Dana M Bakula, Alexandra Zax, Meredith L Dreyer Gillette
{"title":"Acceptance and Commitment Therapy for a Parent of a Child with Pediatric Feeding Disorder: A Case Study.","authors":"Dana M Bakula, Alexandra Zax, Meredith L Dreyer Gillette","doi":"10.1037/cpp0000549","DOIUrl":"10.1037/cpp0000549","url":null,"abstract":"<p><strong>Objective: </strong>Pediatric Feeding Disorder (PFD) is a common condition for young children and can cause stress among parents. However, there are no parent psychosocial interventions that have been tested for efficacy in this population. Acceptance and Commitment Therapy (ACT) holds great promise for addressing parent stress among parents of children with PFD. In the present case report, we describe the application of ACT with a parent of a child with PFD, with a focus on parent and child outcomes and parent-reported implementation barriers and facilitators.</p><p><strong>Methods: </strong>The mother of a young child with PFD completed 6 sessions of Acceptance and Commitment Therapy, focused on the stress she was experiencing related to her child's feeding issues. Treatment was offered in the context of her child's PFD treatment setting, and sessions were held over telehealth.</p><p><strong>Results: </strong>This mother's stress improved from high to average over the course of treatment, using the parental stress scale. The majority of her improvements in stress were following the first 2 sessions. She also reported qualitative benefits related to her parenting, her child's feeding, and her general wellbeing. She reported several facilitators of treatment, including the flexibility offered throughout treatment the use of telehealth, and acknowledgement of her experiences. She reported barriers including mental health stigma, time constraints, and childcare.</p><p><strong>Conclusions: </strong>Brief treatment of parental stress, offered in a pediatric treatment setting is feasible to implement and may have clinical utility in supporting families of children with PFD or other medical conditions.</p>","PeriodicalId":37641,"journal":{"name":"Clinical Practice in Pediatric Psychology","volume":"13 1","pages":"83-88"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12443330/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marissa N Baudino, Samantha Garcia Perez, Maeve B O'Donnell, Brenda Duran, Daniel J DeSalvo, Faisal Malik, Catherine Pihoker, Katherine Gallagher, Ashley M Butler, Joyce P Yi-Frazier, Abby R Rosenberg, Marisa E Hilliard
{"title":"\"Faith, Family, and Friends\": Pandemic-Related Coping in Parents of Adolescents With Type 1 Diabetes.","authors":"Marissa N Baudino, Samantha Garcia Perez, Maeve B O'Donnell, Brenda Duran, Daniel J DeSalvo, Faisal Malik, Catherine Pihoker, Katherine Gallagher, Ashley M Butler, Joyce P Yi-Frazier, Abby R Rosenberg, Marisa E Hilliard","doi":"10.1037/cpp0000528","DOIUrl":"10.1037/cpp0000528","url":null,"abstract":"<p><strong>Objective: </strong>The COVID-19 pandemic presented unique stressors for parents of youth with chronic health conditions including type 1 diabetes (T1D), such as managing youths' diabetes self-management demands without usual routines, changes in interactions with health care system, and concerns about increased health risks related to COVID-19 exposure. While data have been published on how adolescents with T1D coped with pandemic-related stress, little is known about their parents' perspectives. To fill this gap, we explored parents' coping strategies.</p><p><strong>Method: </strong>At the baseline of a multisite trial of a psychosocial intervention for adolescents with T1D, parents answered an open-ended question, \"What is helping you through the pandemic?\" A multidisciplinary qualitative research team used thematic analysis to code, analyze responses, and generate themes and explored patterns by gender, study site, race, ethnicity, and socioeconomic status indices.</p><p><strong>Results: </strong>Eighty-nine parents (89% female, 18% Hispanic/Latinx, 7% non-Hispanic Black/African American, 70% non-Hispanic White) provided text responses to the qualitative question. We generated six themes: safety practices, social efforts, maintaining a positive perspective, efforts to distract, cognitive avoidance, and religious/spiritual coping. The spiritual/religious coping theme was more common among Black/African American and Hispanic/Latinx parents. There were no other demographic group patterns for the other themes.</p><p><strong>Conclusions: </strong>Themes aligned with primary control, secondary control, and disengagement coping strategies of the control-based model of coping. Religious and spiritual coping represented an additional coping category that was especially common in marginalized groups. During stressful times, pediatric psychologists should attend to parental coping and consider cultural factors in relation to parental well-being.</p>","PeriodicalId":37641,"journal":{"name":"Clinical Practice in Pediatric Psychology","volume":"12 4","pages":"457-467"},"PeriodicalIF":0.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12290988/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Pierce, Paul T. Enlow, Courtney Thomas, J. Price, Rachel Wasserman, Tim Wysocki, M. Alderfer
{"title":"Parent and adolescent perspectives on a novel transdisciplinary model of health care delivery for type 1 diabetes.","authors":"J. Pierce, Paul T. Enlow, Courtney Thomas, J. Price, Rachel Wasserman, Tim Wysocki, M. Alderfer","doi":"10.1037/cpp0000512","DOIUrl":"https://doi.org/10.1037/cpp0000512","url":null,"abstract":"","PeriodicalId":37641,"journal":{"name":"Clinical Practice in Pediatric Psychology","volume":"26 7","pages":""},"PeriodicalIF":1.1,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138948055","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":"Managing sibling referrals: Ethical considerations for integrated\u0000 pediatric primary care.","authors":"Stacy S. Forcino, L. M. Grimes, Brett R. Kuhn","doi":"10.1037/cpp0000504","DOIUrl":"https://doi.org/10.1037/cpp0000504","url":null,"abstract":"","PeriodicalId":37641,"journal":{"name":"Clinical Practice in Pediatric Psychology","volume":"420 1","pages":""},"PeriodicalIF":1.1,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138974085","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}