highly significantP < 0.001
Post-hoc LSD tests revealed that: (1) for depression scores, the DOR with depression group scored significantly higher than both the DOR without depression group and the healthy control group (both P < 0.001), with no difference between the latter two groups; (2) regarding hormone levels and follicle counts, there were no significant differences between the two DOR subgroups (all P > 0.05), but both subgroups showed highly significant differences compared to the healthy control group (all P < 0.001), manifested as significantly elevated follicle-stimulating hormone and luteinizing hormone levels, and significantly decreased anti-Müllerian hormone levels and antral follicle counts.