Journal of Pediatric Psychology最新文献

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Caregiver food allergy self-efficacy explains the relationship between perceived food allergy severity and burden. 照顾者食物过敏自我效能解释了感知食物过敏严重程度与负担之间的关系。
IF 2.7 3区 心理学
Journal of Pediatric Psychology Pub Date : 2025-03-01 DOI: 10.1093/jpepsy/jsaf002
Maegan Barber, Danielle Griffin, Rebecca Neshkes, Tiffany Kichline, Sabrina Sigel, Linda Jones Herbert
{"title":"Caregiver food allergy self-efficacy explains the relationship between perceived food allergy severity and burden.","authors":"Maegan Barber, Danielle Griffin, Rebecca Neshkes, Tiffany Kichline, Sabrina Sigel, Linda Jones Herbert","doi":"10.1093/jpepsy/jsaf002","DOIUrl":"10.1093/jpepsy/jsaf002","url":null,"abstract":"<p><strong>Objective: </strong>Caregiver perceived food allergy severity is associated with food allergy burden, while caregiver food allergy self-efficacy has been linked to improved quality of life for caregivers. This study examined the mediating effect of caregiver food allergy self-efficacy on the relationship between perceived food allergy severity and caregiver food allergy burden.</p><p><strong>Methods: </strong>Caregivers of children diagnosed with IgE-mediated food allergy were recruited from pediatric allergy clinics to complete demographic and medical questionnaires, the Food Allergy Independent Measure-Parent Form, the Food Allergy Self-Efficacy Scale for Parents, and the Food Allergy Quality of Life-Parental Burden. Hayes' PROCESS was utilized to test mediation analysis. The TREND checklist is available in the Supplementary Materials section.</p><p><strong>Results: </strong>Analyses consisted of 94 caregivers of children (Mage = 11.72 years, 52.7% male, 34.0% Black). Caregiver food allergy self-efficacy mediated the relationship between perceived food allergy severity and caregiver food allergy burden, B = 0.16, SE = 0.07, CI (0.04-0.33).</p><p><strong>Conclusions: </strong>Caregiver food allergy self-efficacy may play an important role in food allergy psychosocial functioning. Interventions targeting self-efficacy could reduce caregiver food allergy burden. Future research should explore additional psychosocial and medical factors to better tailor food allergy interventions to the family's unique needs.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"289-296"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11981051/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014259","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}
引用次数: 0
Insomnia severity and obesity mediated by health behaviors in adolescents. 青少年健康行为对失眠严重程度和肥胖的影响。
IF 2.7 3区 心理学
Journal of Pediatric Psychology Pub Date : 2025-03-01 DOI: 10.1093/jpepsy/jsae098
Olivia M Triplett, Holly E R Morrell, Tori R Van Dyk
{"title":"Insomnia severity and obesity mediated by health behaviors in adolescents.","authors":"Olivia M Triplett, Holly E R Morrell, Tori R Van Dyk","doi":"10.1093/jpepsy/jsae098","DOIUrl":"10.1093/jpepsy/jsae098","url":null,"abstract":"<p><strong>Objective: </strong>Sleep difficulties in youth have been associated with numerous negative outcomes, such as higher risk of obesity. Though the relationship between sleep and obesity is not well clarified, past research has shown that modifiable health behaviors, such as diet, physical activity, and screen time, may explain this relationship. The purpose of this study was to simultaneously examine these health behaviors as mediators of the relationship between insomnia severity and obesity among a sample of adolescents aged 12-18 years.</p><p><strong>Method: </strong>English-speaking parents/legal guardians of adolescents were invited to participate in an online survey focused on pediatric sleep patterns, health behaviors, and weight. Parents/guardians (N = 599) reported on their adolescent's diet (i.e., consumption of fruits/vegetables, fast food, and breakfast), physical activity, screen time, and BMI. A multiple mediation analysis was run to test these health behaviors as mediators of the relationship between insomnia severity and BMI, after controlling for sex, age, race, and poverty.</p><p><strong>Results: </strong>While insomnia was related to most health behaviors, screen time was the only significant mediator of the relationship between insomnia and BMI, after controlling for the effects of the other mediators and all covariates, ab = .04, 95% CrI [.01, .09].</p><p><strong>Conclusions: </strong>Screen time has implications for both adolescents' sleep health and weight. Pediatric clinicians should systematically assess for, and provide, recommendations on ways to improve sleep and screen time use, in addition to providing traditional dietary and physical activity recommendations.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"243-253"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607087","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}
引用次数: 0
A family-based behavioral group obesity randomized control feasibility trial across a clinical trials network: a focus on contact hours. 一项基于家庭的行为组肥胖随机对照可行性临床试验网络试验:关注接触时间。
IF 2.7 3区 心理学
Journal of Pediatric Psychology Pub Date : 2025-03-01 DOI: 10.1093/jpepsy/jsae110
Ann M Davis, Paul Darden, Brittany Lancaster, Di Chang, Christopher C Cushing, David M Janicke, Crystal S Lim, Megan Olalde, Sarah Bullard, Russell McCulloh, Danika Perry, Lee Pyles, Amanda E Staiano, Monica Serrano-Gonzalez, Deborah Winders Davis, Elissa Jelalian
{"title":"A family-based behavioral group obesity randomized control feasibility trial across a clinical trials network: a focus on contact hours.","authors":"Ann M Davis, Paul Darden, Brittany Lancaster, Di Chang, Christopher C Cushing, David M Janicke, Crystal S Lim, Megan Olalde, Sarah Bullard, Russell McCulloh, Danika Perry, Lee Pyles, Amanda E Staiano, Monica Serrano-Gonzalez, Deborah Winders Davis, Elissa Jelalian","doi":"10.1093/jpepsy/jsae110","DOIUrl":"10.1093/jpepsy/jsae110","url":null,"abstract":"<p><strong>Objective: </strong>This ancillary study's purpose is to describe the relationship between dose of treatment and body mass index (BMI) outcomes in a tele-behavioral health program delivered in the IDeA States Pediatric Clinical Trials Network to children and their families living in rural communities.</p><p><strong>Methods: </strong>Participants randomized to the intervention were able to receive 26 contact hours (15 hr of group sessions and 11 hr of individual sessions) of material focused on nutrition, physical activity, and behavioral caregiver training delivered via interactive televideo. Dose of the intervention received by child/caregiver dyads (n = 52) from rural areas was measured as contact hours. The total doses of group, individual, and total contact hours were analyzed, and generalized linear mixed models were utilized to determine how dose received impacted BMI outcomes.</p><p><strong>Results: </strong>The majority (64.4%) of participants received the target of at least 80% (20.8 hr) of the total intervention dose. Older children (9-11 years) achieved significantly less intervention dose than targeted (M = 19.7; p = .031); as did males (M = 17.2; p < .001), children who identified as Black (M = 17.8; p < .001), and children from Site 3 (M = 18.0; p < .001). Dose was not significantly related to BMI outcomes in children or caregivers.</p><p><strong>Conclusions: </strong>As this study is underpowered and took place during the early stages of the COVID-19 pandemic, results should be interpreted with caution, but contact hours did not predict health outcomes for families living in rural communities.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"280-288"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11981053/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143067698","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}
引用次数: 0
The contribution of cognitive disengagement syndrome symptoms to depressive symptoms among pediatric brain tumor survivors. 认知脱离综合征症状对小儿脑肿瘤幸存者抑郁症状的影响。
IF 2.7 3区 心理学
Journal of Pediatric Psychology Pub Date : 2025-03-01 DOI: 10.1093/jpepsy/jsae108
Eva L Darow, Emily L Moscato, Amber T Riggs, Joan Hanania, Cynthia A Gerhardt, Christina G Salley, Kathryn Vannatta
{"title":"The contribution of cognitive disengagement syndrome symptoms to depressive symptoms among pediatric brain tumor survivors.","authors":"Eva L Darow, Emily L Moscato, Amber T Riggs, Joan Hanania, Cynthia A Gerhardt, Christina G Salley, Kathryn Vannatta","doi":"10.1093/jpepsy/jsae108","DOIUrl":"10.1093/jpepsy/jsae108","url":null,"abstract":"<p><strong>Objective: </strong>Pediatric brain tumor survivors (PBTS) are at risk for neurocognitive late effects that can resemble symptoms of cognitive disengagement syndrome (CDS). In the current study, we compared the CDS symptoms of PBTS to those of healthy comparison classmates (CC) and examined whether CDS might explain group differences in depressive symptoms. We also explored whether CDS symptoms were associated with engagement-based coping strategies and stress responses, thereby testing one mechanism by which CDS could lead to affective difficulties.</p><p><strong>Methods: </strong>Data were from a larger, multisite study examining the psychosocial impact of pediatric brain tumors on survivors (ages 8-15; 1- to 5-year post-treatment) and their families. PBTS (n = 68) and CC (n = 64) were matched on age and sex and reported depressive symptoms, coping strategies, and stress responses during a home-based assessment. Caregivers reported child CDS symptoms. Analyses used multiple regression with post hoc bootstrapping to test indirect effects.</p><p><strong>Results: </strong>CDS symptoms were elevated in PBTS compared to CC (d = 0.49, p = .005), and elevated CDS symptoms partially explained higher depressive symptoms for PBTS. Exploratory serial mediation models suggested that coping strategies and stress responses did not account for the relationship between CDS and depressive symptoms. Alternative mechanisms to explain the association between CDS and depressive symptoms are discussed.</p><p><strong>Conclusions: </strong>CDS may be a relevant framework to understand why some PBTS are at risk for depressive symptoms. Although additional research is needed, clinicians should consider screening for CDS symptoms to assess risk for depressive symptoms in survivorship.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"272-279"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11981052/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143042112","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}
引用次数: 0
Topical review: sleep regulation as a novel target for treating preschool-aged children with attention-deficit/hyperactivity disorder symptoms. 专题综述:睡眠调节作为治疗学龄前儿童注意缺陷/多动障碍症状的新靶点
IF 2.7 3区 心理学
Journal of Pediatric Psychology Pub Date : 2025-03-01 DOI: 10.1093/jpepsy/jsae107
Jessica R Lunsford-Avery, Jade Q Wu, Alexis French, Naomi O Davis
{"title":"Topical review: sleep regulation as a novel target for treating preschool-aged children with attention-deficit/hyperactivity disorder symptoms.","authors":"Jessica R Lunsford-Avery, Jade Q Wu, Alexis French, Naomi O Davis","doi":"10.1093/jpepsy/jsae107","DOIUrl":"10.1093/jpepsy/jsae107","url":null,"abstract":"<p><strong>Objective: </strong>Elevated attention-deficit/hyperactivity disorder (ADHD) symptoms in preschoolers are a risk factor for poorer psychiatric health, cognitive deficits, and social and academic impairment across the lifespan. The first-line treatment for these preschoolers, behavioral parent training (BPT), reduces children's disruptive behaviors and parenting stress, yet its impact on core ADHD symptoms is inconsistent. Early interventions targeting biological mechanisms linked to core ADHD pathophysiology are critically needed.</p><p><strong>Methods: </strong>This topical review explores sleep dysregulation as a potential key target for early intervention for ADHD symptoms among preschoolers.</p><p><strong>Results: </strong>Sleep dysregulation is common in school-aged children with ADHD, and treating sleep improves core ADHD symptoms in older children. Cross-sectional and prospective research with preschoolers offers compelling evidence that sleep dysregulation and ADHD symptoms are closely linked over the course of early development. BPT and behavioral sleep medicine (BSM) interventions share an underlying theoretical framework and could be streamlined to target sleep in addition to daytime behaviors.</p><p><strong>Conclusions: </strong>Novel early interventions targeting underlying biological mechanisms linked to core ADHD pathophysiology are critically needed to improve the trajectories of ADHD symptoms, comorbidity, and functional deficits for preschoolers with elevated ADHD symptoms. Sleep regulation is a promising mechanistic treatment target for this population, and future interventions may draw from the shared behavioral principles of BPT and BSM to target behaviors across the 24-hr period and employ scalable formats to optimize the number of families who can benefit from parent-based interventions targeting ADHD symptoms and sleep in early development.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"266-271"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11981054/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956929","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}
引用次数: 0
Preliminary data examining associations of fatigue subtypes with pain, pain interference, sleep quality, and affect across 14 days in adolescents with chronic musculoskeletal pain and pain-free controls. 初步数据研究了患有慢性肌肉骨骼疼痛的青少年和无疼痛对照组 14 天内疲劳亚型与疼痛、疼痛干扰、睡眠质量和情绪的关系。
IF 2.7 3区 心理学
Journal of Pediatric Psychology Pub Date : 2025-03-01 DOI: 10.1093/jpepsy/jsaf007
Ian A Boggero, James Peugh, Chris D King
{"title":"Preliminary data examining associations of fatigue subtypes with pain, pain interference, sleep quality, and affect across 14 days in adolescents with chronic musculoskeletal pain and pain-free controls.","authors":"Ian A Boggero, James Peugh, Chris D King","doi":"10.1093/jpepsy/jsaf007","DOIUrl":"10.1093/jpepsy/jsaf007","url":null,"abstract":"<p><strong>Objective: </strong>This preliminary study analyzed existing data from a larger study to characterize fatigue subtypes (general, cognitive, and sleep-related) across 14 days in adolescents with chronic musculoskeletal (MSK) pain and pain-free controls. A secondary exploratory aim was to determine whether fatigue subtypes were associated with next-day pain intensity, pain interference, sleep quality, or positive or negative affect.</p><p><strong>Methods: </strong>Participants were 26 adolescents with chronic MSK pain and 26 pain-free controls matched on age and sex who completed a daily diary assessing fatigue subtypes, pain intensity, pain interference, sleep quality, and affect for 14 consecutive nights. Data were aggregated across all nights for between-group comparisons, and dynamic structural equation models were used to determine how fatigue subtypes were associated with pain, sleep, and affect from one day to the next.</p><p><strong>Results: </strong>Averaging across 14 days, participants in the MSK group reported greater total fatigue and fatigue subtypes than participants in the control group (all p's < .001). Averaging across days, participants in the MSK group reported higher general fatigue than cognitive (p = .03) or sleep-related fatigue (p = .053). In the exploratory within-person analysis, previous day's cognitive fatigue (-0.10, p < .01) and general fatigue (-0.08, p < .01) were associated with worse next-day sleep quality in the MSK pain group. In the control group, cognitive fatigue was associated with greater next-day pain intensity (.04; p < .01) but lower next day pain interference (-0.03; p < .001).</p><p><strong>Conclusions: </strong>Results preliminarily suggest fatigue subtypes are prevalent and impactful in adolescents with chronic MSK pain. Future replication of results is needed.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"297-306"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11981056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674756","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}
引用次数: 0
Feasibility and acceptability of a telehealth, individually-tailored healthy lifestyle intervention for adolescent and young adult pediatric cancer survivors. 针对青少年和年轻成人儿科癌症幸存者的远程医疗、个人定制健康生活方式干预的可行性和可接受性。
IF 2.7 3区 心理学
Journal of Pediatric Psychology Pub Date : 2025-02-01 DOI: 10.1093/jpepsy/jsae082
Melissa A Faith, Allison Schimmel-Bristow, Dianna M Boone, Julia D Johnston, Elizabeth Henschen, Lynda Beaupin, Sarah Sobalvarro
{"title":"Feasibility and acceptability of a telehealth, individually-tailored healthy lifestyle intervention for adolescent and young adult pediatric cancer survivors.","authors":"Melissa A Faith, Allison Schimmel-Bristow, Dianna M Boone, Julia D Johnston, Elizabeth Henschen, Lynda Beaupin, Sarah Sobalvarro","doi":"10.1093/jpepsy/jsae082","DOIUrl":"10.1093/jpepsy/jsae082","url":null,"abstract":"<p><strong>Objective: </strong>Poor nutrition and physical activity pose negative health risks for adolescent and young adult pediatric cancer survivors (AYACS). Our pilot randomized controlled trial (RCT) evaluated feasibility and acceptability of a telehealth intervention (ENHANCE) supporting AYACS' nutrition and physical activity.</p><p><strong>Methods: </strong>We randomized 58 AYACS and their adult care partner, when applicable, to the ENHANCE or control condition. Inclusion required an age of 15-25 years, previous chemotherapy or radiation therapy, and no eating disorder history. We utilized a 2:1 (ENHANCE [n = 35]: control [n = 23]) double-blind block randomization protocol in blocks of 6. ENHANCE comprised 12 (60-min) sessions that included education, skill-building, and values-based healthy lifestyle decision-making. The first five sessions included motivational interviewing and the final seven sessions included problem-solving training/goal setting. We evaluated feasibility based on eligibility, enrollment, attrition, and study completion percentages. We assessed fidelity using the Session Content-Fidelity Rating Tool and the Motivational Interviewing Treatment Integrity Coding form. We assessed acceptability using the Abbreviated Acceptability Rating Profile, the Revised Helping Alliance Questionnaire, and participants' exit interviews.</p><p><strong>Results: </strong>ENHANCE was feasible and highly acceptable; all but one participant who started the intervention completed all 12 sessions and all participants reported enjoying the intervention via objective assessment and during exit interviews. Interventionists delivered ENHANCE with high fidelity.</p><p><strong>Conclusions: </strong>ENHANCE was highly acceptable among AYACS and care partners. The telehealth study design was feasible, suggesting benefits and feasibility of a future, larger, multisite RCT. Promising findings support our methodological decisions as important considerations to inform a larger RCT.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"151-161"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142337167","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}
引用次数: 0
"Being alone for a whole year [is hard]" Families reflect on the emotional toll of stem cell transplantation for sickle cell disease. “一整年的孤独(是艰难的)”家庭反映了镰状细胞病干细胞移植的情感损失。
IF 2.7 3区 心理学
Journal of Pediatric Psychology Pub Date : 2025-02-01 DOI: 10.1093/jpepsy/jsae101
Dara M Steinberg, Carly Mulinda, Katerina Castaño, Katie DiCola, Molly L Tanenbaum, Abigail Onderwyzer Gold, Melissa P Beauchemin, Monica Bhatia
{"title":"\"Being alone for a whole year [is hard]\" Families reflect on the emotional toll of stem cell transplantation for sickle cell disease.","authors":"Dara M Steinberg, Carly Mulinda, Katerina Castaño, Katie DiCola, Molly L Tanenbaum, Abigail Onderwyzer Gold, Melissa P Beauchemin, Monica Bhatia","doi":"10.1093/jpepsy/jsae101","DOIUrl":"10.1093/jpepsy/jsae101","url":null,"abstract":"<p><strong>Objective: </strong>Sickle cell disease (SCD) is associated with significant morbidity and mortality. Hematopoietic stem cell transplantation (HCT) can improve health-related quality of life (HRQOL) but may be physically and emotionally challenging. Thus, the aim of this study was to understand the experience of HCT from the perspective of youth and young adults (YYAs) post-HCT for SCD and their parents.</p><p><strong>Methods: </strong>YYAs were recruited from an urban hospital. Sociodemographic and HCT-specific information was analyzed for all enrolled. YYAs and/or their primary caregivers during HCT, participated in semi-structured interviews (e.g., pre-HCT knowledge, challenges, advice for families/health care providers). Interviews were audio-recorded, transcribed, and analyzed using content analysis.</p><p><strong>Results: </strong>There were 19 YYAs enrolled (63.2% male; 68.4% Black or African American; 47.4% Hispanic or Latino; M days post-HCT = 1946.53 ± 1329.13; M age at HCT = 10.95 ± 6.10 years old; M current age 15.74 ± 5.78 years old). Interviews were done with six YYAs alone, five YYA-caregiver dyads, and eight caregivers alone. The caregivers were all mothers. Participants reported underestimating the emotional impact HCT would have on themselves and their family members. They experienced challenges related to isolation, academics, finances, and post-HCT medical needs. In contrast, they felt well prepared for physiological aspects of HCT. They sought HCT to improve YYAs' HRQOL and encouraged others to consider it, but to be cognizant of the potential psychosocial impact.</p><p><strong>Conclusions: </strong>This study highlights the importance of preparing families for the psychosocial effects of HCT. Incorporating psychosocial assessment, education, and intervention throughout HCT has the potential to promote HRQOL for YYAs and their families.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"187-196"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142751965","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}
引用次数: 0
Psychosocial correlates of alcohol and substance use in college youth with type 1 diabetes. 大学生青少年1型糖尿病患者酒精和物质使用的社会心理相关性
IF 2.1 3区 心理学
Journal of Pediatric Psychology Pub Date : 2025-02-01 DOI: 10.1093/jpepsy/jsae103
Rebecca K Tsevat, Elissa R Weitzman, Lauren E Wisk
{"title":"Psychosocial correlates of alcohol and substance use in college youth with type 1 diabetes.","authors":"Rebecca K Tsevat, Elissa R Weitzman, Lauren E Wisk","doi":"10.1093/jpepsy/jsae103","DOIUrl":"10.1093/jpepsy/jsae103","url":null,"abstract":"<p><strong>Objective: </strong>Adolescents and young adults with chronic diseases face unique challenges during the college years and may consume alcohol and other substances to cope with stressors. This study aimed to assess the patterns of substance use and to determine psychosocial correlates of these behaviors among college youth with type 1 diabetes (T1D).</p><p><strong>Methods: </strong>College youth with T1D were recruited via social media and direct outreach into a web-based study. Participants answered validated questions about substance use, and they completed validated screeners of depressive and anxiety symptoms (PHQ-2 and GAD-2), illness acceptance (ICQ), interpersonal support (ISEL), and grit (Grit scale). Descriptive statistics, bivariate analyses, and multivariable regression evaluated substance use behaviors as a function of psychosocial factors while adjusting for age and sex.</p><p><strong>Results: </strong>Alcohol (84.06%) and marijuana (41.30%) were the most common substances reported. In bivariate analyses, depressive symptoms were positively associated (p = .01) and illness acceptance was inversely associated (p = .02) with marijuana use. Higher grit scores were inversely associated with marijuana use (p < .001) and prescription drug misuse (p = .04). The significant associations between marijuana use and depressive symptoms (adjusted odds ratio [AOR] 1.31, 95% confidence interval [CI] 1.04-1.66), illness acceptance (AOR 0.96, 95% CI 0.91-0.99), and grit (AOR 0.32, 95% CI 0.17-0.60) persisted after adjustment for age and sex.</p><p><strong>Conclusions: </strong>Substance use is prevalent among college youth with T1D. While psychosocial factors such as depressive symptoms may confer an increased risk, illness acceptance and grit may be protective-especially against marijuana use. Providers should address both positive and negative psychosocial factors to mitigate substance use in this population.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"197-204"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11831027/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899489","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}
引用次数: 0
Commentary: Increasing accessibility and adaptability of healthy lifestyle interventions for youth survivors of childhood cancer. 评论:增加青少年癌症幸存者健康生活方式干预的可及性和适应性。
IF 2.7 3区 心理学
Journal of Pediatric Psychology Pub Date : 2025-02-01 DOI: 10.1093/jpepsy/jsae105
Liana R Galtieri, Joanna Patten
{"title":"Commentary: Increasing accessibility and adaptability of healthy lifestyle interventions for youth survivors of childhood cancer.","authors":"Liana R Galtieri, Joanna Patten","doi":"10.1093/jpepsy/jsae105","DOIUrl":"10.1093/jpepsy/jsae105","url":null,"abstract":"","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"162-163"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143042110","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}
引用次数: 0
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