Children-Basel最新文献

{"title":"How Family Structure Can Influence Adolescents' Eating Habits: An Italian Health Behaviour in School-Aged Children (HBSC) 2022 Sample.","authors":"Bianca Maria Bocci, Dario Lipari, Andrea Pammolli, Rita Simi, Elena Frongillo, Antonella Miserendino, Ilaria Manini, Giacomo Lazzeri","doi":"10.3390/children11111368","DOIUrl":"10.3390/children11111368","url":null,"abstract":"<p><strong>Background/objectives: </strong>Adolescence is an important period of psychophysical development. In this phase of life people acquire greater self-awareness and adopt behaviors that will later shape their lifestyle in adulthood. This study aimed to assess whether family structure can influence adolescents' eating habits.</p><p><strong>Methods: </strong>Data were acquired from a survey titled 'Italian Health Behaviour in School-aged Children' (HBSC) given to a representative sample of Tuscan adolescents aged 11, 13, 15 and 17 years of age. Participants (3210) filled out a validated questionnaire answering questions about their eating habits and family structure. After adjusting for covariates, some interesting trends were highlighted in the survey results.</p><p><strong>Results: </strong>Adolescents living in single-mother families reported a lower intake of fruits (OR 0.68, 95% CI = 0.55-0.83) and vegetables (OR 0.66, 95% CI = 0.53-0.81) and a higher intake of sugar-added soft drinks (OR 1.33, 95% CI = 1.08-1.64). Living in a mother and stepfather family was associated with a higher intake of sugar-added soft drinks (OR 1.53, 95% CI = 1.02-2.28), whereas living in a father and stepmother family was associated only with a lower intake of fruits (OR 0.48, 95% CI = 0.26-0.87). Participants living with other family types reported a lower intake of vegetables (OR 0.68, 95% CI = 0.47-0.98).</p><p><strong>Conclusions: </strong>The results of this study show a correlation between family structure and adolescents' eating habits.</p>","PeriodicalId":48588,"journal":{"name":"Children-Basel","volume":"11 11","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11593287/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Systematic Review and Meta-Analysis of Conditioned Pain Modulation in Children and Young People with Chronic Pain.","authors":"Christina Liossi, Helen Laycock, Kanmani Radhakrishnan, Zara Hussain, Daniel Eric Schoth","doi":"10.3390/children11111367","DOIUrl":"10.3390/children11111367","url":null,"abstract":"<p><strong>Background/objectives: </strong>Conditioned pain modulation (CPM) is a psychophysical experimental measure of the endogenous pain inhibitory pathway in humans, wherein one pain stimulus (the conditioning stimulus) is used to inhibit an individual's perception of a second painful (test) stimulus. Research provides evidence of impaired endogenous inhibitory pain responses in adults with chronic pain. CPM is now increasingly applied in paediatric research and clinical practice. The primary aim of this systematic review was to examine the efficacy of CPM in paediatric chronic pain populations (6-24-year-olds) compared to pain-free children and young people (CYP).</p><p><strong>Methods: </strong>The protocol was registered on PROSPERO (CRD42020221927). A systematic search of seven databases was conducted from database inception to 20th June 2024. Study inclusion criteria were as follows: (i) recruited a sample of CYP aged 6 to 24 (inclusive) with chronic pain or who were pain-free; and (ii) applied a CPM paradigm comprising both a painful test and conditioning stimuli that were sufficiently detailed to allow for replication,(iii) adhered to a study design of randomised control trial, case control or cohort study, including cross-sectional or longitudinal; (iv) available in the English language. Study exclusion criteria were: (i) The CPM paradigm used a non-painful test or conditioning stimulus only; and (ii) was only available as an abstract, letter, poster, editorial, case report, or review with or without meta-analyses. Risk of bias was assessed using the Appraisal Tool for Cross Sectional Studies (AXIS). Meta-analyses were conducted in Comprehensive Meta Analysis 3.0 using random effects models to compare the overall CPM responses in CYP with chronic pain conditions to healthy control CYP.</p><p><strong>Results: </strong>Thirty-two studies were eligible for inclusion, six of which were included in one or more meta-analysis (<i>n</i> = 407 chronic pain, <i>n</i> = 205 control). Meta-analysis revealed significantly weaker CPM responses in CYP with a variety of chronic pain conditions compared to healthy controls (standardized mean difference (SMD) = 0.352), and significantly weaker CPM responses in CYP with abdominal pain conditions compared to healthy controls (SMD = 0.685). No significant difference in CPM response was found between CYP with migraine and healthy controls (SMD = -0.201).</p><p><strong>Conclusions: </strong>Variable results were found across individual studies, and the meta-analysis of the small number of eligible studies provides tentative evidence for impaired CPM in CYP with chronic pain compared to healthy controls. Further research is clearly needed. In particular, studies should present CPM results separately for different age groups, ethnic groups, and sexes, as these variables shape clinical pain responses.</p>","PeriodicalId":48588,"journal":{"name":"Children-Basel","volume":"11 11","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11592744/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Respiratory Physiotherapy Interventions in Paediatric Population with Atelectasis: A Systematic Review.","authors":"Carlota Beatriz Esteban-Gavilán, Patricia Rico-Mena, Javier Güeita-Rodríguez, Víctor Navarro-López, Raúl Escudero-Romero","doi":"10.3390/children11111364","DOIUrl":"10.3390/children11111364","url":null,"abstract":"<p><p><b>Objective:</b> This systematic review aims to assess the effectiveness of respiratory physiotherapy techniques in oxygenation, chest X-ray findings, and lung auscultation in paediatric patients aged 0 to 18 years diagnosed with atelectasis. <b>Methods:</b> A comprehensive search was conducted in the PubMed, PEDro, Web of Science, and Cochrane Library databases. <b>Results:</b> Eight randomised clinical trials were included, involving 430 children ranging from 35 weeks of gestational age to 14 years. These trials evaluated various respiratory physiotherapy techniques and their effects on oxygenation and chest radiograph outcomes. The methodological quality of the studies ranged from acceptable to good, according to the PEDro scale. <b>Conclusions:</b> Recent evidence indicates that respiratory physiotherapy is effective and safe in the paediatric population with atelectasis. Both manual and instrumental techniques demonstrated efficacy, with instrumental techniques showing superior outcomes in many cases.</p>","PeriodicalId":48588,"journal":{"name":"Children-Basel","volume":"11 11","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11592479/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Infusion Reactions to Infliximab in Pediatric Patients with Inflammatory Bowel Disease.","authors":"Rajmohan Dharmaraj, Tess Pei Lemon, Rasha Elmaoued, Ricardo Orlando Castillo, Razan Alkhouri","doi":"10.3390/children11111366","DOIUrl":"10.3390/children11111366","url":null,"abstract":"<p><p>Infliximab (IFX) is a recombinant DNA-derived chimeric IgG monoclonal antibody protein that inhibits tumor necrosis factor alpha (TNF-α). IFX, like other agents derived from foreign proteins, can cause infusion reactions both during and after the infusion. The incidence of infusion reactions ranges between 0% and 15% in pediatric patients. The potential underlying mechanisms for these reactions may include anaphylaxis and anaphylactoid reactions, cytokine release syndrome, serum sickness-like reactions, and the development of antibodies against IFX. Several precautions can help reduce the risk of a new infusion reaction, such as a gradual increase in the infusion rate, scheduled infusions, and administering premedication or immunomodulators alongside IFX. Acute mild to moderate reactions often resolve spontaneously after a temporary cessation of the infusion or reduction in the infusion rate. Strategies like graded dose challenges and premedication can be utilized to prevent recurrence. In cases of severe reactions, desensitization or switching to an alternative biologic may be considered. This article aims to review the most recent guidelines for managing IFX-related infusion reactions in pediatric patients with inflammatory bowel disease (IBD), relying on the best available evidence.</p>","PeriodicalId":48588,"journal":{"name":"Children-Basel","volume":"11 11","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11592503/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Relationship Between Psychological Factors and Nutritional Status in Adolescence.","authors":"Bojana Marinković, Bojan Ćorluka, Mile Vukajlović, Bojan Bjelica, Nikola Aksović, Saša Bubanj, Emilija Petković, Adem Preljević, Ljubiša Lilić, Tatiana Dobrescu, Adina-Camelia Şlicaru","doi":"10.3390/children11111365","DOIUrl":"10.3390/children11111365","url":null,"abstract":"<p><strong>Background: </strong>The aim of the research is to explore the relationship between psychological factors and nutritional status in adolescence. The issue of adolescent nutrition is related to several psychological problems, as well as to developmental changes during this period. Research on body image dissatisfaction has confirmed that most adolescents are dissatisfied with their bodies. Developmentally oriented scientists are unique in their approach to explaining the problem of body image, focusing on multiple aspects and attempting to understand the intrapersonal and interpersonal factors that are important for the formation of body image.</p><p><strong>Methods: </strong>The sample included 260 adolescents aged 11 to 15. The assessment of sociodemographic factors, emotional states, physical activity levels, and eating habits was included in the questionnaires filled out by the parents (DASS-21 and the Physical Activity & Nutrition Behaviors Monitoring Form questionnaire). Body Mass Index (BMI) was calculated based on information about the height and weight of the adolescents.</p><p><strong>Results: </strong>The results of the correlation between psychological characteristics and BMI indicate a negative low correlation with all psychological aspects: depression (r = -0.25; <i>p</i> < 0.05), anxiety (r = -0.30; <i>p</i> < 0.05), and stress (r = -0.28; <i>p</i> < 0.05). Over 70% of adolescents are classified in the category of normal BMI.</p><p><strong>Conclusions: </strong>The results indicate that subjects who are of normal weight experience less pronounced depression, anxiety, and stress.</p>","PeriodicalId":48588,"journal":{"name":"Children-Basel","volume":"11 11","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11592419/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Affording Social Experience for Adolescents Using Immersive Virtual Reality: A Moderated Mediation Analysis.","authors":"Gege Li, Heng Luo, Xin Yin, Yan Zhang, Zijian Li","doi":"10.3390/children11111362","DOIUrl":"10.3390/children11111362","url":null,"abstract":"<p><strong>Background: </strong>Immersive virtual reality (IVR) serves as a promising tool to provide adolescents with enriched social experience due to its high-fidelity simulations and multimodal interaction. This study aims to design and develop a multi-user IVR collaborative game utilizing simultaneous localization and mapping (SLAM)-based inside-out tracking technique to foster social experience among students. Also, this study explored the mechanism by which technology acceptance affected social experience in the IVR collaboration game, focusing on the mediating effects of presence, collective efficacy, and group effectiveness, as well as the moderating effect of social-emotional competence (SEC).</p><p><strong>Methods: </strong>A total of 104 seventh graders from a middle school in Central China participated in this study and completed the questionnaire. Finally, 87 valid questionnaire responses were retrieved.</p><p><strong>Results: </strong>The results revealed that technology acceptance both directly and indirectly influenced social experience. The mediation analysis revealed a key pathway influencing social experience: technology acceptance → presence → collective efficacy → group effectiveness → social experience. However, no moderating effect of SEC was found in the relationship between technology acceptance and social experience, group effectiveness, and social experience.</p><p><strong>Conclusions: </strong>Based on these results, more appropriate IVR interventions could be developed for social-emotional learning among children and adolescents.</p>","PeriodicalId":48588,"journal":{"name":"Children-Basel","volume":"11 11","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11593269/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Increasing the Use of Newborn Pain Treatment Following the Implementation of a Parent-Targeted Video: An Outcome Evaluation.","authors":"Michaela A Smith, Sandra I Dunn, Catherine Larocque, Jodi Wilding, Marsha Campbell-Yeo, Lucy Gilmore, JoAnn Harrold, Jiale Hu, Carolina Lavin Venegas, Shokoufeh Modanloo, Stuart G Nicholls, Pat O'Flaherty, Shahirose Sadrudin Premji, Jessica Reszel, Sonia Semenic, Janet E Squires, Bonnie Stevens, Marie-Josee Trepanier, Kathy Venter, Denise Harrison","doi":"10.3390/children11111360","DOIUrl":"10.3390/children11111360","url":null,"abstract":"<p><strong>Background/objectives: </strong>Despite strong evidence that breastfeeding, skin-to-skin care, and sucrose reduce pain in newborns during minor painful procedures, these interventions remain underutilized in practice. To address this knowledge-to-practice gap, we produced a five-minute parent-targeted video demonstrating the analgesic effects of these strategies and examined whether the use of newborn pain treatment increased in maternal-newborn care settings following the introduction of the video by nurses.</p><p><strong>Methods: </strong>The design was a pre-post outcome evaluation. The participants were infants born in eight maternal-newborn hospital units in Ontario, Canada. Data on newborn pain treatment were obtained from a provincial birth registry. Descriptive statistics and chi square tests were used to compare the before-and-after changes in the use of pain treatment.</p><p><strong>Results: </strong>Data on 15,524 infants were included. Overall, there was an increase in the proportion of newborns receiving any pain treatment comparing before (49%) and after (54%) the video intervention (<i>p</i> < 0.0001) and a decrease in the proportion of newborns receiving no pain treatment pre- (17.6%) and post-intervention (11.5%) (<i>p</i> < 0.0001). Most of the change aligned with increased sucrose use (35% to 47%, <i>p</i> < 0.0001) in three of the larger units. Nevertheless, considerable increases in the use of breastfeeding and/or skin-to-skin care (24% to 38%, <i>p</i> < 0.0001) were also observed in three of the smaller units.</p><p><strong>Conclusions: </strong>The video intervention was effective at increasing the use of pain treatment for newborns. Though the overall increases were modest, there were some large increases for specific methods of pain treatment in certain maternal-newborn units, reflecting the diversity in practice and context across different sites.</p>","PeriodicalId":48588,"journal":{"name":"Children-Basel","volume":"11 11","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11593283/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Serum Sodium Concentration During Arginine Vasopressin Infusion in Critically Ill Children.","authors":"Rafael Muff, Verena Gotta, Vera Jaeggi, Luregn J Schlapbach, Philipp Baumann","doi":"10.3390/children11111359","DOIUrl":"10.3390/children11111359","url":null,"abstract":"<p><strong>Background: </strong>Intravenous arginine vasopressin is increasingly used for the treatment of critically ill children. It bears the risk of hyponatraemia with potential severe long-term sequelae, but data on hyponatraemia as a side effect of continuous vasopressin infusion for paediatric intensive care patients is scarce.</p><p><strong>Methods: </strong>In this retrospective analysis performed at a tertiary care paediatric intensive care unit with 2000 annual admissions, patients were included if they were treated with intravenous vasopressin between 2016 and 2022. Baseline sodium concentrations, lowest sodium concentrations during arginine vasopressin treatment, and time to lowest sodium concentration (nadir) were derived.</p><p><strong>Results: </strong>In total, 170 patients with a median age of 4 months [interquartile range, IQR, 0-33] were included, 92.4% underwent surgery, and 28.8% died. Median arginine vasopressin dose rate was 0.027 IU/kg/h [0.019-0.036] and arginine vasopressin was started 3.2 [0-26] h after intensive care admission. Median arginine vasopressin application duration was 13.6 h [6.2-32.6]. Baseline sodium was 141 mmol/L [138-145], and lowest median sodium during arginine vasopressin infusion was 137 mmol/L [132-141] (nadir at 8.4 h [1.0-28.1] after arginine vasopressin start). Hyponatraemia (<135 mmol/L) occurred in 38.2% of patients during AVP treatment, and physicians administered a median of 10.2 mmol/kg/d [6.2-16.4] sodium during arginine vasopressin therapy.</p><p><strong>Conclusions: </strong>Under arginine vasopressin infusion, hyponatraemia was common, although high daily doses of sodium were administered to keep the serum values in physiologic ranges. This emphasises the need for close electrolyte monitoring and sodium substitution in children and adolescents under arginine vasopressin treatment to avoid hyponatraemia and related sequelae.</p>","PeriodicalId":48588,"journal":{"name":"Children-Basel","volume":"11 11","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11592650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health Disparities in Hospitalized Pediatric Patients with Autism Spectrum Disorder and COVID-19.","authors":"Janet Lee, Lisa Ferretti, Camden Nelson, Priya Nigam, Jessica Zawacki, Philip McCallion","doi":"10.3390/children11111363","DOIUrl":"10.3390/children11111363","url":null,"abstract":"<p><strong>Background/objectives: </strong>Pediatric patients with autism spectrum disorder (ASD) face unique challenges, especially amongst individuals from historically minoritized racial groups. ASD has also been associated with an increased mortality from COVID-19. This study aims to explore the differences in sociodemographic factors and health outcomes (as measured by length of stay) amongst hospitalized pediatric patients with COVID-19 infections and a diagnosis of ASD compared to individuals with a COVID-19 infection alone; Methods: We performed a retrospective cohort study examining pediatric patients (ages birth to 21) who were hospitalized with a diagnosis of ASD and COVID-19 compared to patients with a diagnosis of COVID-19 alone between January 2019 and June 2023 using Epic Systems Corporation's Cosmos, a de-identified dataset aggregated from electronic health record data. We examined differences in demographic factors and length of stay (LOS) between groups by utilizing chi-square and Wilcoxon rank sum tests. Multiple logistic regression models were utilized to assess the association between length of stay and diagnosis; Results: A total of 21,708 distinct pediatric patients with a diagnosis of ASD and COVID-19 or COVID-19 alone were included in the analytical dataset. Patients with ASD and COVID-19, compared to patients with COVID-19 alone, had a higher proportion of individuals identifying as male and White. Patients with COVID-19 alone, compared to individuals with ASD and COVID-19, had higher proportions of individuals identifying as Black or African American. Higher proportions of individuals with ASD and COVID-19 had public insurance, compared to individuals with COVID-19 alone. Having a diagnosis of ASD and COVID, after controlling for covariates, was associated with higher odds of having a length of stay greater than the three days (cutoff value determined by the median LOS of three days) compared to having a diagnosis of COVID alone (aOR 1.19, 95% CI 1.04-1.35); Conclusions: Our study highlights the health disparities experienced during hospitalizations by pediatric patients with ASD and COVID-19. Further studies should address barriers and support health outcomes for pediatric patients with ASD.</p>","PeriodicalId":48588,"journal":{"name":"Children-Basel","volume":"11 11","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11593112/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Parental Depressive, Anxiety, and Stress Symptoms on Adolescents' Mental Health and Quality of Life: The Moderating Role of Parental Rejection.","authors":"Eirini Sofrona, Georgios Giannakopoulos","doi":"10.3390/children11111361","DOIUrl":"10.3390/children11111361","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Parental internalizing issues, particularly maternal mental health, can significantly influence adolescents' mental health by altering parenting behaviors and roles. This study explores the role of parental rejection in moderating the relationship between parental depressive, anxiety, and stress symptoms and adolescents' mental health and quality of life. <b>Methods</b>: One hundred thirty eight mothers (mean age: 47.96, SD = 5.06 years) and 68 fathers (mean age: 51.07, SD = 5.53 years) of adolescents aged 12-18 completed measures on mental health, parental rejection, and adolescent well-being. <b>Results</b>: Maternal rejection was found to moderate the relationship between maternal anxiety symptoms and adolescents' quality of life, as well as between maternal anxiety symptoms and adolescents' mental health problems. Paternal rejection moderated the relationship between paternal stress symptoms and adolescents' mental health. However, parental rejection did not moderate the relationship between parental depression and adolescents' quality of life or mental health. <b>Conclusions</b>: These findings highlight the distinct roles of maternal and paternal rejection in adolescent development and suggest that parental mental health, particularly anxiety and stress, has a significant impact on adolescent well-being. Future studies should consider the influence of both parents and focus on longitudinal effects. These results emphasize the need for interventions addressing parental rejection to improve adolescent outcomes.</p>","PeriodicalId":48588,"journal":{"name":"Children-Basel","volume":"11 11","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11593265/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}