P. Zengin Akkus, Berrak Bilginer Gurbuz, Kısmet Çıkı, E. İLTER BAHADUR, S. Karahan, E. Ozmert, T. Coşkun, S. Sivri
{"title":"Caring for a Child with Phenylketonuria: Parental Experiences from a Eurasian Country.","authors":"P. Zengin Akkus, Berrak Bilginer Gurbuz, Kısmet Çıkı, E. İLTER BAHADUR, S. Karahan, E. Ozmert, T. Coşkun, S. Sivri","doi":"10.1097/DBP.0000000000000748","DOIUrl":"https://doi.org/10.1097/DBP.0000000000000748","url":null,"abstract":"OBJECTIVES\u0000Phenylketonuria (PKU) and mild hyperphenylalaninemia (HPA) are characterized by increased blood phenylalanine concentrations varying from mild to severe. Management of PKU was reported to be time consuming and burdensome for caregivers. This study intended to explore the experiences of families caring for a child with PKU/HPA in a country with a high PKU rate. The aim of this study was to compare parental well-being between parents of children with and without dietary restrictions and to explore the factors associated with parental psychological well-being.\u0000\u0000\u0000METHODS\u0000Participants were interviewed about their experiences, concerns, and challenges related to the disease by using a semistructured questionnaire. After the interview, parents filled out the Beck Depression Inventory and State-Trait Anxiety Inventory-Trait.\u0000\u0000\u0000RESULTS\u0000This study highlighted the adverse psychological, financial, and social effects of the diagnosis and management of the disease regarding the lives of the families of children with PKU/HPA. Although parental anxiety scores of children with and without dietary restrictions were similar, depressive symptom scores were higher in parents of children with dietary restrictions. However, in multiple regression analysis, lower household income and absence of perceived social support were found to be independent factors associated with higher depressive symptom scores. Having a daughter diagnosed with PKU/HPA and lower household income were found to be factors associated with higher anxiety scores.\u0000\u0000\u0000CONCLUSION\u0000This study revealed that income level, perceived social support, and gender of the child were factors associated with psychological well-being of parents caring for children with PKU/HPA. Health care professionals should identify the challenges faced by families and should be aware of risk factors associated with lower parental well-being to achieve better family adjustment and better health outcomes.","PeriodicalId":15655,"journal":{"name":"Journal of Developmental & Behavioral Pediatrics","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88618522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Whipps, Elizabeth B. Miller, D. Bogen, A. Mendelsohn, Pamela A. Morris, D. Shaw, R. Gross
{"title":"Breastfeeding Behaviors and Maternal Interaction Quality in a Low-Income, Ethnic Minority Population.","authors":"M. Whipps, Elizabeth B. Miller, D. Bogen, A. Mendelsohn, Pamela A. Morris, D. Shaw, R. Gross","doi":"10.1097/DBP.0000000000000743","DOIUrl":"https://doi.org/10.1097/DBP.0000000000000743","url":null,"abstract":"OBJECTIVE\u0000To examine the associations between breastfeeding intensity and underexplored features of maternal-child interaction quality over and above the influence of breastfeeding initiation.\u0000\u0000\u0000METHODS\u0000The current study leveraged an on-going, multisite randomized controlled trial of a tiered parenting program for 462 Medicaid-eligible mothers and their infants in the United States. We examined whether breastfeeding intensity and exclusivity was associated with observed maternal sensitivity, intrusiveness, and detachment, as well as self-reported maternal verbal responsiveness, 6 months infant age. Analyses controlled for breastfeeding initiation, demographics, and early parenting experiences.\u0000\u0000\u0000RESULTS\u0000Higher intensity breastfeeding at 6 months was significantly related to higher maternal sensitivity (β = 0.12, p = 0.004) and lower maternal intrusiveness (β = -0.10, p = 0.045). There was no significant association between breastfeeding intensity at 6 months and detachment (β = -0.02, no significant [ns]) or self-reported verbal responsiveness (β = 0.11, ns). Results were the same when intensity was measured as a dichotomous indicator for exclusive breastfeeding. Effect sizes were small-to-moderate, ranging from Cohen's d = 0.26 to 0.31. Associations did not vary by site, race/ethnicity, infant difficultness, or household poverty.\u0000\u0000\u0000CONCLUSION\u0000The finding that breastfeeding intensity was significantly and independently associated with maternal sensitivity and intrusiveness is novel in the literature on low-income families from the United States. These findings have implications for breastfeeding promotion strategies and indicate that future research should explore synergistic or spillover effects of interventions aimed at maternal-child interaction quality into the infant feeding domain, particularly in the primary care setting.","PeriodicalId":15655,"journal":{"name":"Journal of Developmental & Behavioral Pediatrics","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89635530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Emotion Regulation in Children and Adolescents: A Practitioner's Guide","authors":"Kimberley J. Levitt, Prachi E Shah","doi":"10.1097/DBP.0000000000000798","DOIUrl":"https://doi.org/10.1097/DBP.0000000000000798","url":null,"abstract":"","PeriodicalId":15655,"journal":{"name":"Journal of Developmental & Behavioral Pediatrics","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77958273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Carol C Weitzman, Jennifer K. Poon, J. H. Sia, A. Egan
{"title":"Journal Article Reviews.","authors":"Carol C Weitzman, Jennifer K. Poon, J. H. Sia, A. Egan","doi":"10.1097/DBP.0000000000000784","DOIUrl":"https://doi.org/10.1097/DBP.0000000000000784","url":null,"abstract":"Academic Performance, Screen Media Use Adelantado-Renau M, Molinder-Urdiales D, CaveroRedondo I, et al. Association between screen media use and academic performance among children and adolescents. JAMA Pediatr. 2019;173:1058–1067. The literature has shown mixed results in the evaluation of the association between screen media use and academic performance. This study seeks to examine the association between time spent on screen-based activities and specific academic performance areas. This systematic review and meta-analysis followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and the Cochrane handbook. The search strategy was performed through multiple databases from their inception through September 2018. Inclusion criteria were studies with the following characteristics: (1) participants who were 4 to 18 years of age or primary, elementary, and secondary school students; (2) exposure was usage time or frequency of screen-based activities; (3) outcomes analyzed as academic performance recorded as school grades, standardized test, or other measurements, including school performance or academic failure; (4) study design was cross sectional; and (5) language of articles in English or Spanish. Articles excluded were those not reporting findings concerning the association between time or frequency of screen media use and academic performance, and studies that included toddlers or participants with disorders that could limit generalization of data. Of 5599 records identified, 58 cross-sectional studies met the inclusion criteria, and 30 (52%) were included in the meta-analysis. There were a total of 106,653 total participants (ranging from 70 to 42,041 people per study). The pooled effect size estimate did not find an association between overall screen media time/frequency and composite scores on academic performance {pooled estimated effect size [ES]20.29 (95% confidence interval [CI],20.65 to 0.08)}. Television viewing and academic performance areas were inversely associated (pooled ES 20.19 (95% CI,20.29 to 20.09) for composite academic performance scores, 20.18 [95% CI, 20.36 to 20.01] for language scores, and 20.25 [95% CI, 20.33 to 20.16] for math). This was also true for association between the duration of video game time and composite scores (pooled ES 20.15 (95% CI, 20.22 to 20.08). Subgroup analyses conducted in children (between 4 and 11.9 years) and adolescents demonstrated that in children, television watching duration was inversely associated with language (ES 20.20; 95% CI, 20.26 to 20.15) and math (ES 20.36; 95% CI, 20.66 to 20.07) while in adolescents, the duration of television watching was inversely associated with composite scores (ES 20.19; 95% CI, 20.30 to 20.07) and math (ES 20.21; 95% CI, 20.26 to 20.15). Video game playing duration was also inversely associated with composite scores of adolescents only (ES 20.16; 95% CI, 20.24 to 20.09). Although there was a lack of association between the ","PeriodicalId":15655,"journal":{"name":"Journal of Developmental & Behavioral Pediatrics","volume":"71 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82640621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
F. Cook, Laura J Conway, Deirdre Gartland, R. Giallo, Elizabeth M. Keys, S. Brown
{"title":"Profiles and Predictors of Infant Sleep Problems Across the First Year.","authors":"F. Cook, Laura J Conway, Deirdre Gartland, R. Giallo, Elizabeth M. Keys, S. Brown","doi":"10.1097/DBP.0000000000000733","DOIUrl":"https://doi.org/10.1097/DBP.0000000000000733","url":null,"abstract":"OBJECTIVE\u0000To identify profiles and predictors of maternal-reported infant sleep problems across the first postnatal year.\u0000\u0000\u0000METHODS\u0000Survey data examining maternal mental and physical health, intimate partner violence (IPV), and infant sleep problems and night waking were gathered from a cohort of 1,460 nulliparous women at 15 weeks' gestation and when their infants were 3, 6, 9, and 12 months old.\u0000\u0000\u0000RESULTS\u0000Latent class analysis revealed 5 profiles of infant sleep problems, including those who had few problems (24.7%), persistent moderate problems (27.3%), increased problems at 6 months (10.8%), increased problems at 9 months (17.8%), and persistent severe problems (19.4%). Persistent severe infant sleep problems were associated with prepartum and postpartum maternal depression (adjusted odds ratio [AOR] 2.13, 95% confidence interval [CI] 1.35-3.34, p < 0.01; AOR 2.52, 95% CI 1.64-3.87, p < 0.001, respectively), poorer prepartum and postpartum perception of health (adjusted mean difference [AMD] 23.48, 95% CI 24.9 to 22.1, p < 0.01; AMD 23.78, 95% CI 25.2 to 22.4, p < 0.001, respectively), increased postpartum anxiety (AOR 2.22, 95% CI 1.26-3.90, p < 0.01), and increased prevalence of IPV in the first year postpartum (AOR 1.86, 95% CI 1.20-2.87, p < 0.01).\u0000\u0000\u0000CONCLUSION\u0000Poorer prepartum and postpartum maternal mental and physical health, and IPV, were associated with maternal report of persistent severe infant sleep problems. Women experiencing prenatal physical and mental health difficulties may benefit from advice on managing infant sleep and settling. Health professionals working with unsettled infants must be equipped to enquire about and respond appropriately to disclosures of IPV.","PeriodicalId":15655,"journal":{"name":"Journal of Developmental & Behavioral Pediatrics","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79814508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L. Kelada, C. Wakefield, Maria C Cruz Silva, C. Signorelli
{"title":"Camps for Children with Cancer and Their Families: A Systematic Review of Psychosocial and Physical Impacts.","authors":"L. Kelada, C. Wakefield, Maria C Cruz Silva, C. Signorelli","doi":"10.1097/DBP.0000000000000728","DOIUrl":"https://doi.org/10.1097/DBP.0000000000000728","url":null,"abstract":"OBJECTIVE\u0000Camps for children with cancer and their families aim to promote positive psychosocial and physical outcomes for attendees. However, evidence for this is inconsistent, and previous reviews have not delineated between camps for children (patient/survivors and siblings) and family camps (including parents/guardians). Such understanding is necessary to understand the evidence-based benefits of each type of camp. Our systematic review summarizes the findings and limitations of the recent literature for children's camps and family camps.\u0000\u0000\u0000METHODS\u0000We searched MEDLINE/PubMed, PsycINFO, Social Work Abstracts, and Google Scholar for relevant articles published between 2013 and 2018.\u0000\u0000\u0000RESULTS\u0000Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses protocol, we included 19 articles (from 15 studies) in the review. Evidence for the impact of camps was mixed. All articles reported positive outcomes, yet 3 quantitative articles also reported nonsignificant changes. Camps for children (representing 2151 children with cancer/survivors) appeared to facilitate social skills, self-esteem, and physical activity. Family camps (representing 96 families) may provide families the opportunity to reconnect. Both types of camp provide attendees with social support and fun/respite. In 2 qualitative articles, some parents attending family camps reported tension between families of children on treatment and bereaved families. The literature is limited by small sample sizes and the lack of multisite, longitudinal, and controlled study designs.\u0000\u0000\u0000CONCLUSION\u0000The recent literature provides evidence for some positive, short-term psychosocial and physical outcomes of camps. Future research should use rigorous quasiexperimental designs and should assess the long-term impact of camp attendance.","PeriodicalId":15655,"journal":{"name":"Journal of Developmental & Behavioral Pediatrics","volume":"61 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76007279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Is It Correct to Correct for Prematurity? Theoretic Analysis of the Bayley-4 Normative Data.","authors":"G. Aylward","doi":"10.1097/DBP.0000000000000739","DOIUrl":"https://doi.org/10.1097/DBP.0000000000000739","url":null,"abstract":"OBJECTIVE\u0000To determine whether correction for prematurity is appropriate for cognitive, language, and motor function at varying degrees of prematurity and at different baseline functional levels.\u0000\u0000\u0000METHODS\u0000The newly published Bayley-4 normative data on 1700 normal children were used. Raw scores for baseline levels of function (-2 SD, -1 SD, and M) were identified at 6, 12, 24, and 36 months for receptive communication, expressive communication, fine motor, and gross motor scaled scores and cognitive, language, and motor composite scores. Differences between the baseline and uncorrected scores at 4, 3, 2, and 1 months of prematurity were evaluated at each age.\u0000\u0000\u0000RESULTS\u0000Using a cutoff of 3 points (1/5 SD), correction is needed for cognitive composite scores at all gestational ages for the first 2 years and in those born 4 months premature at 3 years of age; language and motor composite scores should be corrected to 3 years at all degrees of prematurity.\u0000\u0000\u0000CONCLUSION\u0000Not correcting for prematurity in cognitive, language, and motor function at 3 years and younger places preterm infants at a distinct disadvantage when compared to peers with few exceptions, suggesting that such correction should be routine.","PeriodicalId":15655,"journal":{"name":"Journal of Developmental & Behavioral Pediatrics","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85027023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Mittal, A. Boan, Silvia Pereira-Smith, Angela C. Larosa
{"title":"Screening for Anemia in Children with Down Syndrome.","authors":"S. Mittal, A. Boan, Silvia Pereira-Smith, Angela C. Larosa","doi":"10.1097/DBP.0000000000000731","DOIUrl":"https://doi.org/10.1097/DBP.0000000000000731","url":null,"abstract":"OBJECTIVE\u0000As part of the 2011 American Academy of Pediatrics (AAP) health supervision guidelines for children with Down syndrome (DS), annual screening for iron deficiency anemia is recommended between the ages of 1 and 18 years, but the evidence supporting this recommendation is limited. This study aimed to assess the prevalence of anemia in patients with DS between the ages of 1 and 18 years to provide additional evidence for the AAP 2011 guideline recommendations for annual hemoglobin and ferritin screening in patients with DS.\u0000\u0000\u0000METHODS\u0000A retrospective cohort study was completed by obtaining data from the electronic health record (EHR) for patients meeting the following inclusion criterion: a diagnosis of DS in patients aged 1 to 18 years seen at our institution with hemoglobin drawn between July 2012 and 2016. Data were analyzed by the Fisher exact test and χ test.\u0000\u0000\u0000RESULTS\u0000A total of 200 patients were identified. 22.5% had anemia, defined as a hemoglobin concentration less than 2 SDs for normed age. The National Health and Nutrition Examination Survey (2007-2010) reported prevalence of anemia for children aged 1 to 5 years is 3.2% when compared with 18.7% in our sample. Of the 45 children with anemia, 5% had a microcytic, 67.5% a normocytic, and 27.5% a macrocytic anemia. Only 10 received a diagnosis of anemia in the EHR.\u0000\u0000\u0000CONCLUSION\u0000The prevalence of anemia in this cohort of children with DS is significantly higher than that in the general population, supporting the AAP guidelines for an annual screening until the age of 18 years.","PeriodicalId":15655,"journal":{"name":"Journal of Developmental & Behavioral Pediatrics","volume":"329 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73157250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Paloma A Ventura, Maria-Lucia C Lage, Alessandra L de Carvalho, Adriana S Fernandes, Tânia B Taguchi, C. Nascimento-Carvalho
{"title":"Early Gross Motor Development Among Brazilian Children with Microcephaly Born Right After Zika Virus Infection Outbreak.","authors":"Paloma A Ventura, Maria-Lucia C Lage, Alessandra L de Carvalho, Adriana S Fernandes, Tânia B Taguchi, C. Nascimento-Carvalho","doi":"10.1097/DBP.0000000000000722","DOIUrl":"https://doi.org/10.1097/DBP.0000000000000722","url":null,"abstract":"OBJECTIVE\u0000To assess the gross motor development of children with presumed congenital Zika virus (ZIKV) infection over the first 2 years of their lives.\u0000\u0000\u0000METHODS\u0000Seventy-seven children were assessed at the median ages of 11, 18, and 24 months, using the evaluative instrument Gross Motor Function Measure (GMFM-66). At the third assessment, the children with diagnoses of cerebral palsy (CP) were classified by severity through the Gross Motor Function Classification System (GMFCS) and stratified by topography indicating the predominantly affected limbs. With these instruments in combination and using the motor development curves as reference, the rate of development and functional ability were estimated.\u0000\u0000\u0000RESULTS\u0000At 2 years of age, all children had the diagnosis of CP. Seventy-four (96.1%) presented gross motor skills similar to those of children aged 4 months or younger, according to the World Health Organization's standard. The GMFM-66 median score among the 73 (94.8%) children with quadriplegia and GMFCS level V showed significant change between 11 and 18 months (p < 0.001) and between 11 and 24 months (p < 0.001). No significant difference (p = 0.076) was found between 18 and 24 months.\u0000\u0000\u0000CONCLUSION\u0000Despite showing some gross motor progress during the initial 18 months of life, these children with presumed congenital ZIKV infection and CP experienced severe motor impairment by 2 years of age. According to the motor development curves, these children with quadriplegia have probably already reached about 90% of their motor development potential.","PeriodicalId":15655,"journal":{"name":"Journal of Developmental & Behavioral Pediatrics","volume":"94 6 Suppl 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83367318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}