Journal of Pediatric Psychology最新文献

{"title":"Cumulative sociodemographic risk moderates the short-term effects of active music engagement.","authors":"Steven J Holochwost, Elizabeth Harman, Kristin Stegenga, Sheri L Robb","doi":"10.1093/jpepsy/jsag019","DOIUrl":"https://doi.org/10.1093/jpepsy/jsag019","url":null,"abstract":"<p><strong>Objective: </strong>The experience of cancer treatment can lead to interrelated distress among young children and their parents, which may induce traumatic stress symptoms among parents, undermine their well-being, and disrupt family function. Active music engagement (AME) is a dyadic music therapy intervention that addresses interrelated child-parent distress. Families undergoing treatment for cancer face varying levels of sociodemographic risk in their homes and communities, and levels of risk may impact the effects of AME. The current study examines whether cumulative sociodemographic risk moderated the immediate and/or short-term effects of AME on levels of parental stress, parental well-being, and family function.</p><p><strong>Methods: </strong>The current study is a secondary analysis of data collected from N = 125 families during a multisite study examining mediators and moderators of AME. Measures of parent traumatic stress, parental well-being, and family function were collected prior to the start of AME, immediately after AME concluded, and again 30 days later.</p><p><strong>Results: </strong>A series of multivariate regression models revealed that cumulative sociodemographic risk moderated the short-term effects of AME, but not its immediate effects. Families experiencing higher levels of risk realized disproportionate benefits from AME relative to families experiencing lower levels of risk.</p><p><strong>Conclusions: </strong>Although music therapy programs prioritize referrals based on family need, few studies offer evidence to guide these decisions. Our results suggest that AME should be reserved for families facing higher levels of risk, which may help to ensure that high-demand services are delivered to families who need them most in accordance with the Pediatric Psychosocial Preventative Health Model.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147494517","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":"Strengths in caregivers of children with pediatric feeding disorder: a scoping review.","authors":"Taylor P Harris, Lauren M Zaeske, Annie L Ryder, Barbara A Kerr, Dana M Bakula","doi":"10.1093/jpepsy/jsag013","DOIUrl":"https://doi.org/10.1093/jpepsy/jsag013","url":null,"abstract":"<p><strong>Objectives: </strong>This scoping review investigates the character strengths of caregivers of children with pediatric feeding disorder (PFD), which impacts 1 in 37 children under 5 years of age. Caregivers of children with PFD are at risk for poor mental health outcomes, but there is limited research on the unique strengths that caregivers develop or leverage to help navigate the stress of caring for a child with PFD.</p><p><strong>Methods: </strong>The scoping review followed a standard framework and PRISMA-ScR guidelines to analyze studies focusing on caregivers of children with PFD or feeding-related issues. Definitions of strengths were defined by the 24 character strengths framework, outlined in the Values in Action Inventory of Strengths (VIA-IS), which highlights positive traits of humans. A comprehensive search of four databases identified 1,174 articles, which were screened based on inclusion criteria, resulting in 11 studies.</p><p><strong>Results: </strong>No studies directly investigated the strengths of caregivers as their primary outcome; however, multiple strengths were identified by coding strengths consistent with the VIA-IS across findings of the 11 included articles. Identified strengths highlighted caregiver resilience, with hope being the most frequent strength across studies.</p><p><strong>Conclusions: </strong>Strengths can be protective factors of caregiver mental health. However, there is limited literature on the strengths in caregivers of children with PFD, and how they develop over time. A small number of studies have identified the presence of multiple strengths among caregivers of children with PFD, but more research is needed to understand how we can leverage strengths to improve caregiver and child resiliency.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147482017","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":"Growth hormone deficiency, bullying victimization, and associations with treatment status: a pediatric case-control study.","authors":"Zumrut Kocabey Sutcu, Yasin Caliskan, Emel Hatun Aytaç Kaplan","doi":"10.1093/jpepsy/jsag022","DOIUrl":"https://doi.org/10.1093/jpepsy/jsag022","url":null,"abstract":"<p><strong>Objective: </strong>Short stature affects approximately 3% of children and often leads to psychosocial challenges, including peer bullying. While growth hormone therapy effectively treats physical aspects of growth hormone deficiency, its protective effects against bullying victimization remain understudied.</p><p><strong>Methods: </strong>This case-control study included 317 children aged 9-18 years: 108 newly diagnosed with growth hormone deficiency (untreated), 103 receiving growth hormone treatment (≥1 year), and 106 healthy controls. Participants completed the Olweus Bully/Victim Questionnaire, Rosenberg Self-Esteem Scale, Revised Child Anxiety and Depression Scale, and Strengths and Difficulties Questionnaire. Demographic and clinical data were collected through standardized interviews and medical records.</p><p><strong>Results: </strong>Bullying victimization rates differed significantly among groups (p = .005). Newly diagnosed children showed the highest victimization rate (34.3%), followed by treated children (24.3%) and controls (15.1%). Treated children demonstrated significantly lower depressive affect scores (1.17 ± 0.95) compared to newly diagnosed children (2.2 ± 1.19, p = .001) and higher prosocial behavior scores (8.06 ± 2.09 vs. 7.08 ± 2.27, p = .001). Among treated children, bullying victims showed significantly compromised psychological functioning compared to non-victims, including lower self-esteem (27.52 ± 6.0 vs. 31.12 ± 5.44, p = .005) and higher anxiety-depression scores (48.88 ± 19.78 vs. 35.13 ± 23.81, p = .008).</p><p><strong>Conclusions: </strong>Growth hormone therapy is associated with reduced peer bullying victimization in children with growth hormone deficiency. The stepwise pattern observed across treatment groups suggests that treatment status relates to psychosocial outcomes extending beyond physical growth. These findings support early diagnosis and comprehensive care approaches addressing both endocrine and psychosocial aspects of growth hormone deficiency.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147475674","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":"Measuring symptoms of depression in children and adolescents with and without a chronic condition.","authors":"Ilia Marcev, Joanna McHugh Power, Philip Hyland","doi":"10.1093/jpepsy/jsag023","DOIUrl":"https://doi.org/10.1093/jpepsy/jsag023","url":null,"abstract":"<p><strong>Objective: </strong>Children and adolescents with chronic medical conditions show higher rates of depression, but symptoms such as fatigue, sleep problems, and appetite changes are common to both depression and chronic illness. Measurement invariance is important to establish in depression screening tools across chronic health groups to determine whether they accurately assess depressive symptoms and not chronic health symptoms. This study examined whether the depression subscale of the Revised Children's Anxiety and Depression Scale (RCADS) functioned equivalently across those with and without a chronic condition.</p><p><strong>Methods: </strong>A nationally representative sample of 11-19-year-olds in Northern Ireland (N = 1,299) completed the scale. Demographic information, such as age, sex, and urbanicity, and health diagnoses, were also collected. The present study included physical health conditions recognized as being chronic or long-term in nature.</p><p><strong>Results: </strong>Confirmatory factor analysis supported the original one-factor model of depression (χ2(35) = 370.03, p < .001; comparative fit index = .971; Tucker-Lewis index = .963; root mean square error of approximation = .090, 90% confidence interval, .082-.098; standardized root mean square residual = .035) and strong measurement invariance was established using Multi-Group Confirmatory Factor Analysis. Those with a chronic condition scored moderately higher on depression (Cohen's d = .41).</p><p><strong>Conclusions: </strong>These findings indicate that the RCADS is a valid and reliable tool to screen for depression across health groups, supporting valid comparisons between them.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147475933","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: equity-focused intervention design in pediatric oncology.","authors":"Mary Rose Yockel, Christina M Sharkey","doi":"10.1093/jpepsy/jsag018","DOIUrl":"https://doi.org/10.1093/jpepsy/jsag018","url":null,"abstract":"","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147460535","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":"A dyadic perspective on trust in physicians and quality of life in pediatric asthma: an actor-partner interdependence model on children and their parents.","authors":"Serena Petrocchi","doi":"10.1093/jpepsy/jsag017","DOIUrl":"https://doi.org/10.1093/jpepsy/jsag017","url":null,"abstract":"<p><strong>Objectives: </strong>This study examined the effects of dyadic trust in physicians as a determinant of children's quality of life (QoL) in pediatric asthma. Actor and partner effects of children's and parents' trust towards physician were tested, and linear vs. curvilinear associations were compared within an Actor-Partner Interdependence Model (APIM).</p><p><strong>Methods: </strong>A longitudinal design included 222 child-mother dyads (children's Mage = 12.6 years) assessed at two time points 1 year apart. Children completed trust in physician scale and a QoL questionnaire; parents reported their own trust in physicians, asthma severity, adherence, and illness-related conflict with the child.</p><p><strong>Results: </strong>The linear APIM demonstrated a good fit (χ2(12) = 24.53, Comparative Fit Index (CFI) = 0.97, Tucker-Lewis Index (TLI) = 0.93, Root Mean Square Error of Approximation (RMSEA) = 0.07, Standardized Root Mean Square Residual (SRMR) = 0.08) and explained 50% of the variance in children's QoL at Time 2. Both actor (β = .18, p = .018) and partner (β = .18, p = .007) effects of trust were significant and statistically equivalent (Wald χ2 (1) = 0.25, p = .62). The quadratic model showed poorer fit (CFI = 0.89, RMSEA = 0.11), and model comparisons favored the linear specification (Δχ2 (2) = 8.63, p = .013).</p><p><strong>Discussion: </strong>Findings highlight children's and mothers' trust in physicians as a dyadic, mutually reinforcing predictor of children's well-being. In pediatric asthma, higher trust, whether from the child or the parent, consistently benefits QoL, supporting a linear rather than curvilinear relationship. Strengthening trust on both sides of the parent-child dyads may enhance adherence, engagement, and long-term health outcomes.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147460546","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":"Predictive utility and cut point of the Physical Activity Questionnaire-Children for differentiating youth meeting moderate to vigorous physical activity recommendations using accelerometry.","authors":"Tristen Hefner, Eli Halbreich, Jason Van Allen","doi":"10.1093/jpepsy/jsaf116","DOIUrl":"https://doi.org/10.1093/jpepsy/jsaf116","url":null,"abstract":"<p><strong>Objective: </strong>Moderate-to-vigorous physical activity (MVPA) is associated with a host of health benefits. As researchers continue to develop an understanding of what keeps young people from meeting physical activity recommendations, there is a need to develop efficient and cost-effective measures that can accurately distinguish youth who meet guidelines from those who do not. Therefore, the current study aims to evaluate the utility of the Physical Activity Questionnaire for Children (PAQ-C) in predicting accelerometer-derived estimates of MVPA.</p><p><strong>Method: </strong>The final sample included 184 youth between the ages of 8 and 12 years, who completed self-report measures and wore an accelerometer for two weeks. Binary logistic regression was performed to evaluate the relationship between PAQ-C composite score and MVPA recommendation status. Receiver operating characteristic analysis was performed to identify an optimal cut value for the PAQ-C.</p><p><strong>Results: </strong>Age and gender demonstrated small, but significant associations with meeting MVPA recommendation status. Specifically, females and older participants were less likely to meet MVPA recommendations. PAQ-C was also identified as a significant predictor of youth meeting MVPA recommendation status. The area under the curve was found to be .76. A cut value of 3.34 was found to optimize both specificity (.70) and sensitivity (.76). Participants at or above this value can be classified as having met MVPA recommendations.</p><p><strong>Conclusions: </strong>The PAQ-C was found to be a useful measure for predicting youth meeting MVPA recommendations. Researchers can use these findings to determine if participants are meeting MVPA recommendations of 60 or more minutes of MVPA per day by evaluating if participants meet or exceed the identified PAQ-C cut point. Future studies should continue to establish the predicative utility of the PAQ-C for youth experiencing chronic health conditions, such as obesity.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436758","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":"Integrating cognitive behavioral therapy into specialty care for adolescents with cystic fibrosis: a feasibility trial.","authors":"Deborah Friedman, Alexandra L Quittner, Amanda S Bruce, Beth A Smith, Jianghua He, Nivedita Chaudhary, Abbey Boutwell, Ruobin Wei, Tara M D Mullen, Christine M Roach, Megan Behrman, Anna M Georgiopoulos","doi":"10.1093/jpepsy/jsag006","DOIUrl":"https://doi.org/10.1093/jpepsy/jsag006","url":null,"abstract":"<p><strong>Objective: </strong>Created to advance cystic fibrosis (CF) mental health care delivery, CF-cognitive behavioral therapy (CBT) is being implemented across North America. An adolescent version (CF-CBT-A) was developed with stakeholder input. To assess the feasibility/acceptability of CF-CBT-A delivered via telehealth by CF care-team providers, we designed a one-arm feasibility trial at 3 CF Centers examining attrition, engagement, homework completion, and treatment satisfaction.</p><p><strong>Methods: </strong>Adolescents with CF identified by routine screening with at least mild depression and/or anxiety symptoms received CF-CBT-A. Retention rate (proportion enrolled completing all 9 sessions) and treatment satisfaction (proportion of Client Satisfaction Questionnaire-8 ratings above scale midpoint) were considered good at ≥70% and excellent at ≥80%. Pre-post change in measures of depression, anxiety, psychological stress, and coping (CF Coping Self-Efficacy; CF-CSE) were summarized with Cohen's d metric of effect sizes.</p><p><strong>Results: </strong>Twelve participants (12-17 years; M = 13) enrolled, with 92% retention. Engagement was rated at the highest level, and homework was partially/fully completed for 94% and 74% of sessions, respectively. All adolescent and caregiver acceptability ratings were >Client Satisfaction Questionnaire-8 mid-point. Large effect sizes showed promising improvements in anxiety (-1.01) and coping: CF-CSE Relaxation Skills (2.00), Active Stress Management (1.09), and Acceptance/Communication (1.70). Effect sizes were moderate for depression (-0.64), CF-CSE Daily Self Care (0.68), and adolescent-reported psychological stress (-0.51). Effect sizes were small for caregiver-reported adolescent stress (-0.26).</p><p><strong>Conclusions: </strong>Results support the feasibility and acceptability of CF-CBT-A integrated into CF care, with preliminary evidence of positive impacts. Further research is needed to establish effectiveness and optimal implementation by CF teams to improve access to CF-specific evidence-based mental health care for adolescents.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436814","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: Improving the assessment of pediatric-to-adult healthcare transition.","authors":"Katherine E Weaver, Sayward Harrison","doi":"10.1093/jpepsy/jsag020","DOIUrl":"https://doi.org/10.1093/jpepsy/jsag020","url":null,"abstract":"","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147391238","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":"Feasibility, satisfaction, and preliminary results of a coping skills training program for parents of children with cancer.","authors":"Oz Hamtzani, Michael J Dolgin, Talma Kushnir","doi":"10.1093/jpepsy/jsag015","DOIUrl":"https://doi.org/10.1093/jpepsy/jsag015","url":null,"abstract":"<p><strong>Objective: </strong>While parents of children with cancer experience increased levels of emotional distress, considerable variability in adjustment and distress is evident. The current study aimed to examine the feasibility, acceptability, and satisfaction of a semi-structured intervention protocol based on a three-factor theoretical model of coping and distress using a single-arm study design. The intervention focused on reducing the use of avoidance-focused coping techniques, expanding the repertoire of problem-, and emotion-focused coping techniques, and increasing flexibility in applying these techniques.</p><p><strong>Methods: </strong>A sample of 22 mothers and 10 fathers (N = 32) of children undergoing active cancer treatment were recruited from a pediatric hematology-oncology department. The manualized intervention protocol consisted of six 1-hr sessions. Parents completed standardized measures at three time points: baseline, post-intervention, and 6-week follow-up. Parents also completed an acceptability measure and four brief open-ended questions evaluating their satisfaction and experience with the intervention.</p><p><strong>Results: </strong>Of 48 eligible parents who were approached, 32 agreed to participate in the intervention (enrollment rate = 66.67%) and of these, 25 completed the intervention (retention rate = 78.13%), supporting the intervention's feasibility. Parents who completed the intervention provided positive feedback and high satisfaction ratings. Descriptive patterns across pre-, post-, and follow-up assessments reflected expected directions of change in coping and distress measures.</p><p><strong>Conclusions: </strong>These results support the feasibility and acceptability of a theory-driven intervention based on a three-dimensional model of parental coping and distress. Although preliminary descriptive changes were observed across assessment points, these should not be interpreted as evidence of efficacy. Larger controlled trials are necessary to rigorously evaluate the intervention's effectiveness.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147327704","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}