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Dive into the research topics where Johannes Kinzl is active.

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Featured researches published by Johannes Kinzl.


Obesity Surgery | 2003

Psychosocial Consequences of Weight Loss following Gastric Banding for Morbid Obesity

Johannes Kinzl; Christian Traweger; Ernestine Trefalt; Wilfried Biebl

Background: This study was performed to determine what consequences surgery for morbid obesity has on weight loss, problems in eating behavior, quality of life, physical appearance and mental state. Method: After a minimum follow-up of >8 months (median follow-up 21 months, range 8-48 months), a questionnaire concerning extent of, satisfaction with and consequences of weight loss was mailed to 250 morbidly obese patients after laparoscopic Swedish adjustable gastric banding (SAGB). In addition, the partners opinion regarding the operation was evaluated as well as the consequences of weight loss for partnership and sexual relationship. Results: 160 patients (64%) completed and returned the questionnaire. Most patients (87%) were happy with the extent of weight loss. Weight loss, however, was connected with negative consequences for the body such as flabby skin (53%), abdominal skin overhang (47%) and pendulous breasts (42%). Patients who were satisfied with their postoperative physical appearance showed significantly less weight loss than did patients who were unhappy with their appearance (38 vs 54 kg). Most of the partners (91%) believed that the decision for SAGB was right. An improvement in partnership was reported by more than half of the partners (59%), and an improved sexual relationship by 45%. Conclusion: Laparoscopic SAGB is an effective surgical treatment for morbid obesity. However, the consequences of excess and rapid weight loss for physical appearance are negative in many cases. Well-directed information about the consequences of excess weight loss before SAGB and the possibilities and limits of plastic surgery must be given preoperatively to offset high and often unrealistic expectations.


Psychotherapy and Psychosomatics | 2001

Body Image and Psychopathology in Male Bodybuilders

Barbara Mangweth; Harrison G. Pope; Georg Kemmler; C. Ebenbichler; Armand Hausmann; C. De Col; B. Kreutner; Johannes Kinzl; Wilfried Biebl

Background: To compare male bodybuilders to men with eating disorders and control men regarding body image, psychopathology and sexual history. Method: We compared 28 male bodybuilders, 30 men with eating disorders (anorexia nervosa, bulimia or binge eating disorder defined by DSM-IV), and 30 controls, using a battery of questionnaires covering weight history, eating behavior, body image, lifetime history of psychiatric disorders, and sexuality. Eating-disordered and control men were recruited from a college student population and studied during the course of an earlier investigation. Results: Bodybuilders exhibited a pattern of eating and exercising as obsessive as that of subjects with eating disorders, but with a ‘reverse’ focus of gaining muscle as opposed to losing fat. Bodybuilders displayed rates of psychiatric disorders intermediate between men with eating disorders and control men. In measures of body image, the bodybuilders closely resembled the men with eating disorders, but significantly differed from the control men, with the former two groups consistently displaying greater dissatisfaction than the latter. Sexual functioning did not distinguish the three groups except for the item ‘lack of sexual desire’ which was reported significantly more often by both bodybuilders and men with eating disorders. Conclusion: On measures of body image and eating behavior, bodybuilders share many features of individuals with eating disorders.


Child Abuse & Neglect | 1992

Long-term effects of incest: life events triggering mental disorders in female patients with sexual abuse in childhood

Johannes Kinzl; Wilfried Biebl

The authors studied several psychosocial, psychosomatic, and psychodynamic factors in 33 female psychiatric patients who had been victims of incest. Abuse was almost exclusively severe and prolonged. Three quarters of the female patients had been abused by their biological fathers or stepfathers. Sexual abuse experiences in childhood are connected with feelings of anxiety, helplessness, and powerlessness. Together with a lack of support on the part of the mother, these experiences lead to ego weakness, an autoplastic mode of coping with aggression and to patterns of objectal relationships which predispose them to object loss. The links between a girls traumatic experiences in relationships and her vulnerability to separation in later life and their importance for the incidence of mental disorders will be discussed on the basis of Bowlbys attachment theory.


Psychotherapy and Psychosomatics | 1995

Family background and sexual abuse associated with somatization.

Johannes Kinzl; Ch. Traweger; Wilfried Biebl

To help clarify the complex association between negative childhood experiences and somatization, the authors examined the possible relationship between self-reported childhood sexual abuse, dysfunctional family background and several types of somatization in a nonclinical sample. Three anonymous questionnaires were completed by 202 female university students (average age 22 years). The findings confirm that severe or repeated childhood sexual victimization and a familial deficiency syndrome in childhood may be important in the pathogenesis of somatization.


Psychotherapy and Psychosomatics | 1997

Eating Disorders in Austrian Men: An Intracultural and Crosscultural Comparison Study

Barbara Mangweth; Harrison G. Pope; James I. Hudson; Roberto Olivardia; Johannes Kinzl; Wilfried Biebl

Background: We compared 30 male university students with eating disorders and 30 male comparison subjects without eating disorders recruited by advertisement at Innsbruck University, Austria. Methods: Subjects were interviewed using instruments that we had previously used in a controlled study of college men with eating disorders in the United States. Results: The Austrian men with eating disorders differed sharply from Austrian comparison subjects, but closely resembled their American counterparts, on prevalence of personal and familial psychopathology, adverse family experiences, and scores on rating scales for eating disorder. Interstingly, dissatisfaction with body image was consistently greater among American subjects regardless of eating disorder status. Conclusions: Our data suggest a weak association between eating disorders and homosexual or bisexual orientation in men, and no consistent association between eating disorders and childhood sexual abuse.


Eating and Weight Disorders-studies on Anorexia Bulimia and Obesity | 2003

Therapeutic outcome of adjustable gastric banding in morbid obese patients

A. Hotter; Barbara Mangweth; Georg Kemmler; M. Fiala; Johannes Kinzl; Wilfried Biebl

We examined 77 obese patients treated with bariatric surgery in order to analyse treatment success, and compare those with a good or a poor outcome. The subjects, who were recruited one year after undergoing adjustable gastric banding, were asked questions concerning their sociodemographic status, postoperative course, past and present weight status, eating behaviours and difficulties in changing eating habits. Furthermore, we also used two body image questionnaires, and considered the patients’ evaluations of positive and negative changes, as well as their wishes for the future. There were no preoperative differences between the 71% of patients in the good outcome group and the 29% in the poor outcome group. With regard to the postoperative course, the poor outcome group had more problems in adapting to new eating behaviours, experienced significantly more post-surgical complications, and had a persistently negative body evaluation. Both groups were satisfied with their achieved weight loss achieved, and their improved self-esteem and mobility. Adjustable gastric banding seems to be successful in inducing weight loss and allowing a better quality of life. However, factors such as postoperative complications, the ability and willingness to adopt new eating attitudes, and an improved body image seem to be crucial for therapeutic outcome.


Psychotherapy and Psychosomatics | 1999

The Weeping Behavior in Anorexic and Bulimic Females

Barbara Mangweth; Georg Kemmler; Christoph Ebner; C. De Col; Johannes Kinzl; Wilfried Biebl; A.J.J.M. Vingerhoets

Background: The aim of the study was to examine the proneness, the functions and triggering situations of weeping in anorexic and bulimic women. Methods: Participants were 36 anorexic and 31 bulimic female patients and 56 age-matched female controls. All women completed the Questionnaire on Adult Crying. We limited our study to results on ‘crying proneness’, ‘functions of crying’ and ‘determining factors of crying’. Results: Bulimic patients reported to have cried significantly more often in the last 4 weeks, to be more likely to cry in situations of distress and to have used weeping significantly more often as a manipulative behavior than control women. Anorexic patients rated their tendency to cry significantly lower and experienced weeping as significantly more negative than controls. Conclusions: Compared to control women, anorexic patients associated weeping with negative feelings as opposed to bulimic patients who appeared to use weeping on an intentional basis. These deviations from control women seem to mirror the introvert character of anorexic patients and the extrovert impulsive personality of patients with bulimia nervosa, respectively.


European Psychiatry | 1996

Eating disorders in Austrian men: An intra-cultural and cross-cultural comparison study

B. Mangweth; Harrison G. Pope; J.I. Hudson; R. Olivardia; Johannes Kinzl; Wilfried Biebl

BACKGROUND We compared 30 male university students with eating disorders and 30 male comparison subjects without eating disorders recruited by advertisement at Innsbruck University, Austria. METHODS Subjects were interviewed using instruments that we had previously used in a controlled study of college men with eating disorders in the United States. RESULTS The Austrian men with eating disorders differed sharply from Austrian comparison subjects, but closely resembled their American counterparts, on prevalence of personal and familial psychopathology, adverse family experiences, and scores on rating scales for eating disorder. Interestingly, dissatisfaction with body image was consistently greater among American subjects regardless of eating disorder status. CONCLUSIONS Our data suggest a weak association between eating disorders and homosexual or bisexual orientation in men and no consistent association between eating disorders and childhood sexual abuse.


Eating and Weight Disorders-studies on Anorexia Bulimia and Obesity | 1999

Knowledge of calories and its effect on eating behavior in overweight, normal weight, and underweight individuals

Barbara Mangweth; James I. Hudson; Harrison G. Pope; S. Oberleit; C. De Col; Johannes Kinzl; Wilfried Biebl

Background: To assess changes in the eating behavior of overweight, normal weight, and underweight individuals in response to knowledge about the caloric content of their food. Methods: Anonymous self-report questionnaires were completed by 1041 staff members attending the Innsbruck University Hospital cafeteria shortly after it started to display the caloric content of all meals. The questions covered the subjects’ weight history, body image, eating behavior, and response to knowledge of caloric content. Results: Among the respondents, 141 were classified as overweight, 728 as normal weight, and 118 as underweight. Overweight individuals reported a significantly more frequent change in eating behavior in response to the information, and were also significantly more distressed about weight and eating and dissatisfied with their bodies and their weight than normal and underweight individuals. Conclusions: Overweight individuals were more likely to report that they had modified their eating in response to information about calories. Whether this reflects an actual change in eating behavior, or merely a wish to give socially desirable responses, remains uncertain.


Psychiatrische Praxis | 2001

Lebensqualität essgestörter Patientinnen

Claudia Danzl; Georg Kemmler; Elisabeth Gottwald; Barbara Mangweth; Johannes Kinzl; Wilfried Biebl

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Georg Kemmler

Innsbruck Medical University

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C. De Col

University of Innsbruck

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Georg Bartsch

Innsbruck Medical University

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Gustav Fraedrich

Innsbruck Medical University

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