TY - JOUR A1 - Warschburger, Petra T1 - Jugendliche und junge Erwachsene mit Adipositas T1 - Adolescents and Young Adults BT - Wie sollte in ihren Augen „die perfekte Therapie“ aussehen? BT - What Would a "Perfect Therapy" Look Like? JF - Die Rehabilitation : Zeitschrift für Praxis und Forschung in der Rehabilitation N2 - Hauptziel Adipositas ist eine der Hauptindikationen in der Kinder- und Jugend-Rehabilitation. Für ältere Jugendliche und junge Erwachsene fehlen altersspezifische Therapieangebote fast vollständig. Ziel war es die Wünsche bezüglich der Inhalte und Methoden einer „perfekten Therapie“ im Rahmen eines Rehabilitationsaufenthalts zu untersuchen. Methode Im Rahmen der YOUTH-Studie wurden 147 adipöse Jugendliche und junge Erwachsene beiderlei Geschlechts (zwischen 15 und 21 Jahren) mithilfe eines standardisierten Fragebogens befragt. Ergebnis Insgesamt zeigten sich relativ wenige alters- und geschlechtsspezifische Unterschiede. Interdisziplinär geleitete, koedukative Gruppen mit Elterneinbindung wurden gewünscht. Wichtige Themen waren gesunde Ernährung sowie psychosoziale Aspekte. Auch der Prävention von Rückfällen wurde eine hohe Relevanz zugeschrieben. Schlussfolgerung Psychosoziale Aspekte und die Vorbereitung auf mögliche Rückfallsituationen sollten integraler Bestandteil der Therapie sein. N2 - Principal objective Obesity is a major indication for pediatric and adolescent-rehabilitation. Age-specific therapies for „emerging adults“ are lacking. The aim was to examine the patients’ preferences with respect to the contents and methods of the „perfect therapy“ within an inpatient setting. Method In the context of the YOUTH study 147 obese male and female adolescents (aged 15–21 years) filled in standardized questionnaires. Results Overall little age- and gender-specific differences were observed. The participants expressed a preference for interdisciplinary coordinated and coeducational group approaches with involvement of the parents. Major topics were healthy nutrition and psychosocial aspects. Prevention of relapses is considered as important as well. Conclusion Psychosocial aspects and preparing coping with risk situations should be an integral part of treatment programs. KW - obesity KW - adolescents KW - young adults KW - therapy KW - requirements KW - Jugendliche KW - junge Erwachsene KW - Therapie KW - Anforderungen KW - Adipositas Y1 - 2017 U6 - https://doi.org/10.1055/s-0043-107930 SN - 0034-3536 SN - 1439-1309 VL - 57 IS - 5 SP - 295 EP - 302 PB - Thieme CY - Stuttgart ER - TY - JOUR A1 - Cortes-Garcia, Laura A1 - Hoffmann, Svenja A1 - Warschburger, Petra A1 - Senra, Carmen T1 - Exploring the reciprocal relationships between adolescents' perceptions of parental and peer attachment and disordered eating BT - a multiwave cross-lagged panel analysis JF - International Journal of eating disorders N2 - Objective This prospective study explored bidirectional associations between attachment quality towards mother, father, and peers and disordered eating among a large population-based sample of boys and girls in the transition from preadolescence to adolescence. Specifically, we examined whether insecure attachment relationships emerged as a risk factor for or as an outcome of disordered eating. Method A population-based sample of 904 adolescent girls and boys was assessed four times, at baseline (T1; M-age = 10.8 years) and at 2-, 4-, and 6-year follow-up (T2, T3, and T4). Prospective data were analyzed using cross-lagged panel models for each attachment figure (i.e., mother, father, peers) in a multigroup design to compare genders. Results Better attachment to the mother led to less pronounced disturbed eating in girls across the entire age range and in boys across two time periods. In girls, more pronounced disordered eating at T3 predicted worse attachment to the mother at T4 and better attachment to the father at T1 predicted less disturbed eating at T2. In boys, disordered eating at T1 predicted better attachment to the father at T2. Concerning peer attachment, better attachment at T1 predicted disordered eating at T2, in boys only. No other significant cross-lagged effects emerged. Discussion These findings highlight the differential and gender-specific contribution of attachment figures to the development of disordered eating in adolescence. Programs aimed at improving communication and trust in the relationship with parents might be promising in the prevention of disordered eating and the subsequent deterioration of parent-child attachment relationships. KW - adolescents KW - attachment KW - cross-lagged panel analysis KW - disordered eating KW - gender Y1 - 2019 U6 - https://doi.org/10.1002/eat.23086 SN - 0276-3478 SN - 1098-108X VL - 52 IS - 8 SP - 924 EP - 934 PB - Wiley CY - Hoboken ER - TY - JOUR A1 - Sarrar, Lea A1 - Holzhausen, Martin A1 - Warschburger, Petra A1 - Pfeiffer, Ernst A1 - Lehmkuhl, Ulrike A1 - Schneider, Nora T1 - Cognitive Function in Adolescent Patients with Anorexia Nervosa and Unipolar Affective Disorders JF - European eating disorders review : the professional journal of the Eating Disorders Associatio N2 - Studies have shown impairments in cognitive function among adult patients with anorexia nervosa (AN) and affective disorders (AD). The association between cognitive dysfunctions, AN and AD as well as the specificity for these psychiatric diagnoses remains unclear. Therefore, we examined cognitive flexibility and processing speed in 47 female adolescent patients with AN, 21 female adolescent patients with unipolar affective disorders and 48 female healthy adolescents. All participants completed a neuropsychological test battery. There were no significant group differences regarding cognitive function, except for psychomotor processing speed with poorer performance in patients with AN. A further analysis revealed that all groups performed with the normal range, although patients with AN were over represented in the poorest performing quartile. We found no severe cognitive impairments in either patient group. Nevertheless, belonging to the AN group contributed significantly to poor performances in neuropsychological tasks. Therefore, we conclude that the risk for cognitive impairments is slightly higher for patients with AN. Copyright (c) 2015 John Wiley & Sons, Ltd and Eating Disorders Association. KW - cognitive function KW - anorexia nervosa KW - unipolar affective disorders KW - adolescents Y1 - 2016 U6 - https://doi.org/10.1002/erv.2425 SN - 1072-4133 SN - 1099-0968 VL - 24 SP - 232 EP - 240 PB - Wiley-Blackwell CY - Hoboken ER - TY - JOUR A1 - Warschburger, Petra A1 - Zitzmann, Jana T1 - Does an Age-Specific Treatment Program Augment the Efficacy of a Cognitive-Behavioral Weight Loss Program in Adolescence and Young Adulthood? BT - Results from a Controlled Study JF - Nutrients N2 - Research on weight-loss interventions in emerging adulthood is warranted. Therefore, a cognitive-behavioral group treatment (CBT), including development-specific topics for adolescents and young adults with obesity (YOUTH), was developed. In a controlled study, we compared the efficacy of this age-specific CBT group intervention to an age-unspecific CBT group delivered across ages in an inpatient setting. The primary outcome was body mass index standard deviation score (BMI-SDS) over the course of one year; secondary outcomes were health-related and disease-specific quality of life (QoL). 266 participants aged 16 to 21 years (65% females) were randomized. Intention-to-treat (ITT) and per-protocol analyses (PPA) were performed. For both group interventions, we observed significant and clinically relevant improvements in BMI-SDS and QoL over the course of time with small to large effect sizes. Contrary to our hypothesis, the age-specific intervention was not superior to the age-unspecific CBT-approach. KW - adolescents KW - emerging adults KW - behavioral weight loss KW - obesity KW - controlled trial KW - quality of life Y1 - 2019 U6 - https://doi.org/10.3390/nu11092053 SN - 2072-6643 VL - 2019 IS - 11 PB - MDPI CY - Basel ER - TY - JOUR A1 - Mohnke, Sebastian A1 - Warschburger, Petra T1 - Body dissatisfaction among female and male adolescents comparing prevalence, predictors, and consequences between the sexes JF - Praxis der Kinderpsychologie und Kinderpsychiatrie : Ergebnisse aus Psychotherapie, Beratung und Psychiatrie N2 - As part of the POPS study (Potsdam prevention of eating disorders) 300 adolescents aged between 10 and 13 years completed questionnaires measuring satisfaction with weight and muscles, body change strategies and disturbed eating behavior. More than half of the girls and a third of the boys are dissatisfied with their weight. Nearly 70% of the male participants were unhappy with their muscles. Both forms of body dissatisfaction are influenced by similar sociocultural and psychological factors. While weight dissatisfaction leads to weight reduction strategies and disturbed eating, muscle dissatisfaction results in muscle enhancement methods. Potential harmful consequences of excessive muscle building techniques are discussed. The data emphasize the need for a sex-specific investigation of body dissatisfaction and its consequences. Body image aspects relevant to boys should be added to intervention and prevention approaches. KW - body dissatisfaction KW - disturbed eating KW - muscle enhancement KW - prevention KW - adolescents Y1 - 2011 SN - 0032-7034 VL - 60 IS - 4 SP - 285 EP - 303 PB - Vandenhoeck & Ruprecht 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 -