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Adolescent and caregiver mental health, pulmonary function, and healthcare utilization in pediatric cystic fibrosis 儿童囊性纤维化的青少年和护理者心理健康、肺功能和医疗利用
IF 0.9 4区 医学
Childrens Health Care Pub Date : 2021-12-04 DOI: 10.1080/02739615.2021.2002695
A. Vassilopoulos, M. Swartz, S. Paranjape, K. Slifer
{"title":"Adolescent and caregiver mental health, pulmonary function, and healthcare utilization in pediatric cystic fibrosis","authors":"A. Vassilopoulos, M. Swartz, S. Paranjape, K. Slifer","doi":"10.1080/02739615.2021.2002695","DOIUrl":"https://doi.org/10.1080/02739615.2021.2002695","url":null,"abstract":"ABSTRACT Cystic fibrosis (CF) increases risk for mental health symptoms. This study evaluated patient and caregiver screening for anxiety and depression symptoms as related to pulmonary function (PF) and health-care utilization (HCU). Participants included adolescents, young adults (AYAs; N = 119) and their caregivers (N = 104). AYA depression symptoms correlated with number of hospitalizations (NOH; r = 0.194, p = .035) and length of stay (LOS; r = 0.198, p = .031). AYA LOS correlated with caregiver depression (r = 0.230, p = .019) and anxiety (r = 0.339, p < .001) symptoms. Caregiver anxiety symptoms (sr2 = 0.044), depression symptoms (sr2 = 0.039), and AYA PF (sr2 = 0.193) predicted HCU. Psychosocial screening and intervention are recommended for standard care.","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":"51 1","pages":"199 - 212"},"PeriodicalIF":0.9,"publicationDate":"2021-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45459931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pediatric weight management amid the COVID-19 pandemic: a natural telemedicine experiment COVID-19大流行期间的儿科体重管理:一项自然远程医疗实验
IF 0.9 4区 医学
Childrens Health Care Pub Date : 2021-12-04 DOI: 10.1080/02739615.2021.2001337
Roohi Y. Kharofa, Kristin M W Stackpole, Catherine Anthony, Rebekah Moorhead, R. Siegel
{"title":"Pediatric weight management amid the COVID-19 pandemic: a natural telemedicine experiment","authors":"Roohi Y. Kharofa, Kristin M W Stackpole, Catherine Anthony, Rebekah Moorhead, R. Siegel","doi":"10.1080/02739615.2021.2001337","DOIUrl":"https://doi.org/10.1080/02739615.2021.2001337","url":null,"abstract":"ABSTRACT During the COVID-19 shutdown, our pediatric weight management center instituted telemedicine and expanded educational content on Facebook. The aims of this study were to assess telemedicine utilization and social media engagement (optional). We performed a retrospective chart review and examined Facebook posts. During the first 6 weeks of the pandemic, 129 patients completed a telemedicine visit (52 non-completers). Completers were less likely to be Medicaid-insured (OR 0.252). Families engaged most with Facebook exercise content (avg. views: 449). Further analysis is necessary to determine how to make telemedicine accessible for low-income families and to determine if social media engagement improves anthropometric outcomes.","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":"51 1","pages":"431 - 442"},"PeriodicalIF":0.9,"publicationDate":"2021-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42264171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Intolerance of uncertainty and protective parenting: the mediating role of maternal appraisals and the moderating role of child health status 对不确定性的不容忍和保护性养育:母亲评价的中介作用和儿童健康状况的调节作用
IF 0.9 4区 医学
Childrens Health Care Pub Date : 2021-12-04 DOI: 10.1080/02739615.2021.2007771
Emily M. Steiner, L. Dahlquist
{"title":"Intolerance of uncertainty and protective parenting: the mediating role of maternal appraisals and the moderating role of child health status","authors":"Emily M. Steiner, L. Dahlquist","doi":"10.1080/02739615.2021.2007771","DOIUrl":"https://doi.org/10.1080/02739615.2021.2007771","url":null,"abstract":"ABSTRACT This study examined how intolerance of uncertainty and having a child with food allergy relate to protective parenting. Eighty mothers of children with food allergy and 78 mothers of healthy children completed questionnaires assessing intolerance of uncertainty and parenting style. Mothers then rated vignettes of hypothetical parenting situations in terms of perceived uncertainty, threat, and negative affect and reported their likely parenting response. Results indicated that mothers’ affective and cognitive appraisals mediated the association between intolerance of uncertainty and protective parenting. Findings suggest that maternal intolerance of uncertainty and child health status may increase the risk of protective parenting.","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":"51 1","pages":"263 - 284"},"PeriodicalIF":0.9,"publicationDate":"2021-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42485391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Medical home access among children of parents in same-sex couples 同性伴侣子女的医疗上门服务
IF 0.9 4区 医学
Childrens Health Care Pub Date : 2021-12-03 DOI: 10.1080/02739615.2021.2005599
Hannah Morris, D. Tumin, R. Kroeger, Cierra Buckman
{"title":"Medical home access among children of parents in same-sex couples","authors":"Hannah Morris, D. Tumin, R. Kroeger, Cierra Buckman","doi":"10.1080/02739615.2021.2005599","DOIUrl":"https://doi.org/10.1080/02739615.2021.2005599","url":null,"abstract":"ABSTRACT Using the 2016–2018 National Survey of Children’s Health, we examined whether children with parents in same-sex versus different-sex couples had different levels of access to a medical home. We found that relative to children with parents in different-sex couples, children with parents in same-sex couples had 31% lower odds of having access to a medical home, 36% lower odds of having a usual place to go for health care, and 29% lower odds of receiving family-centered care. Results suggest less access to care consistent with the medical home criteria for children with parents in same-sex versus different-sex couples.","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":"51 1","pages":"250 - 262"},"PeriodicalIF":0.9,"publicationDate":"2021-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48887454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Gender-affirming multidisciplinary care for transgender and non-binary children and adolescents 跨性别和非二元儿童和青少年的性别肯定多学科护理
IF 0.9 4区 医学
Childrens Health Care Pub Date : 2021-12-03 DOI: 10.1080/02739615.2021.2004146
Rebecca M. Warwick, Daniel E Shumer
{"title":"Gender-affirming multidisciplinary care for transgender and non-binary children and adolescents","authors":"Rebecca M. Warwick, Daniel E Shumer","doi":"10.1080/02739615.2021.2004146","DOIUrl":"https://doi.org/10.1080/02739615.2021.2004146","url":null,"abstract":"ABSTRACT Modern transgender and non-binary (TGNB) pediatric health care originated in the 1990s. This patient population is adversely affected by minority stress, victimization, mental health disparities, and barriers to health care With improving social and cultural support for TGNB identities and favorable evidence for affirming social and medical interventions, the need for pediatric gender services clinics has grown. Gender-affirming care requires collaboration between social and medical entities, including school personnel, community services, medical providers, and mental health professionals, which is best served within a multidisciplinary treatment model of care. This article provides an overview of the components within multidisciplinary pediatric gender clinics.","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":"52 1","pages":"91 - 115"},"PeriodicalIF":0.9,"publicationDate":"2021-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46496823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Delivery of cystic fibrosis psychosocial care across developmental stages 囊性纤维化在发育阶段的社会心理护理
IF 0.9 4区 医学
Childrens Health Care Pub Date : 2021-11-02 DOI: 10.1080/02739615.2021.1993228
C. Lynn, E. Lyons, E. Muther
{"title":"Delivery of cystic fibrosis psychosocial care across developmental stages","authors":"C. Lynn, E. Lyons, E. Muther","doi":"10.1080/02739615.2021.1993228","DOIUrl":"https://doi.org/10.1080/02739615.2021.1993228","url":null,"abstract":"ABSTRACT Cystic fibrosis (CF) is an inherited, life-limiting chronic health condition that impacts many organ systems including the lungs, pancreas, liver, intestines, and reproductive organs. Given the various organ systems impacted, treatments can be complex, burdensome, and time consuming. In addition, the stress and emotional impact of CF on caregivers as well as patients is significant. This paper describes delivery of psychosocial care across developmental stages in the largest pediatric CF center in the country. The focus will be on goals of care as well as assessment and intervention strategies. Furthermore, clinical informatics and next steps also will be discussed.","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":"52 1","pages":"70 - 90"},"PeriodicalIF":0.9,"publicationDate":"2021-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43613032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
The effects of COVID-19-related stress among parents and children in Ohio child care programs: a mixed-methods study 俄亥俄州儿童保育计划中与covid -19相关的压力对父母和儿童的影响:一项混合方法研究
IF 0.9 4区 医学
Childrens Health Care Pub Date : 2021-11-02 DOI: 10.1080/02739615.2021.1997602
Kimberly Burkhart, S. Minnes, Owusua Yamoah, Ellen A. Doernberg, Sarah Balser, Timothy H. Ciesielski, A. Dimitropoulos, N. Nock, Darcy A. Freedman
{"title":"The effects of COVID-19-related stress among parents and children in Ohio child care programs: a mixed-methods study","authors":"Kimberly Burkhart, S. Minnes, Owusua Yamoah, Ellen A. Doernberg, Sarah Balser, Timothy H. Ciesielski, A. Dimitropoulos, N. Nock, Darcy A. Freedman","doi":"10.1080/02739615.2021.1997602","DOIUrl":"https://doi.org/10.1080/02739615.2021.1997602","url":null,"abstract":"ABSTRACT COVID-19-related stress effects on the caregiver and child are largely unexplored. Caregivers (N = 114) of children between the ages of 3 months and 10 years accessing Ohio child care completed a parent survey (fall 2020), and additional caregivers (N = 20) completed an interview. Caregivers reported a mean of 70 (SD = 19; scale 1–100) on COVID-19-related stress. In adjusted regression models, higher caregiver-reported COVID-19-related stress was associated with increased odds of child aggression and poor social skills. Exploratory analyses indicated that these associations may be partly mediated by the caregiver working from home and losing their temper. Qualitative findings reflect caregiver COVID-19 stress and complement quantitative findings. Caregivers and children who experience COVID-19 stress should be monitored for persistent problems.","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":"51 1","pages":"362 - 384"},"PeriodicalIF":0.9,"publicationDate":"2021-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41326033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Factors associated with consistent bedtime routines and good sleep outcomes 与坚持就寝时间和良好睡眠结果相关的因素
IF 0.9 4区 医学
Childrens Health Care Pub Date : 2021-10-23 DOI: 10.1080/02739615.2021.1981331
Kristy L. Larsen, Sara Jordan
{"title":"Factors associated with consistent bedtime routines and good sleep outcomes","authors":"Kristy L. Larsen, Sara Jordan","doi":"10.1080/02739615.2021.1981331","DOIUrl":"https://doi.org/10.1080/02739615.2021.1981331","url":null,"abstract":"ABSTRACT Bedtime routines have “strong” support for addressing bedtime behavior problems and sleep; however, little research has examined factors associated with bedtime routines and sleep quality. Parents of 155 children ages 3 to 5 were surveyed about their children’s bedtime routines, bedtime anxiety, compliance, and sleep quality. Regression models supported a simple indirect effect of bedtime routine consistency on sleep quality through bedtime anxiety, but not through compliance at bedtime. In a serial model, consistent bedtime routines were related to sleep quality through first bedtime anxiety and then compliance near bedtime. Clinically, results suggest that if parents can alleviate child anxiety around bedtime through routines, compliance around bedtime, and a good night sleep may follow.","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":"51 1","pages":"139 - 162"},"PeriodicalIF":0.9,"publicationDate":"2021-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44741965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
The role of health anxiety in healthcare management transition and health-related quality of life in young adults with medical conditions 健康焦虑在医疗管理转变和健康相关生活质量中的作用
IF 0.9 4区 医学
Childrens Health Care Pub Date : 2021-10-21 DOI: 10.1080/02739615.2021.1983434
Katherine A. Traino, Misty A. W. Hawkins, J. Chaney, L. Mullins
{"title":"The role of health anxiety in healthcare management transition and health-related quality of life in young adults with medical conditions","authors":"Katherine A. Traino, Misty A. W. Hawkins, J. Chaney, L. Mullins","doi":"10.1080/02739615.2021.1983434","DOIUrl":"https://doi.org/10.1080/02739615.2021.1983434","url":null,"abstract":"ABSTRACT Adolescents and young adults (AYAs) with a chronic medical condition (CMC) are tasked with independent health care management transition. However, the role of health anxiety in care management is unclear. The present study evaluated whether health anxiety moderates transition readiness-to-health-related quality of life (HRQoL). College students (N = 135) completed cross-sectional surveys of demographics, health anxiety, transition readiness, and HRQoL. Analyses revealed interaction effects for health anxiety and transition readiness on HRQoL outcomes. For lower health anxiety, greater transition readiness was associated with greater HRQoL. Therefore, examining health anxiety in AYAs transitioning care may relate to long-term HRQoL outcomes.","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":"51 1","pages":"163 - 183"},"PeriodicalIF":0.9,"publicationDate":"2021-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41406076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Does hedonic hunger predict eating behavior and body mass in adolescents with overweight or obesity? 享乐性饥饿能否预测超重或肥胖青少年的饮食行为和体重?
IF 0.9 4区 医学
Childrens Health Care Pub Date : 2021-10-18 DOI: 10.1080/02739615.2021.1983435
Kirandeep Kaur, Chad D. Jensen
{"title":"Does hedonic hunger predict eating behavior and body mass in adolescents with overweight or obesity?","authors":"Kirandeep Kaur, Chad D. Jensen","doi":"10.1080/02739615.2021.1983435","DOIUrl":"https://doi.org/10.1080/02739615.2021.1983435","url":null,"abstract":"ABSTRACT Our study examined the association between hedonic hunger and body mass and whether caloric intake mediated the association between these constructs in adolescents. One hundred adolescents with overweight or obesity completed measures of hedonic food reward, dietary intake, and height and weight. Exaggerated hedonic food responses were associated with higher body mass. For 16% of participants who had high hedonic hunger, and high body mass, caloric intake mediated the association between hedonic hunger and zBMI. These results suggest that hedonic hunger may override the homeostatic need for energy and may be associated with increased caloric intake, potentiating weight gain.","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":"51 1","pages":"184 - 198"},"PeriodicalIF":0.9,"publicationDate":"2021-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49241796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
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