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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.

child and adolescent psychiatry and mental health

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