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 - Hilbert, Anja A1 - Warschburger, Petra T1 - Adipositas – Aktuelle Forschung zu Grundlagen und Therapie JF - Psychotherapeut T2 - Obesity - Current research on principles and treatment Y1 - 2021 U6 - https://doi.org/10.1007/s00278-020-00479-x SN - 0935-6185 SN - 1432-2080 VL - 66 IS - 1-2 SP - 1 EP - 2 PB - Springer CY - Berlin ; Heidelberg ER - TY - JOUR A1 - Peitz, Diana A1 - Schulze, Julian A1 - Warschburger, Petra T1 - Getting a deeper understanding of mindfulness in the context of eating behavior BT - Development and validation of the Mindful Eating Inventory JF - Appetite : multidisciplinary research on eating and drinking N2 - Purpose: Current research supports the effectiveness of mindfulness-based interventions for maladaptive eating behaviors associated with obesity and eating disorders. To investigate potential underlying mechanisms at work, reliable and valid instruments that allow for an exhaustive assessment of the context-specific construct Mindful Eating (ME) are needed. Therefore, the current work aimed to develop a comprehensive inventory reflecting a wide range of ME attitudes and behaviors: The Mindful Eating Inventory (MEI). Methods & Results: Study 1 describes the item pool development for an initial version of the MEI comprising various steps (compilation of items, expert ratings, focus groups and think aloud protocols by laypersons). Within Study 2, the factor structure of this initial version was explored in an online sample of N = 828 participants and the item pool was shortened via a sequential process based on statistical and content-related considerations. Exploratory factor analyses yielded a seven-factor structure. This structure could be confirmed within Study 3 on an independent online sample of N = 612 participants using confirmatory factor analysis. Criterion validity was supported by hypotheses-confirming correlations with eating-specific and global health-relevant outcomes. Conclusion: Our findings demonstrate that the MEI is a valid and reliable (in terms of internal consistency and retest-reliability) tool, which allows for a comprehensive assessment of various ME attitudes and behaviors within one parsimonious inventory. It further enabled us to propose a so far missing, initial scientific operational definition of this eating-specific construct, that may help to advance future research and clinical application by clarifying mechanisms of action. KW - Mindful Eating KW - Mindfulness KW - Assessment KW - Maladaptive Eating Behavior Y1 - 2021 U6 - https://doi.org/10.1016/j.appet.2020.105039 SN - 0195-6663 SN - 1095-8304 VL - 159 PB - Elsevier CY - Amsterdam ER - TY - JOUR A1 - Bondü, Rebecca A1 - Bilgin, Ayten A1 - Warschburger, Petra T1 - Justice sensitivity and rejection sensitivity as predictors and outcomes of eating disorder pathology BT - a 5-year longitudinal study JF - The international journal of eating disorders N2 - Objective: Rejection sensitivity and justice sensitivity are personality traits that are characterized by frequent perceptions and intense adverse responses to negative social cues. Whereas there is good evidence for associations between rejection sensitivity, justice sensitivity, and internalizing problems, no longitudinal studies have investigated their association with eating disorder (ED) pathology so far. Thus, the present study examined longitudinal relations between rejection sensitivity, justice sensitivity, and ED pathology. Method: Participants (N = 769) reported on their rejection sensitivity, justice sensitivity, and ED pathology at 9-19 (T1), 11-21 (T2), and 14-22 years of age (T3). Results: Latent cross-lagged models showed longitudinal associations between ED pathology and anxious rejection sensitivity, observer and victim justice sensitivity. T1 and T2 ED pathology predicted higher T2 and T3 anxious rejection sensitivity, respectively. In turn, T2 anxious rejection sensitivity predicted more T3 ED pathology. T1 observer justice sensitivity predicted more T2 ED pathology, which predicted higher T3 observer justice sensitivity. Furthermore, T1 ED pathology predicted higher T2 victim justice sensitivity. Discussion: Rejection sensitivity-particularly anxious rejection sensitivity-and justice sensitivity may be involved in the maintenance or worsening of ED pathology and should be considered by future research and in prevention and treatment of ED pathology. Also, mental health problems may increase rejection sensitivity and justice sensitivity traits in the long term. KW - eating disorder pathology KW - justice sensitivity KW - longitudinal KW - rejection KW - sensitivity Y1 - 2020 U6 - https://doi.org/10.1002/eat.23273 SN - 0276-3478 SN - 1098-108X VL - 53 IS - 6 SP - 926 EP - 936 PB - Wiley CY - New York, NY ER - TY - GEN A1 - Wortmann, Hanna Rosalie A1 - Gisch, Ulrike Alexandra A1 - Bergmann, Manuela M. A1 - Warschburger, Petra T1 - Exploring the longitudinal stability of food neophilia and dietary quality and their prospective relationship in older adults BT - a cross-lagged panel analysis N2 - Poor dietary quality is a major cause of morbidity, making the promotion of healthy eating a societal priority. Older adults are a critical target group for promoting healthy eating to enable healthy aging. One factor suggested to promote healthy eating is the willingness to try unfamiliar foods, referred to as food neophilia. This two-wave longitudinal study explored the stability of food neophilia and dietary quality and their prospective relationship over three years, analyzing self-reported data from N = 960 older adults (MT1 = 63.4, range = 50–84) participating in the NutriAct Family Study (NFS) in a cross-lagged panel design. Dietary quality was rated using the NutriAct diet score, based on the current evidence for chronic disease prevention. Food neophilia was measured using the Variety Seeking Tendency Scale. The analyses revealed high a longitudinal stability of both constructs and a small positive cross-sectional correlation between them. Food neophilia had no prospective effect on dietary quality, whereas a very small positive prospective effect of dietary quality on food neophilia was found. Our findings give initial insights into the positive relation of food neophilia and a health-promoting diet in aging and underscore the need for more in-depth research, e.g., on the constructs’ developmental trajectories and potential critical windows of opportunity for promoting food neophilia. T3 - Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe - 839 KW - food neophilia KW - dietary quality KW - NutriAct Family Study KW - cross-lagged panel analysis KW - healthy eating Y1 - 2023 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:517-opus4-589134 SN - 1866-8364 IS - 839 ER - TY - JOUR A1 - Wortmann, Hanna Rosalie A1 - Gisch, Ulrike Alexandra A1 - Bergmann, Manuela M. A1 - Warschburger, Petra T1 - Exploring the longitudinal stability of food neophilia and dietary quality and their prospective relationship in older adults BT - a cross-lagged panel analysis JF - Nutrients N2 - Poor dietary quality is a major cause of morbidity, making the promotion of healthy eating a societal priority. Older adults are a critical target group for promoting healthy eating to enable healthy aging. One factor suggested to promote healthy eating is the willingness to try unfamiliar foods, referred to as food neophilia. This two-wave longitudinal study explored the stability of food neophilia and dietary quality and their prospective relationship over three years, analyzing self-reported data from N = 960 older adults (MT1 = 63.4, range = 50–84) participating in the NutriAct Family Study (NFS) in a cross-lagged panel design. Dietary quality was rated using the NutriAct diet score, based on the current evidence for chronic disease prevention. Food neophilia was measured using the Variety Seeking Tendency Scale. The analyses revealed high a longitudinal stability of both constructs and a small positive cross-sectional correlation between them. Food neophilia had no prospective effect on dietary quality, whereas a very small positive prospective effect of dietary quality on food neophilia was found. Our findings give initial insights into the positive relation of food neophilia and a health-promoting diet in aging and underscore the need for more in-depth research, e.g., on the constructs’ developmental trajectories and potential critical windows of opportunity for promoting food neophilia. KW - food neophilia KW - dietary quality KW - NutriAct Family Study KW - cross-lagged panel analysis KW - healthy eating Y1 - 2023 U6 - https://doi.org/10.3390/nu15051248 SN - 2072-6643 VL - 15 IS - 5 PB - MDPI CY - Basel 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 - GEN A1 - Warschburger, Petra A1 - Wortmann, Hanna Rosalie A1 - Gisch, Ulrike Alexandra A1 - Baer, Nadja-Raphaela A1 - Schenk, Liane A1 - Anton, Verena A1 - Bergmann, Manuela M. T1 - An experimental approach to training interoceptive sensitivity BT - study protocol for a pilot randomized controlled trial T2 - Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe N2 - Background Eating in absence of hunger is quite common and often associated with an increased energy intake co-existent with a poorer food choice. Intuitive eating (IE), i.e., eating in accordance with internal hunger and satiety cues, may protect from overeating. IE, however, requires accurate perception and processing of one’s own bodily signals, also referred to as interoceptive sensitivity. Training interoceptive sensitivity might therefore be an effective method to promote IE and prevent overeating. As most studies on eating behavior are conducted in younger adults and close social relationships influence health-related behavior, this study focuses on middle-aged and older couples. Methods The present pilot randomized intervention study aims at investigating the feasibility and effectiveness of a 21-day mindfulness-based training program designed to increase interoceptive sensitivity. A total of N = 60 couples participating in the NutriAct Family Study, aged 50–80 years, will be recruited. This randomized-controlled intervention study comprises three measurement points (pre-intervention, post-intervention, 4-week follow-up) and a 21-day training that consists of daily mindfulness-based guided audio exercises (e.g., body scan). A three-arm intervention study design is applied to compare two intervention groups (training together as a couple vs. training alone) with a control group (no training). Each measurement point includes the assessment of self-reported and objective indicators of interoceptive sensitivity (primary outcome), self-reported indicators of intuitive and maladaptive eating (secondary outcomes), and additional variables. A training evaluation applying focus group discussions will be conducted to assess participants’ overall acceptance of the training and its feasibility. Discussion By investigating the feasibility and effectiveness of a mindfulness-based training program to increase interoceptive sensitivity, the present study will contribute to a deeper understanding of how to promote healthy eating in older age. T3 - Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe - 826 KW - Digital intervention KW - Older adults KW - Interoception KW - Eating behavior KW - Intuitive eating KW - Partnership KW - Mindfulness KW - Randomized-controlled trial KW - NutriAct Family Study KW - Mixed methods Y1 - 2023 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:517-opus4-586677 SN - 1866-8364 IS - 826 ER - TY - JOUR A1 - Warschburger, Petra A1 - Wortmann, Hanna Rosalie A1 - Gisch, Ulrike Alexandra A1 - Baer, Nadja-Raphaela A1 - Schenk, Liane A1 - Anton, Verena A1 - Bergmann, Manuela M. T1 - An experimental approach to training interoceptive sensitivity BT - study protocol for a pilot randomized controlled trial JF - Nutrition Journal N2 - Background Eating in absence of hunger is quite common and often associated with an increased energy intake co-existent with a poorer food choice. Intuitive eating (IE), i.e., eating in accordance with internal hunger and satiety cues, may protect from overeating. IE, however, requires accurate perception and processing of one’s own bodily signals, also referred to as interoceptive sensitivity. Training interoceptive sensitivity might therefore be an effective method to promote IE and prevent overeating. As most studies on eating behavior are conducted in younger adults and close social relationships influence health-related behavior, this study focuses on middle-aged and older couples. Methods The present pilot randomized intervention study aims at investigating the feasibility and effectiveness of a 21-day mindfulness-based training program designed to increase interoceptive sensitivity. A total of N = 60 couples participating in the NutriAct Family Study, aged 50–80 years, will be recruited. This randomized-controlled intervention study comprises three measurement points (pre-intervention, post-intervention, 4-week follow-up) and a 21-day training that consists of daily mindfulness-based guided audio exercises (e.g., body scan). A three-arm intervention study design is applied to compare two intervention groups (training together as a couple vs. training alone) with a control group (no training). Each measurement point includes the assessment of self-reported and objective indicators of interoceptive sensitivity (primary outcome), self-reported indicators of intuitive and maladaptive eating (secondary outcomes), and additional variables. A training evaluation applying focus group discussions will be conducted to assess participants’ overall acceptance of the training and its feasibility. Discussion By investigating the feasibility and effectiveness of a mindfulness-based training program to increase interoceptive sensitivity, the present study will contribute to a deeper understanding of how to promote healthy eating in older age. KW - Digital intervention KW - Older adults KW - Interoception KW - Eating behavior KW - Intuitive eating KW - Partnership KW - Mindfulness KW - Randomized-controlled trial KW - NutriAct Family Study KW - Mixed methods Y1 - 2022 U6 - https://doi.org/10.1186/s12937-022-00827-4 SN - 1475-2891 VL - 21 PB - Springer Nature CY - London 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 -