Kristin A Long, Suma Suswaram, Motunrola B Adebogun, John S Wilson, Jenna Eilenberg, Alix Paredes Molina, Sharada Krishnan, Oksana Litardo, Wenyan Feng, Andrea Chu, Yeook Kim, Jocelyn Kuhn, Kate M Guthrie, Joshua Dela Cruz, Gael I Orsmond
{"title":"Development and non-randomized pilot trial of Families FORWARD: a new program for families of autistic youth transitioning to adulthood.","authors":"Kristin A Long, Suma Suswaram, Motunrola B Adebogun, John S Wilson, Jenna Eilenberg, Alix Paredes Molina, Sharada Krishnan, Oksana Litardo, Wenyan Feng, Andrea Chu, Yeook Kim, Jocelyn Kuhn, Kate M Guthrie, Joshua Dela Cruz, Gael I Orsmond","doi":"10.1093/jpepsy/jsag069","DOIUrl":"https://doi.org/10.1093/jpepsy/jsag069","url":null,"abstract":"<p><strong>Objective: </strong>Autistic youth and their families describe transitioning to adulthood as overwhelming. Yet, there are few evidence-based, family focused transition programs broad enough to serve youths' wide range of autism-related and background characteristics. We report on the community-engaged development of Families FORWARD (Focusing On Relationships, Well-being, And Responsibility aheaD), a new family based, individualized transition planning program (Phase 1) and non-randomized pilot trial findings regarding acceptability, feasibility, and clinical promise (Phase 2).</p><p><strong>Methods: </strong>Phase 1 involved qualitative interviews with autistic youth, parents/caregivers, and professionals (N = 31) regarding transition-related experiences, existing service gaps, and feedback on the Families FORWARD concept. In Phase 2, 14 families participated in a trial of Families FORWARD delivered remotely by community-based coaches. Families completed pre/post measures of program skills (family communication, knowledge), mechanistic targets (self-efficacy, stage of change), and outcomes (transition planning activities, perceived stress) and exit interviews. Feasibility and acceptability benchmarks were specified a priori. A community advisory board of racially and ethnically diverse autistic young adults, parents, and professionals guided the research.</p><p><strong>Results: </strong>Phase 1 identified the need for flexible, skills-based, collaborative transition programs and highlighted the relevance of proposed program skills (family communication, collaborative goal-setting, problem solving, systems navigation). In Phase 2, all feasibility, acceptability, and clinical promise benchmarks were met. Exit interviews highlighted how family communication and structured goal-setting improved collaborative, youth-centered planning.</p><p><strong>Conclusions: </strong>Across racial and ethnic backgrounds and autism characteristics, Families FORWARD shows promise for improving transition outcomes. Centering community input during program development likely increased relevance and feasibility.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149172298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hillary L Ditmars, Ellen H O'Donnell, Alessandra J Caruso, Deborah R Friedman
{"title":"Topical review: A conceptual framework for diabetes distress tolerance in transitional age youth with type 1 diabetes.","authors":"Hillary L Ditmars, Ellen H O'Donnell, Alessandra J Caruso, Deborah R Friedman","doi":"10.1093/jpepsy/jsag071","DOIUrl":"https://doi.org/10.1093/jpepsy/jsag071","url":null,"abstract":"<p><strong>Objective: </strong>Approximately one-third of adolescents with type 1 diabetes (T1D) experience substantial diabetes distress, which is longitudinally associated with worsened glycemic control. This is particularly consequential given the inverse relationship between diabetes distress and healthcare transition readiness. Interventions for distress may seek to either reduce it or increase capacity to tolerate it; however, diabetes-specific distress tolerance remains insufficiently conceptualized in the research literature. The purpose of this topical review is to propose a conceptual framework for examining diabetes-specific distress tolerance in transitional age youth with T1D, which may further inform measure development and interventions to increase diabetes distress tolerance, enhance transition readiness, and improve longitudinal health outcomes.</p><p><strong>Method: </strong>We review literature on diabetes distress in transitional age youth with T1D, focusing on effective interventions to reduce diabetes distress, including relevant literature on the related construct of distress tolerance. We then integrate this literature to propose a conceptual framework of diabetes distress tolerance that may inform the development of interventions to improve transition readiness and health outcomes for transitional age youth with T1D.</p><p><strong>Results: </strong>Existing diabetes distress interventions for transitional age youth with T1D have primarily targeted skills to reduce distress, rather than increasing capacity to tolerate it. Distress tolerance is an understudied construct in relation to T1D management.</p><p><strong>Conclusions: </strong>We propose a conceptual framework of diabetes distress tolerance that may inform intervention development to address diabetes distress for youth with T1D. Given transition-associated risks of adverse outcomes, more research is needed to address diabetes distress tolerance in transitional age youth with T1D.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149149540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effortful control and automaticity in adolescent type 1 diabetes engagement.","authors":"Tori Humiston, Sara Adams, Amy Hughes Lansing","doi":"10.1093/jpepsy/jsag072","DOIUrl":"https://doi.org/10.1093/jpepsy/jsag072","url":null,"abstract":"<p><strong>Objective: </strong>Adolescents with type 1 diabetes face substantial daily self-regulation demands to maintain treatment engagement (e.g., complete diabetes tasks) and achieve optimal glycemic control. Effortful control (cognitive self-regulation) and automaticity (habit strength) are both theorized to support these processes, yet their independent and joint contributions to diabetes outcomes remain unclear.</p><p><strong>Methods: </strong>Adolescents with type 1 diabetes (N = 79; Mage = 15.1 years; 61% female) completed self-report measures of effortful control, automaticity for diabetes tasks, and treatment engagement. Average blood glucose levels were collected over a 7-day period (M = 184.4 mg/dL). Pearson correlations and path analyses were conducted to examine direct and indirect associations among study variables.</p><p><strong>Results: </strong>Greater effortful control was associated with higher automaticity and lower blood glucose (p's < .01). Automaticity was associated with greater treatment engagement (p < .001). In the path model, effortful control remained associated with automaticity and lower blood glucose, and automaticity remained associated with treatment engagement. Continuous glucose monitor use was associated with greater engagement and lower blood glucose (p's ≤ .04). A significant indirect effect of effortful control on engagement via automaticity emerged (p = .001).</p><p><strong>Conclusion: </strong>Findings suggest that effortful control may support both initiation and sustained management of diabetes behaviors, contributing to improved glycemic outcomes. In contrast, automaticity may facilitate consistent engagement in routine tasks without directly influencing glycemic control. These results highlight the importance of tailoring diabetes interventions to adolescents' self-regulatory capacities and suggest that combining strategies targeting both cognitive control and automaticity may optimize disease management.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jessica L Cook, Kristoffer S Berlin, Mary E Keenan-Pfeiffer, Vinkrya N Ellison, Adora E Choquette, Rachel L Ankney, Kimberly L Klages, Katherine A Semenkovich, Tiffany M Rybak, Gabrielle G Banks, Kathryn M Sumpter, Angelica R Eddington
{"title":"Measuring caregivers' psychological flexibility in relation to their child's type 1 diabetes in an income and racially diverse sample.","authors":"Jessica L Cook, Kristoffer S Berlin, Mary E Keenan-Pfeiffer, Vinkrya N Ellison, Adora E Choquette, Rachel L Ankney, Kimberly L Klages, Katherine A Semenkovich, Tiffany M Rybak, Gabrielle G Banks, Kathryn M Sumpter, Angelica R Eddington","doi":"10.1093/jpepsy/jsag059","DOIUrl":"https://doi.org/10.1093/jpepsy/jsag059","url":null,"abstract":"<p><strong>Objective: </strong>Caregivers' psychological flexibility is a key factor influencing both caregiver and child well-being, particularly among families managing youth type 1 diabetes (T1D); yet, no existing measures capture diabetes-specific flexibility in caregivers or its impact on family functioning. To address this gap, this study developed and evaluated the Diabetes Acceptance and Action Scale-Caregiver Report (DAAS-C), along with 9- and 3-item short forms, to assess caregivers' flexibility regarding their child's diabetes.</p><p><strong>Method: </strong>A sample of caregivers of adolescents with T1D completed the DAAS-C and related measures of family impact, parenting, and caregiver acceptance, and youth glycated hemoglobin (HbA1c) data were collected from medical records.</p><p><strong>Results: </strong>Analyses supported a three-factor structure of the DAAS-C, with short forms derived from the most reliable items. The full and short forms demonstrated strong reliability and validity, maintained consistency across diverse caregiver groups, and were associated with illness and psychosocial variables in theoretically expected ways.</p><p><strong>Conclusions: </strong>These findings suggest that the DAAS-C and its short forms are effective tools for assessing diabetes-specific psychological flexibility in caregivers, providing a foundation for future research and interventions aimed at improving outcomes for families managing T1D.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Allison G Dempsey, Jacob Holzman, Danielle L Cooke, Susanne Klawetter, Alejandra Santisteban, Ashley Hayduke, Jessalyn R Kelleher
{"title":"Development, feasibility, and acceptability of a NICU-based parent responsiveness and engagement program across two hospitals using program evaluation, pilot randomized and single-arm trial, and quality improvement methodologies.","authors":"Allison G Dempsey, Jacob Holzman, Danielle L Cooke, Susanne Klawetter, Alejandra Santisteban, Ashley Hayduke, Jessalyn R Kelleher","doi":"10.1093/jpepsy/jsag068","DOIUrl":"https://doi.org/10.1093/jpepsy/jsag068","url":null,"abstract":"<p><strong>Objective: </strong>Parents of infants hospitalized in neonatal intensive care units (NICUs) are at elevated risk for emotional dysregulation and distress, disrupting early parent-infant interactions and infant self-regulation. This paper describes the development, refinement, and evaluation of the feasibility and acceptability of the NICU Parent Engagement and Readiness Program (N-PREP), a brief, site-of-care intervention designed to promote parental emotional regulation and responsive caregiving.</p><p><strong>Methods: </strong>Through a five-stage iterative process grounded in implementation science, N-PREP was developed and refined. Feasibility and acceptability were evaluated using session delivery metrics and semi-structured qualitative interviews. Outcomes were assessed across three small pilot implementations: a randomized delayed-start pilot trial (n = 12), a prospective single-arm trial (n = 10), and a quality improvement implementation project (n = 9) using standardized measures of parental emotional regulation, parenting self‑efficacy, sensitivity to infant cues, and bonding, along with post‑then‑pre ratings of improvement.</p><p><strong>Results: </strong>Across two NICUs, intervention delivery demonstrated strong feasibility, with 94% of dyads receiving at least one session and 60% completing all four. Qualitative findings indicated high acceptability, with parents describing the intervention as supportive, appropriately timed, and responsive to emotional and practical needs during hospitalization. Quantitative findings showed within‑subject improvements across parental emotional regulation, self‑efficacy, sensitivity to infant cues, and bonding. Improvements in emotional regulation were associated with reductions in parent mood, anxiety, and trauma symptoms over time.</p><p><strong>Conclusions: </strong>N-PREP is highly feasible and acceptable, with promising signals of improving emotional regulation and decreasing distress in parents and infants. Findings support further evaluation in a fully powered hybrid effectiveness-implementation trial.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anne E Chuning, Hide Okuno, Brittany D Lancaster, Jia Quan, Kandace K Fleming, Ann M Davis
{"title":"Applying family stress theory to the food insecurity childhood obesity paradox: path model results from a rural pediatric obesity intervention study.","authors":"Anne E Chuning, Hide Okuno, Brittany D Lancaster, Jia Quan, Kandace K Fleming, Ann M Davis","doi":"10.1093/jpepsy/jsag054","DOIUrl":"10.1093/jpepsy/jsag054","url":null,"abstract":"<p><strong>Objective: </strong>Food insecurity impacts mental and physical health for individuals of all ages. This study evaluates associations between food insecurity and weight status, diet, and mental health, as well as tests a path model to evaluate proposed patterns (i.e., parent BMI, parent distress, and child diet) of food insecurity's relationship with child obesity.</p><p><strong>Methods: </strong>This study includes a cross-sectional analysis of baseline data from parent-child dyads enrolled in rural, family-based obesity intervention. Dyads in rural Kansas (N = 148; 25% food insecure; child age 6-10 years) were recruited based on child weight status (i.e., above 85th percentile). Families completed measures pertaining to household food insecurity, mental health, child diet, and standardized height/weight measurement.</p><p><strong>Results: </strong>Correlational analyses indicated significant positive associations between food insecurity, parent/child BMI(z), and parent anxious, depressive, and somatic symptoms (ps < .05). Additionally, path models indicated the strongest significant indirect effect on the relationship between food insecurity and child BMIz was via parent BMI (βs = 0.10-0.13, ps < .001), such that greater parent BMI partially explained the food insecurity child obesity paradox exhibited in previous literature, while parent distress (βs = -0.06, p < .001), and child diet (β = 0.02, ps < .001), demonstrated smaller mediation effects.</p><p><strong>Conclusions: </strong>Findings highlight negative associations of food insecurity with physical and mental health of parents, which may then indirectly correspond to child weight status. Results emphasize the need to assess and address food insecurity in family-focused obesity intervention, especially for families living in rural areas.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"819-830"},"PeriodicalIF":2.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148594093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Herodes Guzman, Nathan D Markiewitz, Julie M Gettings, Diana Olivos-Stewart, Joshua Moyer, Steven M Willi
{"title":"Evaluating the association of adolescent and caregiver grit with hemoglobin A1c in adolescents with type 1 diabetes.","authors":"Herodes Guzman, Nathan D Markiewitz, Julie M Gettings, Diana Olivos-Stewart, Joshua Moyer, Steven M Willi","doi":"10.1093/jpepsy/jsag047","DOIUrl":"10.1093/jpepsy/jsag047","url":null,"abstract":"<p><strong>Objective: </strong>\"Grit\" is a personality construct defined as the tendency to work toward long-term goals and may influence chronic disease management behaviors in type 1 diabetes. We sought to determine whether adolescent and caregiver grit are associated with hemoglobin A1c in adolescents with type 1 diabetes. We also evaluated the relationship between adolescent and caregiver self-control, another construct already explored in type 1 diabetes, with hemoglobin A1c to determine whether similar patterns of association are observed.</p><p><strong>Methods: </strong>We performed a single-center, cross-sectional study of 114 adolescents with type 1 diabetes and their primary diabetes caregiver. Patients were English-speaking, 13-15 years old, and had diabetes for ≥2 years. Using unadjusted and adjusted regression models, we examined the relationship between adolescent and caregiver grit and hemoglobin A1c. Unadjusted and adjusted effect estimates are also reported for adolescent and caregiver self-control with hemoglobin A1c.</p><p><strong>Results: </strong>After confounding adjustment, higher adolescent grit was associated with a lower hemoglobin A1c (B = -0.5% [-0.8 to -0.2] or -5 mmol/mol [-9 to -2]). Caregiver grit was not associated with adolescent hemoglobin A1c. We observed similar associations between self-control and hemoglobin A1c.</p><p><strong>Conclusions: </strong>To our knowledge, this is the first study to examine the relationship between grit and hemoglobin A1c among adolescents with type 1 diabetes. Adolescents with more grit had lower hemoglobin A1c values than those with less grit. These findings suggest that longitudinal studies to evaluate this association further are warranted. Trials testing the efficacy of behavioral interventions to augment grit and improve glycemic stability can then follow.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"831-838"},"PeriodicalIF":2.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13521126/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148340108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Margaret Mary Burke, Lori E Crosby, Alexis A Thompson, Lisa A Schwartz, Kemar V Prussien
{"title":"Caregiver communication and psychosocial outcomes among adolescents and young adults with sickle cell disease.","authors":"Margaret Mary Burke, Lori E Crosby, Alexis A Thompson, Lisa A Schwartz, Kemar V Prussien","doi":"10.1093/jpepsy/jsag049","DOIUrl":"10.1093/jpepsy/jsag049","url":null,"abstract":"<p><strong>Objective: </strong>The transition from pediatric to adult medical care is associated with increased symptoms of anxiety, depression, and experiences with disease stigma for adolescents and young adults (AYA) with sickle cell disease (SCD). Community-informed conceptual frameworks suggest that caregiver communication could play an important role in enhancing AYA well-being during this critical period; yet this association has yet to be empirically investigated in this population. This study examined the influence of caregiver-AYA communication on psychosocial outcomes among AYA with SCD.</p><p><strong>Methods: </strong>AYA with SCD ages 16-25 were enrolled in a prospective, 3-month study. Participants completed baseline (T1) and follow-up surveys 3 months later (T2). Measures included the Parent-Adolescent Communication Scale, PROMIS Anxiety and Depression short forms, Measure of Sickle Cell Stigma, and Sickle Cell Self-Efficacy Scale. Cross-sectional and prospective bivariate and multivariate associations were investigated.</p><p><strong>Results: </strong>Bivariate correlations showed that open caregiver-AYA communication at T1 was cross-sectionally associated with lower anxiety (r = -.35, p = .016), and prospectively associated with lower anxiety (r = -.31, p = .047), depression (r = -.31, p = .045), total stigma (r = -.36, p = .016) expected discrimination stigma (r = -.30, p = .048), and internalized stigma (r = .40, p = .008). Communication at T1 remained negatively associated with total stigma (β = -.21, p = -.038), internalized stigma (β = -.24, p = .044) and expected discrimination stigma (β = -.28, p = .030) at T2 when controlling for age, gender, and baseline psychosocial factors.</p><p><strong>Conclusion: </strong>AYA who reported open caregiver communication at baseline reported significantly fewer symptoms of anxiety, depression, and stigma 3 months later. Thus, improving caregiver-AYA communication may improve AYA psychosocial functioning, which could lead to improved SCD-related care and transition.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"850-857"},"PeriodicalIF":2.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148550980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Commentary: Parental sensitivity and feeding pressure at family mealtimes: future directions and clinical implications.","authors":"Samantha J Schram, Amy H Egbert","doi":"10.1093/jpepsy/jsag041","DOIUrl":"10.1093/jpepsy/jsag041","url":null,"abstract":"","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"816-818"},"PeriodicalIF":2.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Melissa D Heinrich, Shayla C Holub, Jackie A Nelson
{"title":"Dinner observations of parent sensitivity and pressuring feeding practices with preschool-age children.","authors":"Melissa D Heinrich, Shayla C Holub, Jackie A Nelson","doi":"10.1093/jpepsy/jsag008","DOIUrl":"10.1093/jpepsy/jsag008","url":null,"abstract":"<p><p>Family mealtimes play an important role in children's social and emotional learning. Parents who use controlling feeding practices, such as feeding pressure, are more likely to have children who struggle to self-regulate their food intake. Little research has examined the connections between global parenting sensitivity and the use of feeding pressure. The current study aimed to investigate whether global parental sensitivity in mothers and fathers was related to the frequency of parental feeding pressure and examined day-to-day variability in the associations of these constructs. We recorded videos of a week of mealtime interactions in 100 families with a 3- to 5-year-old child and coded observed parental sensitivity and feeding pressure used at each meal. We used multilevel modeling to test for (a) variability in mothers' and fathers' mealtime sensitivity at the within-person level and (b) the relationship between mothers' and fathers' sensitivity and pressuring feeding practices each day. We found that mother and father sensitivity varied day-to-day. This variability was related to daily fluctuations in feeding pressure. This result was also seen between families, such that families with more sensitive mothers and fathers showed less feeding pressure with their children than in families with less sensitive parents. These results have implications for the importance of parental sensitivity for children's mealtime experience.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"807-815"},"PeriodicalIF":2.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146195429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}