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 - THES A1 - Sahyazici-Knaak, Fidan T1 - Dysfunktionale Einstellungen und Depression im Kindes- und Jugendalter T1 - Dysfunctional attitudes and depression in childhood and adolescence BT - eine längsschnittliche Analyse der dysfunktionalen Einstellungen als Ursache, Epiphänomen oder Konsequenz depressiver Symptomatik BT - a longitudinal analysis of dysfunctional attitudes as cause, epiphenomenon or consequence of the depressive symptomatology N2 - Die vorliegende Studie beschäftigte sich mit der Bedeutung der dysfunktionalen Einstellungen für die Entwicklung von depressiven Symptomen bei Kindern und Jugendlichen. Nach der kognitiven Theorie der Depression von Beck (1967, 1996) führen dysfunktionale Einstellungen in Interaktion mit Stress zu depressiven Symptomen. Es existieren allerdings nur wenige Studien, die die longitudinale Beziehung zwischen den dysfunktionalen Einstellungen und der Depressivität bei Kindern und Jugendlichen untersucht haben (Lakdawalla et al., 2007). Folglich kann noch nicht eindeutig geklärt werden, ob die dysfunktionalen Einstellungen Ursache, Begleiterscheinung oder Konsequenz der Depression sind. Als Datengrundlage diente eine Stichprobe von Kindern und Jugendlichen im Alter von 9 bis 20 Jahren, die im Rahmen der PIER-Studie zu dysfunktionalen Einstellungen, kritischen Lebensereignissen und depressiven Symptomen befragt wurden (Nt1t2 = 1.053; t1: 2011/2012, t2: 2013/2014). Querschnittliche Analysen zeigten hohe Assoziationen zwischen den dysfunktionalen Einstellungen, kritischen Lebensereignissen und depressiven Symptomen. Eine latente Moderationsanalyse wies nur bei den Jugendlichen auf signifikante Interaktion zwischen den dysfunktionalen Einstellungen und den kritischen Lebensereignissen in der Vorhersage depressiver Symptomatik hin. Im Längsschnitt zeigten latente Cross-Lagged-Panel-Analysen erwartungsgemäß, dass die dysfunktionalen Einstellungen und die Depressivität mit dem Alter immer stabilere Konstrukte darstellen, die sehr eng miteinander zusammenhängen. Eine diesem Modell hinzugefügte latente Moderationsanalyse konnte das kognitive Modell der Depression nach Beck weder bei Kindern noch bei Jugendlichen bestätigen. Die spätere depressive Symptomatik konnte lediglich durch Haupteffekte der früheren Ausprägung der Depressivität und der kritischen Lebensereignisse vorhergesagt werden. Diese Ergebnisse legen den Schluss nahe, dass es sich bei den dysfunktionalen Einstellungen eher um Begleiterscheinungen als um Risikofaktoren oder Konsequenzen der depressiven Symptomatik handelt. N2 - This study examined the meaning of dysfunctional attitudes for the development of depressive symptoms in childhood and adolescence. According to Beck’s cognitive theory of depression (1967, 1996) dysfunctional attitudes activated by stressors play a causal role in the development of depression. However, there are only a few studies which investigate the longitudinal relationship between dysfunctional attitudes and depression in children and adolescents (Lakdawalla et al., 2007). Hence, there is a lack of evidence regarding the question, whether dysfunctional attitudes are regarded as causes, concomitants or consequences of depression. In the context of the Pier Study, dysfunctional attitudes, stressful life events and depressive symptoms were assessed in children and adolescents aged 9 to 20 at two measurement points (t1: 2011/2012, t2: 2013/2014; Nt1-t2 = 1.053). Cross-sectional results revealed strong associations between dysfunctional attitudes, stressful life events and depressives symptoms. A latent moderator analysis was conducted and showed a significant interaction between dysfunctional attitudes and stressful life events in predicting depressive symptoms only for adolescents, but not for children. Longitudinally, a latent cross-lagged-panel analysis revealed that dysfunctional attitudes and depressive symptoms are stable and highly correlated constructs. A moderator analysis within this cross-lagged-panel-model couldn’t corroborate Beck’s cognitive model of depression neither in children nor in adolescents. Thus, only prior depressive symptoms and stressful life events could predict depressive symptoms. In conclusion dysfunctional attitudes are concomitants rather than causes or consequences of depression. KW - dysfunktionale Einstellungen KW - dysfunctional attitudies KW - depressive Symptome KW - depressive symptoms KW - Kinder und Jugendliche KW - children and adolescents Y1 - 2014 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:517-opus4-76417 ER - TY - JOUR A1 - Meiser, Susanne A1 - Esser, Günter T1 - Interpersonal Stress Generation-A Girl Problem? BT - The Role of Depressive Symptoms, Dysfunctional Attitudes, and Gender in Early Adolescent Stress Generation JF - Journal of early adolescence N2 - To provide further insight into stress generation patterns in boys and girls around puberty, this study investigated longitudinal reciprocal relations between depressive symptoms, dysfunctional attitudes, and stress generation, the process by which individuals contribute to the occurrence of stress in interpersonal contexts (e.g., problematic social interactions) or in noninterpersonal contexts (e.g., achievement problems). A community sample of N = 924 German children and early adolescents (51.8% male) completed depressive symptoms and dysfunctional attitudes measures at T1 and again 20 months later (T2). Stressful life events were reported at T2. Dysfunctional attitudes were unrelated to stress generation. Interpersonal, but not noninterpersonal, dependent stress partially mediated the relationship between initial and later depressive symptoms, with girls being more likely to generate interpersonal stress in response to depressive symptoms. Findings underscore the role of interpersonal stress generation in the early development of depressive symptomatology, and in the gender difference in depression prevalence emerging around puberty. KW - stress generation KW - depression KW - dysfunctional attitudes KW - children and adolescents KW - gender differences Y1 - 2017 U6 - https://doi.org/10.1177/0272431617725197 SN - 0272-4316 SN - 1552-5449 VL - 39 IS - 1 SP - 41 EP - 66 PB - Sage Publ. CY - Thousand Oaks ER - TY - JOUR A1 - Parfenteva, Olga A1 - Groth, Detlef A1 - Scheffler, Christiane A1 - Zaharova, Maria F. T1 - Influence of the A/T polymorphism of the FTO gene and sport specializations on the body composition of young Russian athletes JF - Journal of biological and clinical anthropology : Anthropologischer Anzeiger ; Mitteilungsorgan der Gesellschaft für Anthropologie N2 - Background: The polymorphism in FTO gene (rs9939609) is known to be associated with higher BMI and body fat mass content. However, environmental factors can modify this effect. The purpose of the present study was to investigate an association between sport specialization and the rs9939609 SNP in FTO gene in the cohort of professional and amateur young athletes. Methods: A total number of 250 young individuals 8-18 years old living in Moscow or Moscow district participated in the study. Individuals were divided into 3 groups in accordance with their physical activity level: control group (n = 49), amateurs (n = 67) and professionals (n = 137). Amateur and professional athletes were subdivided into groups according to their sport specialization. Quantile regression was used as a regression model, where the dependent (outcome) variable was BMI, along with percentage of body fat mass, and the independent variables (predictors) were the rs9939609 SNP in FTO gene, physical activity (active versus inactive), sport specialization (aerobic, intermittent sports and martial arts), nationality, level of sport experience (in years), gender and percentage of free fat mass content. Results: The regression analysis revealed that physical activity and sport specialization had greater impact compared to FTO allele in the group of physically active individuals. Physical activity, in particular aerobic, had negative associations with body fat mass and BMI. The rs9939609 SNP in FTO gene is associated with physical activity and aerobic activity. The magnitude of association becomes significantly larger at the upper quantiles of the body fat mass distribution. Conclusion: Physical activity and sport specialization explained more variance in body composition of physically active young individuals compared to the FTO polymorphism. Effect of interaction of physical activity, in particular aerobic, with the FTO polymorphism on body composition of young athletes was found. KW - physical activity KW - professional and amateur athletes KW - children and adolescents KW - BMI KW - percentage of fat mass KW - FTO KW - aerobic sports activity KW - quantile regression Y1 - 2019 U6 - https://doi.org/10.1127/anthranz/2019/0943 SN - 0003-5548 VL - 76 IS - 5 SP - 401 EP - 408 PB - Schweizerbart CY - Stuttgart ER - TY - THES A1 - Gmeiner, Michaela Silvia T1 - Gewichtsstigmatisierung und Internalisierung des Gewichtsstigmas im Kindes- und Jugendalter: Einflussfaktoren und Folgen T1 - Weight stigma and internalization of weight stigma in childhood and adolescence: influencing factors and consequences N2 - Das Gewichtsstigma und insbesondere das internalisierte Gewichtsstigma sind bei Kindern und Jugendlichen mit negativen Folgen für die physische und psychische Gesundheit assoziiert. Da die Befundlage in diesem Altersbereich jedoch noch unzureichend ist, war es das Ziel der Dissertation, begünstigende 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 über 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 prädizieren. Die dritte Publikation untersuchte anhand von ROC-Kurven, ab welchem Ausmaß das internalisierte Gewichtsstigma mit einem erhöhten Risiko für psychosoziale Auffälligkeit und gestörtes Essverhalten einhergeht. Im Rahmen der ersten Publikation zeigte sich, dass ein höherer Gewichtsstatus mit einer höheren späteren Gewichtsstigmatisierung einhergeht und umgekehrt die Gewichtsstigmatisierung auch den späteren Gewichtsstatus prädiziert. Die zweite Publikation identifizierte Gewichtsstatus, gewichtsbezogene Hänseleien, depressive Symptome, Körperunzufriedenheit, Relevanz der eigenen Figur sowie das weibliche Geschlecht und einen niedrigeren Bildungsabschluss der Eltern als Prädiktoren des internalisierten Gewichtsstigmas. Die dritte Publikation verdeutlichte, dass das internalisierte Gewichtsstigma bereits ab einem geringen Ausmaß mit einem erhöhten Risiko für gestörtes 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 über alle Gewichtsgruppen hinweg relevante Konstrukte sind, die im Entwicklungsverlauf ein komplexes Gefüge bilden. Es wurde deutlich, dass es essentiell ist, bidirektionale Wirkmechanismen einzubeziehen. Die vorliegende Dissertation liefert erste Ansatzpunkte für die Gestaltung von Präventions- und Interventionsmaßnahmen, um ungünstige Entwicklungsverläufe in Folge von Gewichtsstigmatisierung und internalisiertem Gewichtsstigma zu verhindern. N2 - Weight stigma and particularly internalized weight stigma are associated with negative consequences for physical and mental health in children and adolescents. However, as there is a lack of empirical evidence in this age group, the aim of this dissertation was to examine facilitating factors and consequences of weight-related stigma and internalized weight stigma in children and adolescents. Analyses were based on two large samples recruited from schools as part of the prospective PIER study. The first publication refers to a sample with children and adolescents aged 9 to 19 years (49.2% female) and examined the prospective bidirectional relationship between experienced weight stigma and weight status using a latent structural equation model across three points of measurements. The other two publications involved a sample of children and adolescents aged 6 to 11 years (51.1% female). The second publication used hierarchical regression to analyze which intrapersonal risk factors prospectively predicted internalized weight stigma. The third publication used ROC curves to investigate the extent to which internalized weight stigma is associated with an increased risk of psychosocial problems and disordered eating behavior. The first publication revealed that higher weight was associated with higher subsequent weight stigma and, vice versa, that weight stigma also predicted subsequent weight. The second publication identified weight, weight-related teasing, depressive symptoms, body dissatisfaction, relevance of one's own figure, female gender and lower parental education level as predictors of internalized weight stigma. The third publication illustrated that internalized weight stigma, even at low levels, is associated with an increased risk of disordered eating behaviors and is correlated with additional psychosocial problems. Overall, both experienced and internalized weight stigma were shown to be relevant constructs in children and adolescents across all weight groups, and these were related in a complex manner over the course of development. It was shown that it is essential to incorporate bidirectional mechanisms. This dissertation provides initial starting points for the design of prevention and intervention measures to prevent adverse developmental trajectories as a result of weight stigma and internalized weight stigma. KW - Stigma KW - Internalisierung KW - Gewicht KW - psychische Gesundheit KW - Kinder und Jugendliche KW - stigma KW - internalization KW - weight KW - mental health KW - children and adolescents Y1 - 2022 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:517-opus4-530530 ER - TY - JOUR A1 - Göldel, Julia M. A1 - Kamrath, Clemens A1 - Minden, Kirsten A1 - Wiegand, Susanna A1 - Lanzinger, Stefanie A1 - Sengler, Claudia A1 - Weihrauch-Blüher, Susann A1 - Holl, Reinhard W. A1 - Tittel, Sascha René A1 - Warschburger, Petra T1 - Access to Healthcare for Children and Adolescents with a Chronic Health Condition during the COVID-19 Pandemic: First Results from the KICK-COVID Study in Germany JF - Children N2 - This study examines the access to healthcare for children and adolescents with three common chronic diseases (type-1 diabetes (T1D), obesity, or juvenile idiopathic arthritis (JIA)) within the 4th (Delta), 5th (Omicron), and beginning of the 6th (Omicron) wave (June 2021 until July 2022) of the COVID-19 pandemic in Germany in a cross-sectional study using three national patient registries. A paper-and-pencil questionnaire was given to parents of pediatric patients (<21 years) during the routine check-ups. The questionnaire contains self-constructed items assessing the frequency of healthcare appointments and cancellations, remote healthcare, and satisfaction with healthcare. In total, 905 parents participated in the T1D-sample, 175 in the obesity-sample, and 786 in the JIA-sample. In general, satisfaction with healthcare (scale: 0–10; 10 reflecting the highest satisfaction) was quite high (median values: T1D 10, JIA 10, obesity 8.5). The proportion of children and adolescents with canceled appointments was relatively small (T1D 14.1%, JIA 11.1%, obesity 20%), with a median of 1 missed appointment, respectively. Only a few parents (T1D 8.6%; obesity 13.1%; JIA 5%) reported obstacles regarding health services during the pandemic. To conclude, it seems that access to healthcare was largely preserved for children and adolescents with chronic health conditions during the COVID-19 pandemic in Germany. KW - chronic health condition KW - children and adolescents KW - health care KW - COVID-19 pandemic KW - diabetes KW - rheumatic diseases KW - obesity Y1 - 2022 U6 - https://doi.org/10.3390/children10010010 SN - 2227-9067 VL - 10 SP - 1 EP - 11 PB - MDPI CY - Basel, Schweiz ET - 1 ER - TY - GEN A1 - Göldel, Julia M. A1 - Kamrath, Clemens A1 - Minden, Kirsten A1 - Wiegand, Susanna A1 - Lanzinger, Stefanie A1 - Sengler, Claudia A1 - Weihrauch-Blüher, Susann A1 - Holl, Reinhard W. A1 - Tittel, Sascha René A1 - Warschburger, Petra T1 - Access to Healthcare for Children and Adolescents with a Chronic Health Condition during the COVID-19 Pandemic: First Results from the KICK-COVID Study in Germany T2 - Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe N2 - This study examines the access to healthcare for children and adolescents with three common chronic diseases (type-1 diabetes (T1D), obesity, or juvenile idiopathic arthritis (JIA)) within the 4th (Delta), 5th (Omicron), and beginning of the 6th (Omicron) wave (June 2021 until July 2022) of the COVID-19 pandemic in Germany in a cross-sectional study using three national patient registries. A paper-and-pencil questionnaire was given to parents of pediatric patients (<21 years) during the routine check-ups. The questionnaire contains self-constructed items assessing the frequency of healthcare appointments and cancellations, remote healthcare, and satisfaction with healthcare. In total, 905 parents participated in the T1D-sample, 175 in the obesity-sample, and 786 in the JIA-sample. In general, satisfaction with healthcare (scale: 0–10; 10 reflecting the highest satisfaction) was quite high (median values: T1D 10, JIA 10, obesity 8.5). The proportion of children and adolescents with canceled appointments was relatively small (T1D 14.1%, JIA 11.1%, obesity 20%), with a median of 1 missed appointment, respectively. Only a few parents (T1D 8.6%; obesity 13.1%; JIA 5%) reported obstacles regarding health services during the pandemic. To conclude, it seems that access to healthcare was largely preserved for children and adolescents with chronic health conditions during the COVID-19 pandemic in Germany. T3 - Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe - 812 KW - chronic health condition KW - children and adolescents KW - health care KW - COVID-19 pandemic KW - diabetes KW - rheumatic diseases KW - obesity Y1 - 2023 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:517-opus4-578363 SN - 1866-8364 IS - 812 ER -