{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T06:22:02Z","timestamp":1771395722282,"version":"3.50.1"},"reference-count":47,"publisher":"Elsevier BV","issue":"5","license":[{"start":{"date-parts":[[2013,11,1]],"date-time":"2013-11-01T00:00:00Z","timestamp":1383264000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2013,11,1]],"date-time":"2013-11-01T00:00:00Z","timestamp":1383264000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,5,27]],"date-time":"2022-05-27T00:00:00Z","timestamp":1653609600000},"content-version":"vor","delay-in-days":3129,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","fertstert.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Fertility and Sterility"],"published-print":{"date-parts":[[2013,11]]},"DOI":"10.1016\/j.fertnstert.2013.06.043","type":"journal-article","created":{"date-parts":[[2013,7,25]],"date-time":"2013-07-25T18:20:46Z","timestamp":1374776446000},"page":"1389-1396.e3","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":22,"title":["Predictive factors of health-related quality of life in patients with polycystic ovary syndrome: a\u00a0structural equation modeling approach"],"prefix":"10.1016","volume":"100","author":[{"given":"Fatemeh","family":"Bazarganipour","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saeide","family":"Ziaei","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali","family":"Montazeri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fatemeh","family":"Foroozanfard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anoshirvan","family":"Kazemnejad","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Soghrat","family":"Faghihzadeh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.fertnstert.2013.06.043_bib1","doi-asserted-by":"crossref","first-page":"853","DOI":"10.1530\/eje.1.02024","article-title":"Clinical and psychological correlates of quality-of-life in polycystic ovary syndrome","volume":"153","author":"Hahn","year":"2005","journal-title":"Euro J Endocrinol"},{"key":"10.1016\/j.fertnstert.2013.06.043_bib2","doi-asserted-by":"crossref","first-page":"5801","DOI":"10.1210\/jc.2003-030562","article-title":"Quality of life, psychosocial well-being and sexual satisfaction in women with polycystic ovary syndrome","volume":"88","author":"Elsenbruch","year":"2003","journal-title":"J Clin Endocr Metab"},{"key":"10.1016\/j.fertnstert.2013.06.043_bib3","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1111\/j.1365-2265.2007.02742.x","article-title":"Quality of life and psychological morbidity in women with polycystic ovary syndrome: body mass index, age and the provision of patient information are significant modifiers","volume":"66","author":"Ching","year":"2007","journal-title":"Clin Endocrinol (Oxf)"},{"key":"10.1016\/j.fertnstert.2013.06.043_bib4","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1111\/j.1552-6909.2011.01279.x","article-title":"Health-related quality of life among adolescents with polycystic ovary syndrome","volume":"40","author":"Jones","year":"2011","journal-title":"JOGN Nurs"},{"key":"10.1016\/j.fertnstert.2013.06.043_bib5","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1093\/humupd\/dmm030","article-title":"Health-related quality of life measurement in women with polycystic ovary syndrome: a systematic review","volume":"14","author":"Jones","year":"2008","journal-title":"Hum Reprod Update"},{"key":"10.1016\/j.fertnstert.2013.06.043_bib6","doi-asserted-by":"crossref","first-page":"793","DOI":"10.1111\/1467-6494.00073","article-title":"Body image and day-to-day social interaction","volume":"67","author":"Nezlek","year":"1999","journal-title":"J Pers"},{"key":"10.1016\/j.fertnstert.2013.06.043_bib7","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1023\/A:1024591318836","article-title":"Correlates of increased sexual satisfaction","volume":"26","author":"Haavio-Mannila","year":"1997","journal-title":"Arch Sex Behav"},{"key":"10.1016\/j.fertnstert.2013.06.043_bib8","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1080\/00223980.1974.9923881","article-title":"Adolescent self-esteem, family communication, and marital satisfaction","volume":"86","author":"Mattesona","year":"1974","journal-title":"J Psychol"},{"key":"10.1016\/j.fertnstert.2013.06.043_bib9","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1080\/00926239808404933","article-title":"A longitudinal study of\u00a0the effects of premarital communication, relationship stability, and self-esteem on sexual satisfaction in the first year of marriage","volume":"24","author":"Larson","year":"1998","journal-title":"J Sex Marital Ther"},{"key":"10.1016\/j.fertnstert.2013.06.043_bib10","doi-asserted-by":"crossref","first-page":"2064","DOI":"10.1093\/humrep\/den227","article-title":"Psychological implications of infertility in women with polycystic ovary syndrome","volume":"23","author":"Tan","year":"2008","journal-title":"Hum Reprod"},{"key":"10.1016\/j.fertnstert.2013.06.043_bib11","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1093\/humrep\/deh098","article-title":"ESHRE\/ASRM Rotterdam consensus meeting revised 2003 consensus on diagnostic criteria and long-term health risks related to polycystic ovary syndrome (PCOS)","volume":"19","year":"2004","journal-title":"Hum Reprod"},{"key":"10.1016\/j.fertnstert.2013.06.043_bib12","doi-asserted-by":"crossref","first-page":"875","DOI":"10.1007\/s11136-004-1014-5","article-title":"The Short Form Health Survey (SF-36): translation and validation study of the Iranian version","volume":"14","author":"Montazeri","year":"2005","journal-title":"Qual Life Res"},{"key":"10.1016\/j.fertnstert.2013.06.043_bib13","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1016\/S0022-3999(96)00216-4","article-title":"International experiences with the Hospital Anxiety and Depression Scale: a review of validation data and clinical results","volume":"42","author":"Herrmann","year":"1997","journal-title":"J Psychosom Res"},{"key":"10.1016\/j.fertnstert.2013.06.043_bib14","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1186\/1477-7525-1-14","article-title":"The Hospital Anxiety and Depression Scale (HADS): translation and validation study of the Iranian version","volume":"28","author":"Montazeri","year":"2003","journal-title":"Health Qual Life Outcomes"},{"key":"10.1016\/j.fertnstert.2013.06.043_bib15","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1016\/j.brat.2003.12.006","article-title":"Development of the body image concern inventory","volume":"43","author":"Littleton","year":"2005","journal-title":"Behav Res Ther"},{"key":"10.1016\/j.fertnstert.2013.06.043_bib16","doi-asserted-by":"crossref","first-page":"989","DOI":"10.1007\/s00266-011-9718-8","article-title":"Body Image Concern Inventory (BICI) for identifying patients with BDD seeking rhinoplasty: using a Persian (Farsi) version","volume":"35","author":"Ghadakzadeh","year":"2011","journal-title":"Aesthet Plast Surg"},{"key":"10.1016\/j.fertnstert.2013.06.043_bib17","series-title":"Society and the adolescent self-image","author":"Rosenberg","year":"1965"},{"key":"10.1016\/j.fertnstert.2013.06.043_bib18","first-page":"5","article-title":"Effectiveness of couples therapy system-behavior on family functioning and self-esteem of women with dysthymic disorder","volume":"5","author":"Mosavi","year":"2006","journal-title":"Fam Res"},{"key":"10.1016\/j.fertnstert.2013.06.043_bib19","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1080\/009262300278597","article-title":"The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function","volume":"26","author":"Rosen","year":"2000","journal-title":"J Sex Marital Ther"},{"key":"10.1016\/j.fertnstert.2013.06.043_bib20","first-page":"269","article-title":"The Female Sexual Function Index (FSFI): validation of the Iranian version","volume":"7","author":"Mohammdi","year":"2008","journal-title":"PAYESH"},{"key":"10.1016\/j.fertnstert.2013.06.043_bib21","doi-asserted-by":"crossref","first-page":"1440","DOI":"10.1210\/jcem-21-11-1440","article-title":"Clinical assessment of body hair growth in women","volume":"21","author":"Ferrimanm","year":"1961","journal-title":"J Clin Endocrinol Metab"},{"key":"10.1016\/j.fertnstert.2013.06.043_bib22","series-title":"Acne vulgaris. Histopatbology of the Skin","first-page":"218","author":"Lever","year":"1990"},{"key":"10.1016\/j.fertnstert.2013.06.043_bib23","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1186\/1475-9276-10-9","article-title":"Socioeconomic status and mortality after acute myocardial infarction: a study from Iran","volume":"10","author":"Donyavi","year":"2011","journal-title":"Int J Equity Health"},{"key":"10.1016\/j.fertnstert.2013.06.043_bib24","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":"10.1016\/j.fertnstert.2013.06.043_bib25","series-title":"Structural equation modeling with AMOS: basic concepts, applications, and programming","author":"Byrne","year":"2001"},{"key":"10.1016\/j.fertnstert.2013.06.043_bib26","doi-asserted-by":"crossref","first-page":"588","DOI":"10.1037\/0033-2909.88.3.588","article-title":"Significance tests and goodness of Fi tin the analysis of covariance structures","volume":"88","author":"Bentler","year":"1980","journal-title":"Psychol Bull"},{"key":"10.1016\/j.fertnstert.2013.06.043_bib27","series-title":"Principles and practice of structural equation modeling","author":"Kline","year":"2005"},{"key":"10.1016\/j.fertnstert.2013.06.043_bib28","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1097\/00006199-199305000-00006","article-title":"Body image in women treated for breast cancer","volume":"42","author":"Mock","year":"1993","journal-title":"Nurs Res"},{"key":"10.1016\/j.fertnstert.2013.06.043_bib29","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1097\/00006842-199803000-00010","article-title":"Concern about aspects of body image and adjustment to early stage breast cancer","volume":"60","author":"Carver","year":"1998","journal-title":"Psychosom Med"},{"key":"10.1016\/j.fertnstert.2013.06.043_bib30","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1016\/0959-8049(93)90193-J","article-title":"The assessment of body image in cancer patients","volume":"29A","author":"Hopwood","year":"1993","journal-title":"Eur J Cancer"},{"key":"10.1016\/j.fertnstert.2013.06.043_bib31","first-page":"835","article-title":"Beyond body image: the experience of breast cancer","volume":"25","author":"Cohen","year":"1998","journal-title":"Oncol Nurs Forum"},{"key":"10.1016\/j.fertnstert.2013.06.043_bib32","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1002\/1099-1611(200005\/06)9:3<183::AID-PON446>3.0.CO;2-L","article-title":"Body image dimensions and cancer: a heuristic cognitive behavioral model","volume":"9","author":"White","year":"2000","journal-title":"Psychooncology"},{"key":"10.1016\/j.fertnstert.2013.06.043_bib33","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1097\/00002820-200006000-00011","article-title":"Intimacy and sexuality for the woman with breast cancer","volume":"23","author":"Hordern","year":"2000","journal-title":"Cancer Nurs"},{"key":"10.1016\/j.fertnstert.2013.06.043_bib34","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1002\/1098-108X(200103)29:2<216::AID-EAT1011>3.0.CO;2-V","article-title":"The use of the sociocultural attitudes toward appearance questionnaire with middle school boys and girls","volume":"29","author":"Smolak","year":"2001","journal-title":"Int J Eat Disord"},{"key":"10.1016\/j.fertnstert.2013.06.043_bib35","doi-asserted-by":"crossref","first-page":"1497","DOI":"10.1093\/humrep\/deq068","article-title":"Psychological well-being and sexarche in women with polycystic ovary syndrome","volume":"25","author":"de Niet","year":"2010","journal-title":"Hum Reprod"},{"key":"10.1016\/j.fertnstert.2013.06.043_bib36","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1016\/S0277-9536(01)00034-X","article-title":"The \u201cthief of womanhood\u201d: women's experience of polycystic ovarian syndrome","volume":"54","author":"Kitzinger","year":"2002","journal-title":"Soc Sci Med"},{"key":"10.1016\/j.fertnstert.2013.06.043_bib37","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":"10.1016\/j.fertnstert.2013.06.043_bib38","series-title":"Family planning in the legacy of Islam","author":"Omran","year":"1992"},{"key":"10.1016\/j.fertnstert.2013.06.043_bib39","first-page":"3447","article-title":"Sex, fertility and menstruation among the Beng of the Ivory Coast: a symbolic analysis","volume":"52","author":"Gottlieb","year":"1982","journal-title":"Africa (Lond)"},{"key":"10.1016\/j.fertnstert.2013.06.043_bib40","doi-asserted-by":"crossref","first-page":"2251","DOI":"10.1093\/humrep\/deh432","article-title":"Infertility caused by PCOS\u2014health-related quality of life among Austrian and Moslem immigrant women in Austria","volume":"19","author":"Schmid","year":"2004","journal-title":"Hum Reprod"},{"key":"10.1016\/j.fertnstert.2013.06.043_bib41","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":"10.1016\/j.fertnstert.2013.06.043_bib42","doi-asserted-by":"crossref","first-page":"781","DOI":"10.1210\/jc.2005-2153","article-title":"Controversy in clinical endocrinology: diagnosis of polycystic ovarian syndrome: the Rotterdam criteria are premature","volume":"91","author":"Azziz","year":"2006","journal-title":"J Clin Endocrinol Metab"},{"key":"10.1016\/j.fertnstert.2013.06.043_bib43","doi-asserted-by":"crossref","first-page":"650","DOI":"10.1093\/ajcn\/64.4.650","article-title":"Anthropometric reference data for international use: recommendations from a World Health Organization expert committee","volume":"64","author":"de Onis","year":"1996","journal-title":"Am J Clin Nutr"},{"key":"10.1016\/j.fertnstert.2013.06.043_bib44","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1016\/j.appet.2011.03.003","article-title":"The impact of eating behavior on psychological symptoms typical of reactive hypoglycemia. A pilot study comparing women with polycystic ovary syndrome to controls","volume":"57","author":"Barry","year":"2011","journal-title":"Appetite"},{"key":"10.1016\/j.fertnstert.2013.06.043_bib45","doi-asserted-by":"crossref","first-page":"698","DOI":"10.1111\/j.1365-2265.2011.04122.x","article-title":"Anxiety is associated with hormonal and metabolic profile in women with polycystic ovarian syndrome","volume":"75","author":"Livadas","year":"2011","journal-title":"Clin Endocrinol (Oxf)"},{"key":"10.1016\/j.fertnstert.2013.06.043_bib46","doi-asserted-by":"crossref","first-page":"1565","DOI":"10.1016\/j.fertnstert.2010.03.081","article-title":"Insulin resistance, obesity, inflammation, and depression in polycystic ovary syndrome: biobehavioral mechanisms and interventions","volume":"94","author":"Farrell","year":"2010","journal-title":"Fertil Steril"},{"key":"10.1016\/j.fertnstert.2013.06.043_bib47","doi-asserted-by":"crossref","first-page":"1132","DOI":"10.1016\/j.psyneuen.2008.06.003","article-title":"Women with polycystic ovary syndrome are often depressed or anxious: a case control study","volume":"33","author":"Mansson","year":"2008","journal-title":"Psychoneuroendocrinology"}],"container-title":["Fertility and Sterility"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0015028213007437?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0015028213007437?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T05:37:25Z","timestamp":1771393045000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0015028213007437"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,11]]},"references-count":47,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2013,11]]}},"alternative-id":["S0015028213007437"],"URL":"https:\/\/doi.org\/10.1016\/j.fertnstert.2013.06.043","relation":{},"ISSN":["0015-0282"],"issn-type":[{"value":"0015-0282","type":"print"}],"subject":[],"published":{"date-parts":[[2013,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Predictive factors of health-related quality of life in patients with polycystic ovary syndrome: a\u00a0structural equation modeling approach","name":"articletitle","label":"Article Title"},{"value":"Fertility and Sterility","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.fertnstert.2013.06.043","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2013 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}