Journal of Pediatric Psychology最新文献

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Understanding health behaviors that modify the risk for obesity in ADHD. 了解改变多动症肥胖风险的健康行为。
IF 3.6 3区 心理学
Journal of Pediatric Psychology Pub Date : 2024-05-16 DOI: 10.1093/jpepsy/jsae018
Delanie K Roberts, Dustin E Sarver, Annah R Cash, Benjamin H Walker, Crystal S Lim
{"title":"Understanding health behaviors that modify the risk for obesity in ADHD.","authors":"Delanie K Roberts, Dustin E Sarver, Annah R Cash, Benjamin H Walker, Crystal S Lim","doi":"10.1093/jpepsy/jsae018","DOIUrl":"10.1093/jpepsy/jsae018","url":null,"abstract":"<p><strong>Objective: </strong>Research provides support for the associated risk of inadequate sleep duration, limited physical activity, and excessive media use in attention-deficit/hyperactivity disorder (ADHD) and obesity. The present study aims to (1) examine the association between ADHD and overweight or obese status (OW/OB); (2) comprehensively examine sleep duration, physical activity, and media use as potential moderators of OW/OB; and (3) examine the moderating effects of these health behaviors cross-sectionally by comparing medicated youth with ADHD, unmedicated youth with ADHD, and youth without ADHD.</p><p><strong>Methods: </strong>Data were acquired from the 2018 and 2019 National Survey of Children's Health, a nationally representative survey of caregivers conducted across the United States. The current study used data for youth 11-17 years old with a final sample size of 26,644. Hours of sleep, physical activity, and media use per day were dichotomized based on national recommendation guidelines for each health behavior (i.e., either meeting or not meeting guidelines).</p><p><strong>Results: </strong>The OW/OB prevalence rate was 7% greater among unmedicated youth with ADHD than among medicated youth with ADHD. Medicated youth with ADHD and peers without ADHD had similar OW/OB rates. Among medicated youth with ADHD, physical activity, sleep duration, and media use did not contribute to OW/OB risk after controlling for family poverty level. However, among unmedicated youth with ADHD, meeting sleep duration guidelines was linked to a lower OW/OB risk.</p><p><strong>Conclusion: </strong>Overall, findings suggest that clinical providers and parents may wish to prioritize improved sleep duration in the management of OW/OB risk in youth with ADHD.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"372-381"},"PeriodicalIF":3.6,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140186050","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}
引用次数: 0
Child routines moderate a brief behavioral intervention to enhance sleep in school-aged children. 儿童常规调节简短行为干预,以提高学龄儿童的睡眠质量。
IF 2.7 3区 心理学
Journal of Pediatric Psychology Pub Date : 2024-05-16 DOI: 10.1093/jpepsy/jsae015
Azeb Gebre, Nicola Hawley, Mary A Carskadon, Hollie Raynor, Elissa Jelalian, Judith Owens, Rena R Wing, Chantelle N Hart
{"title":"Child routines moderate a brief behavioral intervention to enhance sleep in school-aged children.","authors":"Azeb Gebre, Nicola Hawley, Mary A Carskadon, Hollie Raynor, Elissa Jelalian, Judith Owens, Rena R Wing, Chantelle N Hart","doi":"10.1093/jpepsy/jsae015","DOIUrl":"10.1093/jpepsy/jsae015","url":null,"abstract":"<p><strong>Objective: </strong>To examine whether child routines (the consistency or variation in children's daily routines, household responsibilities, discipline routines, and homework routines) moderated the effectiveness of a brief behavioral intervention to enhance sleep in school-aged children.</p><p><strong>Methods: </strong>Secondary analysis was conducted with a subset of 66 families with short sleeping (≤9.5 hr/day) children, 8-11 years old (female = 68%; mean age = 9.76, SD = 1.02) who completed the Child Routines Inventory at baseline and were then randomized to receive a behavioral sleep intervention (n = 32) or to control (n = 34). Sleep period was objectively measured using wrist actigraphy at baseline and 2 months post-randomization. Moderation analysis was performed using ordinary least squares regression using the PROCESS macro for SPSS.</p><p><strong>Results: </strong>Controlling for sleep period at baseline, treatment condition was significantly related to the sleep period at 2 months post-randomization, with the intervention group achieving a longer sleep period compared to the usual sleep period group (control) (b = 46.30, p < .01). Intervention response was moderated by child routines (b = 1.43, p < .05). Specifically, the intervention produced the greatest change in sleep period for children who engaged in greater routine behaviors at baseline than those who engaged in fewer routine behaviors.</p><p><strong>Conclusions: </strong>Families that engage in routine behaviors may be better equipped to adopt the behavioral modifications required to get a good night's sleep. The findings highlight the importance of working with families to establish routine behaviors to improve responses to behavioral sleep interventions.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"365-371"},"PeriodicalIF":2.7,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11098045/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140327284","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}
引用次数: 0
Cross-sectional and longitudinal changes in body composition, anxiety, and depression in a clinical sample of adolescents with anorexia nervosa. 神经性厌食症青少年临床样本中身体成分、焦虑和抑郁的横向和纵向变化。
IF 3.6 3区 心理学
Journal of Pediatric Psychology Pub Date : 2024-05-16 DOI: 10.1093/jpepsy/jsae012
Alexis Dosal, Brenna Denhardt, Rebekah Diaz, Katrina Obleada, Marissa Feldman, Jasmine Reese, Sarah Sobalvarro
{"title":"Cross-sectional and longitudinal changes in body composition, anxiety, and depression in a clinical sample of adolescents with anorexia nervosa.","authors":"Alexis Dosal, Brenna Denhardt, Rebekah Diaz, Katrina Obleada, Marissa Feldman, Jasmine Reese, Sarah Sobalvarro","doi":"10.1093/jpepsy/jsae012","DOIUrl":"10.1093/jpepsy/jsae012","url":null,"abstract":"<p><strong>Objective: </strong>Eating disorders among children and adolescents have increased in prevalence, and mortality rates for anorexia nervosa are among the highest for any psychiatric disorder. Our current study aimed to (a) examine the cross-sectional relationship between body composition and anxiety/depressive symptoms among 97 adolescents and young adults who have been diagnosed with anorexia nervosa, (b) examine the longitudinal changes in body composition and anxiety/depressive symptoms over three months (from baseline to follow-up visit), and (c) examine the longitudinal relationship between change in body composition and change in anxiety/depression over three months.</p><p><strong>Method: </strong>A retrospective chart review was conducted within an interdisciplinary eating disorder clinic between August 2019 and December 2021. In total, 97 adolescents aged 11-20 years old with diagnoses of anorexia nervosa were included in the analyses. Body composition data were collected at each visit along with parent- and youth-report measures of symptoms of anxiety/depression symptoms.</p><p><strong>Results: </strong>Findings indicated adolescents demonstrated some improvement in body composition, as well as parent-reported reductions in anxiety/depression symptoms. Based on parent reports, increased BMI percentile was associated with improvements in anxiety/depression symptoms. On the other hand, youth did not report significant changes in anxiety/depressive symptoms. Additionally, there were no associated improvements with body composition measures, which may be associated with continued body dissatisfaction or symptoms of anxiety and depression predating the eating disorder.</p><p><strong>Conclusions: </strong>These results suggest the importance of including interventions addressing depression, anxiety, and body image as part of treatment.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"340-347"},"PeriodicalIF":3.6,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140060843","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}
引用次数: 0
Co-design and usability of an interactive web-based fertility decision aid for transgender youth and young adults. 为变性青年和年轻人共同设计基于网络的互动式生育决策辅助工具,并提高其可用性。
IF 3.6 3区 心理学
Journal of Pediatric Psychology Pub Date : 2024-05-09 DOI: 10.1093/jpepsy/jsae032
Diane Chen, Elaine Shen, Victoria D Kolbuck, Afiya Sajwani, Courtney Finlayson, Elisa J Gordon
{"title":"Co-design and usability of an interactive web-based fertility decision aid for transgender youth and young adults.","authors":"Diane Chen, Elaine Shen, Victoria D Kolbuck, Afiya Sajwani, Courtney Finlayson, Elisa J Gordon","doi":"10.1093/jpepsy/jsae032","DOIUrl":"10.1093/jpepsy/jsae032","url":null,"abstract":"<p><strong>Objective: </strong>To develop a patient- and family-centered Aid For Fertility-Related Medical Decisions (AFFRMED) interactive website targeted for transgender and nonbinary (TNB) youth/young adults and their parents to facilitate shared decision-making about fertility preservation interventions through user-centered participatory design.</p><p><strong>Method: </strong>TNB youth/young adults interested in or currently receiving pubertal suppression or gender-affirming hormone treatment and parents of eligible TNB youth/young adults were recruited to participate in a series of iterative human-centered co-design sessions to develop an initial AFFRMED prototype. Subsequently, TNB youth/young adults and parents of TNB youth/young adults were recruited for usability testing interviews, involving measures of usability (i.e., After Scenario Questionnaire, Net Promotor Score, System Usability Scale).</p><p><strong>Results: </strong>Twenty-seven participants completed 18 iterative co-design sessions and provided feedback on 10 versions of AFFRMED (16 TNB youth/young adults and 11 parents). Nine TNB youth/young adults and six parents completed individual usability testing interviews. Overall, participants rated AFFRMED highly on measures of acceptability, appropriateness, usability, and satisfaction. However, scores varied by treatment cohort, with TNB youth interested in or currently receiving pubertal suppression treatment reporting the lowest usability scores.</p><p><strong>Conclusions: </strong>We co-created a youth- and family-centered fertility decision aid prototype that provides education and decision support in an online, interactive format. Future directions include testing the efficacy of the decision aid in improving fertility and fertility preservation knowledge, decisional self-efficacy, and decision satisfaction.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140899473","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}
引用次数: 0
Using the consolidated framework for implementation research to identify challenges and opportunities for implementing a reproductive health education program into sickle cell disease care 利用实施研究的综合框架,确定在镰状细胞病护理中实施生殖健康教育计划的挑战和机遇
IF 3.6 3区 心理学
Journal of Pediatric Psychology Pub Date : 2024-05-03 DOI: 10.1093/jpepsy/jsae031
Zachary A Colton, Sophia M Liles, Megan M Griffith, Charis J Stanek, Joseph Walden, Allison King, Toyetta Barnard-Kirk, Susan Creary, Leena Nahata
{"title":"Using the consolidated framework for implementation research to identify challenges and opportunities for implementing a reproductive health education program into sickle cell disease care","authors":"Zachary A Colton, Sophia M Liles, Megan M Griffith, Charis J Stanek, Joseph Walden, Allison King, Toyetta Barnard-Kirk, Susan Creary, Leena Nahata","doi":"10.1093/jpepsy/jsae031","DOIUrl":"https://doi.org/10.1093/jpepsy/jsae031","url":null,"abstract":"Background As survival rates for individuals with sickle cell disease (SCD) increase, calls have been made to improve their reproductive healthcare and outcomes. The research team created a web-based program entitled Fertility edUcaTion to Understand ReproductivE health in Sickle cell disease (FUTURES). The study aim was to use the Consolidated Framework for Implementation Research (CFIR) during pre-implementation to identify challenges and opportunities from the individual to systems level of implementation to ultimately optimize the integration of FUTURES into clinical practice. Methods Semi-structured interviews were conducted with clinicians, research team members, and adolescent and young adult (AYA) males with SCD and their caregivers who participated in pilot testing. Interviews (N = 31) were coded inductively and then mapped onto CFIR domains (i.e., outer setting, inner setting, characteristics of individuals, and intervention characteristics). Results Research team interviews indicated the lack of universal guidelines for reproductive care in this population and gaps in reproductive health knowledge as key reasons for developing FUTURES, also highlighting the importance of collaboration with community members during development. Clinicians reported intraorganizational communication as essential to implementing FUTURES and discussed challenges in addressing reproductive health due to competing priorities. Clinicians, AYAs, and caregivers reported positive views of FUTURES regarding length, engagement, accessibility, and content. Suggestions for the best setting and timing for implementation varied. Conclusions Using CFIR during the pre-implementation phase highlighted challenges and opportunities regarding integrating this program into SCD care. These findings will inform adaptation and further testing of FUTURES to ensure effective implementation of this novel education program.","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":"11 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140839214","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}
引用次数: 0
Anxiety among youth with food allergy 食物过敏青少年的焦虑
IF 3.6 3区 心理学
Journal of Pediatric Psychology Pub Date : 2024-04-29 DOI: 10.1093/jpepsy/jsae026
Sally Ho, Frances Cooke, Ashley Ramos, Elizabeth L McQuaid, Hemant Sharma, Linda Jones Herbert
{"title":"Anxiety among youth with food allergy","authors":"Sally Ho, Frances Cooke, Ashley Ramos, Elizabeth L McQuaid, Hemant Sharma, Linda Jones Herbert","doi":"10.1093/jpepsy/jsae026","DOIUrl":"https://doi.org/10.1093/jpepsy/jsae026","url":null,"abstract":"Objective Anxiety is among the major psychological concerns for children living with food allergy (FA). Yet research exploring the variables driving anxiety symptoms in FA remains sparse, and most studies still utilize homogeneous samples to assess anxiety symptoms. The current study seeks to evaluate the rates of clinically significant anxiety symptoms among a diverse sample of youth with FA and examine whether a heightened risk perception of FA outcomes and FA burden (vs. FA medical history) is associated with anxiety in youth. Methods 94 youth ages 10–14 and their parents were recruited from FA clinics at a mid-Atlantic children’s hospital. Both youth and parents completed demographic and FA medical history questionnaires, the Screen for Child Anxiety Related Emotional Disorders, and the Food Allergy Independent Measure as part of a longitudinal study about FA adjustment and adherence. Results Over a third (37%) of youth scored above clinical cut-offs for overall anxiety symptoms. At least 25% of youth reported clinically significant scores on panic disorder, generalized anxiety, social anxiety, separation anxiety, and school avoidance subscales. Perception of risk of adverse FA outcomes and burden—but not FA medical history–were associated with total anxiety, generalized anxiety, panic disorder, and school avoidance symptoms, but not social anxiety and separation anxiety. Having more FAs was associated with higher social anxiety scores but not with other anxiety subscales. Conclusions Youth with FA might benefit from psychosocial interventions that address FA risk perception management and promote appropriate FA vigilance to cope with anxiety symptoms.","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":"22 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140839217","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}
引用次数: 0
Teaching children pedestrian safety in virtual reality via smartphone: a noninferiority randomized clinical trial 通过智能手机在虚拟现实中教授儿童行人安全:非劣效随机临床试验
IF 3.6 3区 心理学
Journal of Pediatric Psychology Pub Date : 2024-04-18 DOI: 10.1093/jpepsy/jsae020
David C Schwebel, Anna Johnston, Dominique McDaniel, Joan Severson, Yefei He, Leslie A McClure
{"title":"Teaching children pedestrian safety in virtual reality via smartphone: a noninferiority randomized clinical trial","authors":"David C Schwebel, Anna Johnston, Dominique McDaniel, Joan Severson, Yefei He, Leslie A McClure","doi":"10.1093/jpepsy/jsae020","DOIUrl":"https://doi.org/10.1093/jpepsy/jsae020","url":null,"abstract":"Objective To evaluate whether child pedestrian safety training in a smartphone-based virtual reality (VR) environment is not inferior to training in a large, semi-immersive VR environment with demonstrated effectiveness. Methods Five hundred 7- and 8-year-old children participated; 479 were randomized to one of two conditions: Learning to cross streets in a smartphone-based VR or learning in a semi-immersive kiosk VR. The systems used identical virtual environments and scenarios. At baseline, children’s pedestrian skills were assessed in both VR systems and through a vehicle approach estimation task (judging speed/distance of oncoming traffic on monitor). Training in both conditions comprised at least six 30-min sessions in the randomly assigned VR platform and continued for up to 25 visits until adult-level proficiency was obtained. Following training and again 6 months later, children completed pedestrian safety assessments identical to baseline. Three outcomes were considered from assessments in each VR platform: Unsafe crossings (collisions plus close calls), time to contact (shortest time between child and oncoming simulated traffic), and missed opportunities (unselected safe opportunities to cross). Results Participants achieved adult-level street-crossing skill through VR training. Training in a smartphone-based VR system was generally not inferior to training in a large semi-immersive VR system. There were no adverse effects. Conclusions Seven- and 8-year-old children can learn pedestrian safety through VR-based training, including training in a smartphone-based VR system. Combined with recent meta-analytic results, the present findings support broad implementation and dissemination of child pedestrian safety training through VR, including smartphone-based VR systems.","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":"27 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140628427","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}
引用次数: 0
Lower subjective social status is associated with increased adiposity and self-reported eating in the absence of hunger due to negative affect among children reporting teasing distress 主观社会地位较低与儿童的脂肪增加和自我报告的在没有饥饿感的情况下因负面情绪而进食有关
IF 3.6 3区 心理学
Journal of Pediatric Psychology Pub Date : 2024-04-18 DOI: 10.1093/jpepsy/jsae024
Bobby K Cheon, Meegan R Smith, Julia M P Bittner, Lucy K Loch, Hannah E Haynes, Bess F Bloomer, Jennifer A Te-Vazquez, Andrea I Bowling, Sheila M Brady, Marian Tanofsky-Kraff, Kong Y Chen, Jack A Yanovski
{"title":"Lower subjective social status is associated with increased adiposity and self-reported eating in the absence of hunger due to negative affect among children reporting teasing distress","authors":"Bobby K Cheon, Meegan R Smith, Julia M P Bittner, Lucy K Loch, Hannah E Haynes, Bess F Bloomer, Jennifer A Te-Vazquez, Andrea I Bowling, Sheila M Brady, Marian Tanofsky-Kraff, Kong Y Chen, Jack A Yanovski","doi":"10.1093/jpepsy/jsae024","DOIUrl":"https://doi.org/10.1093/jpepsy/jsae024","url":null,"abstract":"Objectives Low social standing and teasing are independently associated with increased body mass index (BMI) and overeating in children. However, children with low social status may be vulnerable to teasing. Methods We tested the statistical interaction of subjective social status (SSS) and subjective socioeconomic status (SSES) and teasing distress on BMI, fat mass index (FMI), and eating in the absence of hunger (EAH) in children (Mage = 13.09 years, SD = 2.50 years; 27.8% overweight/obese). Multiple linear regressions identified the main effects of self-reported SSS (compared to peers in school), distress due to teasing, and their interaction on BMI (n = 115), FMI (n = 114), and child- (n = 100) and parent-reported (n = 97) EAH. Results Teasing distress was associated with greater BMI, FMI, and child-reported EAH due to negative affect (a subscale of EAH) and total EAH scores. There were no associations of SSS with these outcomes. However, there was an interaction between SSS and teasing distress for BMI, FMI, and EAH from negative affect such that lower SSS was associated with higher BMI, FMI, and EAH from negative affect in the presence of teasing distress. However, there were no main effects or interactions (with teasing distress) of SSES on the outcomes. Conclusions These findings suggest that the relationship between lower SSS and increased adiposity and overeating behaviors may be exacerbated by other threats to social standing, such as teasing. Children exposed to multiple social threats may be more susceptible to eating beyond physiological need and obesity than those who experience a single form of perceived social disadvantage.","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":"13 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140628429","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}
引用次数: 0
Empirically derived profiles of neurocognitive functioning in youth and young adults with sickle cell disease 根据经验得出的镰状细胞病青少年患者的神经认知功能概况
IF 3.6 3区 心理学
Journal of Pediatric Psychology Pub Date : 2024-04-16 DOI: 10.1093/jpepsy/jsae029
Vinkrya Ellison, Kristoffer S Berlin, Jennifer Longoria, Brian Potter, Darcy Raches, Jane S Hankins, Clifford Takemoto, Andrew M Heitzer
{"title":"Empirically derived profiles of neurocognitive functioning in youth and young adults with sickle cell disease","authors":"Vinkrya Ellison, Kristoffer S Berlin, Jennifer Longoria, Brian Potter, Darcy Raches, Jane S Hankins, Clifford Takemoto, Andrew M Heitzer","doi":"10.1093/jpepsy/jsae029","DOIUrl":"https://doi.org/10.1093/jpepsy/jsae029","url":null,"abstract":"Objective Sickle cell disease (SCD) is an inherited blood disorder associated with neurocognitive deficits. In contrast to variable-centered approaches, no known research has utilized person-centered strategies to identify multidimensional patterns of neurocognitive functioning of an individual with SCD. The purpose of the present study was to create empirically derived profiles and identify predictors of neurocognitive functioning subgroups among youth and young adults with SCD. Methods Individuals with SCD (N = 393, mean age 14.05 years, age range 8–24, 50.4% female/49.6% male) completed neurocognitive assessments. Latent profile analysis derived subgroups/classes of neurocognitive functioning and determined relations with demographic and medical variables. Results Three latent classes emerged: average functioning (n = 102, 27%), low average functioning (n = 225, 60%), and exceptionally low functioning (n = 46, 12%). Older age was associated with membership in the low average and exceptionally low functioning groups (relative to the average group). Being prescribed hydroxyurea was associated with membership in the average functioning group (relative to the low average group) and absence of hydroxyurea use was associated with membership in the exceptionally low group (relative to the low average group). Lower social vulnerability was associated with membership in the average functioning group compared to the low average and exceptionally low groups. Conclusions Clinicians can help reduce disparities in cognitive development for individuals with SCD by promoting early treatment with hydroxyurea and implementing methods to reduce social vulnerabilities that can interfere with access to evidence-based care.","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":"80 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140608709","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}
引用次数: 0
A Pilot Randomized Trial Evaluating the Cool 2 Be Safe Junior Playground Safety Program for Preschool Children. 针对学龄前儿童的 "Cool 2 Be Safe Junior Playground Safety Program "进行试点随机试验评估。
IF 3.6 3区 心理学
Journal of Pediatric Psychology Pub Date : 2024-04-15 DOI: 10.1093/jpepsy/jsae003
Amanda Cox, Barbara A Morrongiello
{"title":"A Pilot Randomized Trial Evaluating the Cool 2 Be Safe Junior Playground Safety Program for Preschool Children.","authors":"Amanda Cox, Barbara A Morrongiello","doi":"10.1093/jpepsy/jsae003","DOIUrl":"10.1093/jpepsy/jsae003","url":null,"abstract":"<p><strong>Objective: </strong>Unintentional injury is the leading cause of death to children worldwide, and playgrounds pose a significant risk of injury. Those aged 5 and 6 years are particularly vulnerable to playground injuries. Previous interventions have typically targeted environmental modifications or increased supervision to reduce playground injuries; however, minimal research has focused on implementing behavioral interventions that seek to change children's safety knowledge and risk-taking behaviors on the playground. The current randomized trial addressed these gaps in the literature and sought to increase preschool children's hazard awareness skills and knowledge of unsafe playground behaviors and decrease their intentions to engage in risk-taking behaviors on the playground.</p><p><strong>Method: </strong>A total of 77 children aged 5 and 6 years were tested at a laboratory on a university campus, using a parallel group design, with 38 randomized to the playground intervention group and 39 randomly assigned to a control group. The intervention was manualized and delivered to small groups of children (3-5) over several sessions.</p><p><strong>Results: </strong>Statistical analyses revealed significant group differences. Intervention experience led to significant increases in hazard awareness skills and knowledge of unsafe playground behaviors, and significant decreases in children's risk-taking behavioral intentions, whereas those in the control group showed no significant changes in these scores. Attention scores for those in the intervention group highlighted that the program content was successful in maintaining children's attention and engagement, and memory scores indicated excellent retention of lesson content.</p><p><strong>Conclusion: </strong>The program shows promise in addressing the issue of unintentional playground injuries in young children.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"279-289"},"PeriodicalIF":3.6,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139576005","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}
引用次数: 0
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