Journal of Pediatric Psychology最新文献

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Commentary: Caring about caregivers and the importance of refining methodology in caregiver-focused studies. 评论:关心照顾者和在以照顾者为中心的研究中改进方法的重要性。
IF 2.7 3区 心理学
Journal of Pediatric Psychology Pub Date : 2025-04-01 DOI: 10.1093/jpepsy/jsaf019
Johanna Michlig, Astrīda S Kaugars
{"title":"Commentary: Caring about caregivers and the importance of refining methodology in caregiver-focused studies.","authors":"Johanna Michlig, Astrīda S Kaugars","doi":"10.1093/jpepsy/jsaf019","DOIUrl":"10.1093/jpepsy/jsaf019","url":null,"abstract":"","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"317-319"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711643","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 systematic review of social functioning and peer relationships in adolescents with chronic pain. 慢性疼痛青少年的社会功能和同伴关系的系统回顾。
IF 2.7 3区 心理学
Journal of Pediatric Psychology Pub Date : 2025-04-01 DOI: 10.1093/jpepsy/jsaf014
Elizabeth R Wolock, Manuela Sinisterra, David A Fedele, Mark D Bishop, Jeff Boissoneault, David M Janicke
{"title":"A systematic review of social functioning and peer relationships in adolescents with chronic pain.","authors":"Elizabeth R Wolock, Manuela Sinisterra, David A Fedele, Mark D Bishop, Jeff Boissoneault, David M Janicke","doi":"10.1093/jpepsy/jsaf014","DOIUrl":"10.1093/jpepsy/jsaf014","url":null,"abstract":"<p><strong>Objective: </strong>There is a need for a systematic review on social functioning and peer relationships among adolescents with chronic pain (ACP) given the high prevalence of chronic pain in adolescence and integral role of peer relationships in adolescent development. This review aims to examine the methods used to evaluate social functioning, the types and extent of peer relationship difficulties, and pain characteristics and sociodemographic factors related to social functioning in ACP.</p><p><strong>Methods: </strong>A systematic literature search of PubMed, PsycINFO, CINAHL, Web of Science, and Cochrane databases was performed. Included studies were written in English, presented original, quantitative, peer-reviewed research, had a primary focus on social functioning or peer relationships in ACP, and included study participants between the ages of 10 and 18 years. The review was registered in PROSPERO (No. CRD42022364870).</p><p><strong>Results: </strong>Twenty-eight articles were included in the review. All studies used self-, parent-, or peer-report questionnaires to evaluate social functioning. Most (89%) of the studies were cross-sectional. Findings suggest that ACP experience social difficulties frequently characterized by loneliness, social anxiety, withdrawal, and peer victimization. Studies examining the associations between social functioning and sociodemographic variables, pain location, and pain-related characteristics yielded mixed findings. Study quality was mixed, with 57.14% rated as \"good.\"</p><p><strong>Conclusions: </strong>Findings from this review emphasize the increased risk of reduced social connectedness and the complexity of underlying mechanisms associated with poorer social functioning among ACP. Additional research utilizing longitudinal methodologies is needed to understand potential moderators and directionality of associations between chronic pain and social functioning.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"354-376"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558449","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
Parenting, self-regulation, and sleep in young children at-risk for attention-deficit/hyperactivity disorder. 有注意力缺陷/多动障碍风险的幼儿的养育、自我调节和睡眠。
IF 2.7 3区 心理学
Journal of Pediatric Psychology Pub Date : 2025-04-01 DOI: 10.1093/jpepsy/jsaf011
Joey Tsz Ying Lam, George J DuPaul, Lee Kern, Bridget V Dever
{"title":"Parenting, self-regulation, and sleep in young children at-risk for attention-deficit/hyperactivity disorder.","authors":"Joey Tsz Ying Lam, George J DuPaul, Lee Kern, Bridget V Dever","doi":"10.1093/jpepsy/jsaf011","DOIUrl":"10.1093/jpepsy/jsaf011","url":null,"abstract":"<p><strong>Objective: </strong>Young children at-risk for attention-deficit/hyperactivity disorder (ADHD) often experience sleep problems, which may exacerbate ADHD symptoms and related impairment. Yet, little is known about modifiable factors associated with the maintenance of sleep problems. This study examined the relationships among parenting practices, behavioral self-regulation skills, and sleep functioning in young children at-risk for ADHD.</p><p><strong>Methods: </strong>Caregivers (94.2% female; 82.6% White) of 121 young children at-risk for ADHD (Mage = 4.04 years; 70.2% male; 71.9% White; 20.3% Hispanic) completed measures of parenting practices and child sleep. Children completed a lab-based task that measured behavioral self-regulation skills. Only pre-treatment data (before the delivery of behavioral parent education) were used for the study.</p><p><strong>Results: </strong>Greater use of adaptive parenting strategies, but not child behavioral self-regulation, was associated with decreased bedtime resistance after controlling for caregivers' marital status and education level. Additionally, adaptive parenting strategies moderated the relationship between child behavioral self-regulation and sleep distress, such that children with low behavioral self-regulation experienced less sleep distress when caregivers utilized more adaptive parenting strategies compared to caregivers who utilized less adaptive parenting strategies.</p><p><strong>Conclusions: </strong>For pediatric health providers working with families with young children at-risk for ADHD presenting with sleep problems, psychoeducation on adaptive parenting practices as well as encouraging parents to utilize these strategies may potentially improve child sleep functioning.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"335-345"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617654","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
Glycemic variability and weight-focused eating behaviors among adolescents and young adults with type 1 diabetes†. 青少年和年轻1型糖尿病患者的血糖变异性和以体重为中心的饮食行为
IF 2.7 3区 心理学
Journal of Pediatric Psychology Pub Date : 2025-04-01 DOI: 10.1093/jpepsy/jsaf009
Laura B Smith, Erica Ahlich, Brittany Lang, Sureka Bollepalli, Temiloluwa Prioleau, Abigail Bartolome, Amy Hughes Lansing, Diana Rancourt
{"title":"Glycemic variability and weight-focused eating behaviors among adolescents and young adults with type 1 diabetes†.","authors":"Laura B Smith, Erica Ahlich, Brittany Lang, Sureka Bollepalli, Temiloluwa Prioleau, Abigail Bartolome, Amy Hughes Lansing, Diana Rancourt","doi":"10.1093/jpepsy/jsaf009","DOIUrl":"10.1093/jpepsy/jsaf009","url":null,"abstract":"<p><strong>Objective: </strong>Type 1 diabetes (T1D) disease management and associated glycemic fluctuations can disrupt experiences of hunger and satiety, which may increase risk for disordered eating behaviors. Glycemic variability may be a useful trigger for just-in-time interventions for disordered eating behaviors. In this exploratory study, we hypothesized that two metrics of glycemic variability would be associated with greater hunger and predict eating behaviors for weight loss or maintenance in adolescents and young adults with T1D.</p><p><strong>Methods: </strong>Individuals with T1D were recruited from a university diabetes clinic (N = 34; 50% female, Mage = 19.53 years, MHbA1c = 7.98%; 29% Hispanic/Latinx; 79% White). Participants wore a blinded continuous glucose monitor for 5 days, and completed ecological momentary assessments (four prompts per day) that included measures of hunger and eating behaviors for weight loss or maintenance purposes. Generalized and linear mixed models were used to test hypotheses.</p><p><strong>Results: </strong>Approximately 30% of participants were at risk for an eating disorder based on Diabetes Eating Problem Survey-Revised scores. Greater glycemic variability did not predict hunger, but was associated with increased odds of endorsing any eating behavior for weight loss or maintenance purposes within-person (ps<.05). Greater hunger was associated with increased odds of endorsing disordered eating behavior within-person (p<.05).</p><p><strong>Conclusions: </strong>This exploratory study provides some preliminary evidence that times of greater hunger and glycemic variability may be when individuals with T1D may be at higher risk of engaging in behaviors to lose or maintain weight.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"326-334"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597860","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-Sleeping with a pet: exploring the impact on youth sleep. 与宠物同睡:探索对青少年睡眠的影响。
IF 2.7 3区 心理学
Journal of Pediatric Psychology Pub Date : 2025-04-01 DOI: 10.1093/jpepsy/jsaf016
Brittany D Lancaster, Tristen Hefner, Jason Van Allen
{"title":"Co-Sleeping with a pet: exploring the impact on youth sleep.","authors":"Brittany D Lancaster, Tristen Hefner, Jason Van Allen","doi":"10.1093/jpepsy/jsaf016","DOIUrl":"10.1093/jpepsy/jsaf016","url":null,"abstract":"<p><strong>Objective: </strong>Despite a rise in pet ownership and adult literature indicating pet co-sleeping may lead to disrupted sleep, limited research has evaluated the impact of youth co-sleeping with an animal. This study evaluated whether a pet in the bedroom affects youth sleep.</p><p><strong>Methods: </strong>175 families completed measures of screen time, sleep problems, and parental sleep knowledge. Youth (M age = 9.51; 53.1% male) wore an ActiGraph and completed a sleep diary for 2 consecutive weeks. For youth who owned a pet dog, the dog wore an ActiGraph for the same 2 weeks. Youth were separated into 3 groups: those who slept with a pet on the bed, those with a pet in the room but not on the bed, and those with no pet in the bedroom.</p><p><strong>Results: </strong>Results suggest that youth with a pet on the bed have a shorter sleep duration, lower efficiency, and longer sleep onset latency than youth without a pet in the bedroom. A pet on the bed explained unique variance in sleep efficiency, duration, and latency when accounting for factors previously shown to impact youth sleep. Awakenings and self-reported sleep problems did not differ between groups. In dyadic analyses (n = 43), dog movement 1 min prior predicted child movement at night.</p><p><strong>Conclusions: </strong>Results suggest that having a pet on the bed is associated with more restless and shorter sleep. Though results should be replicated, clinicians should begin assessing pet sleeping location when addressing sleep concerns and provide families with information about the potential impact of pets on sleep.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"377-386"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12013814/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626536","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
Caregivers' physiological responses during toddler vaccinations: associations with psychological and behavioral responses. 幼儿接种疫苗期间照顾者的生理反应:与心理和行为反应的关联。
IF 2.7 3区 心理学
Journal of Pediatric Psychology Pub Date : 2025-04-01 DOI: 10.1093/jpepsy/jsae095
Shaylea D Badovinac, David B Flora, Heather Edgell, Dan Flanders, Hartley Garfield, Eitan Weinberg, Deena Savlov, Rebecca R Pillai Riddell
{"title":"Caregivers' physiological responses during toddler vaccinations: associations with psychological and behavioral responses.","authors":"Shaylea D Badovinac, David B Flora, Heather Edgell, Dan Flanders, Hartley Garfield, Eitan Weinberg, Deena Savlov, Rebecca R Pillai Riddell","doi":"10.1093/jpepsy/jsae095","DOIUrl":"10.1093/jpepsy/jsae095","url":null,"abstract":"<p><strong>Objective: </strong>This study investigated biological, psychological, and behavioral aspects of caregivers' responses to toddlers' pain-related distress by measuring caregivers' high-frequency heart rate variability (HRV) responses during toddler vaccination pain and examining associations with caregivers' behavioral responses and psychological stress.</p><p><strong>Methods: </strong>Participants included caregiver-toddler dyads (N = 194) from a longitudinal cohort-sequential study who were observed during toddlers' 12-, 18-, or 24-month routine vaccinations. Changes in caregiver HRV were analyzed using growth curve modeling. Conditional growth curve models examined associations between caregiver HRV and caregivers' concurrent behavior and psychological stress.</p><p><strong>Results: </strong>The unconditional growth curve model indicated a slight linear decrease in caregiver HRV (i.e., vagal withdrawal) across the 3 min post-needle (unstandardized B = -0.06, p = .049). In conditional growth curve models, higher levels of parenting stress were associated with less vagal withdrawal during the post-needle period (standardized B = 0.47, unstandardized B = 0.02, p = .003). Caregivers' behavioral responses (i.e., use of soothing and distress-promoting behaviors), state anxiety, and general anxiety symptomology were not significantly associated with HRV responses.</p><p><strong>Conclusions: </strong>Caregiver parasympathetic nervous system activity levels changed minimally from baseline to post-needle and decreased slightly across the post-needle period. Caregivers' self-reported parenting stress was associated with their parasympathetic responses to the procedure. Findings support an improved understanding of the mechanisms underlying caregivers' responses to children's pain-related distress in a naturalistic setting.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"307-316"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12013813/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142695872","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
Commentary: Teens, screens, and sleep: the important role of screen time in the pathway between adolescent insomnia and obesity. 评论:青少年,屏幕和睡眠:屏幕时间在青少年失眠和肥胖之间的途径中的重要作用。
IF 2.7 3区 心理学
Journal of Pediatric Psychology Pub Date : 2025-03-01 DOI: 10.1093/jpepsy/jsaf003
Alison Vrabec, Katherine M Kidwell
{"title":"Commentary: Teens, screens, and sleep: the important role of screen time in the pathway between adolescent insomnia and obesity.","authors":"Alison Vrabec, Katherine M Kidwell","doi":"10.1093/jpepsy/jsaf003","DOIUrl":"10.1093/jpepsy/jsaf003","url":null,"abstract":"","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"254-255"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025298","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
Having more resilience factors only gets you so far in the context of neighborhood disadvantage: understanding differential predictors of internalizing symptoms and body mass index in youth with spina bifida. 在邻里关系不利的情况下,拥有更多的抗逆力因素也只能是杯水车薪:了解脊柱裂青少年内化症状和体重指数的不同预测因素。
IF 2.7 3区 心理学
Journal of Pediatric Psychology Pub Date : 2025-03-01 DOI: 10.1093/jpepsy/jsae102
Samantha Ruby Scott, Robin L Peterson, Samantha J North, Jillian Sari Merrick, Christine L Petranovich, Pamela E Wilson, Ann Lantagne, Tess S Simpson
{"title":"Having more resilience factors only gets you so far in the context of neighborhood disadvantage: understanding differential predictors of internalizing symptoms and body mass index in youth with spina bifida.","authors":"Samantha Ruby Scott, Robin L Peterson, Samantha J North, Jillian Sari Merrick, Christine L Petranovich, Pamela E Wilson, Ann Lantagne, Tess S Simpson","doi":"10.1093/jpepsy/jsae102","DOIUrl":"10.1093/jpepsy/jsae102","url":null,"abstract":"<p><strong>Objective: </strong>The primary aim of this study was to determine if neighborhood disadvantage predicted internalizing symptoms and body mass index (BMI) in youth with spina bifida (SB), while accounting for several sociodemographic factors. We also explored whether resilience factors helped explain associations between neighborhood disadvantage and internalizing symptoms or neighborhood disadvantage and BMI.</p><p><strong>Methods: </strong>Participants (n = 69, Mage=14.13, Range: 8-20, 51% biological female, 25% Hispanic/Latinx White, 28% Other/Multiracial, 48% non-Hispanic/Latinx White) were drawn from a retrospective chart review of clinical data, including self-reported resilience factors and internalizing symptoms, collected as part of the standard of care in a multidisciplinary pediatric SB clinic. Neighborhood disadvantage scores were extracted from participant addresses. Using structural equation modeling, we examined whether neighborhood disadvantage predicted BMI and internalizing symptoms. We explored whether these paths were mediated by resilience factors.</p><p><strong>Results: </strong>Higher neighborhood disadvantage predicted higher BMI and lower internalizing symptoms. Higher neighborhood disadvantage predicted higher resilience factors, which predicted lower internalizing symptoms. Higher resilience factors did not predict BMI.</p><p><strong>Conclusions: </strong>Neighborhood disadvantage may require youth with SB to navigate their way to additional resilience factors to maintain better psychosocial outcomes. However, having more resilience factors may not help offset the physical health costs of disadvantaged neighborhoods.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"256-265"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830533","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
Caregiver food allergy self-efficacy explains the relationship between perceived food allergy severity and burden. 照顾者食物过敏自我效能解释了感知食物过敏严重程度与负担之间的关系。
IF 2.7 3区 心理学
Journal of Pediatric Psychology Pub Date : 2025-03-01 DOI: 10.1093/jpepsy/jsaf002
Maegan Barber, Danielle Griffin, Rebecca Neshkes, Tiffany Kichline, Sabrina Sigel, Linda Jones Herbert
{"title":"Caregiver food allergy self-efficacy explains the relationship between perceived food allergy severity and burden.","authors":"Maegan Barber, Danielle Griffin, Rebecca Neshkes, Tiffany Kichline, Sabrina Sigel, Linda Jones Herbert","doi":"10.1093/jpepsy/jsaf002","DOIUrl":"10.1093/jpepsy/jsaf002","url":null,"abstract":"<p><strong>Objective: </strong>Caregiver perceived food allergy severity is associated with food allergy burden, while caregiver food allergy self-efficacy has been linked to improved quality of life for caregivers. This study examined the mediating effect of caregiver food allergy self-efficacy on the relationship between perceived food allergy severity and caregiver food allergy burden.</p><p><strong>Methods: </strong>Caregivers of children diagnosed with IgE-mediated food allergy were recruited from pediatric allergy clinics to complete demographic and medical questionnaires, the Food Allergy Independent Measure-Parent Form, the Food Allergy Self-Efficacy Scale for Parents, and the Food Allergy Quality of Life-Parental Burden. Hayes' PROCESS was utilized to test mediation analysis. The TREND checklist is available in the Supplementary Materials section.</p><p><strong>Results: </strong>Analyses consisted of 94 caregivers of children (Mage = 11.72 years, 52.7% male, 34.0% Black). Caregiver food allergy self-efficacy mediated the relationship between perceived food allergy severity and caregiver food allergy burden, B = 0.16, SE = 0.07, CI (0.04-0.33).</p><p><strong>Conclusions: </strong>Caregiver food allergy self-efficacy may play an important role in food allergy psychosocial functioning. Interventions targeting self-efficacy could reduce caregiver food allergy burden. Future research should explore additional psychosocial and medical factors to better tailor food allergy interventions to the family's unique needs.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"289-296"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11981051/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014259","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
Insomnia severity and obesity mediated by health behaviors in adolescents. 青少年健康行为对失眠严重程度和肥胖的影响。
IF 2.7 3区 心理学
Journal of Pediatric Psychology Pub Date : 2025-03-01 DOI: 10.1093/jpepsy/jsae098
Olivia M Triplett, Holly E R Morrell, Tori R Van Dyk
{"title":"Insomnia severity and obesity mediated by health behaviors in adolescents.","authors":"Olivia M Triplett, Holly E R Morrell, Tori R Van Dyk","doi":"10.1093/jpepsy/jsae098","DOIUrl":"10.1093/jpepsy/jsae098","url":null,"abstract":"<p><strong>Objective: </strong>Sleep difficulties in youth have been associated with numerous negative outcomes, such as higher risk of obesity. Though the relationship between sleep and obesity is not well clarified, past research has shown that modifiable health behaviors, such as diet, physical activity, and screen time, may explain this relationship. The purpose of this study was to simultaneously examine these health behaviors as mediators of the relationship between insomnia severity and obesity among a sample of adolescents aged 12-18 years.</p><p><strong>Method: </strong>English-speaking parents/legal guardians of adolescents were invited to participate in an online survey focused on pediatric sleep patterns, health behaviors, and weight. Parents/guardians (N = 599) reported on their adolescent's diet (i.e., consumption of fruits/vegetables, fast food, and breakfast), physical activity, screen time, and BMI. A multiple mediation analysis was run to test these health behaviors as mediators of the relationship between insomnia severity and BMI, after controlling for sex, age, race, and poverty.</p><p><strong>Results: </strong>While insomnia was related to most health behaviors, screen time was the only significant mediator of the relationship between insomnia and BMI, after controlling for the effects of the other mediators and all covariates, ab = .04, 95% CrI [.01, .09].</p><p><strong>Conclusions: </strong>Screen time has implications for both adolescents' sleep health and weight. Pediatric clinicians should systematically assess for, and provide, recommendations on ways to improve sleep and screen time use, in addition to providing traditional dietary and physical activity recommendations.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"243-253"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607087","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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