Obese parents – obese children? Psychological-psychiatric risk factors of parental behavior and experience for the development of obesity in children aged 0–3: study protocol

BMC Public Health

Annette M Klein²  Kai von Klitzing²  Verena Wendt¹  Katharina Herfurth-Majstorovic¹  Anja Keitel¹  Sarah Bergmann¹  Matthias Grube² 

[1] Integrated Research and Treatment Center (IFB) AdiposityDiseases, University of Leipzig, Leipzig, Germany;Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University of Leipzig, Leipzig, Germany

关键词: Early investigation;    Interaction;    Family;    Obesity;    Overweight;   

Others  :  1161431
DOI  :  10.1186/1471-2458-13-1193

 received in 2013-11-14, accepted in 2013-12-09,  发布年份 2013

【 摘 要 】

Background

The incidences of childhood overweight and obesity have increased substantially and with them the prevalence of associated somatic and psychiatric health problems. Therefore, it is important to identify modifiable risk factors for early childhood overweight in order to develop effective prevention or intervention programs. Besides biological factors, familial interactions and parental behavioral patterns may influence children’s weight development. Longitudinal investigation of children at overweight risk could help to detect significant risk and protective factors. We aim to describe infants’ weight development over time and identify risk and protective factors for the incidence of childhood obesity. Based on our findings we will draw up a risk model that will lay the foundation for an intervention/prevention program.

Methods/Design

We present the protocol of a prospective longitudinal study in which we investigate families with children aged from 6 months to 47 months. In half of the families at least one parent is obese (risk group), in the other half both parents are normal weight (control group). Based on developmental and health-psychological models, we consider measurements at three levels: the child, the parents and parent–child-relationship. Three assessment points are approximately one year apart. At each assessment point we evaluate the psychological, social, and behavioral situation of the parents as well as the physical and psychosocial development of the child. Parents are interviewed, fill in questionnaires, and take part in standardized interaction tasks with their child in a feeding and in a playing context in our research laboratory. The quality of these video-taped parent–child interactions is assessed by analyzing them with standardized, validated instruments according to scientific standards.

Discussion

Strengths of the presented study are the prospective longitudinal design, the multi-informant approach, including the fathers, and the observation of parent–child interaction. A limitation is the variation in children’s age.

【 授权许可】

   
2013 Grube et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Ogden CL, Carroll MD, Curtin LR, McDowell MA, Tabak CJ, Flegal KM: Prevalence of overweight and obesity in the United States, 1999–2004. JAMA 2006, 295:1549-1555.
• [2]Ogden CL, Carroll MD, Flegal KM: High body mass index for age among US children and adolescents, 2003–2006. JAMA 2008, 299:2401-2405.
• [3]Agras WS, Hammer LD, McNicholas F, Kraemer HC: Risk factors for childhood overweight: A prospective study from birth to 9.5 years. J Pediatr 2004, 145:20-25.
• [4]Ferraro KF, Thorpe , Roland J Jr, Wilkinson JA: The life course of severe obesity: does childhood overweight matter? J Gerontol B Psychol Sci Soc Sci 2003, 58:110-119.
• [5]Serdula MK, Ivery D, Coates RJ, Freedman DS, Williamson DF, Byers T: Do obese children become obese adults? A review of the literature. Prev Med 1993, 22:167-177.
• [6]Jackson Y, Dietz WH, Sanders C, Kolbe LJ, Whyte JJ, Wechsler H, Schneider BS, McNally LA, Charles-Azure J, Vogel-Taylor M, Starke-Reed P, van Hubbard S, Johnson-Taylor WL, Troiano RP, Donato K, Yanovski S, Kuczmarski RJ, Haverkos L, McMurry K, Wykoff RF, Woo V, Noonan AS, Rowe J, McCarty K, Spain CB: Summary of the 2000 Surgeon General's listening session: toward a national action plan on overweight and obesity. Obes Res 2002, 10:1299-1305.
• [7]Ogden CL, Carroll MD, Kit BK, Flegal KM: Prevalence of obesity and trends in body mass index among US children and adolescents, 1999–2010. JAMA 2012, 307:483-490.
• [8]Bennett B, Sothern MS: Diet, exercise, behavior: the promise and limits of lifestyle change. Semin Pediatr Surg 2009, 18:152-158.
• [9]Kurth B, Schaffrath Rosario A: Übergewicht und Adipositas bei Kindern und Jugendlichen in Deutschland. Bundesgesundheitsbl 2010, 53:643-652.
• [10]Wabitsch M: Kinder und Jugendliche mit Adipositas in Deutschland. Aufruf zum Handeln. Bundesgesundheitsbl 2004, 47:251-255.
• [11]Gray WN, Kahhan NA, Janicke DM: Peer victimization and pediatric obesity: a review of the literature. Psychol Sch 2009, 46:720-727.
• [12]Hayden-Wade HA, Stein RI, Ghaderi A, Saelens BE, Zabinski MF, Wilfley DE: Prevalence, characteristics, and correlates of teasing experiences among overweight children vs. non-overweight peers. Obes Res 2005, 13:1381-1392.
• [13]World Health Organization: Media Centre: Obesity and overweight. Fact sheet N°311. http://www.who.int/mediacentre/factsheets/fs311/en/ webcite
• [14]Cole TJ, Bellizzi MC, Flegal KM, Dietz WH: Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 2000, 320:1240-1243.
• [15]Poskitt EM: Defining childhood obesity: the relative body mass index (BMI). European Childhood Obesity group. Acta Paediatr 1995, 84:961-963.
• [16]Kromeyer-Hauschild K, Wabitsch M, Kunze D, Geller F, Geiß HC, Hesse V, Von HA, Jaeger U, Johnsen D, Korte W, Menner K, Müller G, Müller JM, Niemann-Pilatus A, Remer T, Schaefer F, Wittchen H, Zabransky S, Zellner K, Ziegler A, Hebebrand J: Perzentile für den Body-mass- Index für das Kindes- und Jugendalter unter Heranziehung verschiedener deutscher Stichproben. Monatsschr Kinderheilkd 2001, 149:807-818.
• [17]Danielzik S, Czerwinski-Mast M, Langnase K, Dilba B, Muller MJ: Parental overweight, socioeconomic status and high birth weight are the major determinants of overweight and obesity in 5–7 y-old children: baseline data of the Kiel Obesity Prevention Study (KOPS). Int J Obes Relat Metab Disord 2004, 28:1494-1502.
• [18]Stettler N, Zemel BS, Kumanyika S, Stallings VA: Infant weight gain and childhood overweight status in a multicenter, cohort study. Pediatrics 2002, 109:194-199.
• [19]Yang Z, Huffman SL: Nutrition in pregnancy and early childhood and associations with obesity in developing countries. Matern Child Nutr 2013, 9(Suppl 1):105-119.
• [20]Stunkard AJ, Foch TT, Hrubec Z: A twin study of human obesity. JAMA 1986, 256:51-54.
• [21]Stunkard AJ, Harris JR, Pedersen NL, McClearn GE: The body-mass index of twins who have been reared apart. N Engl J Med 1990, 322:1483-1487.
• [22]Dubois L, Girard M, Girard A, Tremblay R, Boivin M, Perusse D: Genetic and environmental influences on body size in early childhood: a twin birth-cohort study. Twin Res Hum Genet 2007, 10:479-485.
• [23]Demerath EW, Choh AC, Czerwinski SA, Lee M, Sun SS, Chumlea WC, Duren D, Sherwood RJ, Blangero J, Towne B, Siervogel RM: Genetic and environmental influences on infant weight and weight change: the Fels Longitudinal Study. Am J Hum Biol 2007, 19:692-702.
• [24]Hebebrand J, Wermter A, Hinney A: Adipositas. Genetik und Gen-Umwelt-Interaktionen. Monatsschr Kinderheilkd 2004, 152:870-876.
• [25]Speliotes EK, Willer CJ, Berndt SI, Monda KL, Thorleifsson G, Jackson AU, Lango Allen H, Lindgren CM, Luan J, Magi R, Randall JC, Vedantam S, Winkler TW, Qi L, Workalemahu T, Heid IM, Steinthorsdottir V, Stringham HM, Weedon MN, Wheeler E, Wood AR, Ferreira T, Weyant RJ, Segre AV, Estrada K, Liang L, Nemesh J, Park J, Gustafsson S, Kilpelainen TO, et al.: Association analyses of 249,796 individuals reveal 18 new loci associated with body mass index. Nat Genet 2010, 42:937-948.
• [26]Eriksson J, Forsen T, Osmond C, Barker D: Obesity from cradle to grave. Int J Obes Relat Metab Disord 2003, 27:722-727.
• [27]Strauss RS, Pollack HA: Epidemic increase in childhood overweight, 1986–1998. JAMA 2001, 286:2845-2848.
• [28]Whitaker RC, Wright JA, Pepe MS, Seidel KD, Dietz WH: Predicting obesity in young adulthood from childhood and parental obesity. N Engl J Med 1997, 337:869-873.
• [29]Jacobson P, Torgerson JS, Sjostrom L, Bouchard C: Spouse resemblance in body mass index: effects on adult obesity prevalence in the offspring generation. Am J Epidemiol 2007, 165:101-108.
• [30]Fogelholm M: How physical activity can work? Int J Pediatr Obes 2008, 3(Suppl 1):10-14.
• [31]Galani C, Schneider H: Prevention and treatment of obesity with lifestyle interventions: review and meta-analysis. Int J Public Health 2007, 52:348-359.
• [32]Lampert T, Mensink GBM, Romahn N, Woll A: Körperlich-sportliche Aktivität von Kindern und Jugendlichen in Deutschland. Bundesgesundheitsbl 2007, 50:634-642.
• [33]Lampert T, Mensink GBM, Ziese T: Sport und Gesundheit bei Erwachsenen in Deutschland. Bundesgesundheitsbl 2005, 48:1357-1364.
• [34]Spitzer M: Macht Fernsehen dick? Nervenheilkunde 2005, 24:66-72.
• [35]Baur J, Burrmann U, Maaz K: Verbreitet sich das "Stubenhocker-Phänomen"? Zur Verkoppelung von Mediennutzung und Sportaktivitäten in der Lebensführung von Jugendlichen. Z Soziol Erz Sozial 2004, 24:73-89.
• [36]Burke V, Beilin LJ, Durkin K, Stritzke , Werner GK, Houghton S, Cameron CA: Television, computer use, physical activity, diet and fatness in Australian adolescents. Int J Pediatr Obes 2006, 1:248-255.
• [37]Owen CG, Martin RM, Whincup PH, Smith GD, Cook DG: Effect of infant feeding on the risk of obesity across the life course: a quantitative review of published evidence. Pediatrics 2005, 115:1367-1377.
• [38]Sloan S, Gildea A, Stewart M, Sneddon H, Iwaniec D: Early weaning is related to weight and rate of weight gain in infancy. Child Care Health Dev 2007, 34:59-64.
• [39]Arenz S, Ruckerl R, Koletzko B, Von KR: Breast-feeding and childhood obesity--a systematic review. Int J Obes Relat Metab Disord 2004, 28:1247-1256.
• [40]Nicklas TA, Hayes D: Position of the American Dietetic Association: nutrition guidance for healthy children ages 2 to 11 years. J Am Diet Assoc 2008, 108:1038-1047.
• [41]Tanofsky-Kraff M, Haynos AF, Kotler LA, Yanovski SZ, Yanovski JA: Laboratory-based studies of eating among children and adolescents. Curr Nutr Food Sci 2007, 3:55-74.
• [42]Parsons TJ, Power C, Logan S, Summerbell CD: Childhood predictors of adult obesity: a systematic review. Int J Obes Relat Metab Disord 1999, 23(Suppl 8):1-107.
• [43]Berkowitz RI, Agras WS, Korner AF, Kraemer HC, Zeanah CH: Physical activity and adiposity: a longitudinal study from birth to childhood. J Pediatr 1985, 106:734-738.
• [44]Klesges RC, Klesges LM, Eck LH, Shelton ML: A longitudinal analysis of accelerated weight gain in preschool children. Pediatrics 1995, 95:126-130.
• [45]Robinson TN: Reducing children's television viewing to prevent obesity: a randomized controlled trial. JAMA 1999, 282:1561-1567.
• [46]Carey WB, Hegvik RL, McDevitt SC: Temperamental factors associated with rapid weight gain and obesity in middle childhood. J Dev Behav Pediatr 1988, 9:194-198.
• [47]Wells JC, Stanley M, Laidlaw AS, Day JM, Stafford M, Davies PS: Investigation of the relationship between infant temperament and later body composition. Int J Obes Relat Metab Disord 1997, 21:400-406.
• [48]Birch LL, Fisher JO: Mothers' child-feeding practices influence daughters' eating and weight. Am J Clin Nutr 2000, 71:1054-1061.
• [49]Drucker RR, Hammer LD, Agras WS, Bryson S: Can mothers influence their child's eating behavior? J Dev Behav Pediatr 1999, 20:88-92.
• [50]Johnson SL, Birch LL: Parents' and children's adiposity and eating style. Pediatrics 1994, 94:653-661.
• [51]Sekine M, Yamagami T, Hamanishi S, Handa K, Saito T, Nanri S, Kawaminami K, Tokui N, Yoshida K, Kagamimori S: Parental obesity, lifestyle factors and obesity in preschool children: results of the Toyama Birth Cohort study. J Epidemiol 2002, 12:33-39.
• [52]Graziano PA, Calkins SD, Keane SP: Toddler self-regulation skills predict risk for pediatric obesity. Int J Obes (Lond) 2010, 34:633-641.
• [53]Schlam TR, Wilson NL, Shoda Y, Mischel W, Ayduk O: Preschoolers' delay of gratification predicts their body mass 30 years later. J Pediatr 2013, 162:90-93.
• [54]Anderson SE, Gooze RA, Lemeshow S, Whitaker RC: Quality of early maternal-child relationship and risk of adolescent obesity. Pediatrics 2012, 129:132-140.
• [55]Erhart M, Hölling H, Bettge S, Ravens-Sieberer U, Schlack R: Der Kinder- und Jugendgesundheitssurvey (KiGGS): Risiken und Ressourcen für die psychische Entwicklung von Kindern und Jugendlichen. Bundesgesundheitsbl 2007, 50:800-809.
• [56]Kestila L, Rahkonen O, Martelin T, Lahti-Koski M, Koskinen S: Do childhood social circumstances affect overweight and obesity in early adulthood? Scand J Public Health 2009, 37:206-219.
• [57]Bayer JK, Sanson AV, Hemphill SA: Children’s moods, fears, and worries: development of an early childhood parent questionnaire. J Emot Behav Disord 2006, 14:41-49.
• [58]Luby JL, Belden AC, Spitznagel E: Risk factors for preschool depression: the mediating role of early stressful life events. J Child Psychol Psychiatry 2006, 47:1292-1298.
• [59]Ravens-Sieberer U, Wille N, Bettge S, Erhart M: Psychische Gesundheit von Kindern und Jugendlichen in Deutschland. Bundesgesundheitsbl 2007, 50:871-878.
• [60]Abidin RR: The Determinants of parenting behavior. J Clin Child Psychol 1992, 21:407-412.
• [61]Mann-Luoma R, Goldapp C, Khaschei M, Lamersm L, Milinski B: Integrierte Ansätze zu Ernährung. Bewegung und Stressbewältigung. Bundesgesundheitsbl 2002, 45:952-959.
• [62]Sinha R, Jastreboff AM: Stress as a common risk factor for obesity and addiction. Biol Psychiatry 2013, 73:827-835.
• [63]Francis LA, Birch LL: Maternal weight status modulates the effects of restriction on daughters' eating and weight. Int J Obes (Lond) 2005, 29:942-949.
• [64]Elfhag K, Lundh L: TAS-20 alexithymia in obesity, and its links to personality. Scand J Psychol 2007, 48:391-398.
• [65]Fukunishi I, Kaji N: Externally oriented thinking of obese men and women. Psychol Rep 1997, 80:219-224.
• [66]Pinna F, Lai L, Pirarba S, Orru W, Velluzzi F, Loviselli A, Carpiniello B: Obesity, alexithymia and psychopathology: a case–control study. Eat Weight Disord 2011, 16:164-170.
• [67]Adami GF, Campostano A, Ravera G, Leggieri M, Scopinaro N: Alexithymia and body weight in obese patients. Behav Med 2001, 27:121-126.
• [68]Baldaro B, Balsamo A, Caterina R, Fabbrici C, Cacciari E, Trombini G: Decoding difficulties of facial expression of emotions in mothers of children suffering from developmental obesity. Psychother Psychosom 1996, 65:258-261.
• [69]Baldaro B, Rossi N, Caterina R, Codispoti M, Balsamo A, Trombini G: Deficit in the discrimination of nonverbal emotions in children with obesity and their mothers. Int J Obes Relat Metab Disord 2003, 27:191-195.
• [70]Herpertz S, Burgmer R, Stang A, De ZM, Wolf AM, Chen-Stute A, Hulisz T, Jockel KH, Senf W: Prevalence of mental disorders in normal-weight and obese individuals with and without weight loss treatment in a German urban population. J Psychosom Res 2006, 61:95-103.
• [71]Taylor VH, Forhan M, Vigod SN, McIntyre RS, Morrison KM: The impact of obesity on quality of life. Best Pract Res Clin Endocrinol Metab 2013, 27:139-146.
• [72]Ackard DM, Neumark-Sztainer D, Story M, Perry C: Overeating among adolescents: prevalence and associations with weight-related characteristics and psychological health. Pediatrics 2003, 111:67-74.
• [73]Erermis S, Cetin N, Tamar M, Bukusoglu N, Akdeniz F, Goksen D: Is obesity a risk factor for psychopathology among adolescents? Pediatr Int 2004, 46:296-301.
• [74]Fonseca H, Matos MG, Guerra A, Pedro JG: Are overweight and obese adolescents different from their peers? Int J Pediatr Obes 2009, 4:166-174.
• [75]Goodman E, Whitaker RC: A prospective study of the role of depression in the development and persistence of adolescent obesity. Pediatrics 2002, 110:497-504.
• [76]Stunkard AJ, Faith MS, Allison KC: Depression and obesity. Biol Psychiatry 2003, 54:330-337.
• [77]Wardle J, Cooke L: The impact of obesity on psychological well-being. Best Pract Res Clin Endocrinol Metab 2005, 19:421-440.
• [78]Erickson SJ, Robinson TN, Haydel KF, Killen JD: Are overweight children unhappy?: body mass index, depressive symptoms, and overweight concerns in elementary school children. Arch Pediatr Adolesc Med 2000, 154:931-935.
• [79]Roth B, Munsch S, Meyer A, Winkler Metzke C, Isler E, Steinhausen HC, Schneider S: Die psychische Befindlichkeit übergewichtiger Kinder. Z Kinder Jugendpsychiatr Psychother 2008, 36:163-176.
• [80]Erdfelder E, Faul F, Buchner A: GPOWER: a general power analysis program. Behav Res Methods Instrum Comput 1996, 28:1-11.
• [81]Faul F, Erdfelder E, Lang A, Buchner A: G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods 2007, 39:175-191.
• [82]Cohen J: Statistical power analysis for the behavioral sciences. Hillsdale, New Jersey: Lawrence Erlbaum Associates; 1988.
• [83]Owens JA, Spirito A, McGuinn M: The Children's Sleep Habits Questionnaire (CSHQ): psychometric properties of a survey instrument for school-aged children. Sleep 2000, 23:1043-1051.
• [84]Schlarb AA, Schwerdtle B, Hautzinger M: Validation and psychometric properties of the German version of the Children’s Sleep Habits Questionnaire (CSHQ-DE). Somnologie 2010, 14:260-266.
• [85]Gartstein MA, Rothbart MK: Studying infant temperament via the revised infant behavior questionnaire. Infant Behav Dev 2003, 166:1-23.
• [86]Putnam SP, Gartstein MA, Rothbart MK: Measurement of fine-grained aspects of toddler temperament: the early childhood behavior questionnaire. Infant Behav Dev 2006, 29:386-401.
• [87]Rothbart MK, Ahadi SA, Hershey KL, Fisher P: Investigations of temperament at three to seven years: the Children's behavior questionnaire. Child Dev 2001, 72:1394-1408.
• [88]ZERO TO THREE: Diagnostic classification of mental health and developmental disorders of infancy and early childhood (rev.). Washington DC: Zero to Three Press; 2005.
• [89]Achenbach TM, Rescorla LA: Manual for the ASEBA preschool forms & profiles. Burlington, VT: University of Vermont; 2000.
• [90]Achenbach TM: Manual for the Child Behavior Checklist/2-3 and 1992 profile. Burlington, VT: University of Vermont; 1992.
• [91]Goodman R: The Strengths and Difficulties Questionnaire: a research note. J Child Psychol Psychiatry 1997, 38:581-586.
• [92]Woerner W, Becker A, Friedrich C, Klasen H, Goodman R, Rothenberger A: Normierung und Evaluation der deutschen Elternversion des Strengths and Difficulties Questionnaire (SDQ): Ergebnisse einer repräsentativen Felderhebung. Z Kinder Jugendpsychiatr Psychother 2002, 30:105-112.
• [93]Döpfner M, Berner W, Fleischmann T, Schmidt M: Verhaltensbeurteilungsbogen für Vorschulkinder (VBV 3–6). Beltz: Weinheim; 1993.
• [94]Pons F, Harris P: Test of Emotion Comprehension: TEC. Oxford: University of Oxford; 2000.
• [95]Janke B: Skala zur Erfassung des Emotionswissens für 3- bis 10-jährige Kinder. Heidelberg: Pädagogische Hochschule; 2006.
• [96]Wardle J, Guthrie CA, Sanderson S, Rapoport L: Development of the children's eating behaviour questionnaire. J Child Psychol Psychiatry 2001, 42:963-970.
• [97]Plattform Ernährung und Bewegung e.V: Ausgewählte Ergebnisse der Befragung zum Ernährungs- und Bewegungsverhalten in jungen Familien. [http://pebonline.de/uploads/tx_ernaehrungundbewegung/Studie_Junge_Eltern_zum_Download.pdf webcite
• [98]Ponitz CC, McClelland MM, Matthews JS, Morrison FJ: A structured observation of behavioral self-regulation and its contribution to kindergarten outcomes. Dev Psychol 2009, 45:605-619.
• [99]McClelland MM, Cameron CE, Connor CM, Farris CL, Jewkes AM, Morrison FJ: Links between behavioral regulation and preschoolers' literacy, vocabulary, and math skills. Dev Psychol 2007, 43:947-959.
• [100]Ponitz CC, McClelland MM, Jewkes AM, Connor CM, Farris CL, Morrison FJ: Touch your toes! Developing a direct measure of behavioral regulation in early childhood. Early Child Res Q 2008, 23:141-158.
• [101]Mischel W, Shoda Y, Rodriguez MI: Delay of gratification in children. Science 1989, 244:933-938.
• [102]Kramer MS, Barr RG, Leduc DG, Boisjoly C, Pless IB: Maternal psychological determinants of infant obesity. Development and testing of two new instruments. J Chronic Dis 1983, 36:329-335.
• [103]Spitzer RL, Kroenke K, Williams JB: Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Primary care evaluation of mental disorders. Patient health questionnaire. JAMA 1999, 282:1737-1744.
• [104]Cash T: The Multidimensional Body-Self Relations Questionnaire. Users’ manual [http://www.body-images.com webcite]
• [105]Abidin RR: The Parenting Stress Index (3rd ed.). Professional manual. Odessa, FL: Psychological Assessment Resources, Inc.; 1995.
• [106]Hofecker Fallahpour M, Benkert T, Riecher-Rössler A, Stieglitz R: Elternschaft und Belastungserleben: Psychometrische Überprüfung des Parenting-Stress-Index (PSI) an einer deutschsprachigen Stichprobe. Psychother Psychosom Med Psychol 2009, 59:224-233.
• [107]Beckert-Zieglschmid C, Brähler E: Der Leipziger Lebensstilfragebogen für Jugendliche (LLfJ). Ein kultursoziologisches Instrument zur lebensstilbasierten Arbeit mit Jugendlichen. Göttingen: Vandenhoeck & Ruprecht; 2007.
• [108]Robinson CC, Mandleco B, Olsen SF, Hart CH: Authoritative, authoritarian, and permissive parenting practices: development of a new measure. Psychol Rep 1995, 77:819-830.
• [109]Schüpbach M, Wustmann C, Mous H, Bolz M, Herzog W: SNF-Studie EduCare – Qualität und Wirksamkeit der familialen und ausserfamilialen Bildung und Betreuung von Primarschulkindern. Bern: Universität Bern; 2008.
• [110]Diener E, Emmons RA, Larsen RJ, Griffin S: The Satisfaction With Life Scale. J Pers Assess 1985, 49:71-75.
• [111]Glaesmer H, Grande G, Braehler E, Roth M: The German Version of the Satisfaction With Life Scale (SWLS). Eur J Psychol Assess 2011, 27:127-132.
• [112]Rosenberg M: Society and the adolescent self-image. Princeton, NJ: Princeton University Press; 1965.
• [113]Van Strien T, Frijters JER, Bergers GPA, Defares PB: The Dutch Eating Behavior Questionnaire (DEBQ) for Assessment of Restrained, Emotional, and External Eating Behavior. Int J Eat Disord 1986, 5:295-315.
• [114]Grunert SC: Ein Inventar zur Erfassung von Selbstaussagen zum Ernährungsverhalten. Diagnostica 1989, 35:167-179.
• [115]Kröller K, Warschburger P: ISS – ein Instrument zur Erfassung elterlicher Steuerungsstrategien in der Essenssituation. Diagnostica 2009, 55:135-143.
• [116]Birch LL, Fisher JO, Grimm-Thomas K, Markey CN, Sawyer R, Johnson SL: Confirmatory factor analysis of the Child Feeding Questionnaire: a measure of parental attitudes, beliefs and practices about child feeding and obesity proneness. Appetite 2001, 36:201-210.
• [117]Hughes SO, Power TG, Orlet Fisher J, Mueller S, Nicklas TA: Revisiting a neglected construct: parenting styles in a child-feeding context. Appetite 2005, 44:83-92.
• [118]Kröller K, Warschburger P: Associations between maternal feeding style and food intake of children with a higher risk for overweight. Appetite 2008, 51:166-172.
• [119]Kupfer J, Brosig B, Brähler E: Toronto-Alexithymie-Skala-26 - Deutsche Version. Göttingen: Hogrefe; 2001.
• [120]Taylor GJ, Ryan D, Bagby RM: Toward the development of a new self-report alexithymia scale. Psychother Psychosom 1985, 44:191-199.
• [121]Mayer JD, Salovey P, Caruso D: Mayer–Salovey–Caruso Emotional Intelligence Test (MSCEIT) user’s manual. Toronto, Canada: MHS Publishers; 2002.
• [122]Steinmayr R, Schütz A, Hertel J, Schröder-Abé M: MSCEIT (Mayer, Salovey, and Caruso Emotional Intelligence Test) – Mayer-Salovey-Caruso Test zur Emotionalen Intelligenz. Bern: Verlag Hans Huber; 2011.
• [123]Langner O, Dotsch R, Bijlstra G, Wigboldus DHJ, Hawk ST, van Knippenberg A: Presentation and validation of the Radboud Faces Database. Cogn Emot 2010, 24:1377-1388.
• [124]Emde RN, Osofsky JD, Butterfield PM: The IFEEL pictures: a new instrument for interpreting emotions. Madison, CT: International Universities Press; 1993.
• [125]George C, Kaplan N, Main M: Adult Attachment Interview. Berkeley: University of California; 1985.
• [126]Fonagy P, Target M, Steele H, Steele M: Reflective-Functioning Manual. Version 5. For Application to Adult Attachment Interviews. London: University College London; 1998.
• [127]Winkler J, Stolzenberg H: Der Sozialschichtindex im Bundes-Gesundheitssurvey. Gesundheitswesen 1999, 61:178-183.
• [128]Moos R: Family Environment Scale preliminary manual. Palo Alto, CA: Consulting Psychologists Press; 1974.
• [129]Moos R, Moos B: Family Environment Scale manual. Palo Alto, CA: Consulting Psychologists Press; 1981.
• [130]Schneewind KA, Beckmann M, Hecht-Jackl A: Das FK-Testsystem. Das Familienklima aus der Sichtweise der Eltern und der Kinder. München: Ludwig-Maximilians-Universität; 1985.
• [131]Chatoor I, Getson P, Menvielle E, Brasseaux C, O’Donnell R, Rivera Y, Mrazek DA: A feeding scale for research and clinical practice to assess mother-infant interactions in the first three years of life. Infant Ment Health J 1997, 18:76-91.
• [132]Biringen Z: Emotional Availability (EA) Scales (4th ed.), and EA clinical screener. http://www.emotionalavailability.com webcite
• [133]Biringen Z, Robinson J, Emde R: Emotional Availability (EA) Scales (3th ed.). http://www.emotionalavailability.com webcite
• [134]Waters E, Deane KE: Defining and assessing individual differences in attachment relationships: Q-Methodology and the Organization of Behavior in Infancy and Early Childhood. Monogr Soc Res Child Dev 1985, 50:41-65.
• [135]Bentler PM, Stein JA: Structural equation models in medical research. Stat Methods Med Res 1992, 1:159-181.
• [136]Holm S: A simple sequentially rejective multiple test procedure. Scand J Statist 1979, 6:65-70.
• [137]Finne E, Reinehr T, Schaefer A, Winkel K, Kolip P: Overweight children and adolescents–is there a subjective need for treatment? Int J Public Health 2009, 54:112-116.
• [138]Warren JM, Golley RK, Collins CE, Okely AD, Jones RA, Morgan PJ, Perry RA, Baur LA, Steele JR, Magarey AM: Randomised controlled trials in overweight children: practicalities and realities. Int J Pediatr Obes 2007, 2:73-85.
• [139]Alff F, Markert J, Zschaler S, Gausche R, Kiess W, Bluher S: Reasons for (non)participating in a telephone-based intervention program for families with overweight children. PLoS One 2012, 7:e34580.
• [140]Nguyen B, McGregor KA, O'Connor J, Shrewsbury VA, Lee A, Steinbeck KS, Hill AJ, Shah S, Kohn MR, Baur LA: Recruitment challenges and recommendations for adolescent obesity trials. J Paediatr Child Health 2012, 48:38-43.