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Body image and mental health in women with polycystic ovary syndrome–a cross-sectional study

Konstantin Hofmann, Claire Decrinis, N. Bitterlich, Katharina Tropschuh, P. Stute, A. Bachmann

Archives of Gynecology and Obstetrics, 2025

587 participants · 18 citations

Abstract

Polycystic Ovary Syndrome (PCOS) is a multifaceted endocrine-metabolic condition affecting around 5–15% of women globally. Despite its prevalence and diverse impact, the psychological aspect of PCOS is often underestimated in clinical settings, leading to significant distress among affected individuals. This study aimed to explore the extent of body image perception disorders, psychological comorbidities, and their influence on the health-related quality of life (HRQOL) in women with PCOS. Additionally, we focused on measuring the impact of factors associated with PCOS, particularly obesity, to gain a more comprehensive understanding of their effects. An online survey was distributed anonymously to gynecologists, hospitals, and women’s clinics across Austria, Germany, and Switzerland, as well as through social media platforms to connect with women with PCOS. The survey was conducted from November 14, 2023, to February 05, 2024. HRQOL, anxiety/depression levels, body image and self-esteem were assessed employing the Modified-PCOS-Questionnaire (MPCOSQ), Hospital Anxiety and Depression Scale (HADS), Multidimensional Body-Self Relations Questionnaire Appearance Scales (MBSRQ-AS) and Rosenberg Self-Esteem Scale (RSE) respectively. Identification of potential confounding variables relied on their plausibility and association with the estimate. Adjusted odds ratios and their respective 95% confidence intervals were computed through regression analysis. 587 participants fully…

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