Discussion
obesity, cognitive skills, Anxiety, cognitive distortions, anxiety, Nobakht, CDI, PCOS, infertility, depressive, depression, Depression, stress reduction
OBESITY, OBESE, MENSTRUAL PROBLEMS, DISORDERS
The results showed that CBT was effective in reducing depression and anxiety and promoting the quality of life of women with the PCOS.CBT significantly reduced the mean depression score in this study. In a research by Rofey et al. (2009), women with PCOS, depression, and obesity participated in eight weekly CBT sessions focusing on lifestyle changes, medical history, and psychological education. The SECA (a calibrated weighing scale) and CDI (Children’s Depression Inventory) scales were used to measure changes in weight and depression. Follow-ups showed a significant decrease in mean weight and depression score after the intervention [CBT significantly reduced the mean anxiety score in this study. Nobakht et al. (2018) investigated the effect of cognitive-behavioral counseling on anxiety in women with HIV. Six weekly counseling sessions were conducted based on a review of mood, awareness, self-image, and experiences, along with questions about the desire to change lifestyles, stress reduction strategies, mental focus, and relaxation. The Depression, Anxiety and Stress Scale (DASS-21) was used to measure anxiety. The results showed a significant reduction in anxiety scores and improvements in patient mood [In this study, CBT significantly improved the mean score of quality of life in domains of menstrual problems, weight, infertility, and emotional problems. Cooney et al. (2018) studied the effect of CBT on obese women with PCOS and depressive symptoms. The counseling was provided in 8 sessions of 30 min weekly. PCOSQ scale was used to measure the quality of life before and after the intervention. The content of the sessions was based on planning and practicing cognitive skills such as identifying automatic thoughts and cognitive distortions. The participants in the counseling group reported a significant decrease in weight; the quality of life score was increased compared to the lifestyle change group [In recent years, psychological problems caused by PCOS has been drawn much attention from researchers worldwide. In addition to being a fertility and beauty issue for women, it can lead to psychological disorders such as depression and anxiety [