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Biomedical subjects

Werner G K Stritzke

Publications and source records attributed to Werner G K Stritzke.

6 recordsLinked to original sources

Chocolate craving among children: implications for disordered eating patterns.

The aim was to test the validity of a multidimensional model of chocolate craving among children, and to examine if the dimensions underlying the model predict consumption and eating disordered symptoms. Participants were 602 children (53% female) aged 11, 12, and 13 from 11 schools in Western Australia. Measures included the Orientation to Chocolate Questionnaire (OCQ) designed to assess three components of chocolate craving (approach, avoidance, and guilt), questions assessing body image dissatisfaction and dieting, and body mass index (BMI). Using structural equation modeling, results confirmed that chocolate craving among children is best conceptualized as a three-factor model (approach, avoidance, guilt). The underlying dimensions were differentially associated with self-reported chocolate consumption and indicators of disordered eating patterns. After controlling for BMI and gender, chocolate-related guilt was strongly associated with greater body dissatisfaction and dieting, and avoidance inclinations were also associated with dieting. Chocolate-related guilt was higher in girls than in boys. Results suggest that children experience chocolate craving as a multidimensional phenomenon reflecting some ambivalence. A gender difference in chocolate-related guilt appears to emerge in childhood, potentially contributing to a greater risk for girls to develop exaggerated concerns about body shape and weight.

Adolescent↗

Memory for fact, fiction, and misinformation: the Iraq War 2003.

Media coverage of the 2003 Iraq War frequently contained corrections and retractions of earlier information. For example, claims that Iraqi forces executed coalition prisoners of war after they surrendered were retracted the day after the claims were made. Similarly, tentative initial reports about the discovery of weapons of mass destruction were all later disconfirmed. We investigated the effects of these retractions and disconfirmations on people's memory for and beliefs about war-related events in two coalition countries (Australia and the United States) and one country that opposed the war (Germany). Participants were queried about (a) true events, (b) events initially presented as fact but subsequently retracted, and (c) fictional events. Participants in the United States did not show sensitivity to the correction of misinformation, whereas participants in Australia and Germany discounted corrected misinformation. Our results are consistent with previous findings in that the differences between samples reflect greater suspicion about the motives underlying the war among people in Australia and Germany than among people in the United States.

Adolescent↗

Use of interactive voice response (IVR) technology in health research with children.

This article reports on the feasibility of using interactive voice response (IVR) technology to obtain daily reports of attitudes toward alcohol and tobacco use among children 9-13 years of age. Two studies were conducted. The first was an investigation of the use of IVR technology to obtain daily data from a sample of primary school children over a period of 8 weeks. The second was an extension of the research to a large sample of primary and secondary school children in urban and rural areas who provided daily data over a 4-week period. Retention and compliance rates comparable to those obtained with adults were evident in both studies, supporting the feasibility of this technology with children. The results are discussed in relation to the benefits of this methodology for health research, particularly for studies of sensitive topics conducted with children and adolescents.

Adolescent↗

Assessment of substance cue reactivity: advances in reliability, specificity, and validity.

An arousal-control and cross-over design was used to evaluate the reliability, specificity, and validity of the Normative Appetitive Picture System (NAPS), a cue exposure protocol with sets of visual alcohol, cigarette, and control cues. The authors also examined the utility of conceptualizing cue reactivity as a multidimensional phenomenon involving independent approach and avoidance dimensions. University student participants (n=369) rated multiple cue images in terms of arousing properties and capacity to elicit separate approach and avoidance inclinations. They also completed a battery of substance-related individual-difference measures. Results indicated that NAPS protocol reactivity profiles had good reliability and high specificity across cue types and individuals with different substance use histories. Avoidance reactivity independently predicted self-reports of substance-related behaviors, after controlling for approach reactivity.

Adolescent↗

Comparison of three models of alcohol craving in young adults: a cross-validation.

AIMS: The aim of study 1 was to develop a three-factor Approach and Avoidance of Alcohol Questionnaire (AAAQ), designed to assess mild and intense inclinations to drink, as well as inclinations to avoid drinking. The aims of study 2 were to cross-validate the AAAQ with an independent sample and to test the goodness-of-fit of three models of craving for alcohol: (a) the traditional unidimensional model; (b) a two-dimensional, approach-avoidance ambivalence model; and (c) an expanded two-dimensional neuroanatomical model that retains avoidance, while positing a threshold that partitions approach into two distinct levels and relates all three factors involved in craving to brain pathways associated with inhibitory processes, reward and obsessive-compulsive behaviour, respectively. DESIGN, SETTING AND PARTICIPANTS: The survey was administered to 589 Australian university students (69% women) in study 1 and to 523 American university students (64% women) in study 2. MEASUREMENTS: Inclinations to drink and to not drink (AAAQ), drinking behaviour (quantity and frequency), drinking problems (Young Adult Alcohol Problems Screening Test; YAAPST) and readiness for change (Stages of Change Readiness and Treatment Eagerness Scale; SOCRATES). FINDINGS: The expanded two-dimensional neuroanatomical model provided the best fit to the data. The AAAQ explained a substantial proportion of the variance in drinking frequency (41-53%), drinking quantity (49-60%) and drinking problems (43%). AAAQ profiles differed as a function of drinking-related risk, and the three AAAQ scales differentially predicted readiness for change. CONCLUSIONS: Approach and avoidance inclinations toward alcohol are separable constructs, and their activation may not be invariably reciprocal. Craving can be defined as the relative activation of substance-related response inclinations along these two primary dimensions. There may be a threshold of intensity that separates mild from intense approach inclinations.

Adolescent↗

Alcohol expectancies in late childhood: an ambivalence perspective on transitions toward alcohol use.

BACKGROUND: Late childhood has been identified as a critical transition period in expectancies about alcohol use, but much previous theorising has been based on the assumption that the transition involves a simple shift from negative to positive. This paper addresses the possibility that young people entertain more complex alcohol-related expectancies, and are increasingly aware of both negative and positive consequences of consumption. METHOD: Expectancies were measured in a sample of 233 primary school children aged 8, 10, and 12 years. Colour photographs of alcohol and non-alcohol items were presented in three conditions: item only, single adult, mixed group. RESULTS: Consistent with the ambivalence model of alcohol use (Breiner, Stritzke, & Lang, 1999), children endorsed both positive and negative alcohol expectancies. There was a main effect for grade with older children endorsingalcohol expectancies more than younger children. At all ages, children's positive alcohol expectancies were higher than negative ones for wine and champagne, but the reverse was found for beer. Compared to non-alcohol stimuli, differences between positive and negative expectancies were much smaller for alcohol stimuli, indicating a more balanced or ambivalent expectancy configuration that was unique to alcohol. CONCLUSIONS: Results are discussed with reference to motivational models of alcohol use that emphasise the role of ambivalence, and an integration of this ambivalence perspective with information processing theories of alcohol expectancy development is offered.

Age Factors↗