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 - 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 - Warschburger, Petra A1 - Kröller, Katja T1 - "Childhood overweight and obesity maternal perceptions of the time for engaging in child weight management" JF - BMC public health N2 - Background: There is an increasing awareness of the impact of parental risk perception on the weight course of the child and the parent's readiness to engage in preventive efforts, but only less is known about factors related to the parental perception of the right time for the implementation of preventive activities. The aim of this study was to examine parental perceptions of the appropriate time to engage in child weight management strategies, and the factors associated with different weight points at which mothers recognize the need for preventive actions. Methods: 352 mothers with children aged 2-10 years took part in the study. We assessed mothers' perceptions of the actual and preferred weight status of their child, their ability to identify overweight and knowledge of its associated health risks, as well as perceptions of the right time for action to prevent overweight in their child. A regression analysis was conducted to examine whether demographic and weight related factors as well as the maternal general risk perception were associated with recognizing the need to implement prevention strategies. Results: Although most of the parents considered a BMI in the 75th to 90th percentile a valid reason to engage in the prevention of overweight, 19% of the mothers were not willing to engage in prevention until their child reached the 97th percentile. Whereas the child's sex and the identification of an elevated BMI were significant predictors for parents' recognition of the 75th percentile as right point to engage in prevention efforts, an inability to recognize physical health risks associated with overweight silhouettes emerged as a significant factor predicting which parents would delay prevention efforts until a child's BMI reached the 97th percentile. Conclusion: Parental misperceptions of overweight and associated health risks constitute unfavorable conditions for preventive actions. Feedback on the health risks associated with overweight could help increase maternal readiness for change. KW - Maternal perception KW - Need for action KW - Prevention KW - Obesity KW - Overweight KW - Children Y1 - 2012 U6 - https://doi.org/10.1186/1471-2458-12-295 SN - 1471-2458 VL - 12 IS - 12 PB - BioMed Central CY - London ER - TY - JOUR A1 - Kulla, Patricia A1 - Schlegl, Sandra A1 - Külz, Anne Katrin A1 - Förstner, Ulrich A1 - Warschburger, Petra A1 - Voderholzer, Ulrich T1 - Functions of OCD - Development and Initial Validation of a Questionnaire (FFZ) JF - Psychotherapie, Psychosomatik, medizinische Psychologie N2 - The aim of this study was the development and psychometric assessment of a questionnaire for functions of OCD (FFZ). The instrument was analyzed using factor and item analyses with a sample of 120 OCD patients within the first 5 weeks of an inpatient cognitive-behavioral treatment. The revealed scales were OCD as self-confirmation, emotion regulation, avoidance of responsibility, interpersonal regulation and OCD as occupation. The reliabilities of all subscales and the total value were satisfactory to nearly excellent. The factorial validity was good, content validity was excellent. The FFZ shows correlations with measures of interpersonal problems and emotional competence, but none with measures of self-reflection and therapy experience. No differences were found for gender or age. The results provide initial support for the reliability and validity of the FFZ. KW - OCD KW - functions KW - questionnaire KW - validation KW - development Y1 - 2015 U6 - https://doi.org/10.1055/s-0034-1394459 SN - 0937-2032 SN - 1439-1058 VL - 65 IS - 6 SP - 213 EP - 222 PB - Thieme CY - Stuttgart ER - TY - JOUR A1 - Helfert, Susanne A1 - Warschburger, Petra T1 - A prospective study on the impact of peer and parental pressure on body dissatisfaction in adolescent girls and boys JF - Body image : an international journal of research N2 - The current study explores the role of appearance-related social pressure regarding changes in body image in adolescent girls (n = 236) and boys (n = 193) over a 1-year-period. High school students aged 11-16 completed measures of body dissatisfaction (i.e., weight and muscle concerns) and appearance-related social pressure from peers and parents. Three aspects proved to be particularly crucial: Parental encouragement to control weight and shape was a strong predictor of weight concerns in boys and girls alike; influences of friends affected gender-specific body image concerns by leading to weight concerns in girls and muscle concerns in boys; finally appearance-based exclusion was a predictor of weight concerns in boys. The findings provide longitudinal evidence for the crucial impact of appearance-related social pressure and suggest that a detailed assessment of different types of social impacts can identify concrete targets for effective prevention and therapy for weight-related problems among adolescents. KW - Adolescence KW - Peer pressure KW - Parental pressure KW - Weight and muscle concerns KW - Body dissatisfaction KW - Longitudinal Y1 - 2011 U6 - https://doi.org/10.1016/j.bodyim.2011.01.004 SN - 1740-1445 VL - 8 IS - 2 SP - 101 EP - 109 PB - Elsevier CY - Amsterdam ER - TY - JOUR A1 - Sarrar, L. A1 - Warschburger, Petra A1 - Pfeiffer, E. A1 - Lehmkuhl, Ulrike A1 - Schneider, N. T1 - Cognitive flexibility in adolescent patients with unipolar affective disorders - gender differences JF - Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie N2 - Objective: Several studies have revealed impairments in cognitive functions among patients with affective disorders (AD). However, to date there are few neuropsychological studies on cognitive flexibility among adolescent patients with AD, especially on gender differences in AD. Here, we investigate cognitive functions, especially cognitive flexibility, in adolescent patients with unipolar AD (UAD) compared to a healthy control group (CG). Method: The study population consists of 17 male patients (M-age = 15.4 +/- 1.3) and 22 female patients with UAD (M-age = 15.6 +/- 1.4) as well as 20 male (M-age = 16.0 +/- 1.0) and 30 female (M-age = 15.7 +/- 0.9) healthy adolescents. A neuropsychological test battery was conducted, and depressive symptoms, psychological stress, and intelligence were also assessed. Results: The analyses revealed no significant group differences regarding cognitive flexibility or visual processing speed, albeit slight better performance in motor processing speed for the CG. Furthermore, no gender differences were observed regarding cognitive flexibility, though female subjects general displayed better performance in processing speed. Conclusions: Overall, there are no indications for serious deficits and specific gender differences in cognitive flexibility or processing speed in adolescent patients with UAD. Independent of psychological distress, female subjects seem to have some advantages in processing speed. KW - cognitive flexibility KW - unipolar affective disorders KW - sex differences KW - adolescents Y1 - 2013 U6 - https://doi.org/10.1024/1422-4917/a000240 SN - 1422-4917 VL - 41 IS - 4 SP - 261 EP - 270 PB - Hogrefe CY - Bern ER - TY - INPR A1 - Warschburger, Petra T1 - Nutrition in children and adolescents T2 - Zeitschrift für Gesundheitspsychologie Y1 - 2013 SN - 0943-8149 VL - 21 IS - 2 SP - 49 EP - 52 PB - Hogrefe CY - Göttingen ER - TY - JOUR A1 - Kröller, Katja A1 - Kröller, Alexander A1 - Warschburger, Petra T1 - What do you like to eat? Correlation between food familiarity and actual preference JF - Zeitschrift für Gesundheitspsychologie N2 - The preference for fruits and vegetables is the main predictor for the longtime healthy eating behavior. There are many factors which affect the development of food preferences. The familiarity with different foods seems to be a special aspect associated with the corresponding preference. To establish a preference for fruits and vegetables during early childhood, we need to know more about the factors that affect this preference development. So far, research has mostly concentrated on the food intake and less on the corresponding preference. Additionally, it is often based on studies of the mere-exposure effect or on older children and their ability to label fruits and vegetables correctly. Findings about the level of food familiarity in young children and its relation to the actual food preference are still missing. Our study focuses on different aspects of food familiarity as well as on their relationship to the child's preference and presents results from 213 children aged 2 to 10 years. Using standardized photos, the food preference was measured with a computer-based method that ran automatically without influence from parents or interviewer. The children knew fewer of the presented vegetables (66 %) than fruits or sweets (78 % each). About the same number of vegetables (63 %) had already been tasted by the children and were considered tasty. Only 48 % of the presented vegetables were named correctly - an ability that increases in older children. Concerning the relationship between the familiarity with vegetables and their preference, the different familiarity aspects showed that vegetables of lower preference were less often recognized, tasted, considered tasty, or named correctly. KW - food preference KW - familiarity KW - fruits and vegetables KW - children Y1 - 2013 U6 - https://doi.org/10.1026/0943-8149/a000089 SN - 0943-8149 VL - 21 IS - 2 SP - 53 EP - 61 PB - Hogrefe CY - Göttingen 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 - 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 -