misra0Olivia Wolfe1Ricardo Azziz2SUNY Plattsburgh, Plattsburgh, New York, USA.SUNY Plattsburgh, Plattsburgh, New York, USA.Depts. of Obstetrics & Gynecology, Heersink School of Medicine, University of Alabama at Birmingham (UAB), Birmingham, Alabama, USA.Objective: To determine associations of childhood emotional and physical abuse and neglect with the incidence of menstrual irregularity, male pattern hair growth, and possible PCOS. Design: Cross-sectional Study at University. Subjects: 410 individuals, 18–45 years old. Intervention: Survey. Main Outcome Measure(s): A questionnaire was administered to students, faculty, and staff at a regional State University of New York (SUNY) campus. Data on sociodemographic factors, menstrual dysfunction (irregularity, male pattern hair growth, and PCOS), and experiences of childhood abuse and neglect were collected. Results: Participants were sub-grouped into those with menstrual irregularity (MI: defined as >35 days between one period’s beginning and the next, or ≤8 cycles/year, or absent periods altogether), or male pattern hair growth (MHG: defined as excess hair on the upper lip, chin, chest, abdomen, buttocks, or back), both (MI+MHG), or those who did have neither (Unaffected). Family income status yielded some association with the presence of MI, MHG, or MI+MHG. There were significant correlations between individuals reporting MI, MHG, and MI+MHG and reported experiences of feeling loved by their caregiver (p value = 0.0029988), experiencing verbal abuse (p value = 0.0000004293), experiencing physical neglect (p value = 0.030228), feeling emotionally disconnected from their caregiver (p value = 0.0006138), and not having a peaceful home (p value = 0.00005760630462), vis-à-vis Unaffected individuals. Almost all respondents with a prior diagnosis of PCOS (97.6%) reported MI and/or MHG. Conclusions: All childhood experiences of abuse and neglect, except the loss of a parent, were significantly associated with features suggestive of PCOS. Larger, unbiased population studies across different demographics, are needed.https://www.liebertpub.com/doi/10.1089/whr.2024.0130PCOSmenstrual dysfunctionadverse childhood experienceemotional abusechildhood neglect
spellingShingle Akanksha Misra
Olivia Wolfe
Ricardo Azziz
The Impact of Childhood Abuse and Neglect on the Development of Features of Polycystic Ovary Syndrome: A Pilot Study
Women's Health Reports
PCOS
menstrual dysfunction
adverse childhood experience
emotional abuse
childhood neglect
title The Impact of Childhood Abuse and Neglect on the Development of Features of Polycystic Ovary Syndrome: A Pilot Study
title_full The Impact of Childhood Abuse and Neglect on the Development of Features of Polycystic Ovary Syndrome: A Pilot Study
title_fullStr The Impact of Childhood Abuse and Neglect on the Development of Features of Polycystic Ovary Syndrome: A Pilot Study
title_full_unstemmed The Impact of Childhood Abuse and Neglect on the Development of Features of Polycystic Ovary Syndrome: A Pilot Study
title_short The Impact of Childhood Abuse and Neglect on the Development of Features of Polycystic Ovary Syndrome: A Pilot Study
title_sort impact of childhood abuse and neglect on the development of features of polycystic ovary syndrome a pilot study
topic PCOS
menstrual dysfunction
adverse childhood experience
emotional abuse
childhood neglect
url https://www.liebertpub.com/doi/10.1089/whr.2024.0130
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