Patient Reported Outcome Measures (PROMS) for Body Image in Dermatology: A Systematic Review
Open accessAbstract
Introduction: It is widely acknowledged that negative body image perception is linked to anxiety, depression, and body dysmorphic disorder. However, there is no gold standard, body image related patient reported outcome measure in use, specific for dermatologic disease, despite evidence to suggest a high prevalence of mental health problems relating to body image in this group of patients. Aim: The aim of this study was to perform a review of body image Patient Reported Outcome Measures (PROMs) used in dermatology and to evaluate their effectiveness. Methods: Searches were performed in the major databases. Two investigators independently performed full text evaluation by applying an established checklist to evaluate the conceptual model, content validity, reliability, construct validity, scoring and interpretability and respondent burden. Results: Six different PROMs were identified of which only one was fully validated. There was a significant lack of patient involvement in the development of PROMs in this context. Conclusions: We therefore encourage further research in this field to improve the quality of evidence to better understand the relationship between mental health and dermatologic disease.
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Societal and cultural pressures shape gender differences in body image satisfaction.
“Exploring gender differences in body image satisfaction reveals the intricate interplay among societal dictates, cultural imperatives, and individual psychological realms, offering insights into the distinct experiences that shape men’s and women’s perceptions of their bodies (Figure 3).”
From 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 (2024) · cites this paper as [125]
The introductory passage labeled Abstract > Conclusions defines body image in terms of satisfaction with appearance, but does not discuss what shapes gender differences. Searches for societal pressures, cultural norms, and differences between men and women returned no passage addressing that claim; the References list mentions gender and body image only in titles of cited works. Page numbers were not available in our copy. (LLM, conf=0.74)
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Cites
Coefficient Alpha and the Internal Structure of Tests
Cronbach, L. J. (1951) · Psychometrika · doi:10.1007/bf02310555 · Cited by 43,931 · see citing works
PRISMA-P Group, Moher, D., Shamseer, L., Clarke, M., Ghersi, D., Liberati, A., Petticrew, M., Shekelle, P., & Stewart, L. A. (2015) · Systematic Reviews · doi:10.1186/2046-4053-4-1 · Cited by 26,223 · cited 1× · see citing works
“The methods for this systematic review were developed according to the recommendations from the Preferred Reporting Items for Systematic Reviews and Meta Analyses Protocol (PRISMA‐P) statement.(8) The protocol for the study has been registered in The International Register of Systematic Reviews (PROSPERO): CRD 4202124…”
MethodQuality criteria were proposed for measurement properties of health status questionnaires
Terwee, C. B., Bot, S. D. M., de Boer, M. R., van der Windt, D. A. W. M., Knol, D. L., Dekker, J., Bouter, L. M., & de Vet, H. C. W. (2007) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2006.03.012 · Cited by 10,764 · see citing works
Mokkink, L. B., Terwee, C. B., Patrick, D. L., Alonso, J., Stratford, P. W., Knol, D. L., Bouter, L. M., & de Vet, H. C. W. (2010) · Quality of Life Research · doi:10.1007/s11136-010-9606-8 · Cited by 4,260 · see citing works
COSMIN guideline for systematic reviews of patient-reported outcome measures
Prinsen, C. A. C., Mokkink, L. B., Bouter, L. M., Alonso, J., Patrick, D. L., de Vet, H. C. W., & Terwee, C. B. (2018) · Quality of Life Research · doi:10.1007/s11136-018-1798-3 · Cited by 3,345 · see citing works
Body image: a handbook of theory, research, and clinical practice
(2003) · Choice Reviews Online · doi:10.5860/choice.40-3703 · Cited by 1,828 · see citing works
A body image scale for use with cancer patients
Hopwood, P., Fletcher, I., Lee, A., & Al Ghazal, S. (2001) · European Journal of Cancer · doi:10.1016/s0959-8049(00)00353-1 · Cited by 984 · see citing works
Dalgard, F. J., Gieler, U., Tomas-Aragones, L., Lien, L., Poot, F., Jemec, G. B. E., Misery, L., Szabo, C., Linder, D., Sampogna, F., et al. (2015) · Journal of Investigative Dermatology · doi:10.1038/jid.2014.530 · Cited by 968 · see citing works
Attitudinal Body-Image Assessment: Factor Analysis of the Body-Self Relations Questionnaire
Brown, T. A., Cash, T. F., & Mikulka, P. J. (1990) · Journal of Personality Assessment · doi:10.1207/s15327752jpa5501&2_13 · Cited by 783 · see citing works
Beyond Body Image as a Trait: The Development and Validation of the Body Image States Scale
Cash, T. F., Fleming, E. C., Alindogan, J., Steadman, L., & Whitehead, A. (2002) · Eating Disorders · doi:10.1080/10640260290081678 · Cited by 684 · see citing works
The assessment of body image investment: An extensive revision of the appearance schemas inventory
Cash, T. F., Melnyk, S. E., & Hrabosky, J. I. (2004) · International Journal of Eating Disorders · doi:10.1002/eat.10264 · Cited by 577 · see citing works
The impact of body image experiences: development of the body image quality of life inventory.
Cash, T. F., & Fleming, E. C. (2002) · International Journal of Eating Disorders · doi:10.1002/eat.10033 · Cited by 561 · see citing works
Attitudinal Body-Image Assessment: Factor Analysis of the Body-Self Relations Questionnaire
Brown, T. A., Cash, T. F., & Mikulka, P. J. (1990) · Journal of Personality Assessment · doi:10.1080/00223891.1990.9674053 · Cited by 552 · see citing works
Body image, physical attractiveness, and depression.
Noles, S. W., Cash, T. F., & Winstead, B. A. (1985) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.53.1.88 · Cited by 334 · see citing works
The Body Image Quality of Life Inventory: further validation with college men and women
Cash, T. F., Jakatdar, T. A., & Williams, E. F. (2004) · Body Image · doi:10.1016/s1740-1445(03)00023-8 · Cited by 258 · see citing works
Bech, P. (2012) · doi:10.1002/9781118511800 · Cited by 243 · see citing works
Body image, physical attractiveness, and depression.
Noles, S. W., Cash, T. F., & Winstead, B. A. (1985) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.53.1.88 · Cited by 234 · see citing works
Clinimetric Criteria for Patient-Reported Outcome Measures
Carrozzino, D., Patierno, C., Guidi, J., Montiel, C. B., Cao, J., Charlson, M. E., Christensen, K. S., Concato, J., Cuevas, C. D. L., de León, J., et al. (2021) · Psychotherapy and Psychosomatics · doi:10.1159/000516599 · Cited by 178 · see citing works
The norms and stability of new measures of the multidimensional body image construct
Cash, T. F., & Grasso, K. (2005) · Body Image · doi:10.1016/j.bodyim.2005.03.007 · Cited by 149 · see citing works
Checklist to operationalize measurement characteristics of patient-reported outcome measures
Francis, D. O., McPheeters, M. L., Noud, M., Penson, D. F., & Feurer, I. D. (2016) · Systematic Reviews · doi:10.1186/s13643-016-0307-4 · Cited by 107 · see citing works
Moreira, H., Silva, S., Marques, A. D., & Canavarro, M. C. (2009) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2009.09.007 · Cited by 84 · see citing works
A systematic review of the measurement properties of the Body Image Scale (BIS) in cancer patients
Melissant, H. C., Neijenhuijs, K. I., Jansen, F., Aaronson, N. K., Grøenvold, M., Holzner, B., Terwee, C. B., van Uden‐Kraan, C. F., Cuijpers, P. J., & Leeuw, I. M. V. (2018) · Supportive Care in Cancer · doi:10.1007/s00520-018-4145-x · Cited by 74 · see citing works
Heinl, D., Prinsen, C. A. C., Deckert, S., Chalmers, J. R., Drucker, A. M., Ofenloch, R. F., Humphreys, R., Sach, T., Chamlin, S. L., Schmitt, J. M., et al. (2015) · Allergy · doi:10.1111/all.12806 · Cited by 66 · see citing works
Assessing patient reported outcome measures: A practical guide for gastroenterologists
Alrubaiy, L., Hutchings, H. A., & Williams, J. G. (2014) · United European Gastroenterology Journal · doi:10.1177/2050640614558345 · Cited by 65 · see citing works
Wojtyna, E., Łakuta, P., Marcinkiewicz, K., Bergler-Czop, B. S., & Brzezińska-Wcisło, L. A. (2016) · Acta Dermato Venereologica · doi:10.2340/00015555-2483 · Cited by 64 · see citing works
Sobanko, J. F., Dai, J., Gelfand, J. M., Sarwer, D. B., & Percec, I. (2018) · Dermatologic Surgery · doi:10.1097/dss.0000000000001523 · Cited by 58 · see citing works
Didie, E. R., Kuniega-Pietrzak, T., & Phillips, K. A. (2009) · Body Image · doi:10.1016/j.bodyim.2009.09.007 · Cited by 55 · see citing works
McKenna, S. P., & Heaney, A. (2021) · Journal of Medical Economics · doi:10.1080/13696998.2021.1907092 · Cited by 53 · see citing works
Jolly, M., Kazmi, N., Mikolaitis, R. A., Sequeira, W., & Block, J. A. (2012) · Journal of the American Academy of Dermatology · doi:10.1016/j.jaad.2012.08.035 · Cited by 43 · see citing works
Andersen, P. L., Nielsen, R. M., Sigsgaard, V., Jemec, G. B. E., & Riis, P. T. (2020) · Acta Dermato Venereologica · doi:10.2340/00015555-3464 · Cited by 31 · see citing works
Quality of life in patients with skin tumors: the mediator role of body image and social support
Pereira, M. G., Ponte, M., Ferreira, G., & Machado, J. C. (2016) · Psycho-Oncology · doi:10.1002/pon.4236 · Cited by 29 · see citing works
A Systematic Review of Body Image Measures for People Diagnosed with Head and Neck Cancer (HNC)
Shunmuga Sundaram, C., Dhillon, H. M., Butow, P. N., Sundaresan, P., & Rutherford, C. (2019) · Supportive Care in Cancer · doi:10.1007/s00520-019-04919-6 · Cited by 29 · see citing works
Body dysmorphic disorder in dermatology:A systematic review
Herbst, I., & Jemec, G. B. E. (2020) · Psychiatric Quarterly · doi:10.1007/s11126-020-09757-y · Cited by 28 · see citing works
Cutaneous Body Image: Empirical Validation of a Dermatologic Construct
Gupta, M. A., Gupta, A. K., & Johnson, A. M. (2004) · Journal of Investigative Dermatology · doi:10.1111/j.0022-202x.2004.23214.x · Cited by 27 · see citing works
Body image and depressive symptoms in person suffering from psoriasis
Rosińska, M., Rzepa, T., Szramka-Pawlak, B., & Żaba, R. W. (2017) · Psychiatria Polska · doi:10.12740/pp/68948 · Cited by 27 · see citing works
Cerea, S., Bottesi, G., Grisham, J. R., & Ghisi, M. (2018) · Psychiatry Research · doi:10.1016/j.psychres.2018.05.068 · Cited by 26 · see citing works
The relationship between psoriasis and depression: A multiple mediation model
Łakuta, P., Marcinkiewicz, K., Bergler-Czop, B. S., & Brzezińska-Wcisło, L. A. (2016) · Body Image · doi:10.1016/j.bodyim.2016.08.004 · Cited by 24 · see citing works
Hinkley, S. B., Holub, S. C., & Menter, A. (2020) · Dermatology and Therapy · doi:10.1007/s13555-020-00351-5 · Cited by 24 · see citing works
Japanese version of Cutaneous Body Image Scale: Translation and validation
Higaki, Y., Watanabe, I., Masaki, T., Kamo, T., Kawashima, M., Satoh, T., SAITOH, S., Nohara, M., & Gupta, M. A. (2009) · The Journal of Dermatology · doi:10.1111/j.1346-8138.2009.00690.x · Cited by 23 · see citing works
de Carvalho, V. F., Vieira, A. P. S., Paggiaro, A. O., Salles, A. G., & Gemperli, R. (2019) · International Journal of Dermatology · doi:10.1111/ijd.14414 · Cited by 20 · see citing works
Mebarak, M., Tinoco, L., Rodríguez, D. L. M., Martínez-Banfi, M. L., Preuss, H., Hammerle, F., Velez, J. I., & Kolar, D. R. (2019) · Frontiers in Psychology · doi:10.3389/fpsyg.2019.02553 · Cited by 20 · see citing works
Psychological distress and investment in one’s appearance in patients with pemphigus
Mazzotti, E., Mozzetta, A., Antinone, V., Alfani, S., Cianchini, G., & ABENI, D. D. (2010) · Journal of the European Academy of Dermatology and Venereology · doi:10.1111/j.1468-3083.2010.03780.x · Cited by 19 · see citing works
Jk, K., Möller, S., Vestergaard, D., Horsten, H., Swartling, C., & Bygum, A. (2020) · Acta Dermato Venereologica · doi:10.2340/00015555-3598 · Cited by 19 · see citing works
Patient-Reported Outcome Measures in Upper Airway–Related Dyspnea
Noud, M., Yancey, K. L., Gelbard, A. H., Sathe, N. A., Penson, D. F., Feurer, I. D., McPheeters, M. L., & Francis, D. O. (2017) · JAMA Otolaryngology–Head & Neck Surgery · doi:10.1001/jamaoto.2017.0348 · Cited by 18 · see citing works
Pereira, M. G., Baía, V. P., & Machado, J. C. (2016) · Journal of Psychosocial Oncology · doi:10.1080/07347332.2016.1196807 · Cited by 16 · see citing works
Ogunsanya, M. E., Cho, S. K., Hudson, A., & Chong, B. F. (2020) · Lupus · doi:10.1177/0961203320951842 · Cited by 13 · see citing works
Yarmohammadi, S., Ghaffari, M., Yarmohammadi, H., Koukamari, P. H., & Ramezankhani, A. (2020) · International Journal of Preventive Medicine · doi:10.4103/ijpvm.ijpvm_203_19 · Cited by 11 · see citing works
Rasmussen, T. B., Berg, S. K., Dixon, J. K., Moons, P., & Konradsen, H. (2016) · Scandinavian Journal of Caring Sciences · doi:10.1111/scs.12311 · Cited by 10 · see citing works
Amr, M., Kaliyadan, F., & Shams, T. (2014) · PubMed · Cited by 9 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- [11]Thompson AR. Body image issues in dermatology. In: Cash T and Smolak L, editors. Body image. New York: The Guilford Press; 2012, p 323‐ 32, 2nd. ed.
Cited by
Sorted by citations
Merino, M., Tornero-Aguilera, J. F., Rubio-Zarapuz, A., Villanueva-Tobaldo, C. V., Martín-Rodríguez, A., & Clemente-Suárez, V. J. (2024) · Healthcare · doi:10.3390/healthcare12141396 · Cited by 349 · see citing works
“This dichotomy is not just a reflection of individual struggles but also a manifestation of the broader societal and cultural landscapes that valorize specific body types, setting the stage for widespread body dissatisfaction [125].”
BackgroundThe Sensory Processing Measure – Second Edition: A Critical Review and Appraisal
Brown, T., Almiento, L., Yu, M., & Bhopti, A. (2023) · Occupational Therapy In Health Care · doi:10.1080/07380577.2023.2280216 · Cited by 17 · see citing works
Psychodermatology—A Special Edition of Skin Health and Disease
Langan, E. A., & Millington, G. W. M. (2022) · Skin Health and Disease · doi:10.1002/ski2.192 · Cited by 9 · see citing works
Lafuenti, L., Ciccarone, F., Paola, R. D., Sicco, S., Sani, L., Belella, D., Liberati, L., Ferrarese, D., Massaroni, V., Fagotti, A., et al. (2025) · Supportive Care in Cancer · doi:10.1007/s00520-025-09862-3 · Cited by 2 · see citing works
Outcome Measures in Dermatology
Donhauser, T., Yiu, Z., & Apfelbacher, C. (2026) · Springer eBooks · doi:10.1007/978-3-032-37598-8_4
- Authors
- Kristensen, J. K., Nielsen, C., & Haloob, N.
- Affiliations
- Hud og Hyperhidrose-klinikken , Copenhagen ,
- Imperial College Healthcare NHS Trust (GB)
- Venue
- Skin Health and Disease
- Publisher
- Oxford University Press (OUP)
- Published
- 2022-09-14
- Volume
- 2
- Issue
- 4
- Pages
- e167-e167
- ISSN
- 2690-442X (ISSN-L)
- PMC
- PMC9720198
- OpenAlex
- W4295564130
- Cited by
- 6
- References
- 49
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2023: 1 · 2022: 2
- FWCI
- 0.21
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Skin Health and Disease (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Body Image and Dysmorphia Studies
- Social Sciences › Education › Health Education and Validation
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- body image, patient-reported outcome measures, skin diseases, body dysmorphic disorder, mental health, content validity, construct validity, reliability statistics, respondent burden, patient involvement, questionnaire development
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