@article{GmeinerWarschburger2020,
  author    = {Gmeiner, Michaela Silvia and Warschburger, Petra},
  title     = {Intrapersonal predictors of weight bias internalization among elementary school children},
  series = {BMC Pediatrics},
  volume    = {20},
  journal   = {BMC Pediatrics},
  publisher = {BioMed Central},
  address   = {London},
  issn      = {1471-2431},
  doi       = {10.1186/s12887-020-02264-w},
  pages     = {9},
  year      = {2020},
  abstract  = {Background Weight-related stigmatization is a widespread problem. Particularly the internalization of weight-related stereotypes and prejudices (weight bias internalization, WBI) is related to mental and physical health impairments. To date, little is known about the risk factors of WBI. Previous studies are mainly cross-sectional and based on adult samples. As childhood is a sensitive period for the development of a healthy self-concept, we examined predictors of WBI in children. Methods The final sample included 1,463 schoolchildren (6-11 years, 51.7\% female) who took part in a prospective study consisting of three measurement waves. The first two waves delivered data on objective weight status and self-reported weight-related teasing, body dissatisfaction, relevance of one's own figure, self-esteem and depressive symptoms; WBI was measured during the third wave. To examine predictors of WBI, we ran hierarchical regression analyses and exploratory mediation analyses. Results Lower parental education level, higher child weight status, female gender, experience of teasing, higher body dissatisfaction, higher figure-relevance, and higher depression scores were found to be predictive for higher WBI scores. Body dissatisfaction (only for girls) and the relevance of one's own figure (both genders) mediated the association between self-esteem and WBI; no weight-related differences were observed. Conclusions Our study offers longitudinal evidence for variables that enable the identification of children who are at risk for WBI. Thus, the findings deliver starting points for interventions aimed at the prevention of adverse health developments that come along with WBI.},
  language  = {en}
}
@article{GmeinerWarschburger2022,
  author    = {Gmeiner, Michaela Silvia and Warschburger, Petra},
  title     = {Simply too much},
  series = {Eating and weight disorders : studies on anorexia, bulimia and obesity},
  volume    = {27},
  journal   = {Eating and weight disorders : studies on anorexia, bulimia and obesity},
  number    = {1},
  publisher = {Springer},
  address   = {Cham},
  issn      = {1590-1262},
  doi       = {10.1007/s40519-021-01170-z},
  pages     = {317 -- 324},
  year      = {2022},
  abstract  = {Purpose Weight bias internalization (WBI) is associated with negative health consequences such as eating disorders and psychosocial problems in children. To date, it is unknown to what extent WBI considerably raises the risk of negative outcomes. Methods Analyses are based on cross-sectional data of 1,061 children (9-13 years, M = 11, SD = 0.9; 52.1\% female) who filled in the WBI scale (WBIS-C). First, ROC analyses were run to identify critical cut-off values of WBI (WBIS-C score) that identify those who are at higher risk for psychosocial problems or eating disorder symptoms (as reported by parents). Second, it was examined whether WBI is more sensitive than the relative weight status in that respect. Third, to confirm that the cut-off value is also accompanied by higher psychological strain, high- and low-risk groups were compared in terms of their self-reported depressive symptoms, anxious symptoms, body dissatisfaction, and self-esteem. Results WBIS-C scores >= 1.55 were associated with a higher risk of disturbed eating behavior; for psychosocial problems, no cut-off score reached adequate sensitivity and specificity. Compared to relative weight status, WBI was better suited to detect disturbed eating behavior. Children with a WBIS-C score >= 1.55 also reported higher scores for both depressive and anxious symptoms, higher body dissatisfaction, and lower self-esteem. Conclusion The WBIS-C is suitable for identifying risk groups, and even low levels of WBI are accompanied by adverse mental health. Therefore, WBI is, beyond weight status, an important risk factor that should be considered in prevention and intervention.},
  language  = {en}
}
@article{WarschburgerGmeinerMorawietzetal.2017,
  author    = {Warschburger, Petra and Gmeiner, Michaela Silvia and Morawietz, Marisa and Rinck, Mike},
  title     = {Battle of plates},
  series = {Public health nutrition : PHN / The Nutrition Society},
  volume    = {21},
  journal   = {Public health nutrition : PHN / The Nutrition Society},
  number    = {2},
  publisher = {Cambridge Univ. Press},
  address   = {Cambridge},
  issn      = {1368-9800},
  doi       = {10.1017/S1368980017002701},
  pages     = {426 -- 434},
  year      = {2017},
  abstract  = {Objective: Approach-avoidance training (AAT) is a promising approach in obesity treatment. The present study examines whether an AAT is feasible and able to influence approach tendencies in children and adolescents, comparing implicit and explicit training approaches. Design/Setting/Subjects: Fifty-nine overweight children and adolescents (aged 8-16 years; twenty-six boys) participated in an AAT for food cues, learning to reject snack items and approach vegetable items. Reaction times in the AAT and an implicit association rest (IAT) were assessed pre- and post-intervention. Results: A significant increase in the AAT compatibility scores with a large effect (eta(2) = 0.18) was found. No differences between the implicit and explicit training approaches and no change in the IAT scores were observed. Conclusions: Automatic tendencies in children can be trained, too. The implementation of AAT in the treatment of obesity might support the modification of an unhealthy nutrition behaviour pattern. Further data from randomized controlled clinical trials are needed.},
  language  = {en}
}
@article{GmeinerWarschburger2020,
  author    = {Gmeiner, Michaela Silvia and Warschburger, Petra},
  title     = {Psychotherapie bei juveniler Adipositas},
  series = {Psychotherapeut},
  volume    = {66},
  journal   = {Psychotherapeut},
  number    = {1},
  publisher = {Springer},
  address   = {New York},
  issn      = {0935-6185},
  doi       = {10.1007/s00278-020-00474-2},
  pages     = {16 -- 22},
  year      = {2020},
  abstract  = {Background Obesity is widespread in childhood and adolescence. Medical rehabilitation measures with a comprehensive range of treatment options represent an essential pillar of care. As obesity is associated with a wide range of psychosocial burdens, the question arises as to whether psychotherapeutic services should be given even greater consideration. Objective The main goal was to examine the rate of psychological problems among children and adolescents with obesity and their association with the weight loss course. Material and methods The sample consisted of 220 children and adolescents with obesity (8-16 years, M = 13.11 years, SD +/- 1.88 years; 54.5\% female) who participated in an inpatient rehabilitation. Emotional and behavioral problems were assessed (strengths and difficulties questionnaire, SDQ via parental report) at the beginning of rehabilitation as well as 6 and 12 months after completion. Anthropometric data for determination of the weight status were collected by medical personnel of the clinics or in the follow-up by family doctors. Results Almost half of the children and adolescents (48.6\%) showed abnormal values and girls in particular were affected significantly more often. The descriptive inspection after rehabilitation revealed a similarly high proportion. The presence of psychological problems had a significant negative effect on the weight course. Conclusion Psychological problems should be given greater consideration in the context of obesity therapy. On the one hand potentially burdened children should be identified by screening, on the other hand psychotherapy to reduce psychosocial strain should be an integral part of the treatment concept.},
  language  = {de}
}
@misc{GmeinerWarschburger2020,
  author    = {Gmeiner, Michaela Silvia and Warschburger, Petra},
  title     = {Intrapersonal predictors of weight bias internalization among elementary school children},
  series = {Postprints der Universit{\"a}t Potsdam : Humanwissenschaftliche Reihe},
  journal   = {Postprints der Universit{\"a}t Potsdam : Humanwissenschaftliche Reihe},
  number    = {665},
  issn      = {1866-8364},
  doi       = {10.25932/publishup-48230},
  url       = {http://nbn-resolving.de/urn:nbn:de:kobv:517-opus4-482303},
  pages     = {11},
  year      = {2020},
  abstract  = {Background Weight-related stigmatization is a widespread problem. Particularly the internalization of weight-related stereotypes and prejudices (weight bias internalization, WBI) is related to mental and physical health impairments. To date, little is known about the risk factors of WBI. Previous studies are mainly cross-sectional and based on adult samples. As childhood is a sensitive period for the development of a healthy self-concept, we examined predictors of WBI in children. Methods The final sample included 1,463 schoolchildren (6-11 years, 51.7\% female) who took part in a prospective study consisting of three measurement waves. The first two waves delivered data on objective weight status and self-reported weight-related teasing, body dissatisfaction, relevance of one's own figure, self-esteem and depressive symptoms; WBI was measured during the third wave. To examine predictors of WBI, we ran hierarchical regression analyses and exploratory mediation analyses. Results Lower parental education level, higher child weight status, female gender, experience of teasing, higher body dissatisfaction, higher figure-relevance, and higher depression scores were found to be predictive for higher WBI scores. Body dissatisfaction (only for girls) and the relevance of one's own figure (both genders) mediated the association between self-esteem and WBI; no weight-related differences were observed. Conclusions Our study offers longitudinal evidence for variables that enable the identification of children who are at risk for WBI. Thus, the findings deliver starting points for interventions aimed at the prevention of adverse health developments that come along with WBI.},
  language  = {en}
}
@phdthesis{Gmeiner2021,
  author    = {Gmeiner, Michaela Silvia},
  title     = {Gewichtsstigmatisierung und Internalisierung des Gewichtsstigmas im Kindes- und Jugendalter: Einflussfaktoren und Folgen},
  doi       = {10.25932/publishup-53053},
  url       = {http://nbn-resolving.de/urn:nbn:de:kobv:517-opus4-530530},
  school      = {Universit{\"a}t Potsdam},
  pages     = {VI, 65, LI},
  year      = {2021},
  abstract  = {Das Gewichtsstigma und insbesondere das internalisierte Gewichtsstigma sind bei Kindern und Jugendlichen mit negativen Folgen f{\"u}r die physische und psychische Gesundheit assoziiert. Da die Befundlage in diesem Altersbereich jedoch noch unzureichend ist, war es das Ziel der Dissertation, beg{\"u}nstigende Faktoren und Folgen von gewichtsbezogener Stigmatisierung und internalisiertem Gewichtsstigma bei Kindern und Jugendlichen zu untersuchen. Die Analysen basierten auf zwei großen Stichproben, die im Rahmen der prospektiven PIER-Studie an Schulen rekrutiert wurden. Die erste Publikation bezieht sich auf eine Stichprobe mit Kindern und Jugendlichen im Alter zwischen 9 und 19 Jahren (49.2 \% weiblich) und untersuchte den prospektiven bidirektionalen Zusammenhang zwischen erlebter Gewichtsstigmatisierung und Gewichtsstatus anhand eines latenten Strukturgleichungsmodells {\"u}ber drei Messzeitpunkte hinweg. Die anderen beiden Publikationen beziehen sich auf eine Stichprobe mit Kindern und Jugendlichen im Alter zwischen 6 und 11 Jahren (51.1 \% weiblich). Die zweite Publikation analysierte anhand einer hierarchischen Regression, welche intrapersonalen Risikofaktoren das internalisierte Gewichtsstigma prospektiv pr{\"a}dizieren. Die dritte Publikation untersuchte anhand von ROC-Kurven, ab welchem Ausmaß das internalisierte Gewichtsstigma mit einem erh{\"o}hten Risiko f{\"u}r psychosoziale Auff{\"a}lligkeit und gest{\"o}rtes Essverhalten einhergeht. Im Rahmen der ersten Publikation zeigte sich, dass ein h{\"o}herer Gewichtsstatus mit einer h{\"o}heren sp{\"a}teren Gewichtsstigmatisierung einhergeht und umgekehrt die Gewichtsstigmatisierung auch den sp{\"a}teren Gewichtsstatus pr{\"a}diziert. Die zweite Publikation identifizierte Gewichtsstatus, gewichtsbezogene H{\"a}nseleien, depressive Symptome, K{\"o}rperunzufriedenheit, Relevanz der eigenen Figur sowie das weibliche Geschlecht und einen niedrigeren Bildungsabschluss der Eltern als Pr{\"a}diktoren des internalisierten Gewichtsstigmas. Die dritte Publikation verdeutlichte, dass das internalisierte Gewichtsstigma bereits ab einem geringen Ausmaß mit einem erh{\"o}hten Risiko f{\"u}r gest{\"o}rtes Essverhalten einhergeht und mit weiteren psychosozialen Problemen assoziiert ist. Insgesamt zeigte sich, dass sowohl das erlebte als auch das internalisierte Gewichtsstigma bei Kindern und Jugendlichen {\"u}ber alle Gewichtsgruppen hinweg relevante Konstrukte sind, die im Entwicklungsverlauf ein komplexes Gef{\"u}ge bilden. Es wurde deutlich, dass es essentiell ist, bidirektionale Wirkmechanismen einzubeziehen. Die vorliegende Dissertation liefert erste Ansatzpunkte f{\"u}r die Gestaltung von Pr{\"a}ventions- und Interventionsmaßnahmen, um ung{\"u}nstige Entwicklungsverl{\"a}ufe in Folge von Gewichtsstigmatisierung und internalisiertem Gewichtsstigma zu verhindern.},
  language  = {de}
}