TY  - JOUR
A1  - Heinrich, Angela
A1  - Buchmann, Arlette F.
A1  - Zohsel, Katrin
A1  - Dukal, Helene
A1  - Frank, Josef
A1  - Treutlein, Jens
A1  - Nieratschker, Vanessa
A1  - Witt, Stephanie H.
A1  - Brandeis, Daniel
A1  - Schmidt, Martin H.
A1  - Esser, Günter
A1  - Banaschewski, Tobias
A1  - Laucht, Manfred
A1  - Rietschel, Marcella
T1  - Alterations of Glucocorticoid Receptor Gene Methylation in Externalizing Disorders During Childhood and Adolescence
JF  - Behavior genetics : an international journal devoted to research in the inheritance of behavior in animals and man
N2  - Epigenetic modulations are a hypothesized link between environmental factors and the development of psychiatric disorders. Research has suggested that patients with depression or bipolar disorder exhibit higher methylation levels in the glucocorticoid receptor gene NR3C1. We aimed to investigate whether NR3C1 methylation changes are similarly associated with externalizing disorders such as aggressive behavior and conduct disorder. NR3C1 exon 1F methylation was analyzed in young adults with a lifetime diagnosis of an externalizing disorder (N = 68) or a depressive disorder (N = 27) and healthy controls (N = 124) from the Mannheim Study of Children at Risk. The externalizing disorders group had significantly lower NR3C1 methylation levels than the lifetime depressive disorder group (p = 0.009) and healthy controls (p = 0.001) This report of lower methylation levels in NR3C1 in externalizing disorders may indicate a mechanism through which the differential development of externalizing disorders as opposed to depressive disorders might occur.
KW  - Epigenetic
KW  - Glucocorticoid receptor
KW  - Methylation
KW  - Externalizing disorders
KW  - Adolescents
Y1  - 2015
U6  - https://doi.org/10.1007/s10519-015-9721-y
SN  - 0001-8244
SN  - 1573-3297
VL  - 45
IS  - 5
SP  - 529
EP  - 536
PB  - Springer
CY  - New York
ER  - 
TY  - JOUR
A1  - Warschburger, Petra
T1  - SRT-Joy - computer-assisted self-regulation training for obese children and adolescents: study protocol for a randomized controlled trial
JF  - Trials
N2  - Background: Obesity is not only a highly prevalent disease but also poses a considerable burden on children and their families. Evidence is increasing that a lack of self-regulation skills may play a role in the etiology and maintenance of obesity. Our goal with this currently ongoing trial is to examine whether training that focuses on the enhancement of self-regulation skills may increase the sustainability of a complex lifestyle intervention.
 Methods/Design: In a multicenter, prospective, parallel group, randomized controlled superiority trial, 226 obese children and adolescents aged 8 to 16 years will be allocated either to a newly developed computer-training program to improve their self-regulation abilities or to a placebo control group. Randomization occurs centrally and blockwise at a 1:1 allocation ratio for each center. This study is performed in pediatric inpatient rehabilitation facilities specialized in the treatment of obesity. Observer-blind assessments of outcome variables take place at four times: at the beginning of the rehabilitation (pre), at the end of the training in the rehabilitation (post), and 6 and 12 months post-rehabilitation intervention. The primary outcome is the course of BMI-SDS over 1 year after the end of the inpatient rehabilitation. Secondary endpoints are the self-regulation skills. In addition, health-related quality of life, and snack intake will be analyzed.
 Discussion: The computer-based training programs might be a feasible and attractive tool to increase the sustainability of the weight loss reached during inpatient rehabilitation.
KW  - Obesity
KW  - Randomized-controlled trial
KW  - Computer-assisted self-regulation training
KW  - Children
KW  - Adolescents
KW  - Weight
Y1  - 2015
U6  - https://doi.org/10.1186/s13063-015-1078-2
SN  - 1745-6215
VL  - 16
PB  - BioMed Central
CY  - London
ER  -