Journal of Pediatric Psychology最新文献

{"title":"Patient subtyping in juvenile fibromyalgia: the role of multisensory hypersensitivity and neurophysiological correlates.","authors":"Laura Martín-Herrero, Maria Suñol, Saül Pascual-Diaz, Tracy V Ting, Jonathan A Dudley, Catherine Jackson, Susmita Kashikar-Zuck, Robert C Coghill, Marina López-Solà","doi":"10.1093/jpepsy/jsaf060","DOIUrl":"10.1093/jpepsy/jsaf060","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to investigate whether we could identify groups of adolescents with juvenile fibromyalgia (JFM) based on their subjective perception of non-painful multisensory stimuli in daily life and to study brain function differences between these groups.</p><p><strong>Method: </strong>43 female adolescents with JFM (16.56 ± 1.01 years) and 34 healthy controls (16.21 ± 0.89 years) completed validated measures of multisensory hypersensitivity and an fMRI multisensory task. We conducted average linkage cluster analyses, including measures of multisensory sensitivity, and tested between-group differences in core disease-related features, affect-related measures, and task-evoked brain activation in a priori defined regions of interest.</p><p><strong>Results: </strong>We identified two clusters of participants. The first cluster included 22 patients with higher multisensory sensitivities, and the second one consisted of 21 patients and 34 healthy controls with lower multisensory sensitivities. A second cluster analysis, including only adolescents with JFM, confirmed the same patient division. The two patient subgroups were similar in affective symptoms and coping efficacy but differed in core symptoms of JFM. Adolescents with JFM who experienced higher sensory sensitivities showed increased brain activation in the left primary motor cortex and the left amygdala.</p><p><strong>Conclusions: </strong>We found two clusters of adolescents with JFM with regard to their non-painful multisensory sensitivities. Greater multisensory hypersensitivity was associated with greater severity of core disease symptoms without compromising affective/cognitive regulation. It was also associated with increased activity of the primary motor cortex and amygdala in response to multisensory stimulation. The study highlights the potential of patient subtyping to understand contributing psychobiological mechanisms.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700127","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":"Physical activity among adolescents and young adults living with chronic pain and sickle cell disease: a qualitative examination.","authors":"Jan T Mooney, Cynthia Sinha, Nitya Bakshi, Anjanette Nuñez, Taylor Adkins, Staci Thomas, Katie Beasley, Tinu Akintobi, Lori Crosby, Susmita Kashikar-Zuck, Carlton Dampier, Gregory D Myer, Trisha Kesar, Charles T Quinn, Soumitri Sil","doi":"10.1093/jpepsy/jsaf055","DOIUrl":"10.1093/jpepsy/jsaf055","url":null,"abstract":"<p><strong>Objectives: </strong>Chronic pain among youth with sickle cell disease (SCD) is associated with significant functional disability. Physical activity is recommended for pediatric chronic pain and is safe, feasible, and beneficial for individuals with SCD, yet uptake is limited. This study describes the adolescent- and caregiver-centered lived experience of physical activity within the context of SCD and chronic pain to inform intervention targets.</p><p><strong>Methods: </strong>Adolescents aged 12-18 years with any SCD genotype and medium or greater risk of chronic pain (Pediatric Pain Screening Tool) were recruited across two sites for an intervention development study. Semi-structured interviews elicited perspectives related to physical activity and its role in pain management. A deductive-inductive approach was used with the Fear Avoidance Model as an analytic framework.</p><p><strong>Results: </strong>Adolescents (n = 12; 15.1 ± 1.5 years) were Black/African American, even sex distribution, with 92% Medicaid-covered. Caregivers (n = 12; 39.4 ± 5.8 years) were Black/African American, and 100% were mothers/stepmothers. Physical activity facilitators included structured social activities and older age. Barriers included triggering or worsening pain and safety concerns expressed by caregivers and adults. Caregivers emphasized that adolescents developing self-awareness helps them modify physical activity to prevent pain. Benefits of physical activity to manage pain included minimizing stiffness and pain exacerbation and sustained pain reduction.</p><p><strong>Conclusions: </strong>Physical activity to manage chronic SCD pain may require individualization and adaptation to address patient and caregiver concerns. Future intervention targets need to address unique facilitators and barriers, minimize challenges, and promote benefits of physical activity for chronic SCD pain.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692066","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":"Quality of life in youth with overweight and obesity in early childhood: a systematic review.","authors":"Taylor Gates, Harrison Powers, Cathleen Odar Stough","doi":"10.1093/jpepsy/jsaf059","DOIUrl":"https://doi.org/10.1093/jpepsy/jsaf059","url":null,"abstract":"<p><strong>Objective: </strong>Quality of life (QoL) has been found to be poorer among school-age children with overweight (OW) and obesity (OB) compared to their normal weight peers; however, research has yet to examine whether young children (i.e., <6 years old) with OW and OB also display poorer QoL. Therefore, this paper systematically reviewed the literature examining QoL among young children with OW or OB.</p><p><strong>Methods: </strong>A systematic review using early childhood, pediatric, obesity, and QoL search terms was conducted in PubMed and PsycINFO in January 2024 and on January 29, 2025. A total of 1,340 articles were initially identified, with 13 studies meeting inclusion criteria (i.e., presented original research in English, participants were children with OW or OB <6 years old, included at least one measure of QoL, total participants across all studies, N = 79,581). A narrative review was used to synthesize results, and quality assessment ratings were conducted using previously developed scientific merit criteria.</p><p><strong>Results: </strong>Most cross-sectional articles (n = 6) supported that young children with OW or OB displayed poorer QoL than normal weight peers. Poorer physical functioning among youth with OW and OB was consistent across studies. Intervention studies with lifestyle behavior components demonstrated success in improving physical functioning among youth with OW and OB.</p><p><strong>Conclusions: </strong>QoL was found to be poorer for young children with OW or OB compared to their peers, and physical functioning was shown to improve in weight-management interventions, confirming the importance of screening QoL in this population.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692067","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":"The Visible Difference Parenting Toolkit: development of an ACT-based intervention to improve the well-being of parents and caregivers of children with appearance-affecting conditions and injuries.","authors":"Maia Thornton, Heidi Williamson, Toity Deave, James Kiff, Diana Harcourt","doi":"10.1093/jpepsy/jsaf054","DOIUrl":"https://doi.org/10.1093/jpepsy/jsaf054","url":null,"abstract":"<p><strong>Objectives: </strong>Caregivers of children with appearance-affecting conditions or injuries can experience common psychosocial challenges, regardless of the cause or nature of their child's visible difference. Despite these common challenges, there is a lack of evidence-based cross-condition support for caregivers of children with visible differences.</p><p><strong>Methods: </strong>A self-guided acceptance and commitment therapy-based e-book intervention was developed utilizing a Participatory Action Research approach. Twenty-two caregivers of children with a range of visible differences reviewed the full pilot e-book intervention and responded to an online acceptability survey.</p><p><strong>Results: </strong>While several changes aimed at increasing the accessibility of the intervention materials were discussed, overall the feedback suggested that The Visible Difference Parenting Toolkit addressed an unmet support need. Both the content and the format of the intervention were found to be acceptable by parents, with ehealth Impact Questionnaire scores of >80. Participants recommended specific changes related to accessibility including adding features such as hyperlinks and a search bar to enable users to navigate the e-book.</p><p><strong>Conclusions: </strong>Caregivers reported that the content of The Visible Difference Parenting Toolkit was relevant to their lived experiences of caring for a child with a visible difference. Parents also reported that the presentation and format of The Visible Difference Parenting Toolkit was clear and accessible. The intervention addresses a previously unmet support need and is an acceptable intervention for caregivers of children with a visible difference.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144650949","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: psychosocial features of pediatric long COVID and the challenges of considering temporal and environmental context during a pandemic.","authors":"Melanie C Willis, David J Hansen","doi":"10.1093/jpepsy/jsaf052","DOIUrl":"https://doi.org/10.1093/jpepsy/jsaf052","url":null,"abstract":"","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144567938","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":"Systematic review and meta analysis of psychological interventions to prevent or treat pediatric chronic disease in rural communities.","authors":"Brittany D Lancaster, Tristen Hefner, Calissa J Leslie-Miller, Kody Sexton, Dana M Bakula, Jason Van Allen, Christopher C Cushing, Crystal S Lim, David M Janicke, Elissa Jelalian, Katie Dayani, Ann M Davis","doi":"10.1093/jpepsy/jsae054","DOIUrl":"10.1093/jpepsy/jsae054","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this systematic review and meta-analysis was to examine the effectiveness of psychological interventions at improving physical or mental health outcomes for youth living in rural communities who have, or are at-risk for, any chronic medical condition in comparison to control interventions conducted in rural communities.</p><p><strong>Methods: </strong>Following prospective registration (OSF.IO/7TDQJ), 7 databases were searched through July 1, 2023. Studies were included if they were a randomized control trial of a psychological intervention conducted with youth living in a rural area who had, or were at-risk for, a chronic medical condition. Risk of bias was assessed with the Cochrane risk of bias version 2 tool. A qualitative synthesis and meta-analysis were conducted.</p><p><strong>Results: </strong>15 studies met inclusion criteria. Obesity studies (n = 13) primarily focused on body mass index metrics, with limited significant findings across studies. Asthma treatment interventions (n = 2) showed no impact on hospitalizations. 3 studies evaluated mental health outcomes with no significant group differences observed. We meta-analytically analyzed 9 studies that evaluated body mass index z-scores and identified an overall null effect (Hedge's g = 0.01, 95% CI [-0.07, 0.09], p = .85).</p><p><strong>Conclusions: </strong>Most included studies focused on pediatric obesity, and there was a limited range of health outcomes reported. Compared to controls, minimal significant improvements in health outcomes were identified for psychological interventions for youth living in rural communities. Future efforts may benefit from situating this work more systematically within a health disparities framework with a focus on understanding mechanisms of disparities and translating this work into interventions and policy changes.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"579-595"},"PeriodicalIF":2.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141564845","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: Considering the Clinical Implications of \"A Systematic Review and Meta-Analysis of Adherence Interventions for Youth and Young Adults\".","authors":"Cecily N Conour, Christina L Duncan","doi":"10.1093/jpepsy/jsae083","DOIUrl":"10.1093/jpepsy/jsae083","url":null,"abstract":"","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"550-551"},"PeriodicalIF":2.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142337166","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":"Systematic review and meta-analysis of the effect of psychological interventions on anxiety in children and youth with chronic medical conditions.","authors":"Susan T Tran, Keely Bieniak, Helen Bedree, Michelle Adler, Suliat Ogunmona, Iris Kovar-Gough, Wenjuan Ma, Hiran Thabrew, Natoshia R Cunningham","doi":"10.1093/jpepsy/jsae097","DOIUrl":"10.1093/jpepsy/jsae097","url":null,"abstract":"<p><strong>Objectives: </strong>Anxiety disorders affect 20%-50% of youth with chronic medical conditions (CMCs) and can interfere with medical care and treatment outcomes. Psychological therapies are typically designed for youth without CMCs; thus, this systematic review (Open Science Framework preregistration osf.io/a52nd/) assesses the effect of psychological therapies on anxiety, functional impairment and health-related quality of life (HRQOL) in this unique population.</p><p><strong>Methods: </strong>We included randomized controlled trials of psychological therapies vs. any comparator for youth (ages 24 and younger) with CMCs that assessed child anxiety. We excluded studies of adults and those not in English. Medline, Embase, PsycInfo, and CENTRAL databases were searched, studies were screened using COVIDENCE software, and meta-analysis was undertaken in R. Study quality was assessed using the Cochrane Risk of Bias tool, version 2. Quality of evidence was assessed using the GRADE system.</p><p><strong>Results: </strong>Thirty-three studies with 2676 participants (ages 5-21 years) were included in the meta-analysis. Nearly all had at least some risk of bias. Overall, psychological interventions resulted in lower anxiety (Hedges' g = -0.48 [-0.71; -0.25]), but did not have a significant effect on functional impairment or HRQOL. Based on the GRADE criteria, we have moderate confidence in these results. Treatments with higher risk of bias and those with live therapist components had greater effects on anxiety.</p><p><strong>Conclusions: </strong>Psychological interventions may be effective for improving anxiety for children and youth with CMCs, particularly those with a live therapist. More high-quality studies are needed to understand what components produce the best outcomes for patients.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"658-675"},"PeriodicalIF":2.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12392405/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142751966","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":"Systematic review of interventions for dietary adherence in pediatric disease management.","authors":"Elizabeth K Towner, Heather D Gibbs, Ella Hu, Susana R Patton","doi":"10.1093/jpepsy/jsae109","DOIUrl":"10.1093/jpepsy/jsae109","url":null,"abstract":"<p><strong>Objective: </strong>Though diet is important in the management of many pediatric chronic medical conditions, the last comprehensive review of interventions targeting dietary adherence was published over 20 years ago. This systematic review provides an update on efficacy and existing gaps for dietary adherence interventions in pediatric disease management.</p><p><strong>Method: </strong>We searched PubMed, MEDLINE, Embase, CENTRAL, PsychINFO, Web of Science, and Scopus up to July 1, 2023 for randomized controlled or clinical trials of interventions that targeted dietary adherence in youth 0-18 years old with a chronic medical condition (not obesity), included nutrition education and behavioral/psychological support, and reported dietary adherence outcomes. We identified manuscripts (N = 15) that spanned four broad diet types (healthy, carbohydrate-modified, elimination, single-nutrient modified), 10 pediatric chronic medical conditions, and 1,110 participants. Primary (dietary adherence) and secondary (disease metrics) outcome findings are organized by diet type; other descriptive information is collapsed across trials.</p><p><strong>Results: </strong>Overall, interventions yielded moderate-high adherence for most diet types. Interventions used similar approaches for nutrition education (e.g., meal plans) and behavioral support (e.g., goal setting, monitoring, feedback). Risk of bias was assessed using the Quality Criteria Checklist for Primary Research (Academy of Nutrition and Dietetics Evidence Analysis Process) revealing bias may be present in five trials.</p><p><strong>Conclusions: </strong>Interventions targeting dietary adherence remain sparse. Research is needed to examine adherence in all pediatric chronic conditions where diet is a component of disease management and to identify factors impacting dietary adherence and best practices for intervening on dietary adherence. This protocol is registered on April 5, 2024 at the Open Source Framework: https://doi.org/10.17605/OSF.IO/46YNF.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"676-698"},"PeriodicalIF":2.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143391974","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":"Systematic review of culturally targeted behavioral and psychosocial interventions among children from racially and ethnically minoritized backgrounds with chronic health conditions in the United States.","authors":"Samantha A Carreon, Caryn R R Rodgers, Aurelia Minuti, Ana M Gutierrez-Colina, Marissa N Baudino, LaTerrica Williams, Ashley M Butler","doi":"10.1093/jpepsy/jsaf035","DOIUrl":"10.1093/jpepsy/jsaf035","url":null,"abstract":"<p><strong>Objective: </strong>Few reviews have evaluated culturally targeted interventions for youth who have chronic health conditions. This systematic review aimed to describe health, psychosocial, behavioral, and sociocultural outcomes of culturally targeted interventions among children from racially and ethnically minoritized backgrounds who have a chronic condition in the United States.</p><p><strong>Methods: </strong>A systematic literature review was conducted (January 1, 2013 through July 1, 2023). We reviewed randomized and non-randomized controlled clinical trials investigating culturally targeted, psychologist-involved interventions among children (ages 0-18 years) from racially/ethnically minoritized backgrounds in the United States with obesity, asthma, diabetes, sickle cell disease, cancer, cystic fibrosis, epilepsy, lupus, arthritis, and human immunodeficiency virus. Studies were included that compared culturally targeted interventions to non-targeted interventions or no intervention. Searches were conducted in PubMed, Embase, Central, and PsycINFO. Covidence was used for data screening, assessment, and extraction. Risk of bias was assessed with the Cochrane risk of bias version 2 tool. Extracted outcome variables included child health and healthcare utilization, and child and parent psychosocial, behavioral, and sociocultural outcomes.</p><p><strong>Results: </strong>The review included one study evaluating the effectiveness of the Physician Asthma Care Education (PACE) intervention compared to PACE Plus, a culturally enhanced version, among African American and Latino youth with asthma. Participants included 112 primary care providers and 867 pediatric patients.</p><p><strong>Conclusions: </strong>Health, psychosocial/behavioral, and sociocultural outcomes of culturally targeted interventions for racially and ethnically minoritized youth with chronic health conditions in the United States are unknown. Future research should prioritize the development and evaluation of culturally targeted interventions for these populations.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"552-560"},"PeriodicalIF":2.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609993","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}