{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T09:29:25Z","timestamp":1789810165775,"version":"4.0.1"},"reference-count":37,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2018,11,7]],"date-time":"2018-11-07T00:00:00Z","timestamp":1541548800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Polycystic ovary syndrome (PCOS) is one of the most common chronic endocrinopathies affecting between 5 and 10% of reproductive age women. A diagnosis of PCOS very often causes a deterioration in the woman\u2019s self-esteem and self-image, and consequently her quality of life (QoL). The purpose of the study was to investigate generalized self-efficacy, dispositional optimism and acceptance of illness in women with PCOS and to explore factors that affect these variables. The study was performed between January and November 2016 among women with PCOS using health care services. The study used a diagnostic survey with questionnaires. The research instruments included the Generalized Self-Efficacy Scale (GSES), the Life Orientation Test-Revised (LOT-R), the Acceptance of Illness Scale (AIS), and a standardized interview questionnaire. Among the PCOS patients studied, the mean score for generalized self-efficacy was 28.74 (\u00b15.16), dispositional optimism\u201413.56 (\u00b14.28), and acceptance of illness\u201427.90 (\u00b17.74). The respondents\u2019 generalized self-efficacy was determined by their residence, education, socio-economic standing, BMI, and time from diagnosis (p &lt; 0.05), while socio-economic standing was a determinant of dispositional optimism (p &lt; 0.05). Determinants of illness acceptance in women with PCOS included their residence, socio-economic standing, and time from diagnosis (p &lt; 0.05). Increased generalized self-efficacy and dispositional optimism contributed to more illness acceptance in PCOS patients. The present study, compared with others on the subject, will enable specialists providing care to women with PCOS to gain a deeper and more comprehensive understanding of the situation and condition of their patients. It will also allow for a better response to the needs of PCOS patients, and provide them with individualized, holistic specialist care, diagnostics, and treatment.<\/jats:p>","DOI":"10.3390\/ijerph15112484","type":"journal-article","created":{"date-parts":[[2018,11,7]],"date-time":"2018-11-07T10:32:07Z","timestamp":1541586727000},"page":"2484","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Generalized Self-Efficacy, Dispositional Optimism, and Illness Acceptance in Women with Polycystic Ovary Syndrome"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6534-1100","authenticated-orcid":false,"given":"Ewa","family":"Rzo\u0144ca","sequence":"first","affiliation":[{"name":"Faculty of Health Sciences, Medical University of Lublin, 4-6 Staszica St., 20-081 Lublin, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1617-4764","authenticated-orcid":false,"given":"Gra\u017cyna","family":"Iwanowicz-Palus","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, Medical University of Lublin, 4-6 Staszica St., 20-081 Lublin, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5268-6900","authenticated-orcid":false,"given":"Agnieszka","family":"Bie\u0144","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, Medical University of Lublin, 4-6 Staszica St., 20-081 Lublin, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7011-2345","authenticated-orcid":false,"given":"Artur","family":"Wdowiak","sequence":"additional","affiliation":[{"name":"Diagnostic Techniques Unit, Medical University of Lublin, 4-6 Staszica St., 20-081 Lublin, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryszard","family":"Szyma\u0144ski","sequence":"additional","affiliation":[{"name":"Gynecological-obstetrics Ward, Independent Public Complex of Health Care Facilities in Nowa D\u0119ba, 1a M.C. Sk\u0142odowska St., 39-460 Nowa D\u0119ba, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9904-3777","authenticated-orcid":false,"given":"Gustaw","family":"Cho\u0142ubek","sequence":"additional","affiliation":[{"name":"Diagnostic Techniques Unit, Medical University of Lublin, 4-6 Staszica St., 20-081 Lublin, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2018,11,7]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"154","DOI":"10.15557\/CGO.2015.0017","article-title":"Self-efficacy and strategies of adaptation to disease in patients with cancer of reproductive organs","volume":"13","author":"Rogala","year":"2015","journal-title":"Curr. Gynecol. Oncol."},{"key":"ref_2","first-page":"23","article-title":"Dispositional optimism and acceptance of illness among a group of individuals with Graves-Basedow\u2019s disease","volume":"59","author":"Junik","year":"2008","journal-title":"Pol. J. Endocrinol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"537","DOI":"10.5812\/ijem.3932","article-title":"Health Locus of Control in Patients with Graves-Basedow Disease and Hashimoto Disease and Their Acceptance of Illness","volume":"10","author":"Basinska","year":"2012","journal-title":"Int. J. Endocrinol. Metab."},{"key":"ref_4","first-page":"18","article-title":"Effects of gender role on personal resources and coping with stress","volume":"24","year":"2011","journal-title":"Int. J. Occup. Med. Environ. Health"},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"De Leo, V., Musacchio, M.C., Cappelli, V., Massaro, M.G., Morgante, G., and Petraglia, F. (2016). Genetic hormonal and metabolic aspects of PCOS: An update. Reprod. Biol. Endocrinol., 14.","DOI":"10.1186\/s12958-016-0173-x"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1092","DOI":"10.1093\/humrep\/dei409","article-title":"Determinants of emotional distress in women with polycystic ovary syndrome","volume":"21","author":"Elsenbruch","year":"2006","journal-title":"Hum. Reprod."},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"El Hayek, S., Bitar, L., Hamdar, L.H., Mirza, F.G., and Daoud, G. (2016). Poly Cystic Ovarian Syndrome: An Updated Overview. Front. Physiol., 5.","DOI":"10.3389\/fphys.2016.00124"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1023","DOI":"10.1111\/jsm.12405","article-title":"Health-Related Quality of Life in Patients with Polycystic Ovary Syndrome (PCOS): A Model-Based Study of Predictive Factors","volume":"11","author":"Bazarganipour","year":"2014","journal-title":"J. Sex. Med."},{"key":"ref_9","first-page":"371","article-title":"Health-related quality of life and its relationship with clinical symptoms among Iranian patients with polycystic ovarian syndrome","volume":"11","author":"Bazarganipour","year":"2013","journal-title":"Iran. J. Reprod. Med."},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Teede, H., Deeks, A., and Moran, L. (2010). Polycystic ovary syndrome: A complex condition with psychological, reproductive and metabolic manifestations that impacts on health across the lifespan. BMC Med., 8.","DOI":"10.1186\/1741-7015-8-41"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"638","DOI":"10.1093\/humupd\/dms029","article-title":"Emotional distress is a common risk in women with polycystic ovary syndrome: A systematic review and meta-analysis of 28 studies","volume":"18","author":"Boivin","year":"2012","journal-title":"Hum. Reprod. Update"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"168","DOI":"10.4103\/2277-9175.162545","article-title":"The relationship between quality of life and coping strategies in polycystic ovary syndrome patients","volume":"4","author":"Kolahi","year":"2015","journal-title":"Adv. Biomed. Res."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1075","DOI":"10.1093\/humrep\/dex044","article-title":"High prevalence of moderate and severe depressive and anxiety symptoms in polycystic ovary syndrome: A systematic review and meta-analysis","volume":"32","author":"Cooney","year":"2017","journal-title":"Hum. Reprod."},{"key":"ref_14","unstructured":"Juczy\u0144ski, Z. (2012). Skala Uog\u00f3lnionej W\u0142asnej Skuteczno\u015bci\u2014GSES. Measurement Instruments in Health Promotion and Psychooncology (Narz\u0119dzia Pomiaru w Promocji i Psychologii Zdrowia), Pracowania Test\u00f3w Psychologicznych Polskiego Towarzystwa Psychologicznego."},{"key":"ref_15","unstructured":"Juczy\u0144ski, Z. (2012). Test Orientacji \u017byciowej\u2014LOT-R. Measurement Instruments in Health Promotion and Psychooncology (Narz\u0119dzia Pomiaru w Promocji i Psychologii Zdrowia), Pracowania Test\u00f3w Psychologicznych Polskiego Towarzystwa Psychologicznego. (adaptation: Poprawa, R.; Juczy\u0144ski, Z.)."},{"key":"ref_16","unstructured":"Juczy\u0144ski, Z. (2012). Skala Akceptacji Choroby\u2014AIS. Measurement Instruments in Health Promotion and Psychooncology (Narz\u0119dzia Pomiaru w Promocji i Psychologii Zdrowia), Pracowania Test\u00f3w Psychologicznych Polskiego Towarzystwa Psychologicznego. (adaptation: Juczy\u0144ski, Z.)."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"921","DOI":"10.1080\/03630242.2015.1061094","article-title":"Psychosocial Factors Associated with Risk Perceptions for Chronic Diseases in Younger and Middle-Aged Women","volume":"55","author":"Hamilton","year":"2015","journal-title":"Women Health"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"190","DOI":"10.5455\/medarh.2015.69.190-195","article-title":"Fears and Health Needs of Patients with Diabetes: A Qualitative Research in Rural Population","volume":"69","author":"Papaspurou","year":"2015","journal-title":"Med. Arch."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"56","DOI":"10.4081\/jphr.2017.883","article-title":"Socioeconomic status and self-reported chronic diseases among Argentina\u2019s adult population: Results based on multivariate probability models","volume":"6","author":"Viego","year":"2017","journal-title":"J. Public Health Res."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"2082","DOI":"10.1093\/humrep\/des114","article-title":"Psychological parameters in the reproductive phenotypes of polycystic ovary syndrome","volume":"27","author":"Moran","year":"2012","journal-title":"Hum. Reprod."},{"key":"ref_21","first-page":"113","article-title":"Self-Confidence in Women with and without Polycystic Ovary Syndrome","volume":"8","author":"Amini","year":"2014","journal-title":"J. Fam. Reprod. Health"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1016\/j.mce.2012.10.029","article-title":"Longterm management of Polycystic Ovarian Syndrome (PCOS)","volume":"373","author":"Bates","year":"2013","journal-title":"Mol. Cell. Endocrinol."},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Avery, J.C., and Braunack-Mayer, A.J. (2007). The information needs of women diagnosed with Polycystic Ovarian Syndrome\u2014Implications for treatment and health outcomes. BMC Womens Health, 20.","DOI":"10.1186\/1472-6874-7-9"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1080\/08964289.2012.720312","article-title":"Assessing self-efficacy and self-help methods in women with and without Polycystic Ovary Syndrome","volume":"39","author":"Kozica","year":"2013","journal-title":"Behav. Med."},{"key":"ref_25","first-page":"1391","article-title":"Correlations between satisfaction with life and selected personal resources among students of Universities of the Third Age","volume":"31","year":"2017","journal-title":"Clin. Interv. Aging"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"731","DOI":"10.1097\/OPX.0000000000000856","article-title":"Communication Predicts Medication Self-Efficacy in Glaucoma Patients","volume":"93","author":"Carpenter","year":"2016","journal-title":"Optom. Vis. Sci."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"337","DOI":"10.2147\/PPA.S41863","article-title":"Health locus of control and the sense of self-efficacy in patients with systolic heart failure: A pilot study","volume":"19","author":"Rydlewska","year":"2013","journal-title":"Patient Prefer. Adherence"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"E8","DOI":"10.1097\/JCN.0000000000000232","article-title":"Effects of Self-esteem, Optimism, and Perceived Control on Depressive Symptoms in Stroke Survivor-Spouse Dyads","volume":"31","author":"Chung","year":"2016","journal-title":"J. Cardiovasc. Nurs."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1097\/PSY.0b013e318242096b","article-title":"Infertility Outcomes Program Project Group.: Fertility treatment response: Is it better to be more optimistic or less pessimistic?","volume":"74","author":"Bleil","year":"2012","journal-title":"Psychosom. Med."},{"key":"ref_30","doi-asserted-by":"crossref","unstructured":"Moyer, C.A., Yang, H., Kwawukume, Y., Gupta, A., Zhu, Y., Koranteng, I., Elsayed, Y., Wei, Y., Greene, J., and Calhoun, C. (2009). Optimism\/pessimism and health-related quality of life during pregnancy across three continents: A matched cohort study in China, Ghana, and the United States. BMC Pregnancy Childbirth, 1.","DOI":"10.1186\/1471-2393-9-39"},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Moyer, C.A., Elsayed, Y., Zhu, Y., Wei, Y., Engmann, C.M., and Yang, H. (2010). Is generalized maternal optimism or pessimism during pregnancy associated with unplanned cesarean section deliveries in China?. J. Pregnancy, 754938.","DOI":"10.1155\/2010\/754938"},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Bie\u0144, A., Rzo\u0144ca, E., Ka\u0144czugowska, A., and Iwanowicz-Palus, G. (2015). Factors Affecting the Quality of Life and the Illness Acceptance of Pregnant Women with Diabetes. Int. J. Environ. Res. Public Health, 22.","DOI":"10.3390\/ijerph13010068"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"134","DOI":"10.5114\/pdia.2013.35613","article-title":"Illness acceptance degree versus intensity of psychopathological symptoms in patients with psoriasis","volume":"3","author":"Kocur","year":"2013","journal-title":"Postepy Dermatol. Alergol."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1177\/0884217504272945","article-title":"Health-related quality of life issues in women with polycystic ovary syndrome","volume":"34","author":"McCook","year":"2005","journal-title":"J. Obstet. Gynecol. Neonatal. Nurs."},{"key":"ref_35","first-page":"3","article-title":"Relation between illness acceptance and quality of life in patients with chronic obstructive pulmonary disease (COPD)","volume":"84","author":"Kasprzyk","year":"2016","journal-title":"Pneumonol. Alergol. Pol."},{"key":"ref_36","doi-asserted-by":"crossref","unstructured":"Fort, M.P., Alvarado-Molina, N., Pe\u00f1a, L., Mendoza, M.C., Murrillo, S., and Mart\u00ednez, H. (2013). Barriers and facilitating factors for disease self-management: A qualitative analysis of perceptions of patients receiving care for type 2 diabetes and\/or hypertension in San Jose\u0301, Costa Rica and Tuxtla Gutie\u0301rrez, Mexico. BMC Fam. Pract., 14.","DOI":"10.1186\/1471-2296-14-131"},{"key":"ref_37","first-page":"100","article-title":"Psychological factors mediating health-related quality of life in COPD","volume":"7","author":"Purcarea","year":"2014","journal-title":"J. Med. Life"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/15\/11\/2484\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T15:28:28Z","timestamp":1760196508000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/15\/11\/2484"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,11,7]]},"references-count":37,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2018,11]]}},"alternative-id":["ijerph15112484"],"URL":"https:\/\/doi.org\/10.3390\/ijerph15112484","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,11,7]]}}}