Journal of Pediatric Psychology最新文献

{"title":"Parallel reductions in diabetes distress through distinct pathways: a mixed-methods study of two interventions in adolescents with type 1 diabetes.","authors":"Megan J Moran, Francesca Lupini, Sally Ho, Jack Vagadori, Randi Streisand, Lauren B Shomaker, Katherine Patterson Kelly, Mesgana Dagnachew, Melissa DeJonckheere, Timothy C Guetterman, Eleanor Mackey","doi":"10.1093/jpepsy/jsag058","DOIUrl":"https://doi.org/10.1093/jpepsy/jsag058","url":null,"abstract":"<p><strong>Objective: </strong>Adolescents with type 1 diabetes (T1D) frequently experience elevated diabetes distress, which is associated with poorer psychosocial and glycemic outcomes. Mindfulness-based intervention (MBI) and education programs may reduce distress through distinct mechanisms. This mixed-methods study examined adolescents' experiences of two group-based interventions to understand perceived benefits, mechanisms of change, and satisfaction in the context of diabetes distress trajectories.</p><p><strong>Methods: </strong>Participants were N = 39 adolescents with T1D enrolled in a pilot randomized controlled trial comparing MBI to diabetes-focused health education. Adolescents completed the Problem Areas in Diabetes-Teen scale at baseline, post-intervention, and 3-month follow-up. Reliable Change Index criteria classified diabetes distress trajectories. Semi-structured post-intervention interviews (n = 37) were analyzed using reflexive thematic analysis. Quantitative and qualitative findings were integrated through joint display.</p><p><strong>Results: </strong>Diabetes distress decreased from baseline to post-intervention (B = -11.01, SE = 2.87, p < .001) and remained lower at follow-up (B = -7.02, SE = 2.87, p = .017), with no group difference. Qualitative analyses identified three themes: (1) each intervention appeared to effectively target its respective core mechanism to reduce distress, (2) connecting with others with shared lived experiences was a powerful support for adolescents in both interventions, and (3) barriers to satisfaction centered on intervention content and group dynamics, and were more salient in MBI.</p><p><strong>Conclusions: </strong>MBI and diabetes-focused health education may reduce diabetes distress through distinct yet complementary mechanisms. Integrating adolescents' perspectives with outcome data underscores the importance of peer connection, engagement, and intervention tailoring to optimize psychosocial care for adolescents with T1D.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867379","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":"Confirmatory factor analysis of the parent and child problem areas in diabetes measures in a clinical sample of youth with type 1 diabetes.","authors":"Alexandra D Monzon, Susana R Patton, Brent Lockee, Jill Weissberg-Benchell, Mark Clements","doi":"10.1093/jpepsy/jsag060","DOIUrl":"https://doi.org/10.1093/jpepsy/jsag060","url":null,"abstract":"<p><strong>Objective: </strong>The Problem Areas in Diabetes Child version (PAID-C) and Parent version (P-PAID-C) have demonstrated initial validity and reliability in research samples; however, little is known about their performance in routine clinical settings. This study evaluated the factor structure of the PAID-C and P-PAID-C using clinic-based screening data from school-aged children (aged 8-12 years) with type 1 diabetes (T1D) and their parents.</p><p><strong>Methods: </strong>Children with T1D and their parents completed the PAID-C and P-PAID-C as part of standard clinic screening. We conducted confirmatory factor analyses using weighted least-squares mean and variance-adjusted estimation. We tested one-, two-, and four-factor models based on previous validation work and evaluated model fit using comparative fit index, Tucker-Lewis index, root mean square error of approximation, and standardized root mean squared residual.</p><p><strong>Results: </strong>Across approximately 24 months, 371 children completed the PAID-C and 893 parents completed the P-PAID-C. For the PAID-C, the one- and two-factor models both showed acceptable fit, with the two-factor model demonstrating the best fit. For the P-PAID-C, only the four-factor model reached acceptable fit after we correlated two similar error terms. Child PAID-C scores did not correlate with glycated hemoglobin (HbA1c), while parent P-PAID-C scores showed a small positive association with child HbA1c and were higher among parents of Hispanic children.</p><p><strong>Conclusions: </strong>Findings support the structural validity of the PAID-C and P-PAID-C when used in real-world clinical care. Results confirm diabetes distress as a multidimensional construct and reinforce the clinical utility of these brief measures for identifying specific distress domains and informing tailored interventions for children with T1D and their caregivers.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799659","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: Multifactorial and dynamic considerations when evaluating interventions for adolescents with kidney disease.","authors":"Finola E Kane-Grade, Lidan Gu","doi":"10.1093/jpepsy/jsag056","DOIUrl":"https://doi.org/10.1093/jpepsy/jsag056","url":null,"abstract":"","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148680540","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: we don't know what we don't know: co-design and implementation science to advance digital psychological interventions.","authors":"Gabriella Bobadilla, Erika L Gustafson, Colleen Stiles-Shields","doi":"10.1093/jpepsy/jsag026","DOIUrl":"10.1093/jpepsy/jsag026","url":null,"abstract":"","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"639-641"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13626090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677764","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":"Subgroups of pre-adolescents with type 1 diabetes based on profiles of resilience-supporting resources and risk factors.","authors":"Jenna B Shapiro, Kelsey R Brzezinski, Anthony T Vesco, Jill Weissberg-Benchell","doi":"10.1093/jpepsy/jsag029","DOIUrl":"10.1093/jpepsy/jsag029","url":null,"abstract":"<p><strong>Objective: </strong>There are different profiles of modifiable psychosocial resources and risk factors among adolescents with type 1 diabetes (T1D) that predict long-term differences in diabetes distress, diabetes management behaviors, and glycemic outcomes. Similarly, there may be distinct profiles of resources and risk factors prior to adolescence. Profiles could be used to identify which types of youth might benefit most from targeted intervention before the challenging teen years. The present study sought to identify subgroups of pre-adolescents based on empirically derived profiles of modifiable resilience-enhancing resources and risk factors.</p><p><strong>Methods: </strong>One-hundred six caregivers and 101 pre-adolescents with T1D ages 9 through 12 years participated in a one-time survey during the COVID-19 pandemic. Latent profile analysis was used to identify subgroups and to assess subgroup relations with covariates and distal outcomes.</p><p><strong>Results: </strong>Two subgroups provided the best fit to the data. Hypothesized profiles with higher versus lower levels of resilience factors were associated with diabetes outcomes in the expected directions. There were clinically and statistically significant differences between subgroups, such that the Higher Resilience Factor subgroup had lower hemoglobin A1c, engaged in more diabetes management behaviors, and experienced less diabetes distress than the Lower Resilience Factor subgroup.</p><p><strong>Conclusions: </strong>It is possible to identify subgroups of pre-adolescents based on profiles of modifiable individual- and family-based resources and risk factors. Indicators of collaborative caregiver involvement, diabetes-related family conflict, negative thoughts, diabetes strengths, and diabetes self-efficacy appear especially useful for identifying a more \"at-risk\" subgroup of pre-adolescents who may benefit most from targeted psychosocial intervention.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"677-687"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13505385/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692788","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":"Small but mighty: how can pediatric psychologists harness the power of digital single-session interventions?","authors":"Christina M Amaro, Alexandra D Monzon, Melissa A Alderfer, Kimberly S Canter, Michael Amylon, Stephanie Fooks-Parker, Jessica L Schleider, Susana R Patton, Katie A Devine","doi":"10.1093/jpepsy/jsag033","DOIUrl":"10.1093/jpepsy/jsag033","url":null,"abstract":"<p><strong>Objective: </strong>Single-session interventions (SSIs) are an innovative, scalable approach for addressing the unmet behavioral and mental health needs of pediatric patients and their families. Specifically, digital SSIs, which are self-guided and delivered online, offer a low-cost and accessible approach but are currently underutilized in pediatric psychology.</p><p><strong>Methods: </strong>This topical review aims to describe SSIs broadly and the specific need for digital SSIs, explore potential applications within pediatric psychology, outline future directions and considerations, and present two examples of community-engaged digital SSI design.</p><p><strong>Results: </strong>SSIs evidence small to medium effects across a range of mental health concerns, including distress, anxiety, and depression, supporting their broad applicability. Incorporating community voices during the development process is essential to ensure SSIs are contextually relevant in pediatric populations. Two illustrative SSIs currently in development within pediatric psychology are described: (1) an intervention supporting adolescent siblings of children with cancer and (2) a program targeting depression in adolescents with type 1 diabetes. Both examples incorporate input from key community members, underscoring the value of participatory design in enhancing intervention relevance and impact.</p><p><strong>Conclusions: </strong>SSIs offer a brief and scalable strategy to help address gaps in psychological care, particularly for youth and families with limited access to services. Pediatric psychologists are well positioned to develop, evaluate, and implement SSIs across diverse populations and intervention targets. Ensuring the effectiveness, equity, and sustainability of SSIs will require ongoing collaboration with community partners and integration across pediatric care settings.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"717-723"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13310525/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844465","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":"Digital psychological interventions in youth with neurological disorders: a systematic review.","authors":"Yvette Keevers, Asmitha Sivaneswaran, Joanne Dudeney, Thomas Woldhuis, Milena Gandy","doi":"10.1093/jpepsy/jsaf109","DOIUrl":"10.1093/jpepsy/jsaf109","url":null,"abstract":"<p><strong>Objective: </strong>Youth with neurological disorders (NDs) face increased risk of psychological difficulties and poor quality of life. This research aimed to systematically review the current state of evidence of digital psychological interventions (DPIs) for improving (1) psychological and/or (2) health-related outcomes in children and adolescents with NDs.</p><p><strong>Methods: </strong>Systematic searches were performed in four databases CENTRAL, EMBASE, PsycINFO, MEDLINE, and NeuroBITE between inception and 27 November 2024. Included studies were clinical trials (e.g., randomized controlled trials or single-group pre-post designs) investigating the efficacy of a DPI aimed at improving psychological and/or health-related outcomes in youth (<18 years) with NDs. Risk of bias was assessed via the Cochrane Risk of Bias Assessment Tool (RoB2) by two authors. Psychological outcomes included internalizing (e.g., depression), behavioral (e.g., externalizing symptoms), and/or cognitive symptoms (e.g., executive function). Health-related outcomes included physical symptoms (e.g., tics), adherence, and quality of life.</p><p><strong>Results: </strong>Twenty studies (total participants = 1,508) met criteria and were included. Most studies (k = 10; 50%) focused on youth with traumatic brain injury. Findings revealed mixed trends of efficacy with 12 studies (60%) indicating that DPIs improved outcomes, mainly in behavioral outcomes. Limitations included multiple trials rated as having some concerns (k = 8; 47%) or high risk of bias (k = 5; 29%) due to poor methodological quality.</p><p><strong>Conclusions: </strong>DPIs may improve psychological and health-related outcomes; however, higher-quality research is needed to explore the potential of DPIs to address the psychological needs of youth with NDs.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"621-638"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13505392/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677808","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":"A systematic review of the social functioning of youth with JIA: Barriers, stigma, and resources.","authors":"Kristina Jelinkova, Kaveena Natasha, Marinka Twilt, Kathryn A Birnie, Emma A Climie","doi":"10.1093/jpepsy/jsag032","DOIUrl":"10.1093/jpepsy/jsag032","url":null,"abstract":"<p><strong>Objective: </strong>To examine the social experiences of youth with Juvenile idiopathic arthritis (JIA).</p><p><strong>Methods: </strong>This systematic review synthesizes findings from 18 qualitative studies (2014-2024) based on a search from four databases (Scopus, PubMed, Web of Science, and PsycINFO). The studies were assessed for quality using the Critical Appraisal Skills Programme Qualitative Checklist (CASP, 2024).</p><p><strong>Results: </strong>Six key themes emerged: (1) Physical Barriers to Social Interaction, (2) Lack of Understanding from Others, (3) Enacted Stigma, (4) Anticipated Stigma, (5) Internalized Stigma, and (6) Resources.</p><p><strong>Conclusions: </strong>The review findings support increasing public awareness, fostering peer support, enhancing self-advocacy skills, and implementing stigma-reduction strategies to better support the social functioning of youth with JIA. Future research should explore long-term effects of stigma and evaluate targeted interventions to improve social experiences and quality of life for this population.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"688-716"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13505393/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844528","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":"Topical review: Incorporating generative artificial intelligence into neuropsychology training: best practices, pitfalls, and recommendations for effective implementation.","authors":"Carly L Clark, Beth A Jerskey, Jason M Fogler","doi":"10.1093/jpepsy/jsag027","DOIUrl":"10.1093/jpepsy/jsag027","url":null,"abstract":"<p><strong>Objective: </strong>Generative artificial intelligence (AI) is rapidly transforming the field of neuropsychology by offering innovative opportunities to enhance clinical assessment precision, improve diagnostic accuracy, and streamline administrative duties. AI tools have the potential to enrich trainee education by supporting case conceptualization, personalizing treatment recommendations, assisting with report writing, and simulating complex clinical scenarios. Despite these benefits, there remains a lack of standardized guidelines for how neuropsychology training programs should responsibly and effectively integrate AI into supervision and educational practice.</p><p><strong>Method: </strong>This topical review integrates emerging best practices, current challenges, and future directions for AI integration into neuropsychology training. We adapt the Integrative Developmental Model (IDM) of supervision, which conceptualizes trainee growth across progressive levels of motivation, autonomy, and professional identity.</p><p><strong>Results: </strong>This review highlights the importance of establishing ethical safeguards, supervisor training, curriculum development, and developmentally appropriate implementation to ensure that technology supports, rather than replaces, clinical judgement and practice. By applying IDM principles, AI can be introduced in a developmentally appropriate manner, balancing the need for structured guidance, ethical safeguards, and flexibility in supervision.</p><p><strong>Conclusions: </strong>This structured approach promotes both skill acquisition and responsible professional growth while aligning with broader ethical standards in psychology. When operationalized thoughtfully, these principles enable neuropsychology training programs to harness the potential benefits of AI while maintaining clinical rigor, professional standards, and ethical integrity. Developmentally informed supervision, grounded in the IDM, provides a flexible framework to ensure that AI strengthens rather than undermines the preparation of future neuropsychologists.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"670-676"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677863","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":"Neighborhood opportunity and child health: links to health behaviors and indicators in middle childhood.","authors":"Valeria C Gutierrez, Leah D Doane, Eva M Bartsch, Emma K Lecarie, Christy Bui, Mary C Davis, Kathryn Lemery-Chalfant","doi":"10.1093/jpepsy/jsag045","DOIUrl":"10.1093/jpepsy/jsag045","url":null,"abstract":"<p><strong>Objective: </strong>Neighborhood context is a critical determinant of child health; yet, few studies have examined how neighborhood opportunity relates to a range of health behaviors and indicators-including sleep, physical activity, body composition, grip strength, lung function-during middle childhood, a key period for shaping long-term health. This study addressed this gap by using the Child Opportunity Index to assess whether neighborhood opportunity was associated with child physical health and whether associations differed by birth-assigned sex.</p><p><strong>Methods: </strong>Participants included 710 racially and socioeconomically diverse twin children (Mage = 8.43 years, SD = 0.68; 51.5% female; 58.5% Non-Hispanic White; 23.7% Hispanic) living in urban and rural areas across Arizona. Neighborhood opportunity was assessed using the Child Opportunity Index 2.0 based on participants' census tracts. Children wore actigraphy watches for 7 days and nights (M = 6.81, SD = .67) to capture sleep and physical activity. Body composition, grip strength, and lung function measurements were collected during home visits.</p><p><strong>Results: </strong>Structural equation modeling showed that higher neighborhood opportunity predicted earlier and less variable sleep midpoint, longer sleep duration, greater grip strength, and higher lung peak expiratory flow in boys and lower sleep midpoint variability and higher lung forced expiratory volume in girls. No significant associations were found between neighborhood opportunity and physical activity or body composition.</p><p><strong>Conclusions: </strong>Neighborhood opportunity was associated with multiple indicators of physical health, underscoring the broader role of neighborhood environments in shaping children's development. Boys and girls may experience or respond to these environmental contexts differently, highlighting the importance of considering sex in neighborhood health research.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"642-658"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13505388/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148362955","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}