Journal of Pediatric Psychology最新文献

{"title":"Family sources of weight teasing and associations with adolescents' unhealthy eating behaviors, weight bias internalization, and body appreciation.","authors":"Rui Wu, Rebecca M Puhl, Leah Lessard, Michelle Cardel, Gary D Foster","doi":"10.1093/jpepsy/jsag030","DOIUrl":"10.1093/jpepsy/jsag030","url":null,"abstract":"<p><strong>Objective: </strong>Family-based weight teasing is a common and harmful experience among adolescents. However, most research treats the family as a unitary source, with little examination of how weight stigma manifests from different family members. This study examined associations between weight teasing from 11 types of family members with adolescents' weight bias internalization (WBI), body appreciation, binge eating with loss of control (BE-LOC) and overeating, and unhealthy weight control behaviors.</p><p><strong>Methods: </strong>A national sample of 1,073 U.S. adolescents (ages 10-17) completed online questionnaires. Hierarchical linear and logistic regressions assessed the incremental predictive value of weight teasing from parents, stepparents, siblings, and extended family, controlling for sociodemographic covariates.</p><p><strong>Results: </strong>Weight teasing from female relatives-mothers, sisters, stepmothers, aunts, and cousins-was consistently associated with negative adolescent outcomes, including elevated WBI, lower body appreciation, and increased disordered eating. Adolescents with normative body mass index (5th-84.9th percentile) reported the highest rates of family teasing. Teasing from male relatives (e.g., fathers, brothers, grandparents) showed weaker or inconsistent associations.</p><p><strong>Conclusions: </strong>Weight teasing from specific family members, especially female relatives, has distinct implications for adolescent health. Pediatric providers should screen youth of all body sizes and consider family-level interventions that extend beyond parents to address teasing from siblings and extended relatives.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"554-567"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785939","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":"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":"593-600"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13373574/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Topical Review: Integrating pediatric psychology into PICUs: improving screening and interventions for medical trauma.","authors":"Kristin Canavera, Nicole M Schneider, Saad Ghafoor, Emily Mudd","doi":"10.1093/jpepsy/jsag040","DOIUrl":"https://doi.org/10.1093/jpepsy/jsag040","url":null,"abstract":"<p><strong>Objective: </strong>Provide an overview of medical traumatic stress in pediatric critical care and highlight pediatric psychology as a central mechanism for translating evidence into trauma-informed screening, prevention, and intervention practices within pediatric intensive care units (PICUs).</p><p><strong>Methods: </strong>Current literature is synthesized to characterize medical traumatic stress, identify trauma-informed practice guidelines, and propose recommendations for improved integration of pediatric psychology into critical care settings.</p><p><strong>Results: </strong>High rates of medical traumatic stress and posttraumatic stress disorder (PTSD) are reported among critically ill children, caregivers, and PICU staff, with identifiable risk factors. Current and emerging standards of care reviewed include traumatic stress and delirium screening, early mobility initiatives, PICU follow-up programs, trauma-focused interventions, and staff debriefing efforts.</p><p><strong>Conclusions: </strong>Medical traumatic stress is a common outcome of PICU hospitalization. Earlier integration of pediatric psychology services during and following PICU admission offers promise for improving outcomes, advancing trauma-informed care, and informing future research across the PICU continuum.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309982","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 conditions and physical health, neurocognitive, and academic outcomes in youth with spina bifida.","authors":"Breana L Bryant, Diana M Ohanian, Kristopher M Bryant, Taylor L Hilderbrand, Grayson N Holmbeck","doi":"10.1093/jpepsy/jsag036","DOIUrl":"10.1093/jpepsy/jsag036","url":null,"abstract":"<p><strong>Objective: </strong>This study examines associations between geocoded neighborhood conditions and health, neurocognitive, and academic outcomes among youth with spina bifida (SB).</p><p><strong>Methods: </strong>Addresses of youth with SB living in the Midwest (N = 130, Mage= 11.5 ± 2.5; 53.8% female; 51.5% non-Hispanic White) were geocoded based on census tracts and linked to state-normed Child Opportunity Index (COI) scores. Youth completed performance-based measures of attention, intelligence, working memory, cognitive flexibility, and academic achievement. Parents and teachers completed standardized questionnaires assessing attention, executive functioning, academic achievement, and academic competence. Parents also reported health complications (e.g., shunt revisions, urinary tract infections). Regression analyses controlled for age and lesion level.</p><p><strong>Results: </strong>COI scores were significantly and positively associated with youth attention, working memory, intelligence, cognitive flexibility and academic achievement, but not with health complications or inhibition.</p><p><strong>Conclusions: </strong>Neighborhood factors were significantly associated with several neurocognitive and academic subdomains in youth with SB. These results highlight the importance of devoting resources to better serve youth with SB living in lower-opportunity neighborhoods and can be used to support systems and policies driving equitable outcomes for these youth.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309958","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":"Sleep in adolescents with or at risk for type 2 diabetes: perspectives from adolescents and parents.","authors":"Anne E Bowen, Angel Bernard, Jennifer Reich, Stacey L Simon","doi":"10.1093/jpepsy/jsag009","DOIUrl":"10.1093/jpepsy/jsag009","url":null,"abstract":"<p><strong>Objective: </strong>Insufficient sleep duration and poor sleep quality are common in adolescence. Poor sleep health can negatively impact cardiometabolic outcomes (e.g., obesity, insulin resistance), but specific psychosocial factors shaping sleep in adolescents with or at risk for type 2 diabetes (T2D) are unknown.</p><p><strong>Methods: </strong>Twenty-one adolescents with T2D and/or obesity were recruited from a weight management clinic and completed 1 week of at-home actigraph sleep monitoring. Semi-structured qualitative interviews were conducted with adolescents and their parents separately to generate information about adolescents' sleep characteristics, perceived barriers and facilitators of sleep, and parents' roles in sleep health. The data were coded by two coders and analyzed thematically.</p><p><strong>Results: </strong>Actigraphy results revealed an average low sleep duration (6.6 hr/night). Nearly all participants endorsed a preference for late bed and wake times, yet actigraphy showed low social jetlag (average 0.6 hr). Participants acknowledged the connection between sleep and mental health but rarely discussed the relationship between sleep and cardiometabolic health. Technology use and anxiety were commonly reported barriers to sleep health, whereas facilitators included calming behaviors and an established sleep/wake schedule. Parents expressed ambivalence about their involvement in teens' sleep health. They shared desire to instill healthy sleep habits without creating household conflict.</p><p><strong>Conclusions: </strong>Findings revealed barriers and facilitators to healthy sleep that represent opportunities for intervention, such as educating adolescents on the connection between sleep and cardiometabolic health and supporting parents to establish and enforce sleep rules. Future research should develop and test adolescent-informed interventions for healthy sleep and evaluate related cardiometabolic health outcomes.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"494-503"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13286262/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144267","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":"Changes in headache outcomes after guided website-based headache education: a pilot study with Spanish schoolchildren.","authors":"Antonia Dörnemann, Adrián Fernández-González, Rocío de la Vega, Elena R Serrano-Ibáñez, Lisa-Marie Rau, Julia Wager","doi":"10.1093/jpepsy/jsag011","DOIUrl":"10.1093/jpepsy/jsag011","url":null,"abstract":"<p><strong>Objective: </strong>Chronic headaches are one of the most prevalent health complaints in children and are associated with substantial impairments in daily life. Given the scarcity of specialized pediatric chronic pain treatment, educational websites delivering evidence-based information in a comprehensible, child-friendly way offer a promising alternative. In this pilot study, a single-arm intervention was conducted to investigate changes in headache outcomes following a guided, website-based pain education (Los Cabezudos) for Spanish schoolchildren and to explore associations with age.</p><p><strong>Methods: </strong>From eight school classes, all children who consented were eligible to participate. N = 210 schoolchildren (10-14 years; M = 11.8, SD = 1.2) participated in two guided website-based headache education sessions at school. Headache knowledge, pain self-efficacy, pain intensity, and pain interference were measured before the intervention and at 1- and 2-month follow-up. Linear mixed multilevel models were used to detect the effects of time.</p><p><strong>Results: </strong>Significant improvements were observed across all outcomes. Headache knowledge (b = 0.20, p < .001), pain self-efficacy (b = 0.22, p < .001), pain intensity (maximum: b = -0.27, p = .002; average: b = -0.27, p = .001), and pain interference (b = -0.30, p = .002) all improved significantly over time in children with recurrent headaches (n = 26). No significant interactions with age were found.</p><p><strong>Conclusions: </strong>The results support the potential of a website-based educational intervention to improve key headache-related outcomes: knowledge, self-efficacy, intensity, and interference. Future randomized controlled trials are warranted to investigate the long-term effectiveness of pediatric website-based pain education.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"516-526"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13365138/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144260","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":"Emotional and behavior problems in children and adolescents with chronic physical health conditions: an updated meta-analysis.","authors":"Martin Pinquart","doi":"10.1093/jpepsy/jsag007","DOIUrl":"10.1093/jpepsy/jsag007","url":null,"abstract":"<p><strong>Objective: </strong>The study updated a meta-analysis on emotional and behavioral problems among children with chronic physical health conditions (CPHCs) as assessed with the Achenbach System of Empirically Based Assessment.</p><p><strong>Method: </strong>A systematic search in electronic databases (PsycInfo, Medline, Web of Science, and PSYNDEX) identified 1,337 studies that were analyzed with multilevel meta-analysis.</p><p><strong>Results: </strong>Young people with CPHCs had, on average, higher levels of internalizing (g = .51 standard mean difference), externalizing (g = .25), and total behavior problems (g = .49) than peers without CPHCs or test norms. Elevations of total problems were larger than in the past meta-analysis. The largest elevations of internalizing problems were found for chronic fatigue syndrome, while the largest elevations of total problems and externalizing problems were observed in the case of thalassemia. Effect sizes tended to be larger when parent reports were used rather than adolescent self-reports. Effect sizes also varied by country and, in part, by duration of the CPHCs, sampling, target of comparison, equivalence of the compared groups, response rate, age, and gender.</p><p><strong>Conclusions: </strong>The results call for regular screening for psychological distress in children with CPHCs.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"483-493"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146259778","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":"Retention, blinding, and health outcomes from a rural pediatric obesity feasibility randomized control trial.","authors":"Brittany D Lancaster, Di Chang, Jeannette Lee, Jessica Snowden, Lora Lawrence, DeAnn Eldredge Hubberd, Thao-Ly Tam Phan, Daniel S Hsia, Christine W Hockett, Lee Pyles, Alberta S Kong, James Roberts, Russell McCulloh, Paul M Darden, Ann M Davis","doi":"10.1093/jpepsy/jsag016","DOIUrl":"10.1093/jpepsy/jsag016","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the feasibility of a multi-state randomized control trial (RCT) evaluating iAmHealthy, a rurally tailored pediatric obesity treatment delivered via synchronous televideo. This study's primary outcomes included the evaluation of participant retention and the efficacy of blinding. Each intervention arm was hypothesized to retain >75% of randomized participants and preserve blinding. Additionally, the intervention's preliminary effectiveness was evaluated by comparing changes in health outcomes.</p><p><strong>Methods: </strong>Youth aged 6-11 years with a body mass index (BMI) percentile ≥85th and their caregivers were recruited from rural communities across four states participating in the Environmental Influences on Child Health Outcomes IDeA States Pediatric Clinical Trials Network. One hundred four dyads were randomly assigned to iAmHealthy plus newsletter or newsletter-only control. Retention rates for each treatment arm were calculated. Blinding was assessed via the New Blinding Index (NBI). Child and parent BMI, child physical activity, and child dietary intake were assessed at baseline and post-treatment (6 months).</p><p><strong>Results: </strong>A one-sample test of proportions indicated retention rates exceeded 75% for iAmHealthy (87%, p = .027) and control (96%, p < .001). Blinding was successful for both groups [iAmHealthy NBI = -0.12, 95% confidence interval (CI): -0.13 to 0.36; control NBI = 0.02, 95% CI: -0.24 to 0.28]. There were no significant differences in health outcomes.</p><p><strong>Conclusions: </strong>This iAmHealthy multi-state feasibility RCT demonstrated high retention and successful blinding of assessors. Although the study was not powered to detect health outcome differences, iAmHealthy exhibited a tendency toward greater improvement or attenuated declines in child health outcomes, which supports the conduct of a future fully powered RCT.</p><p><strong>Clinicaltrials.gov identifier: </strong>NCT04142034, Registered: 10-25-2019; Trial name: Feasibility Trial of the iAmHealthy Intervention; https://clinicaltrials.gov/study/NCT04142034?cond=iamhealthy&checkSpell=false&rank=1.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"472-482"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13036881/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147311267","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: equity-focused intervention design in pediatric oncology.","authors":"Mary Rose Yockel, Christina M Sharkey","doi":"10.1093/jpepsy/jsag018","DOIUrl":"10.1093/jpepsy/jsag018","url":null,"abstract":"","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"469-471"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","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 psychoeducational sleep health intervention for children with acute lymphoblastic leukemia during maintenance therapy: a proof-of-concept pilot study.","authors":"Lydia Chevalier, Morgan A Paul, Lucille Lokko, Kira Bona, Eric S Zhou","doi":"10.1093/jpepsy/jsaf092","DOIUrl":"10.1093/jpepsy/jsaf092","url":null,"abstract":"<p><strong>Objective: </strong>Although sleep disturbances are common and impairing side effects of treatment for pediatric acute lymphoblastic leukemia (ALL), no research has studied whether prevention programs are effective. The current study assessed feasibility and acceptability of a brief sleep health education program during maintenance chemotherapy for ALL.</p><p><strong>Methods: </strong>Twenty-five caregivers of children with ALL aged 4-8 years old (M = 5.6 years, SD = 1.3) receiving maintenance chemotherapy enrolled. An oncology nurse navigator (ONN) met individually with caregivers (15-30 min) to introduce them to a psychoeducational website on sleep during ALL treatment and a sleep action plan. Questionnaires were collected at baseline and 1-month follow-up. Medical records were reviewed for the 3 months prior to and following the ONN meeting for appointments documenting sleep discussions.</p><p><strong>Results: </strong>The program was feasible (of 27 caregivers approached, 25 [93%] enrolled; of 25 enrolled, 22 [88%] completed the follow-up assessment), and the majority of caregivers (77%) rated the intervention as acceptable. Approximately 40% of children experienced clinically meaningful improvements in sleep disturbance or impairment from baseline to follow-up. The average proportion of physician appointments per patient with documented sleep discussions was lower at follow-up (34%) than at baseline (41%), although this was not statistically significant (p = .17).</p><p><strong>Conclusions: </strong>A brief sleep health education program is feasible and acceptable during maintenance therapy for pediatric ALL. Providing families with comprehensive information on sleep during ALL treatment may improve child sleep and reduce the need to discuss sleep with oncologists. Findings support evaluation of Sleep ALL Night in a statistically powered, randomized trial.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"463-468"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13286264/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145356569","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}