TY - GEN A1 - Helfert, Susanne A1 - Warschburger, Petra T1 - The face of appearance-related social pressure BT - gender, age and body mass variations in peer and parental pressure during adolescence N2 - Background Appearance-related social pressure plays an important role in the development of a negative body image and self-esteem as well as severe mental disorders during adolescence (e.g. eating disorders, depression). Identifying who is particularly affected by social pressure can improve targeted prevention and intervention, but findings have either been lacking or controversial. Thus the aim of this study is to provide a detailed picture of gender, weight, and age-related variations in the perception of appearance-related social pressure by peers and parents. Methods 1112 German students between grades 7 and 9 (mean age: M = 13.38, SD = .81) filled in the Appearance-Related Social Pressure Questionnaire (German: FASD), which considers different sources (peers, parents) as well as various kinds of social pressure (e.g. teasing, modeling, encouragement). Results Girls were more affected by peer pressure, while gender differences in parental pressure seemed negligible. Main effects of grade-level suggested a particular increase in indirect peer pressure (e.g. appearance-related school and class norms) from early to middle adolescence. Boys and girls with higher BMI were particularly affected by peer teasing and exclusion as well as by parental encouragement to control weight and shape. Conclusion The results suggest that preventive efforts targeting body concerns and disordered eating should bring up the topic of appearance pressure in a school-based context and should strengthen those adolescents who are particularly at risk - in our study, girls and adolescents with higher weight status. Early adolescence and school transition appear to be crucial periods for these efforts. Moreover, the comprehensive assessment of appearance-related social pressure appears to be a fruitful way to further explore social risk-factors in the development of a negative body image. T3 - Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe - 357 KW - peer pressure KW - parental pressure KW - adolescence KW - gender KW - age KW - BMI Y1 - 2017 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:517-opus4-401155 ER - TY - JOUR A1 - Kröller, Katja A1 - Kröller, Alexander A1 - Warschburger, Petra T1 - What do you like to eat? Correlation between food familiarity and actual preference JF - Zeitschrift für Gesundheitspsychologie N2 - The preference for fruits and vegetables is the main predictor for the longtime healthy eating behavior. There are many factors which affect the development of food preferences. The familiarity with different foods seems to be a special aspect associated with the corresponding preference. To establish a preference for fruits and vegetables during early childhood, we need to know more about the factors that affect this preference development. So far, research has mostly concentrated on the food intake and less on the corresponding preference. Additionally, it is often based on studies of the mere-exposure effect or on older children and their ability to label fruits and vegetables correctly. Findings about the level of food familiarity in young children and its relation to the actual food preference are still missing. Our study focuses on different aspects of food familiarity as well as on their relationship to the child's preference and presents results from 213 children aged 2 to 10 years. Using standardized photos, the food preference was measured with a computer-based method that ran automatically without influence from parents or interviewer. The children knew fewer of the presented vegetables (66 %) than fruits or sweets (78 % each). About the same number of vegetables (63 %) had already been tasted by the children and were considered tasty. Only 48 % of the presented vegetables were named correctly - an ability that increases in older children. Concerning the relationship between the familiarity with vegetables and their preference, the different familiarity aspects showed that vegetables of lower preference were less often recognized, tasted, considered tasty, or named correctly. KW - food preference KW - familiarity KW - fruits and vegetables KW - children Y1 - 2013 U6 - https://doi.org/10.1026/0943-8149/a000089 SN - 0943-8149 VL - 21 IS - 2 SP - 53 EP - 61 PB - Hogrefe CY - Göttingen ER - TY - INPR A1 - Warschburger, Petra T1 - Nutrition in children and adolescents T2 - Zeitschrift für Gesundheitspsychologie Y1 - 2013 SN - 0943-8149 VL - 21 IS - 2 SP - 49 EP - 52 PB - Hogrefe CY - Göttingen ER - TY - JOUR A1 - Sarrar, L. A1 - Warschburger, Petra A1 - Pfeiffer, E. A1 - Lehmkuhl, Ulrike A1 - Schneider, N. T1 - Cognitive flexibility in adolescent patients with unipolar affective disorders - gender differences JF - Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie N2 - Objective: Several studies have revealed impairments in cognitive functions among patients with affective disorders (AD). However, to date there are few neuropsychological studies on cognitive flexibility among adolescent patients with AD, especially on gender differences in AD. Here, we investigate cognitive functions, especially cognitive flexibility, in adolescent patients with unipolar AD (UAD) compared to a healthy control group (CG). Method: The study population consists of 17 male patients (M-age = 15.4 +/- 1.3) and 22 female patients with UAD (M-age = 15.6 +/- 1.4) as well as 20 male (M-age = 16.0 +/- 1.0) and 30 female (M-age = 15.7 +/- 0.9) healthy adolescents. A neuropsychological test battery was conducted, and depressive symptoms, psychological stress, and intelligence were also assessed. Results: The analyses revealed no significant group differences regarding cognitive flexibility or visual processing speed, albeit slight better performance in motor processing speed for the CG. Furthermore, no gender differences were observed regarding cognitive flexibility, though female subjects general displayed better performance in processing speed. Conclusions: Overall, there are no indications for serious deficits and specific gender differences in cognitive flexibility or processing speed in adolescent patients with UAD. Independent of psychological distress, female subjects seem to have some advantages in processing speed. KW - cognitive flexibility KW - unipolar affective disorders KW - sex differences KW - adolescents Y1 - 2013 U6 - https://doi.org/10.1024/1422-4917/a000240 SN - 1422-4917 VL - 41 IS - 4 SP - 261 EP - 270 PB - Hogrefe CY - Bern ER - TY - JOUR A1 - Gross, Martina A1 - Warschburger, Petra T1 - Chronic abdominal pain psychosocial strain and treatment-associated changes in coping JF - Verhaltenstherapie N2 - Background: Chronic abdominal pain (CAP) in childhood is a commonly occurring condition and shows a high stability. Psychosocial dysfunctioning of children, such as increased stress experience, is a burden for children and parents and complicates clinical management. Additional comorbid disorders may develop. To minimize the onset of such disorders, treatment at an early stage and taking psychosocial aspects into consideration is strongly recommended. Through this approach, the cognitive-behavioral, child-centered group program 'Stop the pain with Happy-Pingu' was developed, applied, and subsequently evaluated. What is the psychosocial situation of the affected children? Can the cognitive-behavioral group program be applied to improve psychosocial limitations? Method: The cognitive-behavioral group program comprises 6 weekly sessions for children and 1 single meeting for parents. In a randomized controlled study, the program was evaluated with 29 children aged between 6 and 12 years. The evaluation was based on a comparison between the intervention group (IG) and the waiting list control group (WLC), measured at 3 measurement points: T1 (pre), T2 (post), and T3 (3-month follow-up). Results: Emotional problems in particular can emerge in children with CAP. The program was well received, with a high level of participation through to completion. The results demonstrate that children participating in the IG experience significant stress reduction and improved psychosocial functioning compared to children participating in the WLC. The effect sizes range from medium to high. Conclusions: Drawing upon the above findings, multimodal cognitive-behavioral techniques appear to be suitable to successfully treat children with CAP. However, further controlled studies are required to identify the specific elements of the training that are most effective in reducing pain. KW - Cognitive-behavioral therapy KW - Children KW - Abdominal pain KW - Psychosocial functioning KW - Coping Y1 - 2013 U6 - https://doi.org/10.1159/000351215 SN - 1016-6262 VL - 23 IS - 2 SP - 80 EP - 89 PB - Karger CY - Basel ER - TY - JOUR A1 - Kröller, Katja A1 - Jahnke, Dörte A1 - Warschburger, Petra T1 - Are maternal weight, eating and feeding practices associated with emotional eating in childhood? JF - Appetite : multidisciplinary research on eating and drinking N2 - Background: Research concerning children's emotional eating behavior has shown its negative impact on weight-related problems. Taking the model of Birch and Davison (2001) into account, we focus on the role of maternal feeding behavior on the association between emotional eating of the mother and the child. Methods: 482 mothers and their children participated in this cross-sectional study. The mothers were asked about their feeding strategies, their children's and their own emotional eating and weight. We tested a structural equation model for different feeding strategies. Results: In addition to an expected direct association between the mother's and child's emotional eating, the maternal feeding strategies are related to the child's eating behavior. A higher maternal restriction of food or its monitoring was associated with a higher level of children's emotional eating, while allowing the child more control about their eating was linked to less pronounced emotional eating behavior. Conclusions: The results highlight the relevance of maternal feeding behavior on emotional eating in childhood. In terms of preventing weight-related problems, the findings indicate the necessity of training parents in allowing their children more control and avoiding the restriction of food. KW - Maternal weight KW - Eating KW - Feeding practices KW - Child's emotional eating Y1 - 2013 U6 - https://doi.org/10.1016/j.appet.2012.11.032 SN - 0195-6663 VL - 65 IS - 4 SP - 25 EP - 30 PB - Elsevier CY - London ER - TY - JOUR A1 - Krentz, Eva Maria A1 - Warschburger, Petra T1 - A longitudinal investigation of sports-related risk factors for disordered eating in aesthetic sports JF - Scandinavian journal of medicine & science in sports N2 - Previous studies have indicated a higher risk of disordered eating in certain types of elite sports such as aesthetic sports (e.g., rhythmical gymnastics, figure skating). But even though some studies on risk factors for disordered eating in sports exist, most research on this topic is based on cross-sectional data with limitations on causal inferences. We examined sports-related risk factors for disordered eating in a 1-year longitudinal study with two assessment points. The participants were 65 adolescent athletes from aesthetic sports (mean age 14.0 +/- 2.2years) who completed measures of disordered eating, social pressure from the sports environment, sports-related body dissatisfaction, desire to be leaner to improve sports performance, and emotional distress resulting from missed exercise sessions. All variables were relatively stable in the mean. Individual changes in the desire to be leaner to improve sports performance were associated with individual changes in disordered eating. Furthermore, a cross-lagged partial correlation analysis showed that the desire to be leaner to improve sports performance was predictive of disordered eating and not vice versa. The results of our study indicate that athletes are more at risk for disordered eating if they believe it is possible to enhance their sports performance through weight regulation. KW - adolescent KW - eating disorder KW - elite athlete KW - prospective KW - two-wave panel Y1 - 2013 U6 - https://doi.org/10.1111/j.1600-0838.2011.01380.x SN - 0905-7188 VL - 23 IS - 3 SP - 303 EP - 310 PB - Wiley-Blackwell CY - Hoboken ER - TY - JOUR A1 - Hilbert, Anja A1 - Buerger, Arne A1 - Hartmann, Andrea S. A1 - Spenner, Kristina A1 - Czaja, Julia A1 - Warschburger, Petra T1 - Psychometric evaluation of the eating disorder examination adapted for children JF - European eating disorders review : the professional journal of the Eating Disorders Associatio N2 - The Eating Disorder Examination adapted for children (ChEDE) is the child version of the semi-structured gold standard eating disorder interview for adults. This study was a comprehensive test statistic evaluation of the German ChEDE in a large sample of children and adolescents with anorexia nervosa, binge eating disorder, loss of control eating, overweight and obesity, as well as non-eating-disordered and chronically ill control probands (n=352). Excellent inter-rater reliability, adequate internal consistency and satisfactory stability of ChEDE indicators were demonstrated. ChEDE indicators discriminated between diverse forms of eating and weight disturbances and normative eating and were significantly correlated with conceptually related measures. Factorial validity was not convincing; a brief eight-item scale showed the best fit. Item statistics were mostly acceptable. Overall, the ChEDE's German translation reliably and validly assesses psychopathology across the eating and weight disorder spectrum and facilitates international comparison of eating disorder research. KW - clinical interview KW - children and adolescents KW - eating disorders KW - psychometric properties Y1 - 2013 U6 - https://doi.org/10.1002/erv.2221 SN - 1072-4133 VL - 21 IS - 4 SP - 330 EP - 339 PB - Wiley-Blackwell CY - Hoboken ER - TY - JOUR A1 - Gross, Martina A1 - Warschburger, Petra T1 - Evaluation of a cognitive-behavioral pain management program for children with chronic abdominal pain - a randomized controlled study JF - International journal of behavioral medicine : the official journal of the International Society of Behavioral Medicine N2 - Background Chronic abdominal pain (CAP) in childhood is widely prevalent and has adverse effects on mental health and quality of life. Earlier research emphasized the positive effects of psychological intervention on pain symptoms. This study describes the results of a cognitive-behavioral pain management program for children with CAP. The newly developed cognitive-behavioral group program, "Stop the pain with Happy-Pingu," includes six sessions for the children and one meeting for the parents. Purpose We hypothesized that the training would significantly reduce pain symptoms (frequency, duration, intensity, and pain-related impairment) and increase health-related quality of life compared to wait-list controls, with improvement seen both at the end of treatment and at a 3-month follow-up. Method In all, 29 children were randomized into two groups: 15 in the intervention group (IG) and 14 as the wait-list controls (WLC). An intent-to-treat analysis was performed using two-factorial multivariate analyses of variance with repeated measures. Results Children in the IG experienced both a reduction in pain (primary outcome) and an improvement in health-related quality of life (secondary outcome) as compared to the WLC. The effect sizes ranged from medium to high. Conclusion Cognitive-behavioral methods seem to be appropriate for treating children with CAP. KW - Chronic abdominal pain KW - Children KW - Cognitive-behavioral treatment Y1 - 2013 U6 - https://doi.org/10.1007/s12529-012-9228-3 SN - 1070-5503 VL - 20 IS - 3 SP - 434 EP - 443 PB - Springer CY - New York ER - TY - JOUR A1 - Helfert, Susanne A1 - Warschburger, Petra T1 - The face of appearance-related social pressure: gender, age and body mass variations in peer and parental pressure during adolescence Y1 - 2013 UR - http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3662600/pdf/1753-2000-7-16.pdf U6 - https://doi.org/10.1186/1753-2000-7-16 ER -