Pediatric Reports最新文献

{"title":"Addressing Cognitive Bias in Adolescents with Neurodevelopmental Disorders Using 3-D Animated Serious Games.","authors":"Suzanne Stewart, Stephen John Houghton, Leslie Macqueen","doi":"10.3390/pediatric17020028","DOIUrl":"10.3390/pediatric17020028","url":null,"abstract":"<p><strong>Objective: </strong>This study sought to evaluate the effectiveness of a serious game, that embeds cognitive bias modification for interpretation (CBM-I), in altering the negative interpretive bias of early aged adolescents diagnosed with Attention-Deficit/Hyperactivity Disorder, Autism Spectrum Disorder, and Specific Learning Disorders. The difficulties that adolescents with neurodevelopmental disorders (NDDs) experience navigating the social nuances of everyday environments make them prone to the cognitive biases that lead to the development of negative thought patterns. Directly tackling the biased interpretive processes that give rise to negative thinking may be effective in reducing negative bias and mental health problems.</p><p><strong>Method: </strong>Minds Online, a 10-episode 3-D animated serious game that embeds CBM-I was introduced using a three-phase multiple baseline design in a school setting. Eight adolescents diagnosed with an NDD completed the 10 episodes.</p><p><strong>Results: </strong>Real-time data revealed that seven of the eight adolescents altered their negative interpretive bias to a benign bias. However, pre- and post-test standardized measures revealed non-significant changes in the desired direction for mental health. Visual analyses of 308 daily self-reported ratings about worry about schoolwork, worry about peer relationships, and feelings of loneliness did not demonstrate a replicated intervention effect. However, when these interrupted time series data were analyzed statistically, significant individual improvements were evident. Engagement with Minds Online was excellent, as was adherence to daily data collection.</p><p><strong>Conclusions: </strong>Minds Online seems to be highly effective in altering the negative interpretive biases of adolescents with NDDs, which is promising because such cognitive biases are involved in the onset and maintenance of psychopathology.</p>","PeriodicalId":45251,"journal":{"name":"Pediatric Reports","volume":"17 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932302/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693926","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}

{"title":"Association Between Bullying/Cyberbullying and Subjective Vitality in Children and Adolescents: The Mediating Role of Mental Toughness.","authors":"Pablo Ramírez-Espejo, Alba Rusillo-Magdaleno, Alberto Ruiz-Ariza, Manuel J de la Torre-Cruz","doi":"10.3390/pediatric17020027","DOIUrl":"10.3390/pediatric17020027","url":null,"abstract":"<p><p><b>Background:</b> Previous research has examined to what extent the relationship between bullying/cyberbullying (victims and perpetrators) and psychological well-being is mediated by different cognitive-emotional variables. <b>Objectives:</b> The present study aimed to analyze whether mental toughness acted as a mediating variable in the relationship between bullying, suffered and perpetrated, and subjective vitality. <b>Methods:</b> Three hundred and twelve students in their final year of Primary Education and Compulsory Secondary Education, aged between 11 and 17 years, gave their responses to different self-report measures. <b>Results:</b> The results showed that perceived mental toughness significantly mediated the relationship between victimization and perpetration of aggressive acts through the use of electronic devices and levels of subjective vitality. A similar mediating effect was observed for occasions when the adolescent engaged in bullying acts during face-to-face interactions. <b>Conclusions:</b> It is concluded that high levels of mental toughness may act as a protective mechanism, reducing or mitigating the loss of subjective vitality resulting from being victimized in a virtual environment, as well as from perpetrating aggressive acts during face-to-face interactions and through the use of technological media.</p>","PeriodicalId":45251,"journal":{"name":"Pediatric Reports","volume":"17 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932250/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693931","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}

{"title":"The Linea Alba Width, Children's Physical Activity, and Chosen Anthropometric Measurements: The Results of the Cross-Sectional Study.","authors":"Agata Maria Kawalec-Rutkowska, Agata Marczak, Marian Simka","doi":"10.3390/pediatric17010025","DOIUrl":"10.3390/pediatric17010025","url":null,"abstract":"<p><p><b>Objectives:</b> This study was aimed at the assessment of the relationship between the presence of diastasis recti abdominis in children and the clinical variables potentially attributable to the wider linea alba. <b>Methods:</b> Fifty-one children, aged 8-12 years, were evaluated. The study protocol included ultrasonographic measurements of the linea alba width, anthropometric measurements, body composition assessment with the use of the Tanita Body Composition Analyzer, and the questionnaire assessing clinical history and the level of physical activity. <b>Results:</b> Statistical analysis revealed that the interrectus distance, which was ≥20 mm, was significantly more often found in boys, in children with a higher body length at birth and a higher waist/hip ratio, and also in those with a history of congenital umbilical hernia. Other variables, such as the level of physical activity, body weight, parameters of the body composition measured with the body analyzer, presence of abdominal symptoms (abdominal pain, constipation, urinary incontinence), or family history of musculoskeletal disease, were not associated with the presence of diastasis recti abdominis. <b>Conclusions:</b> The results of our study suggest a congenital background of diastasis recti abdominis in children, especially given its higher prevalence among boys and those children who presented with specific body parameters at birth.</p>","PeriodicalId":45251,"journal":{"name":"Pediatric Reports","volume":"17 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11858064/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143493506","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}

{"title":"Descriptive Analysis of Pediatric Studies Included in the European Union Post-Authorization Study Register from 2010 to 2023.","authors":"Annalisa Landi, Giorgio Reggiardo, Antonella Didio, Annunziata D'Ercole, Adriana Ceci, Grace Shalom Govere, Donato Bonifazi, Fedele Bonifazi, Salvatore Crisafulli, Gianluca Trifirò, Florentia Kaguelidou, Katja Marja Hakkarainen, Katarina Gvozdanović, Francesco Barone-Adesi, Andrealuna Ucciero, Mariagrazia Felisi","doi":"10.3390/pediatric17010024","DOIUrl":"10.3390/pediatric17010024","url":null,"abstract":"<p><strong>Background/objectives: </strong>This work aimed to analyze pediatric Post-Authorization Studies (PASs) registered in the European Union electronic Register of Post-Authorization Studies (EU PAS Register) from September 2010 to April 2023 to identify trends in terms of timing, age groups, and therapeutic areas and to discuss pediatric specificities and sources of funding for the PASs.</p><p><strong>Methods: </strong>A screening process identified PASs conducted exclusively on the pediatric population, and instructions were provided to ensure standardized data collection from the EU PAS Register. A univariate linear regression descriptive analysis was performed to assess trends over time, while a multivariate linear regression analysis helped explore additional characteristics of these studies.</p><p><strong>Results: </strong>Of the 2574 PASs extracted from the EU PAS Registry, 165 were included in this analysis. The majority of pediatric PASs were observational studies (86%), and most of them utilized secondary data (53%). The annual number of PASs increased significantly between 2010 and 2023. As envisaged, the largest part was funded by pharmaceutical companies (62%). Anti-infectives for systemic uses (25%), medicines for the nervous system (18%), and antineoplastic and immunomodulating agents (15%) resulted in the most studied drugs.</p><p><strong>Conclusions: </strong>Our findings show that post-marketing observational research in pediatric populations has increased over time. Nevertheless, industry-academia collaboration should be encouraged, and regulatory guidance is needed to prioritize research in areas of unmet therapeutic need.</p>","PeriodicalId":45251,"journal":{"name":"Pediatric Reports","volume":"17 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11858588/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494090","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}

{"title":"Prospective Evaluation of Pulse Oximetry Screening for Critical Congenital Heart Disease in a Jordanian Tertiary Hospital: High Incidence and Early Detection Challenges.","authors":"Naser Aldain A Abu Lehyah, Abeer A Hasan, Mahmoud Y Abbad, Razan A Al-Jammal, Moath K Al Tarawneh, Dima Abu Nasrieh, Haneen A Banihani, Saif N Aburumman, Areen G Fraijat, Heba M Alhawamdeh, Qasem A Shersheer, Milad Kh Al-Awawdeh, Scott O Guthrie, Joseph R Starnes","doi":"10.3390/pediatric17010023","DOIUrl":"10.3390/pediatric17010023","url":null,"abstract":"<p><strong>Background/objectives: </strong>Critical congenital heart disease (CCHD) is among the major causes of global neonatal morbidity and mortality. While the incidence of CCHD appears to vary across populations, much of this variation may stem from differences in detection and reporting capabilities rather than true prevalence. In Jordan, recent data revealed a congenital cardiac disease incidence of 17.8/1000 live births, much higher than international averages. Diagnosis is largely dependent upon echocardiography, which is difficult to obtain in low-resource settings where prenatal screening modalities are limited. Screening for CCHD with pulse oximetry offers a potential method to identify patients earlier and contribute to improved outcomes.</p><p><strong>Methods: </strong>This prospective cohort study evaluated 20,482 neonates screened using pulse oximetry at Al-Bashir Hospital between January 2022 and May 2024. Demographic data, pulse oximetry measurements, and echocardiogram findings were collected during the screening process after obtaining ethical approval from the Jordanian Ministry of Health.</p><p><strong>Results: </strong>Pulse oximetry screening identified 752 neonates (3.7%) requiring further evaluation by echocardiography. An abnormality was detected in 240 neonates (31.9%), which included cardiac anomalies and pulmonary hypertension. Screening led to the identification of 138 infants with CCHD, including 80 with a previously unknown diagnosis, and an additional 247 infants with conditions requiring increased monitoring or treatment. Among those with CCHD, hypoplastic left heart syndrome and Tetralogy of Fallot were the most common conditions, 3.1%, and 2.4%, respectively. The overall false positive rate was 1.8% and was higher among those screened at less than 24 h of life compared to those screened at or after 24 h of life (2.3% [95%CI 2.1-2.6] vs. 0.8% [95%CI 0.6-1.0], <i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>Pulse oximetry screening successfully led to the early detection of CCHD among Jordanian neonates. There was a high prevalence of CCHD compared to other reported cohorts. This highlights the importance of implementing national screening protocols to improve early diagnosis and intervention. Future studies will inform the feasibility and cost-effectiveness of national implementation in this setting.</p>","PeriodicalId":45251,"journal":{"name":"Pediatric Reports","volume":"17 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11858587/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143492567","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}

{"title":"The Impact of Life and Adverse Childhood Events on Help-Seeking Behaviours-A Cross-Sectional Survey of School-Age Adolescents in Jordan.","authors":"Reham A Lasheen, Sara Abu Khudair, Yousef Khader, Eizaburo Tanaka, Mohannad Al Nsour","doi":"10.3390/pediatric17010022","DOIUrl":"10.3390/pediatric17010022","url":null,"abstract":"<p><p>Traumatic life and childhood events are associated with adverse health outcomes, particularly for adolescents, who are vulnerable to such events and exhibit distinct health behaviours and needs. Nevertheless, the influence of exposure to these events on their help-seeking behaviour remains largely unexplored, especially in the Eastern Mediterranean region. This study aims to estimate the prevalence of adverse events among adolescents in Jordan and examine how adverse events shape the help-seeking behaviours.</p><p><strong>Methods: </strong>A national cross-sectional survey of 4407 school-age (12-18 years) adolescents living in Jordan was conducted between December 2022 and April 2023 using multi-state stratified cluster sampling. The study utilised self-report questionnaires as well as validated tools. These were adapted to ensure cultural relevance and sensitivity and translated to Arabic.</p><p><strong>Results: </strong>The prevalence of at least one adverse event is around 16%, while that of four or more ACEs stands at around 41% in our population. The most commonly reported event was being infected or having a family member infected with COVID-19 at 60.3%. Specific individual characteristics and traumatic events appeared to shape their help-seeking behaviour, particularly family affluence and smoking status as well as exposure to COVID-19.</p><p><strong>Conclusions: </strong>The study underscores the need to understand help-seeking patterns among school-age adolescents in light of exposure to traumatic events. Based on this study's findings, special attention should be paid to the impact certain events have on adolescents' mental health and their help-seeking behaviours. Positive help-seeking behaviours that resonate with adolescents' beliefs, emphasising contextual factors in mental health coping, should be promoted.</p>","PeriodicalId":45251,"journal":{"name":"Pediatric Reports","volume":"17 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11857999/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143493570","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}

{"title":"Clinical and Public Health Challenge of Handling Synthetic Cathinone and Cannabinoid Abuse in Pediatric Care: A Narrative Review.","authors":"Valerio Ricci, Giuseppe Maina","doi":"10.3390/pediatric17010019","DOIUrl":"10.3390/pediatric17010019","url":null,"abstract":"<p><strong>Background: </strong>Synthetic cathinones and cannabinoids have emerged as significant public health concerns, particularly in pediatric populations. Marketed under deceptive names such as \"bath salts\" and \"K2/Spice\", these substances pose unique challenges due to their accessibility, potency, and unpredictable effects. This narrative review synthesizes evidence on the toxicological effects of synthetic cathinones and cannabinoids in pediatric patients, emphasizing clinical presentations, management challenges, and public health implications.</p><p><strong>Methods: </strong>A structured narrative review was conducted using PubMed and Scopus databases to identify peer-reviewed studies published between January 2010 and September 2024. The selected articles focus on neuropsychiatric, systemic, and management outcomes associated with these substances in individuals aged 0-18 years.</p><p><strong>Results: </strong>Five studies demonstrate that synthetic cathinones frequently cause seizures, sympathomimetic toxidrome (tachycardia, hypertension), and neuropsychiatric effects like paranoia and catatonia. Seven studies show synthetic cannabinoids induce psychosis, respiratory depression requiring ventilation in 12% of cases, and cardiovascular complications like myocardial ischemia. One study highlighted severe outcomes in pediatric accidental exposures, emphasizing the unpredictable and life-threatening effects of these substances, often exacerbated by co-ingestion with alcohol or THC.</p><p><strong>Conclusions: </strong>Pediatric exposure to synthetic cathinones and cannabinoids results in severe and unpredictable toxicological effects, necessitating tailored clinical management strategies and enhanced diagnostic capabilities. Public health measures, including stringent regulatory controls, targeted education initiatives, and robust surveillance systems, are critical to mitigating these risks. A multidisciplinary approach is essential to safeguard vulnerable pediatric populations from the escalating dangers posed by synthetic drugs, and future research must address the long-term impacts and mechanisms of toxicity.</p>","PeriodicalId":45251,"journal":{"name":"Pediatric Reports","volume":"17 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11857941/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494089","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}

{"title":"The Prevalence of Invasive Bacterial Infection in Febrile Infants Presenting to Hospital Following Meningococcal B Immunisation: A Case Series.","authors":"Holly Drummond, Etimbuk Umana, Clare Mills, Thomas Waterfield","doi":"10.3390/pediatric17010020","DOIUrl":"10.3390/pediatric17010020","url":null,"abstract":"<p><strong>Objectives: </strong>To report the prevalence of invasive bacterial infection (IBI) in febrile infants ≤90 days presenting to hospital within 72 h of meningococcal B (MenB) immunisation.</p><p><strong>Methods: </strong>A secondary analysis of data from two previous multicentre studies of febrile infants conducted at UK and Irish hospitals. The first study was a retrospective study, conducted at six sites between 31 August 2018 and 1 September 2019. The second study was a prospective study conducted at 35 sites between 6 July 2022 and 31 August 2023. Febrile infants ≤90 days who had received the MenB vaccine within 72 h preceding presentation were included.</p><p><strong>Results: </strong>A total of 102 infants met the inclusion criteria, with a median age of 61 days and a male predominance of 65.7%. The most reported clinical features were an abnormal cry, decreased feeding and coryzal symptoms. In total, 68/102 (66.7%) were admitted to hospital; the median length of stay was 1 day. Median C-reactive protein (CRP) was 20.5 mg/L, mean white cell count was 13.7 × 10⁹/L, mean neutrophil count was 7.3 × 10⁹/L and mean lymphocyte count was 4.7 × 10⁹/L. In total, 38/102 (37.3%) had blood cultures performed, 26/102 (25.5%) had respiratory viral testing performed, 55/102 (53.9%) had urine culture performed and 14/102 (13.7%) had lumbar puncture performed. Additionally, 26/102 (25.5%) received parenteral antibiotics. There were no cases of IBI, and 3/102 (2.9%) cases of urinary tract infection.</p><p><strong>Conclusions: </strong>The rate of IBI is negligible in febrile infants following MenB immunisations. Current blood tests such as CRP are unreliable in this cohort, as many exhibit a moderate CRP rise above suggested international cut-offs for this age range.</p>","PeriodicalId":45251,"journal":{"name":"Pediatric Reports","volume":"17 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11857959/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143493507","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}

{"title":"Look at My Body: It Tells of Suffering-Understanding Psychiatric Pathology in Patients Who Suffer from Headaches, Restrictive Eating Disorders, or Non-Suicidal Self-Injuries (NSSIs).","authors":"Diletta Cristina Pratile, Marika Orlandi, Adriana Carpani, Martina Maria Mensi","doi":"10.3390/pediatric17010021","DOIUrl":"10.3390/pediatric17010021","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Adolescence is a developmental stage characterized by profound physical and psychological transformations, often leading to vulnerabilities such as body dissatisfaction, identity challenges, and the use of maladaptive coping strategies. This often leads to body-related psychopathologies, including headaches, restrictive eating disorders, and non-suicidal self-injury (NSSI). The present study aimed to describe the typical functioning and features of these conditions and the differences between the three groups, and to identify the most effective assessment for predicting these conditions. <b>Methods</b>: Sixty adolescent patients (51 female; mean age = 15.34 ± 1.80) were divided into three groups: headaches, restrictive eating disorders, and NSSI, and assessed for differences in symptoms, cognitive performance, personality, functioning, and illness severity using semi-structured interviews, clinician-based scales, and performance-based tests like the Rorschach inkblot test, according to the Rorschach Performance Assessment System (R-PAS). <b>Results</b>: Individuals with headaches experienced more internalizing symptoms, had an average IQ, maintained some functioning areas, and had distorted patterns of self-other relationships with the tendency to project malevolent aspects onto others. Patients with restrictive eating disorders had high levels of depressive symptoms, above-average IQ scores, negative symptoms, moderate presence of obsessive-compulsive personality traits, disorganized thinking, and a tendency to interpret situations subjectively. Patients with NSSI showed the highest level of depressive symptoms and social anxiety symptoms, and a considerable presence of psychotic symptoms and perceptual distortions. Negative symptoms, borderline personality traits, and psychosis symptoms had the strongest predictivity. <b>Conclusions</b>: The study provides clinicians with relevant insights into the features of these conditions and highlights assessment strategies, tailored interventions, and enhanced outcomes for these vulnerable populations.</p>","PeriodicalId":45251,"journal":{"name":"Pediatric Reports","volume":"17 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11858191/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494157","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}

{"title":"Measuring Community and Home Participation and Environmental Factors in Children with Cerebral Palsy.","authors":"Turki Aljuhani, Shaden A Alzahrani, Abeer M Aldosary, Lana A Alzamil, Rakan K Alshehri, Afnan S Gmmash, Reem A Albesher","doi":"10.3390/pediatric17010017","DOIUrl":"10.3390/pediatric17010017","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Children with cerebral palsy (CP) are reported to have lower rates of participation in community and home tasks than typically developing children. Little is known about the participation levels of children with CP and the environmental factors influencing their participation in the community within the Saudi context. This study aimed to determine the degree of participation in community and home tasks in children with CP in Saudi Arabia, as well as the level of support received, and the obstacles faced by children in this context. <b>Methods</b>: Parents of 5-16-year-old children with CP (<i>n</i> = 50) completed the Participation and Environment Measure for Children and Youth (PEM-CY), and their scores were compared with those of typically developing children of the same ages (<i>n</i> = 50). This study was conducted in a hospital setting. Analyses were performed using multivariate logistic regression analyses, controlling for potential confounders. <b>Results</b>: Participation in community activities as well as home activities was reported to be significantly lower in children with CP compared to their typically developing peers in multiple domains (<i>p</i> < 0.05). Additionally, physical, cognitive, and social demands were identified as factors that made community participation more difficult for children with CP (<i>p</i> = 0.002, <i>p</i> = 0.017, and <i>p</i> = 0.029 for physical, cognitive, and social demands, respectively). The availability of personal transportation, programs, services, and financial support were identified by parents as the factors that lowered community participation levels in children with CP (<i>p</i> > 0.005). <b>Conclusions</b>: Physical, cognitive, and social demands are the main obstacles to participation for children with CP. A lack of home supplies and financial support lowered the participation of children with CP. Recognizing environmental barriers as well as providing individualized practical solutions in collaboration with the families of children with CP can assist in developing meaningful participation in community and home activities for children with CP.</p>","PeriodicalId":45251,"journal":{"name":"Pediatric Reports","volume":"17 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11858706/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494158","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}