TY  - JOUR
A1  - Warschburger, Petra
A1  - Gmeiner, Michaela Silvia
A1  - Morawietz, Marisa
A1  - Rinck, Mike
T1  - Battle of plates
BT  - a pilot study of an approach-avoidance training for overweight children and adolescents
JF  - Public health nutrition : PHN / The Nutrition Society
N2  - Objective: Approach-avoidance training (AAT) is a promising approach in obesity treatment. The present study examines whether an AAT is feasible and able to influence approach tendencies in children and adolescents, comparing implicit and explicit training approaches. Design/Setting/Subjects: Fifty-nine overweight children and adolescents (aged 8-16 years; twenty-six boys) participated in an AAT for food cues, learning to reject snack items and approach vegetable items. Reaction times in the AAT and an implicit association rest (IAT) were assessed pre- and post-intervention. Results: A significant increase in the AAT compatibility scores with a large effect (eta(2) = 0.18) was found. No differences between the implicit and explicit training approaches and no change in the IAT scores were observed. Conclusions: Automatic tendencies in children can be trained, too. The implementation of AAT in the treatment of obesity might support the modification of an unhealthy nutrition behaviour pattern. Further data from randomized controlled clinical trials are needed.
KW  - Approach-avoidance
KW  - Intervention
KW  - Child
KW  - Obesity
KW  - Feasibility study
Y1  - 2017
U6  - https://doi.org/10.1017/S1368980017002701
SN  - 1368-9800
SN  - 1475-2727
VL  - 21
IS  - 2
SP  - 426
EP  - 434
PB  - Cambridge Univ. Press
CY  - Cambridge
ER  - 
TY  - JOUR
A1  - Warschburger, Petra
A1  - Gmeiner, Michaela Silvia
A1  - Morawietz, Marisa
A1  - Rinck, Mike
T1  - Evaluation of an approach-avoidance training intervention for children and adolescents with obesity
BT  - a randomized placebo-controlled prospective trial
JF  - European eating disorders review : the professional journal of the Eating Disorders Associatio
N2  - This study evaluated the efficacy of approach-avoidance training as an additional treatment for children and adolescents with obesity seeking inpatient treatment. Two hundred thirty-two participants (8-16years, 53.9% girls) were randomly assigned either to multisession approach-avoidance (IG) or to placebo training (CG). As outcomes, cognitive biases post intervention, body mass index, eating behaviour, food intake, self-regulation, and weight-related quality of life were assessed, also at 6- and 12-month follow-up. Modification of approach-avoidance bias was observed, but lacked in transfer over sessions and in generalization to attention and association bias. After 6months, the IG reported less problematic food consumption, higher self-regulation, and higher quality of life; effects did not persist until the 12-month follow-up; no significant interaction effects were observed regarding weight course. Despite there was no direct effect on weight course, approach-avoidance training seems to be associated with promising effects on important pillars for weight loss. Further research concerning clinical effectiveness is warranted.
KW  - approach-avoidance training
KW  - child
KW  - cognitive bias modification
KW  - intervention
KW  - obesity
Y1  - 2018
U6  - https://doi.org/10.1002/erv.2607
SN  - 1072-4133
SN  - 1099-0968
VL  - 26
IS  - 5
SP  - 472
EP  - 482
PB  - Wiley
CY  - Hoboken
ER  -