Self-esteem and body image satisfaction in women with PCOS in the Middle East: Cross-sectional social media study

PLoS One. 2024 Apr 25;19(4):e0301707. doi: 10.1371/journal.pone.0301707. eCollection 2024.

Abstract

Background: Polycystic ovary syndrome (PCOS) is the most common endocrine disorder in women of childbearing age, associated with increased incidence of emotional disorders, anxiety and depression.

Objective: The aim was of this study was to investigate whether those women reporting PCOS differed to women without PCOS in measures of psychological well-being including body-image satisfaction and self-esteem across a Middle Eastern population.

Materials and methods: An online survey link of 21 questions was shared and distributed across social media platforms (Instagram and WhatsApp). The main outcome measured was levels of self-esteem and body image satisfaction in association with symptoms experienced by the participants.

Results: 12,199 female subjects completed the survey of whom 3,329 respondents (27.3%) self-reported a diagnosis of PCOS. PCOS respondents felt less attractive compared to non-PCOS respondents (73.9% vs 80.5%, p<0.0001). More respondents with PCOS reported avoidance of their reflection in the mirror (61.7% vs 49.8%, p<0.001) and avoidance of social interactions (22.3% vs 32.3%, p<0.0001). More PCOS respondents wanted to lose weight (75.2% vs 68.5%, p<0.001) with increasing weight being associated with being less attractive (p<0.001). Fewer PCOS respondents felt satisfied/confident compared non-PCOS respondents (38.6% vs 50.7%, p<0.001).

Conclusion: PCOS respondents reported significantly lower measures of self-esteem and body image satisfaction compared to non-PCOS respondents in this population.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Body Image* / psychology
  • Cross-Sectional Studies
  • Female
  • Humans
  • Middle East / epidemiology
  • Personal Satisfaction
  • Polycystic Ovary Syndrome* / epidemiology
  • Polycystic Ovary Syndrome* / psychology
  • Self Concept*
  • Social Media*
  • Surveys and Questionnaires
  • Young Adult

Grants and funding

The author(s) received no specific funding for this work.