Journal of Pediatric Psychology最新文献

{"title":"Positive psychological resources, self-management behavior, and glycemic outcomes in adolescents with type 1 diabetes and elevated diabetes distress.","authors":"Molly Ream, Hermioni L Amonoo, Adam René P Rosenbaum, Alison O'Daffer, Daniel J Desalvo, Faisal Malik, Maeve O'Donnell, Brenda Duran, Abby R Rosenberg, Marisa E Hilliard, Joyce Yi-Frazier","doi":"10.1093/jpepsy/jsag063","DOIUrl":"https://doi.org/10.1093/jpepsy/jsag063","url":null,"abstract":"<p><strong>Objective: </strong>Positive psychological constructs (e.g., benefit finding, resilience, and diabetes strengths) have been associated with greater engagement in self-management behaviors among teens with type 1 diabetes (T1D). However, for teens with T1D experiencing diabetes distress, these potentially protective associations are less understood. To explore the potential protective functions of positive psychological constructs, we investigated their associations with subjective and objective diabetes self-management behaviors and health outcomes among adolescents with diabetes distress.</p><p><strong>Methods: </strong>This secondary analysis used baseline data from a two-site intervention trial among adolescents with T1D and elevated diabetes distress. Participants (n = 172, ages 12-18, M(SD) = 15.7(1.6) years; 56% female) completed validated measures of benefit finding, resilience, diabetes strengths, self-management behaviors, and health-related quality of life (HRQOL). Objective self-management was measured via continuous glucose monitor percent time active. Glycated hemoglobin A1c (HbA1c) (glycemic outcome) was collected via electronic health records or dried blood spots. Separate hierarchical linear regressions for each outcome were conducted controlling for demographic and medical covariates and diabetes distress.</p><p><strong>Results: </strong>Positive psychological constructs explained additional variance in self-management beyond distress and demographic and medical covariates (ps < .05). Diabetes strengths consistently predicted self-management and HRQOL (ps < .05), whereas benefit finding and resilience showed limited associations; none of the positive constructs were associated with HbA1c.</p><p><strong>Conclusions: </strong>Given robust links with self-management and HRQOL, above and beyond diabetes distress, diabetes strengths and other positive psychological constructs may serve as resilience resources in adolescents with T1D. These findings suggest interventions targeting diabetes strengths may be promising to enhance engagement and HRQOL in this high-risk population.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876257","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":"Socioemotional outcomes in siblings of children and adolescents with chronic conditions and special care needs-the role of parenting.","authors":"Ana Paula Scoleze Ferrer, Ailton Rodrigues da Silva, Bruno Tavares Baroni, Maria Beatriz Raveduti Zafiro, Sandra Josefina Ferraz Ellero Grisi","doi":"10.1093/jpepsy/jsag035","DOIUrl":"10.1093/jpepsy/jsag035","url":null,"abstract":"<p><strong>Objectives: </strong>This study investigated factors associated with socioemotional outcomes in preschool-aged siblings of children and adolescents/youth with chronic conditions and special care needs (CYSHCN) and examined whether parenting influences these outcomes.</p><p><strong>Methods: </strong>This cross-sectional study included 123 healthy preschool-aged siblings of CYSHCN receiving care in Brazil. Socioemotional outcomes were assessed using the Strengths and Difficulties Questionnaire (SDQ), and parenting was measured using the Parenting Sense of Competence Scale (PSOC). Data analysis included bivariate tests to explore associations between predictors and socioemotional outcomes followed by structural equation modeling (SEM) to examine direct and mediated pathways via parental sense of competence. Final model demonstrated satisfactory fit (χ2/df = 2.24, CFI = 0.969, TLI = 0.950, SRMR = 0.073, RMSEA = 0.082).</p><p><strong>Results: </strong>Half of the preschoolers scored in the \"abnormal\" range (according to SDQ classification) for socioemotional difficulties, with conduct problems most prevalent. Socioemotional problems were associated with greater clinical severity of the CYSHCN. The analysis using SEM showed that parental competence mediated the relationship between CYSHCN clinical severity and healthy sibling's socioemotional outcomes (indirect effect a*b = 0.075, p = .046; 21.3% mediation).</p><p><strong>Conclusions: </strong>This study focused on preschool-aged children, a sensitive period for socioemotional development that remains underexplored in research on siblings of CYSHCN, and demonstrated that they are at an increased risk for socioemotional difficulties, especially when the condition of the CYSHCN is more severe. Parental competence plays a mediating role and may buffer this association, highlighting the need for interventions that strengthen parenting to promote better child outcomes.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"746-756"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844512","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":"Diabetes-related distress and quality of life in mothers during the adolescent to young adult transition in type 1 diabetes.","authors":"Michelle M Ness, Jennifer L Saylor","doi":"10.1093/jpepsy/jsag038","DOIUrl":"10.1093/jpepsy/jsag038","url":null,"abstract":"<p><strong>Objective: </strong>The transition to adulthood presents challenges for families managing type 1 diabetes (T1D), yet maternal well-being during this period remains understudied. Guided by family systems theory and the transactional stress and coping model, this study examined relationships among diabetes-related distress, perceived social support, and quality of life (QoL) in mothers of adolescents and young adults (AYAs; ages 15-25) with T1D.</p><p><strong>Methods: </strong>Using a cross-sectional, descriptive correlational design, 72 mothers (M age = 48.6 years, 91.7% White, 87.5% married) of AYAs with T1D (M age = 19.4 years) completed validated measures of T1D-specific QoL, diabetes-related distress, and perceived social support. Kendall's tau-b correlations analyzed associations among study variables.</p><p><strong>Results: </strong>Maternal personal distress demonstrated the strongest negative association with T1D-specific QoL (τb = -0.69, p < .001), followed by mother/AYA relationship distress (τb = -0.58, p < .001) and management distress (τb = -0.56, p < .001). All forms of distress showed large negative associations with emotional well-being and moderate to large negative associations with relationship quality. Overall perceived social support was not significantly associated with T1D-related QoL (τb = 0.15, p = .127), though family (τb = 0.18, p = .036) and friend support (τb = 0.21, p = .015) showed small positive associations with emotional well-being and daily activities.</p><p><strong>Conclusions: </strong>Findings demonstrate that maternal diabetes-related distress, particularly personal distress, was significantly negatively associated with QoL during the AYA period. Results highlight the need for routine distress screening, family-based interventions targeting diabetes-specific conflict, and diabetes-specific support resources tailored to this developmental period.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"757-765"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148007136","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: Social drivers of health within the Pediatric Self-Management Model.","authors":"Desireé N Williford, Lori E Crosby, Avani C Modi","doi":"10.1093/jpepsy/jsag028","DOIUrl":"10.1093/jpepsy/jsag028","url":null,"abstract":"","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"725-728"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147876126","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: Moving beyond neighborhood effects: translating neighborhood opportunity into pediatric psychology.","authors":"Layomi Adeojo, Jessica M Valenzuela","doi":"10.1093/jpepsy/jsag062","DOIUrl":"https://doi.org/10.1093/jpepsy/jsag062","url":null,"abstract":"","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876305","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":"Emotional and behavioral problems in children of parents with chronic physical health conditions: a systematic review and meta-analysis.","authors":"Martin Pinquart, Luisa Pontes Nordmann","doi":"10.1093/jpepsy/jsag057","DOIUrl":"https://doi.org/10.1093/jpepsy/jsag057","url":null,"abstract":"<p><strong>Objective: </strong>The goal of this meta-analysis was to analyze whether children of parents with chronic physical health conditions exhibit larger levels of internalizing and externalizing problems, as well as total problem behavior, compared to children from families without these conditions and test norms.</p><p><strong>Methods: </strong>A systematic search of the electronic databases PsycINFO, MEDLINE, Web of Science, and Google Scholar (completed on February 9, 2026) yielded 174 studies with 92,548 children that were included in a multilevel meta-analysis. Risk for bias was assessed with the Mixed Methods Appraisal Tool. The meta-analysis was preregistered at OSF (https://osf.io/awbqh).</p><p><strong>Results: </strong>We found higher levels of internalizing (g = .29), externalizing (g = .20), and total problems (g = .28) in children of parents with chronic physical health conditions. For two outcomes, there were indications of a potential file-drawer problem. The highest levels were observed in families with parents experiencing chronic pain, and the weakest levels were found in families with parents who had cancer. The effect sizes were also stronger when the chronic conditions lasted longer, when the parents with chronic conditions were older, when the parents with chronic conditions were mothers or nonpartnered individuals, when the parents with chronic conditions rated child outcomes rather than their healthy partners, when the comparison was made with families without chronic conditions rather than with test norms, and in unpublished studies.</p><p><strong>Conclusion: </strong>Children of parents with chronic physical health conditions should be screened for emotional and behavioral problems, and they should receive prevention and intervention services according to their needs.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876276","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":"Correction to: Siblings in families of children with chronic disorders: a model of risk and protective factors.","authors":"","doi":"10.1093/jpepsy/jsag053","DOIUrl":"10.1093/jpepsy/jsag053","url":null,"abstract":"","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"804-805"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13594682/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148537292","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}

{"title":"Momentary associations between perceived stress, dietary restriction, and eating behaviors in adolescents.","authors":"Peichen Liu, Jeremy C Morales, Genevieve F Dunton, Tyler B Mason","doi":"10.1093/jpepsy/jsag046","DOIUrl":"10.1093/jpepsy/jsag046","url":null,"abstract":"<p><strong>Objective: </strong>Adolescence is a critical period where growing autonomy over food choices shapes long-term health behaviors. While stress and dietary restriction are linked to eating behavior, prior research has examined trait-level stress, leaving momentary processes less understood. This study investigated associations between momentary perceived stress and eating behaviors, with dietary restriction tested as a moderator.</p><p><strong>Methods: </strong>Participants (N = 74 ages 14-17) from Los Angeles County completed a 10-day ecological momentary assessment protocol that included three to seven random smartphone prompts per day and initiated additional prompts during eating episodes. Perceived stress and dietary restriction were assessed at random prompts, while eating behaviors were assessed during eating-episode prompts. Eating behavior outcomes included dysregulated eating (loss of control eating and overeating) and food consumed (pastries/sweets and fruits/vegetables). Time-lagged generalized linear mixed models tested within- and between-subjects associations.</p><p><strong>Results: </strong>Neither within-subject perceived stress nor its interaction with restriction significantly predicted outcomes. No associations were found for predicting fruit and vegetable nor pastry/sweet consumption. However, in the main effect model, greater within- and between-subjects dietary restriction predicted subsequent loss of control eating, and higher between-subjects restriction predicted increased pastry/sweet intake.</p><p><strong>Conclusions: </strong>The findings highlight dietary restriction as a key acute predictor of adolescents' loss of control eating, whereas momentary perceived stress did not emerge as a precipitant. Findings underscore the importance of screening for restrictive eating patterns and suggest that pediatricians and caregivers should monitor adolescents at risk. Future research should refine momentary stress assessment and test potential moderators of associations.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"791-803"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13594650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425181","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}

{"title":"Evaluating the Visible Difference Parenting Toolkit: an ACT-based intervention to improve parental/carer stress and psychosocial well-being of carers of children with appearance affecting conditions and injuries.","authors":"Maia Thornton, Emma Waite, Paul White, Anna Zarola, Nymfodora Antoniou, Alex Clarke, Diana Harcourt","doi":"10.1093/jpepsy/jsag043","DOIUrl":"10.1093/jpepsy/jsag043","url":null,"abstract":"<p><strong>Objective: </strong>Alongside the typical challenges of parenting, parents and carers of children with visible differences can experience additional psychosocial challenges including anxiety, stress, guilt, and concerns about stigma and discrimination. The Visible Difference Parenting Toolkit is an ACT-based intervention aimed at improving psychosocial well-being for this group of parents/carers. This study examined the acceptability and potential benefit of the intervention utilizing a mixed-methods single-arm pre-post design.</p><p><strong>Method: </strong>Parents/carers (baseline n = 173) completed an online survey at three time points: (1) baseline, (2) post-intervention, and (3) 2-month follow-up. Paired t-tests on available matched data assessed differences in outcome measures between timepoints (83 pairs at post-intervention, 62 at follow-up). Open-ended responses were analyzed using content analysis.</p><p><strong>Results: </strong>Statistically significant reductions in parent-reported depression and anxiety and statistically significant improvements in parent-reported self-efficacy were found between baseline and post-intervention. Additionally, significant reductions in parent-reported depression and anxiety and significant improvements in self-compassion, self-efficacy, and psychological flexibility were found between baseline and follow-up. Parenting stress did not significantly improve post-intervention immediately, but showed significant change at follow-up. Responses to open-ended questions indicated that although some ongoing concerns remained about future challenges, the intervention helped parents/carers feel more knowledgeable and confident in supporting their child.</p><p><strong>Conclusions: </strong>This study suggests the Visible Difference Parenting Toolkit is an acceptable and potentially useful intervention for supporting parents/carers of children with a visible difference. This novel intervention addresses a gap in the current support provision in the visible difference field and is now freely available through www.VisibleDifferenceSupportHub.com.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"778-790"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13594659/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425193","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}

{"title":"Commentary: From critical consciousness to action: advancing the pediatric self-management model through systems-centered language.","authors":"Kishan R Desai, Vinkrya N Ellison, Patricia Logan, Kristoffer S Berlin","doi":"10.1093/jpepsy/jsag042","DOIUrl":"10.1093/jpepsy/jsag042","url":null,"abstract":"","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"729-731"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148284601","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}