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 - Warschburger, Petra A1 - Petersen, Ann-Christin A1 - von Rezori, Roman Enzio A1 - Buchallik, Friederike A1 - Baumeister, Harald A1 - Holl, Reinhard A1 - Minden, Kirsten A1 - Müller-​Stierlin, Annabel Sandra A1 - Reinauer, Christina A1 - Staab, Doris A1 - COACH consortium, T1 - A prospective investigation of developmental trajectories of psychosocial adjustment in adolescents facing a chronic condition - study protocol of an observational, multi-center study JF - BMC Pediatrics N2 - Background Relatively little is known about protective factors and the emergence and maintenance of positive outcomes in the field of adolescents with chronic conditions. Therefore, the primary aim of the study is to acquire a deeper understanding of the dynamic process of resilience factors, coping strategies and psychosocial adjustment of adolescents living with chronic conditions. Methods/design We plan to consecutively recruit N = 450 adolescents (12–21 years) from three German patient registries for chronic conditions (type 1 diabetes, cystic fibrosis, or juvenile idiopathic arthritis). Based on screening for anxiety and depression, adolescents are assigned to two parallel groups – “inconspicuous” (PHQ-9 and GAD-7 < 7) vs. “conspicuous” (PHQ-9 or GAD-7 ≥ 7) – participating in a prospective online survey at baseline and 12-month follow-up. At two time points (T1, T2), we assess (1) intra- and interpersonal resiliency factors, (2) coping strategies, and (3) health-related quality of life, well-being, satisfaction with life, anxiety and depression. Using a cross-lagged panel design, we will examine the bidirectional longitudinal relations between resiliency factors and coping strategies, psychological adaptation, and psychosocial adjustment. To monitor Covid-19 pandemic effects, participants are also invited to take part in an intermediate online survey. Discussion The study will provide a deeper understanding of adaptive, potentially modifiable processes and will therefore help to develop novel, tailored interventions supporting a positive adaptation in youths with a chronic condition. These strategies should not only support those at risk but also promote the maintenance of a successful adaptation. Trial registration German Clinical Trials Register (DRKS), no. DRKS00025125. Registered on May 17, 2021. KW - Chronic conditions KW - Adolescents KW - Prospective KW - Quality of life KW - Resiliency KW - Coping KW - Protective factors KW - Type 1 diabetes KW - Juvenile idiopathic arthritis KW - Cystic fibrosis Y1 - 2021 U6 - https://doi.org/10.1186/s12887-021-02869-9 SN - 1471-2431 VL - 21 SP - 1 EP - 13 PB - BMC pediatrics CY - London ER - TY - GEN A1 - Warschburger, Petra A1 - Petersen, Ann-Christin A1 - von Rezori, Roman Enzio A1 - Buchallik, Friederike A1 - Baumeister, Harald A1 - Holl, Reinhard A1 - Minden, Kirsten A1 - Müller-​Stierlin, Annabel Sandra A1 - Reinauer, Christina A1 - Staab, Doris A1 - COACH consortium, T1 - A prospective investigation of developmental trajectories of psychosocial adjustment in adolescents facing a chronic condition - study protocol of an observational, multi-center study T2 - Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe N2 - Background Relatively little is known about protective factors and the emergence and maintenance of positive outcomes in the field of adolescents with chronic conditions. Therefore, the primary aim of the study is to acquire a deeper understanding of the dynamic process of resilience factors, coping strategies and psychosocial adjustment of adolescents living with chronic conditions. Methods/design We plan to consecutively recruit N = 450 adolescents (12–21 years) from three German patient registries for chronic conditions (type 1 diabetes, cystic fibrosis, or juvenile idiopathic arthritis). Based on screening for anxiety and depression, adolescents are assigned to two parallel groups – “inconspicuous” (PHQ-9 and GAD-7 < 7) vs. “conspicuous” (PHQ-9 or GAD-7 ≥ 7) – participating in a prospective online survey at baseline and 12-month follow-up. At two time points (T1, T2), we assess (1) intra- and interpersonal resiliency factors, (2) coping strategies, and (3) health-related quality of life, well-being, satisfaction with life, anxiety and depression. Using a cross-lagged panel design, we will examine the bidirectional longitudinal relations between resiliency factors and coping strategies, psychological adaptation, and psychosocial adjustment. To monitor Covid-19 pandemic effects, participants are also invited to take part in an intermediate online survey. Discussion The study will provide a deeper understanding of adaptive, potentially modifiable processes and will therefore help to develop novel, tailored interventions supporting a positive adaptation in youths with a chronic condition. These strategies should not only support those at risk but also promote the maintenance of a successful adaptation. Trial registration German Clinical Trials Register (DRKS), no. DRKS00025125. Registered on May 17, 2021. T3 - Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe - 762 KW - Chronic conditions KW - Adolescents KW - Prospective KW - Quality of life KW - Resiliency KW - Coping KW - Protective factors KW - Type 1 diabetes KW - Juvenile idiopathic arthritis KW - Cystic fibrosis Y1 - 2022 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:517-opus4-549951 SN - 1866-8364 VL - 21 SP - 1 EP - 13 PB - Universitätsverlag Potsdam CY - Potsdam 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 - Schwarzenthal, Miriam Jelena A1 - Juang, Linda P. A1 - Schachner, Maja Katharina A1 - van de Vijver, Fons J. R. T1 - A multimodal measure of cultural intelligence for adolescents growing up in culturally diverse societies JF - International Journal of Intercultural Relations N2 - Adolescents growing up in culturally diverse societies need to develop intercultural competence. To better understand how to develop intercultural competence we need measures specifically relating to the everyday intercultural experiences of adolescents. However, few measures of intercultural competence are available for this target group. Based on the cultural intelligence (CQ) model (Earley & Ang, 2003), we developed a measure that combines a self-report questionnaire and situational judgment tests (SJTs). The latter comprise a brief description of intercultural situations, followed by questions asking the adolescents to interpret and provide a reaction to the situations. The reliability, factor structure, measurement equivalence, and validity of the new measure was tested in two samples of adolescents in culturally diverse regions in North Rhine-Westphalia (N = 631, 48% female, M-a(ge) = 13.69 years, SDage = 1.83) and Berlin (N = 1,335, 48% female, M-age = 14.69 years, SDage, = 0.74) in Germany. The self-report CQ scale showed good reliability and a four-dimensional factor structure with a higher-order CQ factor. The responses to the SJTs were coded based on a coding manual and the ratings loaded onto one factor. The measurement models showed metric to scalar measurement equivalence across immigrant background, gender, and grade. The CQ factor and the SJT factor were positively correlated with each other, as well as with related constructs such as openness, perspective-taking, and diversity beliefs. We conclude that the new measure offers a reliable and valid method to assess the intercultural competence of adolescents growing up in culturally diverse societies. KW - Cultural intelligence KW - Intercultural competence KW - Adolescents Y1 - 2019 U6 - https://doi.org/10.1016/j.ijintrel.2019.07.007 SN - 0147-1767 SN - 1873-7552 VL - 72 SP - 109 EP - 121 PB - Elsevier CY - Oxford ER - TY - JOUR A1 - Schwarzenthal, Miriam Jelena A1 - Juang, Linda P. A1 - Schachner, Maja Katharina A1 - van de Vijver, Fons J. R. T1 - "When birds of a different feather flock together" - intercultural socialization in adolescents’ friendships JF - International Journal of Intercultural Relations N2 - We conclude that intercultural friendships are associated with important skills that are needed in increasingly multicultural societies if students experience and discuss cultural variations in these friendships. KW - Intercultural friendships KW - Socialization KW - Intercultural competence KW - Cultural intelligence KW - Adolescents Y1 - 2019 U6 - https://doi.org/10.1016/j.ijintrel.2019.07.001 SN - 0147-1767 SN - 1873-7552 VL - 72 SP - 61 EP - 75 PB - Elsevier CY - Oxford ER - TY - JOUR A1 - Reinauer, Christina A1 - Viermann, Rabea A1 - Foertsch, Katharina A1 - Linderskamp, Hannah A1 - Warschburger, Petra A1 - Holl, Reinhard W. A1 - Staab, Doris A1 - Minden, Kirsten A1 - Muche, Rainer A1 - Domhardt, Matthias A1 - Baumeister, Harald A1 - Meissner, Thomas T1 - Motivational Interviewing as a tool to enhance access to mental health treatment in adolescents with chronic medical conditions and need for psychological support (COACH-MI) BT - study protocol for a clusterrandomised controlled trial JF - Trials N2 - Background This cluster-randomised monocentric controlled trial focuses on improving the uptake symptoms of mental health care in adolescents with chronic medical conditions who have been identified by screening to have depression or anxiety. The study aims to determine the efficacy of motivational interviewing (MI) delivered by trained physicians to increase 12- to 20-year-old adolescents’ utilisation of psychological health care for symptoms of anxiety or depression. Methods/design In this single-centre approach, n = 1,000 adolescents will be screened (using PHQ-9 and GAD-7), and adolescents with results indicative of anxiety or depressive symptoms (n = 162) will be advised to seek psychological health care in clusters from treating physicians in specialised outpatient departments. Participants who screen positive will receive either two sessions of MI or treatment as usual (TAU; regarded as the typical daily clinical practice), which is focused on recommending them to seek psychological health care for further evaluation. MI efficacy will be compared to the current TAU as the control condition. The primary outcome is the utilisation rate of psychological health care after counselling by an MI-trained physician vs. an untrained physician. Additionally, reasons for not claiming psychological support and changes in disease-related parameters will be evaluated in a 6-month follow-up session. Discussion This trial will evaluate the feasibility of MI as a way to improve the utilisation of mental health-care services by adolescents who need further support other than that provided by standard care for chronic diseases. Physicians offering MI to adolescents may serve as a model for optimising health-care management in daily clinical practice, which may improve adolescents’ long-term well-being by improving adherence to medical treatment and preventing negative lifelong consequences into adulthood. KW - Adolescents KW - adherence to medical treatment KW - anxiety KW - chronic condition KW - depression KW - motivational interviewing Y1 - 2018 U6 - https://doi.org/10.1186/s13063-018-2997-5 SN - 1745-6215 VL - 19 PB - BMC CY - London ER - TY - JOUR A1 - Meiser, Susanne A1 - Esser, Günter T1 - How dysfunctional are dysfunctional attitudes? BT - a threshold model of dysfunctional attitudes and depressive symptoms in children and adolescents JF - Cognitive Therapy and Research N2 - In order to clarify further the role of Beck’s vulnerability-stress model in the early development of depression, this longitudinal study tested a threshold model of dysfunctional attitudes in children and adolescents. An initially asymptomatic sample of 889 youths aged 9–18 years completed measures of dysfunctional attitudes and depressive symptoms. Twenty months later, participants reported stressful life events and current depressive symptoms. Results support a threshold view of cognitive vulnerability as only dysfunctional attitudes above a certain threshold significantly interacted with life events to predict depressive symptoms. Thus, findings suggest that dysfunctional attitudes must exceed a certain threshold to confer vulnerability to depressive symptomatology in youth. The term “dysfunctional” might therefore only apply to higher levels of the “dysfunctional attitudes” proposed by A. T. Beck. Results also indicate that studies using non-clinical samples may systematically underestimate the effect of dysfunctional attitudes when relying on conventional linear methods. KW - Cognitive vulnerability KW - Depression KW - Children KW - Adolescents KW - Dysfunctional attitudes KW - Threshold models Y1 - 2017 U6 - https://doi.org/10.1007/s10608-017-9842-0 SN - 0147-5916 SN - 1573-2819 VL - 41 SP - 730 EP - 744 PB - Springer CY - New York ER - TY - JOUR A1 - Mallia, Luca A1 - Lazuras, Lambros A1 - Barkoukis, Vassilis A1 - Brand, Ralf A1 - Baumgarten, Franz A1 - Tsorbatzoudis, Haralambos A1 - Zelli, Arnaldo A1 - Lucidi, Fabio T1 - Doping use in sport teams: The development and validation of measures of team-based efficacy beliefs and moral disengagement from a cross-national perspective JF - Psychology of sport and exercise : PSE ; an official journal of the European Federation of Sport Psychology N2 - Method: The first study relied on focus group data collected from twenty-one team sport professionals (mean age = 34; SD = 11.65). Four hundred and fourteen adolescent athletes (mean age = 16.69; SD = 1.55) participated in the second study, whereas seven hundred forty-nine adolescent team athletes (mean age = 16.43; SD = 1.69) participated in the third study. For the latter two studies, team athletes were recruited across Italy, Germany and Greece and provided data on the new team measures. Only athletes participating in the third study provided data on doping intentions. Results: The findings of the three studies supported the empirical goals of the investigation and provided evidence for the factor structure, reliability and validity of the team instruments. Furthermore, multi group findings supported the hypothesis that the new instruments would have equivalent measurement and validity characteristics across the three European countries. The conclusions focus on the conceptual and practical implications of these findings. (C) 2016 Elsevier Ltd. All rights reserved. KW - Adolescents KW - Self-regulatory efficacy KW - Collective efficacy KW - Confirmative factor analysis KW - Item development KW - Social cognitive theory Y1 - 2016 U6 - https://doi.org/10.1016/j.psychsport.2016.04.005 SN - 1469-0292 SN - 1878-5476 VL - 25 SP - 78 EP - 88 PB - Elsevier CY - Amsterdam ER - TY - JOUR A1 - Lazuras, Lambros A1 - Barkoukis, Vassilis A1 - Mallia, Luca A1 - Lucidi, Fabio A1 - Brand, Ralf T1 - More than a feeling: The role of anticipated regret in predicting doping intentions in adolescent athletes JF - Psychology of sport and exercise : PSE ; an official journal of the European Federation of Sport Psychology N2 - Objectives: Anticipated affective responses influence decision-making processes in profound ways. The present study emphasized the role of anticipated regret and assessed the additive and interactive effects of anticipated regret in predicting doping intentions among adolescent athletes. Design: Survey-based, correlational. Method: Two hundred and sixteen adolescent athletes (M age = 17.37, SD = 1.68, 79.1% males) from team sports took part in the study and completed structured and anonymous questionnaires on social cognitive variables relevant to doping use, anticipated regret from engaging in doping and doping intentions. Results: Variance-based structural equation modeling showed that anticipated regret significantly predicted doping intentions over and above the effects of past use of doping substances and nutritional supplements, and other social cognitive predictors, and the overall model predicted 72% of the variance in doping intentions. Further analysis of interaction effects showed that anticipated regret significantly interacted with past use of nutritional supplements, and subjective and descriptive social norms in predicting doping intentions. Conclusions: Anticipated regret represents a theoretically relevant and important predictor of doping intentions in sports, and can have a protective role against pro-doping use intentions among athletes with past use of nutritional supplements. Regret also appears to be relevant to social norms and expectations, thus, highlighting for the first time a normative component in the process linking anticipated affective responses with behavioural intentions. (C) 2017 Elsevier Ltd. All rights reserved. KW - Anticipated regret KW - Doping KW - Social norms KW - Adolescents Y1 - 2017 U6 - https://doi.org/10.1016/j.psychsport.2017.03.003 SN - 1469-0292 SN - 1878-5476 VL - 30 SP - 196 EP - 204 PB - Elsevier CY - Amsterdam ER -