{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T13:48:12Z","timestamp":1792504092901,"version":"4.5.0"},"reference-count":43,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2020,12,1]],"date-time":"2020-12-01T00:00:00Z","timestamp":1606780800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,12,1]],"date-time":"2020-12-01T00:00:00Z","timestamp":1606780800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jpagonline.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Pediatric and Adolescent Gynecology"],"published-print":{"date-parts":[[2020,12]]},"DOI":"10.1016\/j.jpag.2020.08.018","type":"journal-article","created":{"date-parts":[[2020,9,9]],"date-time":"2020-09-09T04:45:13Z","timestamp":1599626713000},"page":"691-696","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":32,"title":["Body Perception, Self-Esteem, and Comorbid Psychiatric Disorders in Adolescents Diagnosed with Polycystic Ovary Syndrome"],"prefix":"10.1016","volume":"33","author":[{"given":"Seda Ayb\u00fcke","family":"Sari","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nurullah","family":"Celik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayla","family":"Uzun Cicek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jpag.2020.08.018_bib1","doi-asserted-by":"crossref","first-page":"e12586","DOI":"10.1111\/ijpo.12586","article-title":"Polycystic ovary syndrome in adolescent girls","volume":"15","author":"Ib\u00e1\u00f1ez","year":"2020","journal-title":"Pediatr Obes"},{"key":"10.1016\/j.jpag.2020.08.018_bib2","doi-asserted-by":"crossref","first-page":"470","DOI":"10.1016\/j.fertnstert.2013.04.001","article-title":"Prevalence of polycystic ovary syndrome in adolescents","volume":"100","author":"Christensen","year":"2013","journal-title":"Fertil Steril"},{"key":"10.1016\/j.jpag.2020.08.018_bib3","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1159\/000479371","article-title":"An International Consortium Update: pathophysiology, diagnosis, and treatment of polycystic ovarian syndrome in adolescence","volume":"88","author":"Ib\u00e1\u00f1ez","year":"2017","journal-title":"Horm Res Paediatr"},{"key":"10.1016\/j.jpag.2020.08.018_bib4","doi-asserted-by":"crossref","first-page":"101272","DOI":"10.1016\/j.beem.2019.04.006","article-title":"Polycystic ovary syndrome in adolescents","volume":"33","author":"Dabadghao","year":"2019","journal-title":"Best Pract Res Clin Endocrinol Metab"},{"key":"10.1016\/j.jpag.2020.08.018_bib5","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1159\/000375530","article-title":"The diagnosis of polycystic ovary syndrome during adolescence","volume":"83","author":"Witchel","year":"2015","journal-title":"Horm Res Paediatr"},{"key":"10.1016\/j.jpag.2020.08.018_bib6","doi-asserted-by":"crossref","first-page":"1154","DOI":"10.1542\/peds.2015-1430","article-title":"The diagnosis of polycystic ovary syndrome in adolescents","volume":"136","author":"Rosenfield","year":"2015","journal-title":"Pediatrics"},{"key":"10.1016\/j.jpag.2020.08.018_bib7","doi-asserted-by":"crossref","first-page":"364","DOI":"10.1016\/j.fertnstert.2018.05.004","article-title":"Recommendations from the international evidence-based guideline for the assessment and management of polycystic ovary syndrome","volume":"110","author":"Teede","year":"2018","journal-title":"Fertil Steril"},{"key":"10.1016\/j.jpag.2020.08.018_bib8","doi-asserted-by":"crossref","first-page":"683","DOI":"10.1111\/cen.13828","article-title":"Comorbidities and complications of polycystic ovary syndrome: an overview of systematic reviews","volume":"89","author":"Gilbert","year":"2018","journal-title":"Clin Endocrinol (Oxf)"},{"key":"10.1016\/j.jpag.2020.08.018_bib9","doi-asserted-by":"crossref","first-page":"129","DOI":"10.4274\/npa.y6778","article-title":"Body image, self-esteem and depressive symptomatology in women with polycystic ovary syndrome","volume":"51","author":"Annag\u00fcr","year":"2014","journal-title":"Arch Neuropsychiatry"},{"key":"10.1016\/j.jpag.2020.08.018_bib10","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1016\/j.steroids.2011.12.008","article-title":"Mood and anxiety disorders in women with PCOS","volume":"77","author":"Dokras","year":"2012","journal-title":"Steroids"},{"key":"10.1016\/j.jpag.2020.08.018_bib11","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1016\/j.fertnstert.2007.11.022","article-title":"Risk of depression and other mental health disorders in women with polycystic ovary syndrome: a longitudinal study","volume":"91","author":"Kerchner","year":"2009","journal-title":"Fertil Steril"},{"key":"10.1016\/j.jpag.2020.08.018_bib12","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1111\/cen.13392","article-title":"Obstructive sleep apnoea and polycystic ovary syndrome: a comprehensive review of clinical interactions and underlying pathophysiology","volume":"87","author":"Kahal","year":"2017","journal-title":"Clin Endocrinol"},{"key":"10.1016\/j.jpag.2020.08.018_bib13","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.jpag.2020.08.018_bib14","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1007\/s00737-014-0458-z","article-title":"Predictors of depression in women with polycystic ovary syndrome","volume":"18","author":"Naqvi","year":"2015","journal-title":"Arch Womens Ment Health"},{"key":"10.1016\/j.jpag.2020.08.018_bib15","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1097\/AOG.0b013e318202b0a4","article-title":"Increased risk for abnormal depression scores in women with polycystic ovary syndrome: a systematic review and meta-analysis","volume":"117","author":"Dokras","year":"2011","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.jpag.2020.08.018_bib16","doi-asserted-by":"crossref","first-page":"e97041","DOI":"10.1371\/journal.pone.0097041","article-title":"Risk of psychiatric disorders following polycystic ovarysyndrome: a nationwide population-based cohort study","volume":"9","author":"Hung","year":"2014","journal-title":"PLoS One"},{"key":"10.1016\/j.jpag.2020.08.018_bib17","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1080\/01674820802546204","article-title":"Anxiety and depression in adolescents with polycystic ovary syndrome and Mayer-Rokitansky-K\u00fcster-Hauser syndrome","volume":"30","author":"Laggari","year":"2009","journal-title":"J Psychosom Obstet Gynecol"},{"key":"10.1016\/j.jpag.2020.08.018_bib18","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1016\/j.jpag.2019.07.008","article-title":"Psychiatric disorders, self-esteem, and quality of life in adolescents with polycystic ovary syndrome","volume":"32","author":"Gizli Coban","year":"2019","journal-title":"J Pediatr Adolesc Gynecol"},{"key":"10.1016\/j.jpag.2020.08.018_bib19","first-page":"531","article-title":"Anxiety and depression states of adolescents with polycystic ovary syndrome","volume":"48","author":"Emeksiz","year":"2018","journal-title":"Turk J Med Sci"},{"key":"10.1016\/j.jpag.2020.08.018_bib20","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1111\/j.1651-2227.2006.tb02206.x","article-title":"Body mass index references for Turkish children","volume":"95","author":"Bundak","year":"2006","journal-title":"Acta Paediatr"},{"key":"10.1016\/j.jpag.2020.08.018_bib21","doi-asserted-by":"crossref","first-page":"500","DOI":"10.1542\/peds.2004-1921","article-title":"Homeostasis model assessment is more reliable than the fastingglucose\/insulin ratio and quantitative insulin sensitivity checkindex for assessing insulin resistance among obese children and adolescents","volume":"115","author":"Keskin","year":"2005","journal-title":"Pediatrics"},{"key":"10.1016\/j.jpag.2020.08.018_bib22","series-title":"Society and the adolescent self-image","author":"Rosenberg","year":"1965"},{"key":"10.1016\/j.jpag.2020.08.018_bib23","series-title":"A study on the self-esteem and social relations of adolescents with learning disability [master\u2019s thesis]","author":"Abraham","year":"2010"},{"key":"10.1016\/j.jpag.2020.08.018_bib24","first-page":"305","article-title":"Rating scale to assesss depression in school aged children","volume":"46","author":"Kovacs","year":"1981","journal-title":"Acta Paedopsychiatr"},{"key":"10.1016\/j.jpag.2020.08.018_bib25","first-page":"132","article-title":"Depression scale for children: validity and reliability study","volume":"2","author":"\u00d6y","year":"1991","journal-title":"Turk Psikiyatri Derg"},{"key":"10.1016\/j.jpag.2020.08.018_bib26","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1037\/h0060689","article-title":"The appraisal of body-cathexis: bodycathexis and the self","volume":"17","author":"Secord","year":"1953","journal-title":"J Consult Psychol"},{"key":"10.1016\/j.jpag.2020.08.018_bib27","first-page":"26","article-title":"Body perception scale","volume":"1","author":"Hovardao\u011flu","year":"1992","journal-title":"J Psychiat Psychol Psychopharmacol (3P)"},{"key":"10.1016\/j.jpag.2020.08.018_bib28","doi-asserted-by":"crossref","first-page":"980","DOI":"10.1097\/00004583-199707000-00021","article-title":"Schedule for affective disorders and schizophrenia for school-age children-present and lifetime version (K-SADS-PL): initial reliability and validity data","volume":"36","author":"Kaufman","year":"1997","journal-title":"J Am Acad Child Adolesc Psychiatry"},{"key":"10.1016\/j.jpag.2020.08.018_bib29","first-page":"109","article-title":"Schedule for affective disorders and schizophrenia for school age children present and lifetime version: validity and reliability of the Turkish version","volume":"11","author":"Gokler","year":"2004","journal-title":"Turk J Child Adolesc Ment Health"},{"key":"10.1016\/j.jpag.2020.08.018_bib30","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":"Veltman-Verhulst","year":"2012","journal-title":"Hum Reprod Update"},{"key":"10.1016\/j.jpag.2020.08.018_bib31","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1016\/j.genhosppsych.2007.09.001","article-title":"Association between obesity and depression in middle-aged women","volume":"30","author":"Simon","year":"2008","journal-title":"Gen Hosp Psychiatry"},{"key":"10.1016\/j.jpag.2020.08.018_bib32","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1016\/S0165-0327(02)00117-9","article-title":"Depression in women with polycystic ovary syndrome: clinical and biochemical correlates","volume":"74","author":"Rasgon","year":"2003","journal-title":"J Affect Disord"},{"key":"10.1016\/j.jpag.2020.08.018_bib33","doi-asserted-by":"crossref","first-page":"1255","DOI":"10.1053\/meta.2000.9515","article-title":"Insulin resistance in patients with depression and its changes during the clinical course of depression: minimal model analysis","volume":"49","author":"Okamura","year":"2000","journal-title":"Metabolism"},{"key":"10.1016\/j.jpag.2020.08.018_bib34","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1136\/bmj.38313.513310.F71","article-title":"Insulin resistance and depression: cross sectional study","volume":"330","author":"Timonen","year":"2005","journal-title":"Br Med J"},{"key":"10.1016\/j.jpag.2020.08.018_bib35","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1016\/S0920-1211(99)00072-8","article-title":"Endocrine regulation of neurotransmitter transporters","volume":"37","author":"Figlewicz","year":"1999","journal-title":"Epilepsy Res"},{"key":"10.1016\/j.jpag.2020.08.018_bib36","doi-asserted-by":"crossref","first-page":"765","DOI":"10.1016\/S0306-4530(00)00023-8","article-title":"Testosterone, androstenedione and dihydrotestosterone concentrations are elevated in female patients with major depression","volume":"25","author":"Weber","year":"2000","journal-title":"Psychoneuroendocrinology"},{"key":"10.1016\/j.jpag.2020.08.018_bib37","first-page":"356","article-title":"Androgens and mood dysfunction in women: comparison of women with polycystic ovarian syndrome to healthy controls","volume":"66","author":"Weiner","year":"2004","journal-title":"Psychosom Med"},{"key":"10.1016\/j.jpag.2020.08.018_bib38","doi-asserted-by":"crossref","first-page":"903","DOI":"10.1542\/peds.2008-0085","article-title":"Short stature in a population-based cohort: social, emotional, and behavioral functioning","volume":"124","author":"Lee","year":"2009","journal-title":"Pediatrics"},{"key":"10.1016\/j.jpag.2020.08.018_bib39","doi-asserted-by":"crossref","first-page":"358","DOI":"10.1080\/07399330902785133","article-title":"\u201cIt is always on my mind\u201d: Women\u2019s experiences of their bodies when living with hirsutism","volume":"30","author":"Ekback","year":"2009","journal-title":"Health Care Women Int"},{"key":"10.1016\/j.jpag.2020.08.018_bib40","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.jpag.2020.08.018_bib41","doi-asserted-by":"crossref","first-page":"1154","DOI":"10.1001\/jamapsychiatry.2016.2387","article-title":"Association of hormonal contraception with depression","volume":"73","author":"Skovlund","year":"2016","journal-title":"JAMA Psychiatry"},{"key":"10.1016\/j.jpag.2020.08.018_bib42","doi-asserted-by":"crossref","first-page":"2895","DOI":"10.2147\/NDT.S91700","article-title":"Polycystic ovary syndrome and mental disorders: a systematic review and exploratory meta-analysis","volume":"12","author":"Blay","year":"2016","journal-title":"Neuropsychiatr Dis Treat"},{"key":"10.1016\/j.jpag.2020.08.018_bib43","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1080\/0167482X.2017.1311319","article-title":"Psychological distress, anger and quality of life in polycystic ovary syndrome: associations with biochemical, phenotypical and socio-demographic factors","volume":"39","author":"Borghi","year":"2018","journal-title":"J Psychosom Obstet Gynaecol"}],"container-title":["Journal of Pediatric and Adolescent Gynecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1083318820303156?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1083318820303156?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T13:46:52Z","timestamp":1761054412000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1083318820303156"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12]]},"references-count":43,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["S1083318820303156"],"URL":"https:\/\/doi.org\/10.1016\/j.jpag.2020.08.018","relation":{},"ISSN":["1083-3188"],"issn-type":[{"value":"1083-3188","type":"print"}],"subject":[],"published":{"date-parts":[[2020,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Body Perception, Self-Esteem, and Comorbid Psychiatric Disorders in Adolescents Diagnosed with Polycystic Ovary Syndrome","name":"articletitle","label":"Article Title"},{"value":"Journal of Pediatric and Adolescent Gynecology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jpag.2020.08.018","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2020 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc.","name":"copyright","label":"Copyright"}]}}