The Association of Trait Emotional Intelligence with Perceived Stress, Body Image and Quality of Life in Indian Women with Polycystic Ovary Syndrome: A Cross-sectional Study

Background Polycystic ovary syndrome (PCOS) imposes a substantial psychological burden, with affected women experiencing an increased risk of depression and suicidal behaviour. Although the clinical features of PCOS are well documented, the influence of modifiable psychological factors such as emotional intelligence (EI) remains underexplored, particularly among Indian women. Purpose This study examined the associations between trait EI, perceived stress, body shape concern and quality of life in Indian women with PCOS. Methods A cross-sectional analytical study was conducted at a tertiary care centre in Puducherry, India. One hundred women aged 18–35 with confirmed PCOS were recruited. Participants completed validated questionnaires: the Trait Emotional Intelligence Questionnaire-Short Form, Perceived Stress Scale-10, Body Shape Questionnaire-16A and Polycystic Ovary Syndrome Questionnaire. Multiple linear regression models were used to identify independent correlates of psychological outcomes. Results A significant psychological burden was evident, with 91% of participants reporting moderate to high perceived stress. Higher trait EI was significantly associated with better psychological well-being, showing negative correlations with both perceived stress ( ρ = −0.60) and body shape concern ( ρ = −0.43). Multiple linear regression analysis, after controlling for covariates, confirmed that higher EI was the strongest independent correlate of lower perceived stress ( β = −0.58, p < .001), reduced body shape concern ( β = −0.34, p < .001) and higher overall quality of life ( β = 0.51, p < .001). Additionally, moderate physical activity was independently associated with lower perceived stress ( p < .001) and higher quality of life ( p = .011). Conclusion Trait EI emerged as a key independent correlate of lower perceived stress, reduced body shape concern and improved quality of life. Moderate physical activity also contributed independently to lower stress and better quality of life. These findings support incorporating emotion-focused interventions into comprehensive PCOS management.