The aim of the present study was to explore the relationship between resilience, psychological distress, and psychological well-being and its effect on resilience among working and non-working women suffering from PCOS. This cross-sectional comparative study was conducted in the gynecological wards of government and private hospitals from January 2023 to June 2023. Two hundred women suffering from PCOS were selected through non-probability sampling. The participants were divided into married and unmarried women. The data was collected through two reliable measures: the Mental Health Inventory 38-Urdu (MHI-U) and the Connor Davidson Resilience Scale-Urdu (CDRS-U). Data was analyzed through SPSS-26 using Cronbach alpha reliability, Pearson correlation, Linear Regression, and t-tests. Off the 200 women 100(50%) were married and 100(50%) were unmarried. Within both group 106(55%) were working and 94(45%) were non-working women. Psychometric properties show high reliability of the study scale for MHI 38-U sub-scales (psychological distress (α=0.82) and psychological well-being (α=0.84) and for CDRS-U (α=0.81), resilience negatively predicts psychological distress (-0.51) while resilience positively predicts psychological well-being (+0.48). Working women were significantly low on psychological distress (p=0.001) and higher on psychological well-being (p=0.001) and resilience (p=0.001). Married women were significantly higher on psychological distress (p=0.001) and lower on psychological well-being (p=0.001) and resilience (p=0.001). Resilience needs to be enhanced among PCOS women particularly in married women as it helps them to manage their psychological distress level and will promote their psychological well-being level.

KEYWORDS: Psychological, distress, wellbeing, resilience, PCOS, working, non-working