{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T04:51:44Z","timestamp":1790657504173,"version":"4.1.0"},"reference-count":23,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:00:00Z","timestamp":1786579200000},"content-version":"vor","delay-in-days":12,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000855","name":"University of Birmingham","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000855","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Body image dissatisfaction is common in women with polyendocrine metabolic ovarian syndrome (PMOS), yet optimal assessment tools remain unclear. This study compared the Body Image Concern Inventory (BICI) and the Multidimensional Body-Self Relations Questionnaire\u2014Appearance Scales (MBSRQ-AS) in women with PMOS, evaluating agreement, reliability, and associations with clinical and demographic characteristics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>This was a multicenter cross-sectional observational study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 163 women were recruited from specialist clinics and community settings in the United Kingdom between June 2023 and October 2024. Body image was assessed using the BICI and MBSRQ-AS, alongside clinical and sociodemographic variables. Internal consistency, correlations, and multivariable regression analyses were performed to evaluate associations and predictors of clinically significant body image concern.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The BICI was significantly associated with body mass index and hirsutism scores. Higher body mass index was associated with worse scores across the MBSRQ-AS subscales. BICI scores correlated negatively with Appearance Evaluation and Body Areas Satisfaction and positively with Overweight Preoccupation and Appearance Orientation (all P &amp;lt; .001). Hierarchical regression analysis showed that MBSRQ-AS scores explained additional variance in the BICI scores beyond clinical features, indicating distinct contributions to body image assessment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Both tools capture distinct dimensions of body image in women with PMOS. The selection of assessment tools should be context-driven to optimally address body image concerns in this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ejendo\/lvag153","type":"journal-article","created":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T11:46:16Z","timestamp":1786535176000},"page":"365-371","source":"Crossref","is-referenced-by-count":2,"title":["Body image concern in women with polyendocrine metabolic ovarian syndrome (PMOS): a comparative analysis of 2 assessment tools"],"prefix":"10.1093","volume":"195","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3420-1420","authenticated-orcid":false,"given":"Aspasia","family":"Manta","sequence":"first","affiliation":[{"name":"Department of Applied Health Sciences, School of Health Sciences, College of Medicine and Health, University of Birmingham , B15 2TT Birmingham ,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"Broughton","sequence":"additional","affiliation":[{"name":"Sandwell and West Birmingham Hospitals NHS Trust, Midlands Metropolitan University Hospital , B66 2QT Birmingham ,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-9606-4473","authenticated-orcid":false,"given":"Shams","family":"Ali Baig","sequence":"additional","affiliation":[{"name":"Medical School, University of Birmingham , B15 2TT Birmingham ,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3310-1521","authenticated-orcid":false,"given":"Eleni","family":"Armeni","sequence":"additional","affiliation":[{"name":"Department of Applied Health Sciences, School of Health Sciences, College of Medicine and Health, University of Birmingham , B15 2TT Birmingham ,","place":["United Kingdom"]},{"name":"Royal Free London NHS Foundation Trust , NW3 2QG London ,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0954-6512","authenticated-orcid":false,"given":"Punith","family":"Kempegowda","sequence":"additional","affiliation":[{"name":"Department of Applied Health Sciences, School of Health Sciences, College of Medicine and Health, University of Birmingham , B15 2TT Birmingham ,","place":["United Kingdom"]},{"name":"Queen Elizabeth Hospital, University Hospitals Birmingham NHS Foundation Trust , B15 2GW Birmingham ,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,8,13]]},"reference":[{"issue":"10545","key":"2026082511212213100_lvag153-B1","doi-asserted-by":"publisher","first-page":"2329","DOI":"10.1016\/S0140-6736(26)00717-8","article-title":"Polyendocrine metabolic ovarian syndrome, the new name for polycystic ovary syndrome: a multistep global consensus process","volume":"407","author":"Teede","year":"2026","journal-title":"Lancet"},{"issue":"9","key":"2026082511212213100_lvag153-B2","doi-asserted-by":"publisher","first-page":"1602","DOI":"10.1093\/humrep\/dey256","article-title":"Recommendations from the international evidence-based guideline for the assessment and management of polycystic ovary syndrome","volume":"33","author":"Teede","year":"2018","journal-title":"Hum Reprod"},{"issue":"10","key":"2026082511212213100_lvag153-B3","doi-asserted-by":"publisher","first-page":"3067","DOI":"10.1093\/humrep\/des232","article-title":"Prevalence, phenotype and cardiometabolic risk of polycystic ovary syndrome under different diagnostic criteria","volume":"27","author":"Yildiz","year":"2012","journal-title":"Hum Reprod"},{"key":"2026082511212213100_lvag153-B4","doi-asserted-by":"publisher","first-page":"2042018820934319","DOI":"10.1177\/2042018820934319","article-title":"Implicating androgen excess in propagating metabolic disease in polycystic ovary syndrome","volume":"11","author":"Kempegowda","year":"2020","journal-title":"Ther Adv Endocrinol Metab"},{"issue":"5","key":"2026082511212213100_lvag153-B5","doi-asserted-by":"publisher","first-page":"888","DOI":"10.1016\/j.fertnstert.2018.01.038","article-title":"Androgen excess- polycystic ovary syndrome society: position statement on depression, anxiety, quality of life, and eating disorders in polycystic ovary syndrome","volume":"109","author":"Dokras","year":"2018","journal-title":"Fertil Steril"},{"issue":"14","key":"2026082511212213100_lvag153-B6","doi-asserted-by":"publisher","first-page":"1396","DOI":"10.3390\/healthcare12141396","article-title":"Body perceptions and psychological well-being: a review of the impact of social Media and physical measurements on self-esteem and mental health with a focus on body image satisfaction and its relationship with cultural and gender factors","volume":"12","author":"Merino","year":"2024","journal-title":"Healthcare (Basel)"},{"issue":"6","key":"2026082511212213100_lvag153-B7","doi-asserted-by":"publisher","first-page":"e0198532","DOI":"10.1371\/journal.pone.0198532","article-title":"Negative body image: relationships with heightened disgust propensity, disgust sensitivity, and self-directed disgust","volume":"13","author":"Spreckelsen","year":"2018","journal-title":"PLoS One"},{"key":"2026082511212213100_lvag153-B8","doi-asserted-by":"publisher","first-page":"864","DOI":"10.3389\/fpsyt.2019.00864","article-title":"Body dissatisfaction, importance of appearance, and body appreciation in men and women over the lifespan","volume":"10","author":"Quittkat","year":"2019","journal-title":"Front Psychiatry"},{"issue":"2","key":"2026082511212213100_lvag153-B9","doi-asserted-by":"publisher","first-page":"R1","DOI":"10.1093\/ejendo\/lvad110","article-title":"Body image concerns in women with polycystic ovary syndrome: a systematic review and meta-analysis","volume":"189","author":"Davitadze","year":"2023","journal-title":"Eur J Endocrinol"},{"key":"2026082511212213100_lvag153-B10","doi-asserted-by":"publisher","first-page":"17","DOI":"10.22034\/APJCP.2017.18.1.17","article-title":"Polycystic ovary syndrome (PCOS), diagnostic criteria, and AMH","volume":"18","author":"Bani Mohammad","year":"2017","journal-title":"Asian Pac J Cancer Prev"},{"issue":"2","key":"2026082511212213100_lvag153-B11","doi-asserted-by":"publisher","first-page":"e13612","DOI":"10.5812\/ijem.13612","article-title":"The experience of women affected by polycystic ovary syndrome: a qualitative study from Iran","volume":"12","author":"Nasiri Amiri","year":"2014","journal-title":"Int J Endocrinol Metab"},{"issue":"5","key":"2026082511212213100_lvag153-B12","doi-asserted-by":"publisher","first-page":"930","DOI":"10.1016\/j.fertnstert.2019.06.018","article-title":"Body-image distress is increased in women with polycystic ovary syndrome and mediates depression and anxiety","volume":"112","author":"Alur-Gupta","year":"2019","journal-title":"Fertil Steril"},{"issue":"2","key":"2026082511212213100_lvag153-B13","doi-asserted-by":"publisher","first-page":"96","DOI":"10.1080\/09513590.2019.1670788","article-title":"Quality of life and sexual function in women with polycystic ovary syndrome: a comprehensive review","volume":"36","author":"Castelo-Branco","year":"2020","journal-title":"Gynecol Endocrinol"},{"key":"2026082511212213100_lvag153-B14","doi-asserted-by":"publisher","first-page":"20551029251327441","DOI":"10.1177\/20551029251327441","article-title":"Body image, illness perception, and psychological distress in women coping with polycystic ovary syndrome (PCOS)","volume":"12","author":"Geller","year":"2025","journal-title":"Health Psychol Open"},{"issue":"10","key":"2026082511212213100_lvag153-B15","doi-asserted-by":"publisher","first-page":"2447","DOI":"10.1210\/clinem\/dgad463","article-title":"Recommendations from the 2023 international evidence-based guideline for the assessment and management of polycystic ovary syndrome","volume":"108","author":"Teede","year":"2023","journal-title":"J Clin Endocrinol Metab"},{"issue":"2","key":"2026082511212213100_lvag153-B16","doi-asserted-by":"publisher","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":"2026082511212213100_lvag153-B17","doi-asserted-by":"publisher","DOI":"10.1007\/978-981-287-104-6_3","volume-title":"Encyclopedia of Feeding and Eating Disorders","author":"Cash","year":"2017"},{"issue":"4","key":"2026082511212213100_lvag153-B18","doi-asserted-by":"publisher","first-page":"e0301707","DOI":"10.1371\/journal.pone.0301707","article-title":"Self-esteem and body image satisfaction in women with PCOS in the Middle East: cross-sectional social media study","volume":"19","author":"Alkheyr","year":"2024","journal-title":"PLoS One"},{"issue":"10","key":"2026082511212213100_lvag153-B19","first-page":"829","article-title":"Body image satisfaction and self-esteem status among the patients with polycystic ovary syndrome","volume":"11","author":"Bazarganipour","year":"2013","journal-title":"Iran J Reprod Med"},{"key":"2026082511212213100_lvag153-B20","doi-asserted-by":"publisher","first-page":"e1","DOI":"10.1016\/j.pedn.2023.05.009","article-title":"Polycystic ovary syndrome and body image concerns during adolescence","volume":"72","author":"Saei Ghare Naz","year":"2023","journal-title":"J Pediatr Nurs"},{"issue":"1","key":"2026082511212213100_lvag153-B21","doi-asserted-by":"publisher","first-page":"177","DOI":"10.1007\/s00404-024-07913-4","article-title":"Body image and mental health in women with polycystic ovary syndrome-a cross-sectional study","volume":"312","author":"Hofmann","year":"2025","journal-title":"Arch Gynecol Obstet"},{"issue":"2","key":"2026082511212213100_lvag153-B22","doi-asserted-by":"publisher","first-page":"233","DOI":"10.1093\/ejendo\/lvag023","article-title":"The association between body image and well-being in polycystic ovary syndrome: a mixed-methods study","volume":"194","author":"Broughton","year":"2026","journal-title":"Eur J Endocrinol"},{"key":"2026082511212213100_lvag153-B23","doi-asserted-by":"publisher","first-page":"113977","DOI":"10.1016\/j.ejogrb.2025.113977","article-title":"Development and validation of a body image scale for polycystic ovary syndrome","volume":"310","author":"Huang","year":"2025","journal-title":"Eur J Obstet Gynecol Reprod Biol"}],"container-title":["European Journal of Endocrinology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ejendo\/advance-article-pdf\/doi\/10.1093\/ejendo\/lvag153\/70632584\/lvag153.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ejendo\/article-pdf\/195\/2\/365\/70632584\/lvag153.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ejendo\/article-pdf\/195\/2\/365\/70632584\/lvag153.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T15:21:32Z","timestamp":1787671292000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ejendo\/article\/195\/2\/365\/8760862"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":23,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,8,3]]}},"URL":"https:\/\/doi.org\/10.1093\/ejendo\/lvag153","relation":{},"ISSN":["0804-4643","1479-683X"],"issn-type":[{"value":"0804-4643","type":"print"},{"value":"1479-683X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,8]]},"published":{"date-parts":[[2026,8]]}}}