TY - JOUR A1 - Hoffmann, Svenja A1 - Warschburger, Petra T1 - Prospective relations among internalization of beauty ideals, body image concerns, and body change behaviors BT - Considering thinness and muscularity JF - Body image : an international journal of research N2 - Common models propose that the internalization of societal beauty ideals influences disordered eating behaviors and muscularity-oriented behaviors via body image concerns. However, previous studies addressing these pathways have been mainly cross-sectional and primarily included female samples. We investigated these pathways prospectively in male and female adolescents and young adults, examining two pathways: a ‘weight/shape pathway,’ linking thin-ideal internalization, weight/shape concern, and restrained eating, and a ‘muscularity pathway,’ linking athletic-ideal internalization, muscularity concern, and muscularity-oriented behavior. Across three time points, 973 participants from the German general population were assessed. Although the hypothesized pathways could not be supported in their complete temporal sequence, several hypothesized pathways occurred across two time points. Among others, weight/shape concern predicted restrained eating and the athletic ideal played a prominent role in the prediction of muscularity-oriented behavior in both genders. KW - Weight/shape concern KW - Muscularity concern KW - Internalization KW - Restrained eating KW - Muscularity-oriented behavior KW - Prospective path analysis Y1 - 2019 U6 - https://doi.org/10.1016/j.bodyim.2019.01.011 SN - 1740-1445 SN - 1873-6807 VL - 28 SP - 159 EP - 167 PB - Elsevier CY - Amsterdam ER - TY - JOUR A1 - Ruzanska, Ulrike Alexandra A1 - Warschburger, Petra T1 - Intuitive eating mediates the relationship between self-regulation and BMI BT - Results from a cross-sectional study in a community sample JF - Eating behaviors N2 - Self-regulation is a dispositional skill of regulating attention and emotion to attain a certain goal. Poor self-regulation is associated with a higher body mass index (BMI) and is a risk factor for the development of obesity. Intuitive eating, an adaptive eating style characterized by eating in response to internal cues of hunger and satiety, is associated with a lower BMI. Using cross-sectional data, this study examined whether intuitive eating mediates the relationship between self-regulation and BMI in a community sample of adults. Participants (N = 530) completed the Self-Regulation Scale, the Intuitive Eating Scale-2 with its facets Unconditional Permission to Eat (UPE), Eating for Physical Rather Than Emotional Reasons (EPR), Reliance on Hunger and Satiety Cues (RHSC) and Body-Food Choice Congruence (B-FCC). They also self-reported their height and weight. Using percentile bootstrap resampling procedures, the simple mediation analysis showed an indirect relationship between self-regulation and BMI through intuitive eating. The multiple mediation analysis revealed that EPR and B-FCC, but not UPE and RHSC, mediated the relationship between self-regulation and BMI. Intuitive eating seems to play an important intermediating role in the relationship between self-regulation and BMI. Regarding weight management interventions, it could be useful to promote intuitive eating, especially for individuals with low self-regulation. Prospective studies are needed to explore the causal and temporal relationships among self-regulation, intuitive eating and BMI. KW - Intuitive eating KW - Self-regulation KW - Body mass index (BMI) KW - Mediation analysis Y1 - 2019 U6 - https://doi.org/10.1016/j.eatbeh.2019.02.004 SN - 1471-0153 SN - 1873-7358 VL - 33 SP - 23 EP - 29 PB - Elsevier CY - Amsterdam 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 - GEN A1 - Warschburger, Petra A1 - Sproesser, Gudrun A1 - Lin, Jiaxi A1 - Zahn, Daniela T1 - Fachgruppe Gesundheitspsychologie Approbation für psychologische Anwendungsfächer T2 - Psychologische Rundschau : offizielles Organ der Deutschen Gesellschaft für Psychologie Y1 - 2019 SN - 0033-3042 SN - 2190-6238 VL - 70 IS - 4 SP - 264 EP - 265 PB - Hogrefe CY - Göttingen ER - TY - JOUR A1 - Posovszky, Carsten A1 - Roesler, Vreni Helen A1 - Becker, Sebastian A1 - Iven, Enno A1 - Hudert, Christian A1 - Ebinger, Friedrich A1 - Calvano, Claudia A1 - Warschburger, Petra T1 - Roles of Lactose and Fructose Malabsorption and Dietary Outcomes in Children Presenting with Chronic Abdominal Pain JF - Nutrients N2 - Intolerance to lactose or fructose is frequently diagnosed in children with chronic abdominal pain (CAP). However, the causal relationship remains a matter of discussion. A cohort of 253 patients, aged 7-12 years, presenting with unexplained CAP received standardized diagnostics. Additional diagnostic tests were performed based on their medical history and physical and laboratory investigations. Fructose and lactose hydrogen breath tests (H2BT) as well as empiric diagnostic elimination diets were performed in 135 patients reporting abdominal pain related to the consumption of lactose or fructose to evaluate carbohydrate intolerance as a potential cause of CAP. Carbohydrate malabsorption by H2BT was found in 55 (41%) out of 135 patients. An abnormal increase in H2BT was revealed in 30% (35/118) of patients after fructose consumption and in 18% (20/114) of patients after lactose administration. Forty-six percent (25/54) reported pain relief during a diagnostic elimination diet. In total, 17 patients had lactose malabsorption, 29 fructose malabsorption, and nine combined carbohydrate malabsorption. Carbohydrate intolerance as a cause of CAP was diagnosed at follow-up in only 18% (10/55) of patients with malabsorption after the elimination of the respective carbohydrate. Thus, carbohydrate malabsorption appears to be an incidental finding in children with functional abdominal pain disorders, rather than its cause. Therefore, testing of carbohydrate intolerance should only be considered in children with a strong clinical suspicion and with the goal to prevent long-term unnecessary dietary restrictions in children suffering from CAP. KW - chronic abdominal pain KW - children KW - fructose malabsorption KW - lactose intolerance KW - hydrogen breath test KW - functional abdominal pain disorders Y1 - 2019 U6 - https://doi.org/10.3390/nu11123063 SN - 2072-6643 VL - 11 IS - 12 PB - MDPI CY - Basel 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 - GEN 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? Results from a Controlled Study BT - Results from a Controlled Study T2 - Postprints der Universität Potsdam Humanwissenschaftliche Reihe 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. T3 - Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe - 584 KW - adolescents KW - emerging adults KW - behavioral weight loss KW - obesity KW - controlled trial KW - quality of life Y1 - 2019 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:517-opus4-439424 SN - 1866-8364 IS - 584 ER -