title: Association of children's obesity with the quality of parental-child attachment and psychological variables.
abstract: OBJECTIVE
  This study aimed to investigate the association of children's obesity with parental attachment and psychological variables as impulsivity, self-control and efficiency of eating control.
  
  
  METHODS
  This cross-sectional study was conducted among 202 obese students aged 9-13 years selected by multistage cluster sampling from different areas of Isfahan, Iran. Three questionnaires were considered to be answered by the students and one for their parents. The students completed the following questionnaires: (i) Inventory of Parent and Peer Attachment-Revised version for Children (IPPA-R); (ii) Impulsivity Scale (IS); (iii) Efficiency of Eating Control; and (iv) Self-control Rating Scale (SCRS).
  
  
  RESULTS
  The quality of children's attachment had direct effects on self-efficacy of eating management and on obesity by mediating of self-efficacy of eating. Moreover, attachment had direct effect on self-control and impulsivity, and in turn through these psychological variables, it had indirect effects on self-efficacy of eating management.
  
  
  CONCLUSIONS
  The findings of this study underscore the importance of parent-child attachment quality. It can be suggested that childhood obesity can be prevented and managed with creating a secure attachment bond between children and parents and increasing perceived self-efficacy eating management in children.
authors.affiliation: Department of Counseling, Faculty of Education and Psychology, University of Isfahan, Isfahan, Iran.
authors.forename: Fatemeh
authors.initials: F
authors.lastname: Bahrami
authors.forename: Roya
authors.initials: R
authors.lastname: Kelishadi
authors.forename: Nasim
authors.initials: N
authors.lastname: Jafari
authors.forename: Zabihollah
authors.initials: Z
authors.lastname: Kaveh
authors.forename: Omid
authors.initials: O
authors.lastname: Isanejad
mesh_terms: D000293:Adolescent; D002648:Child; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007175:Impulsive Behavior; D008297:Male; D009765:Obesity / Q000523:psychology*; D010287:Parent-Child Relations; D020377:Self Efficacy