TY - JOUR A1 - Teich, Paula A1 - Fühner, Thea Heidi A1 - Baehr, Florian A1 - Puta, Christian A1 - Granacher, Urs A1 - Kliegl, Reinhold T1 - Covid pandemic effects on the physical fitness of primary school children BT - results of the german EMOTIKON project JF - Sports Medicine - Open N2 - BackgroundIn spring of 2020, the Sars-CoV-2 incidence rate increased rapidly in Germany and around the world. Throughout the next 2 years, schools were temporarily closed and social distancing measures were put in place to slow the spread of the Covid-19 virus. Did these social restrictions and temporary school lockdowns affect children's physical fitness? The EMOTIKON project annually tests the physical fitness of all third-graders in the Federal State of Brandenburg, Germany. The tests assess cardiorespiratory endurance (6-min-run test), coordination (star-run test), speed (20-m sprint test), lower (powerLOW, standing long jump test), and upper (powerUP, ball-push test) limbs muscle power, and static balance (one-legged stance test with eyes closed). A total of 125,893 children were tested in the falls from 2016 to 2022. Primary analyses focused on 98,510 keyage third-graders (i.e., school enrollment according to the legal key date, aged 8 to 9 years) from 515 schools. Secondary analyses included 27,383 older-than-keyage third-graders (i.e., OTK, delayed school enrollment or repetition of a grade, aged 9 to 10 years), who have been shown to exhibit lower physical fitness than expected for their age. Linear mixed models fitted pre-pandemic quadratic secular trends, and took into account differences between children and schools.ResultsThird-graders exhibited lower cardiorespiratory endurance, coordination, speed and powerUP in the Covid pandemic cohorts (2020-2022) compared to the pre-pandemic cohorts (2016-2019). Children's powerLOW and static balance were higher in the pandemic cohorts compared to the pre-pandemic cohorts. From 2020 to 2021, coordination, powerLOW and powerUP further declined. Evidence for some post-pandemic physical fitness catch-up was restricted to powerUP. Cohen's |ds| for comparisons of the pandemic cohorts 2020-2022 with pre-pandemic cohorts 2016-2019 ranged from 0.02 for powerLOW to 0.15 for coordination. Within the pandemic cohorts, keyage children exhibited developmental losses ranging from approximately 1 month for speed to 5 months for cardiorespiratory endurance. For powerLOW and static balance, the positive pandemic effects translate to developmental gains of 1 and 7 months, respectively. Pre-pandemic secular trends may account for some of the observed differences between pandemic and pre-pandemic cohorts, especially in powerLOW, powerUP and static balance. The pandemic further increased developmental delays of OTK children in cardiorespiratory endurance, powerUP and balance.ConclusionsThe Covid-19 pandemic was associated with declines in several physical fitness components in German third-graders. Pandemic effects are still visible in 2022. Health-related interventions should specifically target those physical fitness components that were negatively affected by the pandemic (cardiorespiratory endurance, coordination, speed). KW - Sars-CoV-2 KW - Cohort study KW - Cardiorespiratory endurance KW - Muscle power KW - Physical fitness KW - Youth KW - EMOTIKON KW - Linear mixed models Y1 - 2023 U6 - https://doi.org/10.1186/s40798-023-00624-1 SN - 2198-9761 VL - 9 IS - 1 PB - Springer CY - New York ER - TY - JOUR A1 - Teich, Paula A1 - Fühner, Thea Heidi A1 - Granacher, Urs A1 - Kliegl, Reinhold T1 - Physical fitness of primary school children differs depending on their timing of school enrollment JF - Scientific reports N2 - Previous research has shown that children who were enrolled to school according to the legal key date (i.e., keyage children, between eight and nine years in third grade) exhibited a linear physical fitness development in the ninth year of life. In contrast, children who were enrolled with a delay (i.e., older-than-keyage children [OTK], between nine and ten years in third grade) exhibited a lower physical fitness compared to what would be expected for their age. In these studies, cross-sectional age differences within third grade and timing of school enrollment were confounded. The present study investigated the longitudinal development of keyage and OTK children from third to fifth grade. This design also afforded a comparison of the two groups at the same average chronological age, that is a dissociation of the effects of timing of school enrollment and age. We tested six physical fitness components: cardiorespiratory endurance, coordination, speed, power of lower and upper limbs, and static balance. 1502 children (i.e., 1206 keyage and 296 OTK children) from 35 schools were tested in third, fourth, and fifth grade. Except for cardiorespiratory endurance, both groups developed from third to fourth and from fourth to fifth grade and keyage children outperformed OTK children at the average ages of 9.5 or 10.5 years. For cardiorespiratory endurance, there was no significant gain from fourth to fifth grade and keyage and OTK children did not differ significantly at 10.5 years of age. One reason for a delayed school enrollment could be that a child is (or is perceived as) biologically younger than their chronological age at the school entry examination, implying a negative correlation between chronological and biological age for OTK children. Indeed, a simple reflection of chronological age brought the developmental rate of the chronologically youngest OTK children in line with the developmental rate observed for keyage children, but did not eliminate all differences. The mapping of chronological and biological age of OTK children and other possible reasons for lower physical fitness of OTK children remain a task for future research. KW - Health care KW - Paediatrics KW - Physiology Y1 - 2023 U6 - https://doi.org/10.1038/s41598-023-35727-y SN - 2045-2322 VL - 13 IS - 1 PB - Springer Nature CY - London ER - TY - JOUR A1 - Johanssen, Helen A1 - Schoofs, Nikola A1 - Kliegl, Reinhold A1 - Bermpohl, Felix A1 - Ülsmann, Dominik A1 - Schulte-Herbrüggen, Olaf A1 - Priebe, Kathlen T1 - Negative posttraumatic cognitions color the pathway from event centrality to posttraumatic stress disorder symptoms JF - Cognitive therapy and research N2 - Background The centrality of an event indicates the extent to which it becomes a core part of identity and life story. Event centrality (EC) has been shown to have a strong relationship with PTSD symptoms, which seems to be indirectly influenced by negative posttraumatic cognitions (PTC). However, research on this potential mediation and its causal links particularly with clinical samples is limited and essential to derive treatment implications. Methods Pre- and posttreatment data of 103 day-unit patients with PTSD was examined using mediation analyses and structural equation modeling. Results Negative PTC mediated the relationship between EC and PTSD symptoms, partially pre- and completely posttreatment. Within extended longitudinal analyses causal directions of the mediation pathways were not adequately interpretable due to unexpected suppression effects. Conclusions The results suggest that EC may only have an indirect effect on PTSD symptoms through negative PTC. Thus, decreasing negative PTC which are connected to centralized events might be a key element for PTSD treatment. Thereby, transforming the cognitions' valence to more positive and constructive forms could be crucial rather than mere decentralization. Although suppression effects limited causal inferences, they do not contradict the mediation and further indicate potential interactional terms and a transformation of EC. KW - Event centrality KW - PTSD KW - Posttraumatic cognitions KW - Valence Y1 - 2022 U6 - https://doi.org/10.1007/s10608-021-10266-w SN - 0147-5916 SN - 1573-2819 VL - 46 IS - 2 SP - 333 EP - 342 PB - Springer Science + Business Media B.V. CY - Dordrecht ER - TY - JOUR A1 - Özkan, Ayşegül A1 - Fikri, Figen Beken A1 - Kırkıcı, Bilal A1 - Kliegl, Reinhold A1 - Acartürk, Cengiz T1 - Eye movement control in Turkish sentence reading JF - Quarterly journal of experimental psychology : QJEP / EPS, Experimental Psychology Society N2 - Reading requires the assembly of cognitive processes across a wide spectrum from low-level visual perception to high-level discourse comprehension. One approach of unravelling the dynamics associated with these processes is to determine how eye movements are influenced by the characteristics of the text, in particular which features of the words within the perceptual span maximise the information intake due to foveal, spillover, parafoveal, and predictive processing. One way to test the generalisability of current proposals of such distributed processing is to examine them across different languages. For Turkish, an agglutinative language with a shallow orthography-phonology mapping, we replicate the well-known canonical main effects of frequency and predictability of the fixated word as well as effects of incoming saccade amplitude and fixation location within the word on single-fixation durations with data from 35 adults reading 120 nine-word sentences. Evidence for previously reported effects of the characteristics of neighbouring words and interactions was mixed. There was no evidence for the expected Turkish-specific morphological effect of the number of inflectional suffixes on single-fixation durations. To control for word-selection bias associated with single-fixation durations, we also tested effects on word skipping, single-fixation, and multiple-fixation cases with a base-line category logit model, assuming an increase of difficulty for an increase in the number of fixations. With this model, significant effects of word characteristics and number of inflectional suffixes of foveal word on probabilities of the number of fixations were observed, while the effects of the characteristics of neighbouring words and interactions were mixed. KW - Eye movements KW - reading KW - Turkish Y1 - 2020 U6 - https://doi.org/10.1177/1747021820963310 SN - 1747-0218 SN - 1747-0226 VL - 74 IS - 2 SP - 377 EP - 397 PB - Sage Publ. CY - London ER - TY - JOUR A1 - Weck, Florian A1 - Junga, Yvonne Marie A1 - Kliegl, Reinhold A1 - Hahn, Daniela A1 - Brucker, Katharina A1 - Witthöft, Michael T1 - Effects of competence feedback on therapist competence and patient outcome BT - a randomized controlled trial JF - Journal of consulting and clinical psychology N2 - Objective: Therapist competence is considered essential for the success of psychotherapy. Feedback is an intervention which has the potential to improve therapist competence. The present study investigated whether competence feedback leads to an improvement of therapist competence and patient outcome. Method: Sixty-seven master-level clinical trainees were randomly assigned to either a competence feedback group (CFG) or a control group (CG). Patients with a diagnosis of major depression (N = 114) were randomly assigned to CFG or CG. Treatment included 20 individual sessions of cognitive behavioral therapy (CBT). In CFG, therapists received, parallel to the treatment, five competence feedbacks, based on videotaped therapy sessions. Independent raters assessed therapist competence with the Cognitive Therapy Scale (CTS) and provided the competence feedback. Patient outcome was evaluated with the Beck Depression Inventory-II (BDI-II) and therapeutic alliance (Helping Alliance Questionnaire [HAQ]) from both therapist's (HAQ-T) and patient's (HAQ-P) perspective were evaluated after each of the 20 sessions. Results: (a) Therapist competence (CTS) increased significantly more for CFG than CG. (b) Depression (BDI-II) decreased significantly across sessions for both groups, but without evidence for a group-differential benefit for the CFG. (c) Therapeutic alliance (HAQ-T/P) increased significantly across sessions for both groups from both perspectives, but without group differences. (d) There is a positive effect of BDI-II on CTS at the beginning and a negative effect of CTS on BDI-II at the end of therapy. Conclusion: Competence feedback improves therapists' independently rated competence, but there is no evidence that competence feedback in CBT leads to better outcome. What is the public health significance of this article? This study suggests the substantial value of systematic competence feedback for improving therapist competence in the psychotherapy of depression. No significant effect of competence feedback on the reduction of reported depressive symptoms was found. KW - feedback KW - outcome KW - major depression KW - therapeutic alliance KW - therapeutic KW - competencies Y1 - 2021 U6 - https://doi.org/10.1037/ccp0000686 SN - 0022-006X SN - 1939-2117 VL - 89 IS - 11 SP - 885 EP - 897 PB - American Psychological Association CY - Washington ER - TY - JOUR A1 - Hyönä, Jukka A1 - Heikkilä, Timo T. A1 - Vainio, Seppo A1 - Kliegl, Reinhold T1 - Parafoveal access to word stem during reading BT - an eye movement study JF - Cognition : international journal of cognitive science N2 - Previous studies (Hyona, Yan, & Vainio, 2018; Yan et al., 2014) have demonstrated that in morphologically rich languages a word's morphological status is processed parafoveally to be used in modulating saccadic programming in reading. In the present parafoveal preview study conducted in Finnish, we examined the exact nature of this effect by comparing reading of morphologically complex words (a stem + two suffixes) to that of monomorphemic words. In the preview-change condition, the final 3-4 letters were replaced with other letters making the target word a pseudoword; for suffixed words, the word stem remained intact but the suffix information was unavailable; for monomorphemic words, only part of the stem was parafoveally available. Three alternative predictions were put forth. According to the first alternative, the morphological effect in initial fixation location is due to parafoveally perceiving the suffix as a highly frequent letter cluster and then adjusting the saccade program to land closer to the word beginning for suffixed than monomorphemic words. The second alternative, the processing difficulty hypothesis, assumes a morphological complexity effect: suffixed words are more complex than monomorphemic words. Therefore, the attentional window is narrower and the saccade is shorter. The third alternative posits that the effect reflects parafoveal access to the word's stem. The results for the initial fixation location and fixation durations were consistent with the parafoveal stem-access view. KW - Eye movements KW - Reading KW - Morphological complexity KW - Parafoveal processing KW - Display change KW - Initial fixation location Y1 - 2021 U6 - https://doi.org/10.1016/j.cognition.2020.104547 SN - 0010-0277 SN - 1873-7838 VL - 208 PB - Elsevier CY - Amsterdam ER - TY - JOUR A1 - Pietrek, Anou F. A1 - Kangas, Maria A1 - Kliegl, Reinhold A1 - Rapp, Michael A. A1 - Heinzel, Stephan A1 - Van der Kaap-Deeder, Jolene A1 - Heissel, Andreas T1 - Basic psychological need satisfaction and frustration in major depressive disorder JF - Frontiers in Psychiatry - Mood Disorders N2 - Basic psychological needs theory postulates that a social environment that satisfies individuals’ three basic psychological needs of autonomy, competence, and relatedness leads to optimal growth and well-being. On the other hand, the frustration of these needs is associated with ill-being and depressive symptoms foremost investigated in non-clinical samples; yet, there is a paucity of research on need frustration in clinical samples. Survey data were compared between adult individuals with major depressive disorder (MDD; n = 115; 48.69% female; 38.46 years, SD = 10.46) with those of a non-depressed comparison sample (n = 201; 53.23% female; 30.16 years, SD = 12.81). Need profiles were examined with a linear mixed model (LMM). Individuals with depression reported higher levels of frustration and lower levels of satisfaction in relation to the three basic psychological needs when compared to non-depressed adults. The difference between depressed and non-depressed groups was significantly larger for frustration than satisfaction regarding the needs for relatedness and competence. LMM correlation parameters confirmed the expected positive correlation between the three needs. This is the first study showing substantial differences in need-based experiences between depressed and non-depressed adults. The results confirm basic assumptions of the self-determination theory and have preliminary implications in tailoring therapy for depression. KW - basic need satisfaction and frustration KW - depressive symptoms KW - clinical sample KW - need profiles KW - social environment Y1 - 2022 U6 - https://doi.org/10.3389/fpsyt.2022.962501 SN - 1664-0640 SP - 1 EP - 10 PB - Frontiers Media S.A. CY - Lausanne, Schweiz ER - TY - JOUR A1 - Fühner, Thea Heidi A1 - Kliegl, Reinhold A1 - Arntz, Fabian A1 - Kriemler, Susi A1 - Granacher, Urs T1 - An update on secular trends in physical fitness of children and adolescents from 1972 to 2015 BT - a systematic review JF - Sports medicine N2 - Background There is evidence that physical fitness of children and adolescents (particularly cardiorespiratory endurance) has declined globally over the past decades. Ever since the first reports on negative trends in physical fitness, efforts have been undertaken by for instance the World Health Organization (WHO) to promote physical activity and fitness in children and adolescents. Therefore, it is timely to re-analyze the literature to examine whether previous reports on secular declines in physical fitness are still detectable or whether they need to be updated. Objectives The objective of this systematic review is to provide an 'update' on secular trends in selected components of physical fitness (i.e., cardiorespiratory endurance, relative muscle strength, proxies of muscle power, speed) in children and adolescents aged 6-18 years. Data Sources A systematic computerized literature search was conducted in the electronic databases PubMed and Web of Science to locate studies that explicitly reported secular trends in physical fitness of children and adolescents. Study Eligibility Criteria Studies were included in this systematic review if they examined secular trends between at least two time points across a minimum of 5 years. In addition, they had to document secular trends in any measure of cardiorespiratory endurance, relative muscle strength, proxies of muscle power or speed in apparently healthy children and adolescents aged 6-18 years. Study Appraisal and Synthesis Methods The included studies were coded for the following criteria: nation, physical fitness component (cardiorespiratory endurance, relative muscle strength, proxies of muscle power, speed), chronological age, sex (boys vs. girls), and year of assessment. Scores were standardized (i.e., converted to z scores) with sample-weighted means and standard deviations, pooled across sex and year of assessment within cells defined by study, test, and children's age. Results The original search identified 524 hits. In the end, 22 studies met the inclusion criteria for review. The observation period was between 1972 and 2015. Fifteen of the 22 studies used tests for cardiorespiratory endurance, eight for relative muscle strength, eleven for proxies of muscle power, and eight for speed. Measures of cardiorespiratory endurance exhibited a large initial increase and an equally large subsequent decrease, but the decrease appears to have reached a floor for all children between 2010 and 2015. Measures of relative muscle strength showed a general trend towards a small increase. Measures of proxies of muscle power indicated an overall small negative quadratic trend. For measures of speed, a small-to-medium increase was observed in recent years. Limitations Biological maturity was not considered in the analysis because biological maturity was not reported in most included studies. Conclusions Negative secular trends were particularly found for cardiorespiratory endurance between 1986 and 2010-12, irrespective of sex. Relative muscle strength and speed showed small increases while proxies of muscle power declined. Although the negative trend in cardiorespiratory endurance appears to have reached a floor in recent years, because of its association with markers of health, we recommend further initiatives in PA and fitness promotion for children and adolescents. More specifically, public health efforts should focus on exercise that increases cardiorespiratory endurance to prevent adverse health effects (i.e.
, overweight and obesity) and muscle strength to lay a foundation for motor skill learning. Y1 - 2020 U6 - https://doi.org/10.1007/s40279-020-01373-x SN - 0112-1642 SN - 1179-2035 VL - 51 IS - 2 SP - 303 EP - 320 PB - Springer CY - Northcote ER - TY - JOUR A1 - Engbert, Ralf A1 - Rabe, Maximilian Michael A1 - Kliegl, Reinhold A1 - Reich, Sebastian T1 - Sequential data assimilation of the stochastic SEIR epidemic model for regional COVID-19 dynamics JF - Bulletin of mathematical biology : official journal of the Society for Mathematical Biology N2 - Newly emerging pandemics like COVID-19 call for predictive models to implement precisely tuned responses to limit their deep impact on society. Standard epidemic models provide a theoretically well-founded dynamical description of disease incidence. For COVID-19 with infectiousness peaking before and at symptom onset, the SEIR model explains the hidden build-up of exposed individuals which creates challenges for containment strategies. However, spatial heterogeneity raises questions about the adequacy of modeling epidemic outbreaks on the level of a whole country. Here, we show that by applying sequential data assimilation to the stochastic SEIR epidemic model, we can capture the dynamic behavior of outbreaks on a regional level. Regional modeling, with relatively low numbers of infected and demographic noise, accounts for both spatial heterogeneity and stochasticity. Based on adapted models, short-term predictions can be achieved. Thus, with the help of these sequential data assimilation methods, more realistic epidemic models are within reach. KW - Stochastic epidemic model KW - Sequential data assimilation KW - Ensemble Kalman KW - filter KW - COVID-19 Y1 - 2020 U6 - https://doi.org/10.1007/s11538-020-00834-8 SN - 0092-8240 SN - 1522-9602 VL - 83 IS - 1 PB - Springer CY - New York ER - TY - JOUR A1 - Brown, J. M. M. A1 - Fanselow, Gisbert A1 - Hall, Rebecca A1 - Kliegl, Reinhold T1 - Middle ratings rise regardless of grammatical construction BT - Testing syntactic variability in a repeated exposure paradigm JF - PLOS ONE / Public Library of Science N2 - People perceive sentences more favourably after hearing or reading them many times. A prominent approach in linguistic theory argues that these types of exposure effects (satiation effects) show direct evidence of a generative approach to linguistic knowledge: only some sentences improve under repeated exposure, and which sentences do improve can be predicted by a model of linguistic competence that yields natural syntactic classes. However, replications of the original findings have been inconsistent, and it remains unclear whether satiation effects can be reliably induced in an experimental setting at all. Here we report four findings regarding satiation effects in wh-questions across German and English. First, the effects pertain to zone of well-formedness rather than syntactic class: all intermediate ratings, including calibrated fillers, increase at the beginning of the experimental session regardless of syntactic construction. Second, though there is satiation, ratings asymptote below maximum acceptability. Third, these effects are consistent across judgments of superiority effects in English and German. Fourth, wh-questions appear to show similar profiles in English and German, despite these languages being traditionally considered to differ strongly in whether they show effects on movement: violations of the superiority condition can be modulated to a similar degree in both languages by manipulating subject-object initiality and animacy congruency of the wh-phrase. We improve on classic satiation methods by distinguishing between two crucial tests, namely whether exposure selectively targets certain grammatical constructions or whether there is a general repeated exposure effect. We conclude that exposure effects can be reliably induced in rating experiments but exposure does not appear to selectively target certain grammatical constructions. Instead, they appear to be a phenomenon of intermediate gradient judgments. Y1 - 2021 U6 - https://doi.org/10.1371/journal.pone.0251280 SN - 1932-6203 VL - 16 IS - 5 PB - PLOS CY - San Fransisco ER -