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Poor body image is associated with paranoia, which makes it a theoretically meaningful treatment target in psychosis. We systematically reviewed associations between body image and psychosis symptoms in both the \u2018general\u2019 population and people living with psychotic disorders, synthesised known correlates of negative body image in people living with psychotic disorders and performed a meta\u2010synthesis to understand the lived experience of body image in people with psychosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Ovid MEDLINE, OVID Embase, OVID APA PsycINFO, EBSCOhost Cinahl and the Cochrane Central Register of Controlled Trials were searched in January 2024. The methodological quality and risk of bias were assessed using the mixed\u2010methods appraisal tool.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>20,565 participants were included from 31 studies, of which 2127 (10.3%) were living with psychotic conditions, 18,294 from the general population, 129 people with other conditions being compared to psychosis (such as bipolar disorder) and 15 carers. There were 25 quantitative studies (24 cross\u2010sectional, 1 prospective), 5 qualitative studies and 1 mixed\u2010methods study. Cross\u2010sectional evidence suggests associations between negative body image and psychotic symptoms, especially paranoia, as well as wider mental and physical health outcomes. Potential factors contributing to the persistence of poor body image include psychotic symptoms, worries about appearance\u2010related judgements, negative self\u2010concept, body ambivalence, appearance\u2010related safety\u2010seeking behaviours and traumatic memories.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Negative body image is relevant to the lives of people with psychosis spectrum conditions. Recommendations to guide and improve future research are reported.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/papt.70021","type":"journal-article","created":{"date-parts":[[2025,11,17]],"date-time":"2025-11-17T11:24:28Z","timestamp":1763378668000},"page":"1-39","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The experience of body image in people with psychosis and psychotic\u2010like experiences: A co\u2010produced mixed\u2010methods systematic review and narrative synthesis"],"prefix":"10.1111","volume":"99","author":[{"given":"Jenna","family":"McAllister","sequence":"first","affiliation":[{"name":"School of Health &amp; Wellbeing University of Glasgow  Glasgow UK"},{"name":"NHS Greater Glasgow &amp; Clyde  Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sophie M.","family":"Allan","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology &amp; Psychological Therapies, Medical School University of East Anglia  Norwich UK"},{"name":"Faculty of Health Sciences University of East Anglia  Norwich UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alie","family":"Phiri","sequence":"additional","affiliation":[{"name":"School of Health &amp; Wellbeing University of Glasgow  Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kara","family":"Keddie","sequence":"additional","affiliation":[{"name":"School of Health &amp; Wellbeing University of Glasgow  Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tracey","family":"McKee","sequence":"additional","affiliation":[{"name":"NHS Greater Glasgow &amp; Clyde  Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leonie","family":"Richardson","sequence":"additional","affiliation":[{"name":"School of Health &amp; Wellbeing University of Glasgow  Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felicity","family":"Waite","sequence":"additional","affiliation":[{"name":"Department of Experimental Psychology University of Oxford  Oxford UK"},{"name":"Oxford Health NHS Foundation Trust  Oxford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebekah","family":"Carney","sequence":"additional","affiliation":[{"name":"Greater Manchester Mental Health NHS Foundation Trust  Manchester UK"},{"name":"University of Manchester  Manchester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gillian","family":"MacAfee","sequence":"additional","affiliation":[{"name":"Greater Manchester Mental Health NHS Foundation Trust  Manchester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Gumley","sequence":"additional","affiliation":[{"name":"School of Health &amp; Wellbeing University of Glasgow  Glasgow UK"},{"name":"NHS Greater Glasgow &amp; Clyde  Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1016-0708","authenticated-orcid":false,"given":"Stephanie","family":"Allan","sequence":"additional","affiliation":[{"name":"School of Health &amp; Wellbeing University of Glasgow  Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,11,17]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2012.04.001"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bodyim.2017.07.008"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(199109)10:5<599::AID-EAT2260100512>3.0.CO;2-#"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/17.1.113"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/13674676.2020.1737920"},{"issue":"2","key":"e_1_2_10_7_1","first-page":"173","article-title":"Scale for the assessment of positive symptoms","volume":"17","author":"Andreasen N. 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