Study of the effect of family communication and function, and satisfaction with body image, on psychological well-being of obese girls: the mediating role of self-esteem and depression
Open accessAbstract
Background: Obesity has become a global problem in childhood and adolescence. The objective of the present study was to investigate the impact of family communication and function, and body image satisfaction, on psychological well-being by considering: the mediating role of self-esteem and depression. Methods: In this cross sectional study, 173 obese and overweight female students were selected and evaluated based on body image satisfaction, self-esteem, depression, psychological well-being, functioning, and family Communication. The proposed model was evaluated through structural equation modeling, using AMOS and SPSS software. Results: Results showed that family communication and function directly affected adolescents’ psychological well-being. In addition, family communication and function, as well body image satisfaction indirectly affected psychological well-being through self-esteem and depression. Conclusion: The current finding suggests that the psychological well-being of obese adolescent girls is associated with many factors, including family functioning and communication, body image satisfaction, self-esteem, and depression. The factors identified in this study may be helpful for mental health policy-makers, in planning and implementing preventive and therapeutic intervention programs.
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Feedback from immediate social environments-peers, family, and educators-can profoundly affect body image.
“The feedback individuals receive from their immediate social environments—peers, family, and educators—can profoundly affect their body image.”
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 [115]
The Conclusion (page unavailable) recommends that parents help adolescents accept their body image, offering limited support for a family role. The Discussion (page unavailable) discusses cultural and media influences on body image, but the paper does not establish that feedback from peers or educators affects it, or that such feedback has a profound effect. (LLM, conf=0.79)
Experimental — accuracy not yet measuredPositive reinforcement can enhance body satisfaction and self-esteem, while negative comments can lead to dissatisfaction and distorted self-perceptions.
“Positive reinforcement can enhance body satisfaction and self-esteem, while negative comments can lead to dissatisfaction and distorted self-perceptions [115].”
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 [115]
The Background links supportive family communication with higher self-esteem and says negative parental responses to children’s obesity can lower self-esteem. The Discussion also links body-image satisfaction with self-esteem in overweight and obese adolescent girls. Neither passage establishes that positive reinforcement increases body satisfaction or that negative comments cause body dissatisfaction or distorted self-perceptions. (LLM, conf=0.83)
Experimental — accuracy not yet measuredPersonal achievements that highlight the body's functionality, such as sports or fitness milestones, can shift focus from aesthetics to performance and utility, fostering a healthier body image.
“Personal achievements that highlight the body’s functionality, such as sports or fitness milestones, can shift the focus from aesthetics to performance and utility, fostering a healthier body image.”
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 [115]
The Discussion links body-image satisfaction with self-esteem and depression, and the Conclusion recommends helping adolescents accept their body image. Neither section says that sports or fitness achievements shift attention from appearance to bodily function or improve body image in that way. Searches for those terms found no supporting passage in our copy. (LLM, conf=0.77)
Experimental — accuracy not yet measuredThe properties of traditional physical art-making materials have been extensively examined in expressive therapy studies.
“While the properties of traditional physical art-making materials have been extensively examined in expressive therapy studies [46, 68], it is yet to be explored whether and how digital media, including the emerging generative AI techniques, could be utilized as materials for expressive arts therapy.”
From "When He Feels Cold, He Goes to the Seahorse"—Blending Generative AI into Multimaterial Storymaking for Family Expressive Arts Therapy (2024) · cites this paper as [46]
ETC serves as a valuable tool for categorizing and organizing how clients interact with expressive materials as they process information and form images.
“ETC serves as a valuable tool for categorizing and organizing how clients interact with expressive materials as they process information and form images [46].”
From "When He Feels Cold, He Goes to the Seahorse"—Blending Generative AI into Multimaterial Storymaking for Family Expressive Arts Therapy (2024) · cites this paper as [46]
Such symbolic aspects help children realize personal meaning and enable parents to understand their children through personal symbols.
“Such symbolic aspects help children realize personal meaning and enable parents to understand their children through personal symbols [46].”
From "When He Feels Cold, He Goes to the Seahorse"—Blending Generative AI into Multimaterial Storymaking for Family Expressive Arts Therapy (2024) · cites this paper as [46]
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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
“Positive reinforcement can enhance body satisfaction and self-esteem, while negative comments can lead to dissatisfaction and distorted self-perceptions [115].”
BackgroundLiu, D., Zhou, H., & An, P. (2024) · Proceedings of the CHI Conference on Human Factors in Computing Systems · doi:10.1145/3613904.3642852 · Cited by 38 · see citing works
- Authors
- KavehFarsani, Z., Kelishadi, R., & Beshlideh, K.
- Affiliations
- Isfahan University of Medical Sciences (IR)
- Shahid Chamran University of Ahvaz (IR)
- Venue
- Child and Adolescent Psychiatry and Mental Health
- Published
- 2020-10-12
- Volume
- 14
- Issue
- 1
- Pages
- 39-39
- ISSN
- 1753-2000 (ISSN-L)
- PMC
- PMC7552351
- OpenAlex
- W3092592490
- Cited by
- 74
- References
- 79
- Citations by year
- 2026: 11 · 2025: 16 · 2024: 16 · 2023: 16 · 2022: 10 · 2021: 5
- FWCI
- 3.10
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Child and Adolescent Psychiatry and Mental Health (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 › Eating Disorders and Behaviors
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- childhood obesity, adolescent girls, family communication, family functioning, body satisfaction, self-esteem, depression, psychological well-being, mediating effect
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