Cognitive Performance in Women with Polycystic Ovarian Syndrome: A Pilot Study

Authors

  • Sara Herreño Universidad Pontificia Bolivariana.
  • Yolanda del Río-Portilla Universidad Nacional Autónoma de México

DOI:

https://doi.org/10.21615/cesp.12.2.4

Keywords:

Polycystic Ovary Syndrome (PCOS), Gonadal Hormones, Sexual Hormones, Cognition, Cognitive Functioning

Abstract

Polycystic ovarian syndrome (PCOS) is the most common endocrine-metabolic disease in women of reproductive age. Despite its high prevalence, little research analyzes the effects of hormonal changes on cognition in patients with PCOS. Objective: To compare the performance in cognitive abilities and sexual hormone levels of a group of patients with PCOS and those of a control group. Method: Twenty women older than 21 years, without hormone treatment, divided in two groups, the first consisting by 10 patients diagnosed with PCOS according to the Rotterdam criteria (GSOP), and the other composed of 10 women without diagnosis of PCOS (GCT). WAIS III and semantic and phonological verbal fluency tests of the NEUROPSI attention and memory test battery were applied, and blood analyzes of sexual hormones were analyzed. Results: The GSOP patients obtained lower scores than the GCT in Verbal IQ (p=0.009), full scale IQ (p=0.029), verbal comprehension index (p=0.005), working memory index (p=0.023) and semantic verbal fluency test (p=0.029). No significant differences were found in sexual hormone levels. Conclusion: the GSOP showed lower performance than the GCT in verbal tests, although there was not deficit in its execution. It is suggested to study the relationship of insulin resistance with cognition in patients with GSOP.

Downloads

Download data is not yet available.

References

Anagnostis, P., Tarlatzis, B.C., & Kauffman, R.P. (2018). Polycystic ovarian syndrome (PCOS): Long-term metabolic consequences. Metabolism: Clinical and Experimental, 86, 33-43. doi: https://doi.org/10.1016/j.metabol.2017.09.016

Barnard, L., Balen, A.H., Ferriday, D., Tiplady, B., & Dye, L. (2007). Cognitive functioning in polycystic ovary syndrome. Psychoneuroendocrinology, 32, 906–914. doi: http://dx.doi.org/10.1016/j.psyneuen.2007.06.010

Barry, J.A., Parekh, H.S.K., & Hardiman, P.J. (2013). Visual-spatial cognition in women with polycystic ovarian syndrome: the role of androgens. Human Reproduction, 28(10), 2832-2837. doi: http://dx.doi.org/10.1093/humrep/det335

Bozdag, G., Mumusoglu, S., Zengin, D., Karabulut, E., & Yildiz, B.O. (2016). The prevalence and phenotypic features of polycystic ovary syndrome: A systematic review and meta-analysis. Human Reproduction, 31(12), 2841–2855. doi: http://dx.doi.org/10.1093/humrep/dew218

Chouiter, L., Holmberg, J., Manuel, A.L., Colombo, F., Clarke, S., Annoni, J.-M., & Spierer, L. (2016). Partly segregated cortico-subcortical pathways support phonologic and semantic verbal fluency: A lesion study. Neuroscience, 329, 275-283. doi: http://dx.doi.org/10.1016/j.neuroscience.2016.05.029

Corsi-Cabrera, M., del Río-Portilla, Y., & Muñoz-Torres, Z. (2007). Sex-steroid dimorfic effects on functional brain organization: Differences in cognition, emotion and anxiolysis. En: M. T. Czerbska (Ed.). Psychoneuroendocrinology Research Trends. New York: Nova Biomedical.

Fenichel, P., Rougiera, C., Hieronimus, S., & Chevalier, N. (2017). Which origin for polycystic ovaries syndrome: Genetic, environmental or both? Annales d’Endocrinologie, 78, 176-185. doi: http://dx.doi.org/10.1016/j.ando.2017.04.024

Jolliffe, L.T. (1986). Principal component analysis. New York: Springer-Verlag.

Lisofsky, N., Lindenberger, U., & Kühn, S. (2015). Amygdala/hippocampal activation during the menstrual cycle: Evidence for lateralization of effects across different tasks. Neuropsychologia, 67, 55-62. doi: http://dx.doi.org/10.1016/j.neuropsychologia.2014.12.005

Martino, P. L., Bonet, J.L., & De Bortoli, M.A. (2015). Síndrome de ovario poliquístico: una revisión de sus correlatos patológicos en el ánimo y en el rendimiento cognitivo. Revista Chilena de Neuropsicología, 10(1), 38-43. doi: http://dx.doi.org/10.5839/rcnp.2015.10.01.08

Moran, C., Tena, G., Moran, S., Ruiz, P., Reyna, R., & Duque, X. (2010). Prevalence of Polycystic Ovary Syndrome and Related Disorders in Mexican Women. Gynecologic and Obstetric Investigation, 69(4), 274-280. doi: http://dx.doi.org/10.1159/000277640

Ostrosky-Solís, F., Gómez, M. E., Matute, E., Rosselli, M., Ardila, A., & Pineda, D. (2003). NEUROPSI ATENCIÓN Y MEMORIA 6 a 85 años. México: American Book Store & Teletón.

Ostrosky-Solís, F., Gómez Pérez, M. E., Matute, E., Rosselli, M., Ardila, A., & Pineda, D. (2007). NEUROPSI ATTENTION AND MEMORY: A Neuropsychological test battery in Spanish with norms by age and educational level. Applied Neuropsychology, 14(3), 156-170. doi: http://dx.doi.org/10.1080/09084280701508655

Raznahan, A., Lee, Y., Stidd, R., Long, R., Greenstein, D., Clasen, L., ... Giedd, J.N. (2010). Longitudinally mapping the influence of sex and androgen signaling on the dynamics of human cortical maturation in adolescence. Proceedings of the National Academy of Sciences, 107(39), 16988-16993. doi: http://dx.doi.org/10.1073/pnas.1006025107

Reed, J.L., Gallagher, N.M., Sullivan, M., Callicott, J.H., & Green, A.E. (2017). Sex differences in verbal working memory performance emerge at very high loads of common neuroimaging tasks. Brain and Cognition, 113, 56-64. doi: http://dx.doi.org/10.1016/j.bandc.2017.01.001

Rees, D. A., Udiawar, M., Berlot, R., Jones, D. K., & O’Sullivan, M. J. (2016). White matter microstructure and cognitive function in young women with polycystic ovary syndrome. The Journal of Clinical Endocrinology and Metabolism, 101(1), 314–323. doi: http://dx.doi.org/10.1210/jc.2015-2318

Rotterdam ESHRE/ASRM-Sponsored PCOS Consensus Workshop Group (2004). Revised 2003 consensus on diagnostic criteria and long-term health risks related to polycystic ovary syndrome (PCOS). Human Reproduction, 19, 41-47. doi: http://dx.doi.org/10.1016/j.fertnstert.2003.10.004

Schattmann, L., & Sherwin, B.B. (2007a). Testosterone levels and cognitive functioning in women with polycystic ovary syndrome and in healthy young women. Hormones and Behavior, 51(5), 587-596. doi: http://dx.doi.org/10.1016/j.yhbeh.2007.02.007

Schattmann, L., & Sherwin, B.B. (2007b). Effects of the pharmacologic manipulation of testosterone on cognitive functioning in women with polycystic ovary syndrome: A randomized, placebo-controlled treatment study. Hormones and Behavior, 51(5), 579-586. doi: http://dx.doi.org/10.1016/j.yhbeh.2007.02.002

Scheuringer, A., & Pletzer, B. (2017). Sex differences and menstrual cycle dependent changes in cognitive strategies during spatial navigation and verbal fluency. Frontiers in Psychology, 8(381), 1-12. doi: https://doi.org/10.3389/fpsyg.2017.00381

Soleman, R.S., Kreukels, B.P.C., Veltman, D.J., Cohen-Kettenis, P.T., Hompes, P.G.A., Drent, M.L., & Lambalk, C.B. (2016). Does polycystic ovary síndrome affect cognition? A functional magnetic resonance imaging study exploring working memory. Fertility and Sterility, 105(5), 1314-1321. doi: http://dx.doi.org/10.1016/j.fertnstert.2016.01.034

Voyer, D. (2011). Time limits and gender differences on paper-and-pencil tests of mental rotation: a meta-analysis. Psychonomic Bulletin & Review, 18(2), 267-277. doi: https://doi.org/10.3758/s13423-010-0042-0

Wechsler, D. (1997/2003a). Escala Wechsler de Inteligencia para Adultos (WAIS-III). (3ra. ed.) México: Manual Moderno.

Wechsler, D. (1997/2003b). Escala Wechsler de Inteligencia para Adultos (WAIS-III) Manual técnico. (3ra. ed.) México: Manual Moderno.

Published

2019-02-04

How to Cite

Herreño, S., & del Río-Portilla, Y. (2019). Cognitive Performance in Women with Polycystic Ovarian Syndrome: A Pilot Study. CES Psicología, 12(2), 41–50. https://doi.org/10.21615/cesp.12.2.4
QR Code
Article metrics
Abstract views
Galley vies
PDF Views
HTML views
Other views
Crossref Cited-by logo