Journal of Pediatric Psychology最新文献

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Evaluating representativeness: recruitment for a virtual family-based intervention focused on the transition from pediatric to adult diabetes care†. 评估代表性:招募虚拟家庭干预,重点关注从儿科到成人糖尿病护理的转变†。
IF 2.7 3区 心理学
Journal of Pediatric Psychology Pub Date : 2025-05-01 DOI: 10.1093/jpepsy/jsaf023
Madeleine C Suhs, Alexander O'Donnell, Julia Ellis, Jill Weissberg-Benchell, Michael A Harris, Jaclyn L Papadakis
{"title":"Evaluating representativeness: recruitment for a virtual family-based intervention focused on the transition from pediatric to adult diabetes care†.","authors":"Madeleine C Suhs, Alexander O'Donnell, Julia Ellis, Jill Weissberg-Benchell, Michael A Harris, Jaclyn L Papadakis","doi":"10.1093/jpepsy/jsaf023","DOIUrl":"10.1093/jpepsy/jsaf023","url":null,"abstract":"<p><strong>Objective: </strong>Recruiting representative samples of youth for behavioral health interventions is challenging yet necessary to translate research into practice and eliminate health disparities. Transition-aged youth with type 1 diabetes (T1D) represent a vulnerable population; not enough attention is given to their inclusion in behavioral health interventions. Behavioral Family Systems Therapy for Diabetes Transition (BFST-DT) is an intervention aimed at improving transition readiness and is currently being pilot tested. The objectives of this study are to (1) evaluate the representativeness of the enrolled sample based on demographic and medical characteristics and (2) evaluate recruitment communication preferences.</p><p><strong>Methods: </strong>Thirty adolescents (Mage = 16.57 years) with T1D and their caregiver(s) were recruited from a large urban hospital. Demographic and medical variables were collected via electronic medical record. Research staff recorded recruitment details about communication attempts and methods and reasons for participation decline.</p><p><strong>Results: </strong>Those who enrolled in the intervention had more insulin pump usage than the recruitment population. Those who enrolled communicated primarily over email, while those who declined preferred phone. The length of time before a participation decision was communicated was similar between the enrolled and declined groups at about 6 weeks. The main reason for declining to participate was lack of interest.</p><p><strong>Conclusions: </strong>Recruitment strategies were mostly effective in recruiting a representative sample of adolescents with T1D. Findings have implications for recruiting populations that are challenging to engage in intervention research. Future research should prioritize the stratification of historically underrepresented groups during recruitment.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"433-441"},"PeriodicalIF":2.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041131","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
Feasibility and acceptability of the TEAM pilot trial with African American and Latino families. 在非裔美国人和拉丁裔家庭中进行TEAM试点试验的可行性和可接受性。
IF 2.7 3区 心理学
Journal of Pediatric Psychology Pub Date : 2025-05-01 DOI: 10.1093/jpepsy/jsaf001
Ashley M Butler, Marisa E Hilliard, Krystal Christopher, Marissa Baudino, Charles Minard, Lefkothea Karaviti
{"title":"Feasibility and acceptability of the TEAM pilot trial with African American and Latino families.","authors":"Ashley M Butler, Marisa E Hilliard, Krystal Christopher, Marissa Baudino, Charles Minard, Lefkothea Karaviti","doi":"10.1093/jpepsy/jsaf001","DOIUrl":"10.1093/jpepsy/jsaf001","url":null,"abstract":"<p><strong>Objective: </strong>We adapted the empirically supported Family Teamwork intervention protocol to support collaborative parent involvement in type 1 diabetes (T1D) management among African American and Latino parents of children with T1D. This randomized pilot study aimed to evaluate feasibility and acceptability of the Type 1 Diabetes Empowerment and Management (TEAM) intervention.</p><p><strong>Methods: </strong>African American and Latino parents (n = 59; 65% recruitment rate) of youth (ages 5-10 years, M = 8.9 ± 1.6 years; 59% female, M hemoglobin A1c 9.0% ± 1.9%) with diabetes duration of ≥1 year and who were fluent in English and not planning to leave the geographic area were recruited and randomized 3:1 to the TEAM intervention (n = 44) or usual diabetes care alone (n = 15). The intervention consisted of six group-based sessions co-led by a study interventionist and a trained parent leader, plus five phone calls with the parent leader. Secondary outcomes included psychosocial questionnaires and HbA1c at baseline and 12 months post-baseline.</p><p><strong>Results: </strong>Participants attended a mean of 2.1 ± 2.0 (33%) TEAM intervention sessions. Acceptability ratings (5-point scale) among parents who completed ≥1 session (n = 28) were high: helpfulness (4.5 ± 0.75), encouraged new perspectives (4.5 ± 0.58), enjoyment (4.4 ± 0.70), learned new information/skills (4.3 ± 0.70), prompted change to diabetes management (4.6 ± 0.69), and positive impact on family (4.5 ± 0.69). Qualitative interviews (n = 35) indicated positive perspectives about emotional and informational support and suggestions for adding child intervention components. Pre-post data completion rates were 92% for questionnaires.</p><p><strong>Conclusions: </strong>Despite feasibility challenges, the TEAM intervention was acceptable among parents who attended sessions. Reducing barriers to session attendance may be warranted to impact psychosocial and clinical outcomes.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov Identifier: NCT04053504.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"388-398"},"PeriodicalIF":2.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12225676/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143731568","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
Topical review: family psychosocial risk screening and social determinants of health assessment. 专题审查:家庭社会心理风险筛查和健康评估的社会决定因素。
IF 2.7 3区 心理学
Journal of Pediatric Psychology Pub Date : 2025-04-01 DOI: 10.1093/jpepsy/jsaf006
Anne E Kazak, Michele A Scialla, Nithya Ramaswamy, Janet A Deatrick, Kamyar Arasteh, Shannon N Hammer, Lamia P Barakat
{"title":"Topical review: family psychosocial risk screening and social determinants of health assessment.","authors":"Anne E Kazak, Michele A Scialla, Nithya Ramaswamy, Janet A Deatrick, Kamyar Arasteh, Shannon N Hammer, Lamia P Barakat","doi":"10.1093/jpepsy/jsaf006","DOIUrl":"10.1093/jpepsy/jsaf006","url":null,"abstract":"<p><strong>Objective: </strong>Social-ecological factors are highly congruent with social determinants of health (SDOH): Economic Stability; Educational Access/Quality; Healthcare Access/Quality; Neighborhood/Built Environment; and Social/Community Context. In this topical review, the correspondence of social-ecological theory with SDOH and assessment approaches is reviewed. The Psychosocial Assessment Tool (PAT) is used to show how existing tools may facilitate SDOH screening.</p><p><strong>Methods: </strong>SDOH are defined, and their link to pediatric health outcomes is presented, followed by a review of the social-ecological model. Feasible, valid, and actionable approaches to assessment of social ecology and SDOH are presented with a focus on the PAT, a brief caregiver report screener based on social-ecological theory, validated in English, Spanish, and in multiple conditions and adapted/translated internationally. Multidisciplinary healthcare providers (n = 25) completed an online survey, indicating whether each PAT item fit into SDOH categories.</p><p><strong>Results: </strong>Despite different approaches to assessing SDOH, there are few feasible and evidence-based approaches. Most PAT items (78%) were consistent with one of the SDOH categories by the majority of raters. PAT items corresponded to all five SDOH categories. Some items about child behavior and family were not categorized as an SDOH, reflecting the broader context of screening with the PAT.</p><p><strong>Conclusion: </strong>The assessment of SDOH is a priority, but approaches to assessment and linking outcomes to intervention remain underdeveloped. As an evidence-based screener in pediatric healthcare, based on social-ecological and public health models, the PAT may provide a means of identifying relevant SDOH in pediatric practice.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"320-325"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053909","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
Cluster analysis of caregiver and adolescent emotion regulation and its relation to sexual health and dating communication. 照顾者与青少年情绪调节的聚类分析及其与性健康和约会交往的关系。
IF 2.7 3区 心理学
Journal of Pediatric Psychology Pub Date : 2025-04-01 DOI: 10.1093/jpepsy/jsaf012
Caroline Cummings, Katherine Shircliff, Alyssa J Gatto, Christie J Rizzo, Christopher D Houck
{"title":"Cluster analysis of caregiver and adolescent emotion regulation and its relation to sexual health and dating communication.","authors":"Caroline Cummings, Katherine Shircliff, Alyssa J Gatto, Christie J Rizzo, Christopher D Houck","doi":"10.1093/jpepsy/jsaf012","DOIUrl":"10.1093/jpepsy/jsaf012","url":null,"abstract":"<p><strong>Objective: </strong>Adolescent emotion regulation (ER) has been positively linked to caregiver-adolescent sexual communication. With ER becoming increasingly conceptualized as an interpersonal process, it is likely that both adolescent and caregiver ER impact communication patterns to some extent; thus, each must be accounted for in scientific inquiry and intervention approaches. We aimed to identify distinct profiles of caregiver and adolescent ER and examine how each profile is differentially related to caregiver-adolescent communication about sexual health and relationships.</p><p><strong>Methods: </strong>Participants included adolescent males (n = 117; Mage = 13.06; SD = 0.72) and their caregivers (Mage = 42.33; SD = 0.72) who were recruited as part of a dyadic, web-based dating violence prevention intervention trial for middle school boys.</p><p><strong>Results: </strong>Using a self-report measure, three clusters were identified: families with Moderate ER strategy use (by both parents and adolescents), families with Low ER strategy use (by both parents and adolescents), and families with Mixed ER strategy use (moderate adolescent but low caregiver ER strategy use). Caregivers in the Moderate ER strategy use cluster reported discussing the greatest total number of sexual health and relationship topics. Adolescents in the Mixed ER strategy use cluster indicated the greatest perceived caregiver openness during discussions.</p><p><strong>Conclusions: </strong>Findings suggest that adolescent ER may more strongly influence positive patterns of communication regarding sexual health and relationships than parent ER. Future research should compare the efficacy of adolescent sexual health and dating interventions with adolescents alone versus dyadic interventions to determine whether there is a clinically significant additive effect of including caregivers or if adolescent engagement alone may suffice.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"346-353"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12013805/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558450","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: 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
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