TY - JOUR A1 - Hoffmann, Svenja Sarah Helen A1 - Cortes-Garcia, Laura A1 - Warschburger, Petra T1 - Weight/shape and muscularity concerns and emotional problems in adolescent boys and girls BT - A cross-lagged panel analysis JF - Journal of adolescence N2 - Introduction: The goal of the present study was to identify the prospective relations between weight/shape and muscularity concerns and emotional problems in adolescents. Methods: Self-report data of 966 German male and female adolescents were analyzed in a cross lagged panel design. Results: Analyses of latent means revealed significant correlations between weight/shape concern and emotional problems as well as between muscularity concern and emotional problems in both genders. Moreover, weight/shape concern predicted emotional problems prospectively, but only in girls. Regarding muscularity concern, we could not find any prospective relation with emotional problems In boys or girls from the general population. Conclusions: It is assumed that as appearance is highly relevant for the self-concept in girls, concerns about the look might promote emotional problems. Thus, weight/shape concern should be addressed in the prevention of emotional problems in adolescent girls, whereas further research is necessary investigating the contribution of muscularity concern in this context. KW - Weight/shape concern KW - Muscularity concern KW - Depressive symptoms KW - Adolescents KW - Cross-lagged panel analysis Y1 - 2018 U6 - https://doi.org/10.1016/j.adolescence.2018.07.005 SN - 0140-1971 SN - 1095-9254 VL - 68 SP - 70 EP - 77 PB - Elsevier CY - London ER - TY - JOUR A1 - Hoffmann, Svenja A1 - Warschburger, Petra T1 - Weight, shape, and muscularity concerns in male and female adolescents BT - predictors of change and influences on eating concern JF - The international journal of eating disorders N2 - Objective: The purpose of this study was to examine the impact of age and weight status on adolescents' body dissatisfaction and its change over 20 months in a gender-comparing design. The influence of body image concern on eating concern was also investigated. Method: In a prospective study, 675 male and female adolescents aged 12–16 were assessed using self-report questionnaires on weight, shape, muscularity, and eating concerns. Height and weight measurements were taken by trained personnel. Data were analyzed using structural equation modeling. Results: Analyses of latent means revealed more pronounced weight/shape concern in females than males and more pronounced muscularity concern in males than females. Weight/shape concern increased in females over time, whereas muscularity concern remained stable in both genders. Baseline levels of weight/shape concern could be predicted by age and weight status in females and by weight status in males. The only predictor of change in weight/shape concern was weight status in males. Baseline levels of muscularity concern could be predicted by age in females and by weight status in males. Similar effects were found for changes in muscularity concern in both genders. Increases in weight/shape and muscularity concern were associated with more pronounced eating concern. Discussion: The results confirm gender differences in distinctive facets of body image concern and its prediction. The relevance of increase in body image concern in adolescents is underlined by its association with eating concern in both genders. Further explanatory variables for change in body dissatisfaction should be examined in future studies. KW - weight and shape concern KW - muscularity concern KW - eating concern KW - gender KW - adolescence KW - prospective Y1 - 2016 U6 - https://doi.org/10.1002/eat.22635 SN - 0276-3478 SN - 1098-108X VL - 50 IS - 2 SP - 139 EP - 147 PB - Wiley CY - Hoboken ER - TY - JOUR A1 - Jendrzyca, Anna A1 - Warschburger, Petra T1 - Weight stigma and eating behaviours in elementary school children: A prospective population-based study JF - Appetite : multidisciplinary research on eating and drinking N2 - The relevance of weight stigma as an important factor in disordered eating has been supported by research. However, because most of the studies were cross-sectional and focussed on older children, the causal relationships could not be fully determined in childhood. The current study explores the role of weight stigma in body dissatisfaction and eating behaviours. The sample consisted of 773 girls and 713 boys, aged 6–11 years, who completed surveys assessing weight stigma experiences, body dissatisfaction and eating behaviours at two points of measurement, approximately one year apart. The children's external and disordered eating was rated via parental questionnaires. As expected, the pattern of the associations between weight status, weight stigma, body dissatisfaction and eating behaviours differed by gender. Experience of weight stigma in girls led to external and restrained eating one year later, whereas in boys no such association was observed. Body dissatisfaction mediated the association between weight stigma and restrained eating behaviours in girls, whereas in boys, body dissatisfaction directly influenced restrained eating behaviours. However, in both girls and boys weight status predicted body dissatisfaction and disordered eating, while weight stigma did not have a direct effect on disordered eating. Results suggest that interventions involving weight stigma should be a part of eating disorder prevention programmes, and gender-specific pathways should be considered. KW - Weight stigma KW - Disordered eating behaviours KW - Body dissatisfaction KW - Childhood KW - Prospective study Y1 - 2016 U6 - https://doi.org/10.1016/j.appet.2016.02.005 SN - 0195-6663 SN - 1095-8304 VL - 102 SP - 51 EP - 59 PB - Elsevier CY - London ER - TY - JOUR A1 - Zuba, Anna A1 - Warschburger, Petra T1 - Weight bias internalization across weight categories among school-aged children BT - validation of the weight bias internalization scale for children JF - Body image : an international journal of research N2 - Anti-fat bias is widespread and is linked to the internalization of weight bias and psychosocial problems. The purpose of this study was to examine the internalization of weight bias among children across weight categories and to evaluate the psychometric properties of the Weight Bias Internalization Scale for Children (WBIS-C). Data were collected from 1484 primary school children and their parents. WBIS-C demonstrated good internal consistency (alpha = .86) after exclusion of Item 1. The unitary factor structure was supported using exploratory and confirmatory factor analyses (factorial validity). Girls and overweight children reported higher WBIS-C scores in comparison to boys and non-overweight peers (known-groups validity). Convergent validity was shown by significant correlations with psychosocial problems. Internalization of weight bias explained additional variance in different indicators of psychosocial well-being. The results suggest that the WBIS-C is a psychometrically sound and informative tool to assess weight bias internalization among children. KW - Internalization of weight bias KW - Weight stigma KW - Psychological functioning KW - Psychometric properties KW - Children Y1 - 2018 U6 - https://doi.org/10.1016/j.bodyim.2018.02.008 SN - 1740-1445 SN - 1873-6807 VL - 25 SP - 56 EP - 65 PB - Elsevier CY - Amsterdam ER - TY - JOUR A1 - Rezori, Roman Enzio von A1 - Buchallik, Friederike A1 - Warschburger, Petra T1 - Validation of the German Benefit Finding Scale for youth with chronic conditions JF - Child and adolescent psychiatry and mental health N2 - Background Benefit finding, defined as perceiving positive life changes resulting from adversity and negative life stressors, gains growing attention in the context of chronic illness. The study aimed at examining the psychometric properties of the Benefit Finding Scale for Children (BFSC) in a sample of German youth facing chronic conditions. Methods A sample of adolescents with various chronic conditions (N = 304; 12 – 21years) completed the 10-item BFSC along with measures of intra- and interpersonal resources, coping strategies, and health-related quality of life (hrQoL). The total sample was randomly divided into two subsamples for conducting exploratory and confirmatory factor analyses (EFA/CFA). Results EFA revealed that the BFSC scores had a one-dimensional factor structure. CFA verified the one-dimensional factor structure with an acceptable fit. The BFSC exhibited acceptable internal consistency (α = 0.87 – 0.88) and construct validity. In line with our hypotheses, benefit finding was positively correlated with optimism, self-esteem, self-efficacy, sense of coherence, and support seeking. There were no correlations with avoidance, wishful thinking, emotional reaction, and hrQoL. Sex differences in benefit finding were not consistent across subsamples. Benefit finding was also positively associated with age, disease severity, and social status. Conclusions The BFSC is a psychometrically sound instrument to assess benefit finding in adolescents with chronic illness and may facilitate further research on positive adaptation processes in adolescents, irrespective of their specific diagnosis. KW - Measure validation KW - Chronic conditions KW - Resilience KW - Coping skills and adjustment KW - Youth Y1 - 2022 U6 - https://doi.org/10.1186/s13034-021-00438-7 SN - 1753-2000 VL - 16 SP - 1 EP - 8 PB - Biomed Central CY - London ER - TY - JOUR A1 - Behrend, Nicole A1 - Warschburger, Petra T1 - Validation of a German version of the Body Appreciation Scale-2 (BAS-2) JF - Body image : an international journal of research N2 - The Body Appreciation Scale-2 (BAS-2) is the most current measure of body appreciation, a central facet of positive body image. This work aimed to examine the factor structure and psychometric properties of a German version. In Study 1 (N = 659; M-age = 27.19, SD = 8.57), exploratory factor analyses (EFA) revealed that the German BAS-2 has a one-dimensional factor structure in women and men, showing cross-gender factor similarity. In Study 2 (N = 472; M-age = 30.08, SD = 12.35), confirmatory factor analysis (CFA) further supported the original scale's one-dimensional factor structure after freeing correlated errors. The German BAS-2 also showed partial scalar invariance across gender, with women and men not differing significantly in latent mean scores. As predicted, we found convergent relationships with measures of self-esteem, intuitive eating, and variables associated with negative body image (i.e., weight-and shape concerns, drive for thinness). Correlations with BMI were small and in an inverse direction. Incremental validity was demonstrated by predicting self-esteem and intuitive eating over and above measures of negative body image. Additionally, the German BAS-2 showed internal consistency and 2-week test-retest reliability. Overall, our results suggest that the German BAS-2 is a psychometrically sound instrument. KW - BAS-2 KW - Body appreciation KW - Positive body image KW - Validation Y1 - 2022 U6 - https://doi.org/10.1016/j.bodyim.2022.01.020 SN - 1740-1445 SN - 1873-6807 VL - 41 SP - 216 EP - 224 PB - Elsevier CY - Amsterdam ER - TY - JOUR A1 - Calvano, Claudia A1 - Warschburger, Petra T1 - Treatment for pediatric functional abdominal pain BT - an initial examination of reciprocal associations between pain, functional impairment, and parental distress JF - Journal of pediatric psychology N2 - Objective While cross-sectional studies underline that child and parent factors in pediatric chronic pain are reciprocally related, so far, little is known on their prospective relationship, especially in treatment contexts. This study aims to analyze directions of influence between child and parental outcomes using data from an intervention study. Methods The sample covered 109 families with children aged 7-13 years diagnosed with functional abdominal pain (FAP). Child outcomes included pain and impairment, and parental outcomes covered caregiver-specific distress including both parental personal time burden (i.e., less time available for personal needs) and emotional burden due to child's pain (i.e., increased worries). Cross-lagged panel analyses examined the directions of the relations between child and parental outcomes across time (pretreatment T1, post-treatment T2, and 3-month follow-up and 12-month follow-up T3/T4). Results First, a significant improvement over time in all measures was observed. Cross-lagged effects were found for less parental personal time burden at T2, predicting both less pain (beta = -0.254, p = .004) and less impairment (beta = -0.150, p = .039) at T3. Higher baseline pain was predictive for higher parental emotional burden after treatment (beta = -0.130, p = .049) and, reversely, for less emotional burden at 12-month follow-up (beta = 0.261, p = .004). Conclusions Addressing parental personal time burden in FAP treatment might possibly support the improvement on the child level. Replication of results in larger samples is warranted to gain more insight into the directions of influence and, in that way, to optimize treatment for pediatric FAP. KW - chronic or recurrent pain KW - intervention outcome KW - parent psychosocial KW - functioning KW - parents Y1 - 2022 U6 - https://doi.org/10.1093/jpepsy/jsac011 SN - 0146-8693 SN - 1465-735X VL - 47 IS - 4 SP - 483 EP - 496 PB - Oxford Univ. Press CY - Oxford ER - TY - JOUR A1 - Warschburger, Petra T1 - The unhappy obese child N2 - OBJECTIVE: One of the most painful aspects of obesity may be the emotional suffering it causes. The paper discusses the psychological and social effects of obesity. METHOD: Current studies examining the psychosocial strains of obese children and adolescents are reported. The report especially focuses on stigmatization, mental health disorders, school performance and health-related quality of life. DISCUSSION: Research is showing that obesity is associated with poorer psychosocial functioning-even compared with other chronic diseases. Future studies should further explicate the risk and protective factors for developing severe psychosocial strain Y1 - 2005 ER - TY - JOUR A1 - Sehm, Marie A1 - Warschburger, Petra T1 - The Specificity of Psychological Factors Associated with Binge Eating in Adolescent Boys and Girls JF - Journal of abnormal child psychology : devoted to studies of behavioral pathology in childhood and adolescence ; an official publication of the International Society for Research in Child and Adolescent Psychopathology N2 - Low self-esteem, lack of interoceptive awareness, perfectionism, body dissatisfaction, dietary restraint, weight teasing, and internalization of the societal body ideal are known to be associated with binge eating (BE) in adolescents. The purpose of the present cross-sectional study was to investigate whether these attributes are BE-specific and whether different patterns exist for boys and girls. We assessed BE, internalizing symptoms and psychological factors in 1039 adolescents from a community sample by self-report. Using multinomial logistic regression and controlling for measured height and weight, we compared adolescents with BE with individuals from a healthy control group and adolescents reporting internalizing symptoms. Individuals from the BE-group reported a greater lack of interoceptive awareness and higher body dissatisfaction than individuals from the healthy control group. Additionally, we found a significant interaction between gender and body dissatisfaction. Internalization of the societal body ideal was related to BE when compared to internalizing symptoms. Results suggest, that the lack of interoceptive awareness and body dissatisfaction display substantial associations with BE, and that the latter effect is especially strong in boys. The internalization of societal standards of beauty emerged as a BE-specific factor and this finding emphasizes the role of the societal body ideal in the nature of eating pathology in boys and in girls. Increasing body satisfaction and the acceptance of realistic body ideals might be effective strategies in preventing eating pathology. KW - Binge eating KW - Eating pathology KW - Adolescence KW - Girls KW - Boys KW - Internalizing symptoms Y1 - 2015 U6 - https://doi.org/10.1007/s10802-015-0026-7 SN - 0091-0627 SN - 1573-2835 VL - 43 IS - 8 SP - 1563 EP - 1571 PB - Springer CY - New York ER - TY - JOUR A1 - Zuba, Anna A1 - Warschburger, Petra T1 - The role of weight teasing and weight bias internalization in psychological functioning: a prospective study among school-aged children JF - European child and adolescent psychiatry : offical journal of the European Society for Child and Adolescent Psychiatry N2 - Weight-related teasing is a widespread phenomenon in childhood, and might foster the internalization of weight bias. The goal of this study was to examine the role of weight teasing and weight bias internalization as mediators between weight status and negative psychological sequelae, such as restrained eating and emotional and conduct problems in childhood. Participants included 546 female (52%) and 501 (48%) male children aged 7-11 and their parents, who completed surveys assessing weight teasing, weight bias internalization, restrained eating behaviors, and emotional and conduct problems at two points of measurement, approximately 2 years apart. To examine the hypothesized mediation, a prospective design using structural equation modeling was applied. As expected, the experience of weight teasing and the internalization of weight bias were mediators in the relationship between weight status and psychosocial problems. This pattern was observed independently of gender or weight status. Our findings suggest that the experience of weight teasing and internalization of weight bias is more important than weight status in explaining psychological functioning among children and indicate a need for appropriate prevention and intervention approaches. KW - Weight teasing KW - Weight bias internalization KW - Psychological functioning KW - Childhood KW - Prospective study Y1 - 2017 U6 - https://doi.org/10.1007/s00787-017-0982-2 SN - 1018-8827 SN - 1435-165X VL - 26 SP - 1245 EP - 1255 PB - Springer CY - New York ER - TY - JOUR A1 - Kawasaki, Yui A1 - Akamatsu, Rie A1 - Warschburger, Petra T1 - The relationship between traditional and common Japanese childhood education and adulthood towards avoiding food waste behaviors JF - Waste Management N2 - Japanese parents and educators teach children to refrain from leaving food in their plates. Their teachings have direct (advising children to refrain from leaving food uneaten) and indirect (meal-related rituals before and after mealtimes) influence in enhancing gratitude for food in daily life.This cross-sectional study aimed to examine 1) the interaction of direct and indirect approaches to avoiding food waste behaviors and 2) the mediation of gratitude for food by preventing such behaviors. Overall, 400 Japanese adults (female: n = 200) responded to a self-administrated anonymous questionnaire survey measuring: the present food waste avoiding behaviors; current gratitude for food; direct and indirect childhood approaches for avoiding food waste behaviors. Participants' mean (standard deviation) age and body mass index were 40.0 (11.6) and 21.9 (3.9), respectively. A significant main effect of the indirect approach and the interaction of direct and indirect approaches were obtained by adjusting the participants' background. Moreover, through mediation analyses with percentile-corrected bootstrap confidence intervals, it was observed that gratitude for food mediated the association between direct and indirect childhood approaches and avoiding food waste behaviors. Despite no information on the current meal-related rituals of the respondents, this study suggests the potential of these approaches in enhancing gratitude for food as a new approach to reduce food waste worldwide. KW - Cross-sectional KW - Meal-related ritual KW - Education KW - Food waste KW - Gratitude Y1 - 2022 U6 - https://doi.org/10.1016/j.wasman.2022.04.020 SN - 0956-053X SN - 1879-2456 VL - 145 SP - 1 EP - 9 PB - Elsevier CY - Oxford ER - TY - JOUR A1 - Schwingshackl, Lukas A1 - Ruzanska, Ulrike Alexandra A1 - Anton, Verena A1 - Wallroth, Raphael A1 - Ohla, Kathrin A1 - Knueppel, Sven A1 - Schulze, Matthias Bernd A1 - Pischon, Tobias A1 - Deutschbein, Johannes A1 - Schenk, Liane A1 - Warschburger, Petra A1 - Harttig, Ulrich A1 - Boeing, Heiner A1 - Bergmann, Manuela M. T1 - The NutriAct Family Study: a web-based prospective study on the epidemiological, psychological and sociological basis of food choice JF - BMC public health N2 - Background: Most studies on food choice have been focussing on the individual level but familial aspects may also play an important role. This paper reports of a novel study that will focus on the familial aspects of the formation of food choice among men and women aged 50-70 years by recruiting spouses and siblings (NutriAct Family Study; NFS). Discussion: Until August 4th 2017, 4783 EPIC-Participants were contacted by mail of which 446 persons recruited 2 to 5 family members (including themselves) resulting in 1032 participants, of whom 82% had started answering or already completed the questionnaires. Of the 4337 remaining EPIC-participants who had been contacted, 1040 (24%) did not respond at all, and 3297 (76%) responded but declined, in 51% of the cases because of the request to recruit at least 2 family members in the respective age range. The developed recruitment procedures and web-based methods of data collection are capable to generate the required study population including the data on individual and inter-personal determinants which will be linkable to food choice. The information on familial links among the study participants will show the role of familial traits in midlife for the adoption of food choices supporting healthy aging. KW - NutriAct family study KW - Study protocol KW - Food choice KW - Determinants Y1 - 2018 U6 - https://doi.org/10.1186/s12889-018-5814-x SN - 1471-2458 VL - 18 PB - BMC CY - London ER - TY - JOUR A1 - Kanitz, Jenny Lena A1 - Pretzer, Kim A1 - Reif, Marcus A1 - Voss, Andreas A1 - Brand, Ralf A1 - Warschburger, Petra A1 - Laengler, Alfred A1 - Henze, Guenter A1 - Seifert, Georg T1 - The impact of eurythmy therapy on stress coping strategies and health-related quality of life in healthy, moderately stressed adults JF - Complementary therapies in medicine : the journal for all health care professionals. N2 - Background: 'Stress' and 'health-related quality of life' (HRQoL) are two important theoretical constructs for modern therapy evaluation with clinical relevance. Eurythmy therapy (EYT) is a mind-body-therapy derived from anthroposophic medicine with promising effects on heart rate variability (HRV), HRQoL and disease scores. The purpose of this study was to investigate the impact of EYT on stress coping strategies (SCS) and HRQoL in a controlled study with moderately stressed participants. Methods: 68 healthy, moderately stressed adults (mean age: 42.2; SD: 8.2) performed 10 h of EYT in a group setting over a period of six weeks. A non-randomised control group of 22 healthy adults (mean age: 43.6; SD: 13.7) received no intervention and did only complete the questionnaires at the same data points. Outcomes were measured before and after the intervention (AVEM & SF-36). Results: A significant impact on SCS was found in seven AVEM scales (MANOVA, F (1/74) = 4.59; p = .04). With regard to changes in risk pattern affiliation (AVEM), 24% of the participants receiving EYT (n = 55) changed over time from a risky stress coping pattern to a healthier pattern. Concerning the HRQoL four normally distributed scales of the SF-36 ('vitality', 'social functioning', 'mental health' and 'physical functioning') showed a significant group x time interaction favouring the EYT group (MANOVA, F (1/74) = 17.26; p < .001). Statistically and clinically relevant mean differences over time of at least eight scale points were found for 'role physical', 'bodily pain', 'vitality' and 'mental health', and of at least 15 scale points for 'role emotional' and 'social functioning'. Conclusions: A six-week period of EYT training can result in a significant reduction of stress and consequently improve QoL. Because a significant proportion of participants had high levels of stress at baseline the results suggest a health-enhancing benefit of EYT that may have clinical potential for prevention of stress and associated disorders in healthy individuals and possibly in patients with chronic diseases, for example. KW - Eurythmy therapy KW - Mind-body-therapy KW - Stress KW - Health related quality of life Y1 - 2011 U6 - https://doi.org/10.1016/j.ctim.2011.06.008 SN - 0965-2299 VL - 19 IS - 5 SP - 247 EP - 255 PB - Churchill Livingstone CY - Edinburgh 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 - TY - JOUR A1 - Warschburger, Petra A1 - Zitzmann, Jana T1 - The efficacy of a universal school-based prevention program for eating disorders among German adolescents BT - results from a randomized-controlled trial JF - Journal of youth and adolescence : a multidisciplinary research publication N2 - Disordered eating is highly prevalent during adolescence and has a detrimental effect on further development. Effective prevention programs are needed to prevent unhealthy developmental trajectories. This study evaluated the efficacy of the POPS-program (POtsdam Prevention at Schools), a universal school-based eating disorder prevention program for adolescents. In a cluster-randomized design, we compared the intervention group receiving the prevention program to a waiting control group. Outcomes included indicators of disordered eating and relevant risk factors for eating disorders (body dissatisfaction, internalization of the thin ideal, perceived media pressure, perfectionism, emotional element of exercise, social comparison, and perceived teasing). Questionnaires were administered at the start of the intervention, 3 and 12 months post intervention. At baseline, 1112 adolescents aged 10 to 16 years participated (49% girls; 51% intervention group). Intention-to-treat analyses with the complete data set and per-protocol analyses as a completer analysis were performed. The intervention group showed a more favorable course compared to the control group regarding all observed risk factors for eating disorders except for perceived teasing. Effect sizes were small but comparable to other primary prevention programs. At 1-year follow-up, a small but significant effect on disordered eating was observed. Results of the per-protocol analyses were mostly confirmed by the intention-to-treat analyses. Results were promising for both genders although girls benefited more regarding disordered eating and internalization of the thin ideal. Further studies are warranted examining successful program elements and whether gender-specific programs are needed. KW - Eating disorders KW - Evaluation KW - Primary prevention KW - Adolescents KW - School-based KW - RCT Y1 - 2018 U6 - https://doi.org/10.1007/s10964-018-0852-3 SN - 0047-2891 SN - 1573-6601 VL - 47 IS - 6 SP - 1317 EP - 1331 PB - Springer CY - New York ER - TY - JOUR A1 - Sehm, Marie A1 - Warschburger, Petra T1 - The dual-pathway model of binge eating: Is there a need for modification? JF - Appetite : multidisciplinary research on eating and drinking N2 - The dual-pathway model proposes that body dissatisfaction might lead to binge eating (BE) through restraint eating and negative affect. Both pathways have been confirmed longitudinally, but there is evidence that the affect-pathway might rather be found in the short-term, whereas other variables might be involved over longer periods. Research suggests that self-esteem represents a key-factor in the etiology of BE in adolescent girls and might serve as a mediator between body dissatisfaction and eating pathology. Based on these findings, the aim of this study was to investigate the original dual-pathway model across 20 months and to evaluate a modified version of the model with self-esteem instead of negative affect as a mediator in the affect-pathway. We assessed eating pathology, negative affect and self-esteem by self-report in a sample of 523 adolescent girls at two time points separated by 20 months. Data were analyzed using a cross-lagged panel design. Both, the original and the modified model provided good fit to the data, but results yielded limited support for the assumptions of the original model. Neither restraint eating nor negative affect mediated the link between body dissatisfaction and BE. The modified model fit the data slightly better and results indicated that low self-esteem mediated the relationship between body dissatisfaction and BE. Notably, our results indicated that restraint eating might even reduce the risk for BE through the enhancement of self-esteem. Results suggest that the dual-pathway model could benefit from the inclusion of a more trait-like variable such as self-esteem when evaluated across the long-term. Furthermore, our findings indicate that healthy restraint eating might have positive effects on self-esteem, thereby reducing risk for BE in adolescent girls, who are dissatisfied with their bodies. (C) 2017 Elsevier Ltd. All rights reserved. KW - Binge eating KW - Dual-pathway model KW - Half-longitudinal KW - Self-esteem KW - Restraint eating Y1 - 2017 U6 - https://doi.org/10.1016/j.appet.2017.03.028 SN - 0195-6663 SN - 1095-8304 VL - 114 SP - 137 EP - 145 PB - Elsevier CY - London ER - TY - JOUR A1 - Warschburger, Petra A1 - Calvano, Claudia A1 - Becker, Sebastian A1 - Friedt, Michael A1 - Hudert, Christian A1 - Posovszky, Carsten A1 - Schier, Maike A1 - Wegscheider, Karl T1 - Stop the pain: study protocol for a randomized-controlled trial JF - Trials N2 - Background: Functional abdominal pain (FAP) is not only a highly prevalent disease but also poses a considerable burden on children and their families. Untreated, FAP is highly persistent until adulthood, also leading to an increased risk of psychiatric disorders. Intervention studies underscore the efficacy of cognitive behavioral treatment approaches but are limited in terms of sample size, long-term follow-up data, controls and inclusion of psychosocial outcome data. Methods/Design: In a multicenter randomized controlled trial, 112 children aged 7 to 12 years who fulfill the Rome III criteria for FAP will be allocated to an established cognitive behavioral training program for children with FAP (n = 56) or to an active control group (focusing on age-appropriate information delivery; n = 56). Randomization occurs centrally, blockwise and is stratified by center. This study is performed in five pediatric gastroenterology outpatient departments. Observer-blind assessments of outcome variables take place four times: pre-, post-, 3- and 12-months post-treatment. Primary outcome is the course of pain intensity and frequency. Secondary endpoints are health-related quality of life, pain-related coping and cognitions, as well as selfefficacy. Discussion: This confirmatory randomized controlled clinical trial evaluates the efficacy of a cognitive behavioral intervention for children with FAP. By applying an active control group, time and attention processes can be controlled, and long-term follow-up data over the course of one year can be explored. KW - FAP KW - Randomized controlled trial KW - Cognitive behavioral intervention KW - Children KW - Pain Y1 - 2014 U6 - https://doi.org/10.1186/1745-6215-15-357 SN - 1745-6215 VL - 15 PB - BioMed Central CY - London 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 - TY - JOUR A1 - Krentz, Eva M. A1 - Warschburger, Petra T1 - Sports-related correlates of disordered eating in aesthetic sports JF - Psychology of sport and exercise : PSE ; an official journal of the European Federation of Sport Psychology N2 - Objectives: Eating disorders are more prevalent in aesthetic sports such as figure skating or gymnastics. While many descriptive studies on their prevalence already exist, more and more studies are now examining the reasons for the specific risk of these athletes. The purpose of this study was to focus on sport-specific variables in aesthetic sports and to examine their relation to disordered eating. Design: Cross-sectional. Method: 96 Elite athletes from aesthetic sports (61 girls, 35 boys) were compared to a control group of 96 sex-matched non-athletes. The mean age of participants was M = 14.0 years (SD = 2.2). The questionnaire package included disordered eating, general body dissatisfaction, sports-related body dissatisfaction, desire to be leaner to improve sports performance and social pressure to be lean from sports environment. Results: Athletes from aesthetic sports displayed more eating disorder symptoms but did not differ from the control group with respect to general body dissatisfaction. For athletes in aesthetic sports, the desire to be leaner to improve sports performance was a significant predictor for disordered eating, and mediated the relationship between social pressure from the sports environment and disordered eating. Conclusions: The results suggest that sports-related parameters are relevant for understanding eating disorder symptomatology in aesthetic sports. Athletes from aesthetic sports seem to be more at risk if they perceive the possibility to enhance sports performance through weight-regulation, which appears to be triggered by social pressure to be lean from sports environment. KW - Eating disorder KW - Body dissatisfaction KW - Elite athlete KW - Adolescent KW - Sport Y1 - 2011 U6 - https://doi.org/10.1016/j.psychsport.2011.03.004 SN - 1469-0292 VL - 12 IS - 4 SP - 375 EP - 382 PB - Elsevier CY - Amsterdam ER - TY - JOUR A1 - Krentz, Eva M. A1 - Warschburger, Petra T1 - Sports-related correlates of disordered eating a comparison between aesthetic and ballgame sports JF - International journal of sport and exercise psychology N2 - Prevalence rates for disordered eating vary between different types of sports (Sundgot-Borgen & Torstveit, 2004). In this study, athletes of sports with a high risk and low risk for disordered eating were compared regarding potential sports-related risk factors for disordered eating. One hundred and seventy-one aesthetic and ballgame sports athletes participated in this study (mean age 14.1 +/- 1.8 years). Aesthetic sports athletes reported more disordered eating behaviors, sports-related body dissatisfaction, a greater desire to be leaner to improve sports performance and greater social pressure from the sports environment than did ballgame sports athletes. Emotional distress resulting from missed exercise sessions and the desire to be leaner to improve sports performance predicted disordered eating in both sport types. The results suggest that the kinds of risk factors for disordered eating are equal among sport types, but some potential risk factors are more prevalent in aesthetic sports. KW - Adolescent KW - Body dissatisfaction KW - Eating disorder KW - Elite athlete Y1 - 2011 SN - 0047-0767 VL - 42 IS - 6 SP - 548 EP - 564 PB - Pozzi CY - Roma ER -