Current Problems in Pediatric and Adolescent Health Care最新文献

{"title":"A general pediatrician's perspective on losing ground: monitoring children's rights to health in the United States.","authors":"Jennifer Hilgeman","doi":"10.1016/j.cppeds.2026.101989","DOIUrl":"https://doi.org/10.1016/j.cppeds.2026.101989","url":null,"abstract":"","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":" ","pages":"101989"},"PeriodicalIF":2.5,"publicationDate":"2026-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149208104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Utility of pharmacogenomic tests in treating pediatric depression, anxiety and ADHD.","authors":"Mariam Rahmani","doi":"10.1016/j.cppeds.2026.101988","DOIUrl":"https://doi.org/10.1016/j.cppeds.2026.101988","url":null,"abstract":"<p><p>Despite the scientific advancement and increasing interest in the use of pharmacogenomic tests to determine how genes interact with medications, such tests require nuanced understanding and interpretation in the treatment of pediatric depression, anxiety, and ADHD. Pharmacogenomic testing can be useful in certain populations to identify a psychotropic medication's tolerability or adverse effects. Pharmacogenomic testing cannot predict which medication will provide the best clinical response in a specific patient with a specific mental illness. Unfortunately, some commercial testing kits provide clinical guidance based on genetic tests that may not have clinical relevance in an over-simplified color-coded format which can be misleading for the patient and for the clinician. It is imperative that pediatricians understand the utility and limitations regarding the use of such tests so they can correct misinformation and provide evidence-informed care to their patients.</p>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":" ","pages":"101988"},"PeriodicalIF":2.5,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149208150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Father engagement in child and adolescent mental health care: From neurobiology to clinical practice.","authors":"Rajesh Mehta","doi":"10.1016/j.cppeds.2026.101985","DOIUrl":"https://doi.org/10.1016/j.cppeds.2026.101985","url":null,"abstract":"<p><p>Fathers influence child development through biological, relational, and family-system pathways, yet they remain comparatively underrepresented in research and child mental health care. Emerging neurobiological evidence suggests that paternal caregiving is associated with experience-dependent adaptations in neural and neuroendocrine systems involved in caregiving and social responsiveness. Developmental research further identifies both direct pathways, including father-child interaction, play, caregiving, and emotional responsiveness, and indirect pathways involving coparenting, family functioning, resources, and support of other caregivers. These processes may also influence children's emotional and behavioral health, although much of the evidence is observational and should not be interpreted as establishing causality. Despite the importance of fathers within children's developmental environments, fathers remain underrepresented in parenting intervention research and may be insufficiently engaged in psychiatric assessment and treatment. Father-inclusive care requires moving beyond physical presence or appointment attendance toward meaningful participation in assessment, treatment planning, behavioral interventions, medication monitoring, and safety planning when clinically appropriate. National, state, and health-system initiatives provide models for improving father engagement. This review proposes a practical framework: Identify, Invite, Listen, Engage, Collaborate, and Sustain, for incorporating fathers and father figures into child and adolescent mental health care while recognizing diverse family structures, safety considerations, and individual circumstances.</p>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":" ","pages":"101985"},"PeriodicalIF":2.5,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149208123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of digital health tools to promote equitable and efficient health-related social needs screening and response.","authors":"Eliza Sitter, Stephanie G Menko, Danielle Capriola, Philip V Scribano","doi":"10.1016/j.cppeds.2026.101980","DOIUrl":"https://doi.org/10.1016/j.cppeds.2026.101980","url":null,"abstract":"<p><p>Unmet health-related social needs (HRSNs), such as food insecurity, housing instability, transportation barriers, and caregiver stress, are associated with increased healthcare utilization and poorer health outcomes. Screening for HRSNs and addressing unmet needs in pediatric healthcare is crucial to improving child health across the life course. As HRSN screening becomes more widespread, digital health tools offer an opportunity to expand equitable screening and resource referral programs. These technologies can improve workflow efficiency, adapt to different clinical settings, and facilitate interdisciplinary collaboration across healthcare settings. This article reviews the benefits of digital health integration for HRSN screening and resource referrals, the existing tools, and potential expansion utilizing artificial intelligence. Finally, we discuss the importance of trauma-informed digital health approaches that prioritize patient privacy, transparency, and trust.</p>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":" ","pages":"101980"},"PeriodicalIF":2.5,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Caregiver's perspectives toward genome sequencing in children with neurodevelopmental disorders: Integrating genomic information into pediatric care.","authors":"Gabriella E George, Rebecca Schecter, Joane Padilla, Andrej Bogojevic, Katherine E Bonini, Jacqueline A Odgis, Paola Carugno","doi":"10.1016/j.cppeds.2026.101976","DOIUrl":"https://doi.org/10.1016/j.cppeds.2026.101976","url":null,"abstract":"<p><strong>Objectives: </strong>The increasing integration of clinical genome sequencing (GS) into pediatric care has the potential to improve diagnostic understanding for children with neurodevelopmental disorders (NDDs), yet questions remain regarding how families interpret and experience genomic information. This study examined caregivers' decision-making regarding GS, their understanding and emotional responses to genetic results, and the perceived significance and utility of GS among families of children with NDDs.</p><p><strong>Method: </strong>Participants (N = 12) were self-identified Black or Hispanic/Latino(a) caregivers of children with NDDs (ages 8-21 years) recruited from the Pediatric Developmental Clinic at New York City Health and Hospitals/Lincoln who underwent GS through the TeleKidSeq study. Semi-structured interviews were conducted approximately two years after results disclosure and analyzed using iterative thematic analysis. Genetic testing results included four positive, six uncertain, and two negative findings.</p><p><strong>Results: </strong>Caregivers described provider recommendations, trust in healthcare relationships, and the desire for diagnostic clarity as important factors influencing decisions to pursue GS. The meaning and impact of GS varied by result type. Caregivers of children with positive results described increased understanding of their child's condition, reduced uncertainty, validation of caregiver experiences, and changes in parenting approaches and care planning. Uncertain results were often associated with disappointment and continued uncertainty, and some caregivers had difficulty understanding the implications of uncertain findings and the potential for future reinterpretation. Negative results provided reassurance and clarity for some families, although some caregivers misunderstood negative findings as excluding a genetic contribution.</p><p><strong>Conclusions: </strong>This study contributes to the literature on the psychosocial impact and utility of GS in pediatric NDD populations. Our findings demonstrate the importance of supporting families throughout the genomic testing process, including decision-making before testing and interpretation of results afterward. Clinical care models that integrate developmental pediatrics, genetics, and behavioral health may help families navigate complex genomic information and ensure that results are meaningfully incorporated into ongoing care.</p>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":" ","pages":"101976"},"PeriodicalIF":2.5,"publicationDate":"2026-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Losing ground: monitoring children's rights to health in the United States.","authors":"Charles Oberg, Ana Isabel Guerreiro, Jeffrey Goldhagen","doi":"10.1016/j.cppeds.2026.101975","DOIUrl":"https://doi.org/10.1016/j.cppeds.2026.101975","url":null,"abstract":"","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":" ","pages":"101975"},"PeriodicalIF":2.5,"publicationDate":"2026-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pediatric tele-behavioral health: history, evidence, barriers, and emerging directions.","authors":"Elizabeth H Zeichner, Olivia O Familusi, Elizabeth Flook, Philip Scribano","doi":"10.1016/j.cppeds.2026.101974","DOIUrl":"https://doi.org/10.1016/j.cppeds.2026.101974","url":null,"abstract":"<p><p>There has been an increasing prevalence of mental and behavioral health conditions in children and adolescents in the United States, which has been exacerbated by the COVID-19 pandemic. However, many youth struggle to access behavioral health care. Tele-behavioral health, the delivery of mental health services through videoconferencing and other digital technologies, has emerged as a strategy to facilitate access. There is broad evidence supporting clinical effectiveness of tele-behavioral health across multiple psychiatric and behavioral health conditions. Multiple established care models exist for the delivery of tele-behavioral health. Here, we discuss key facilitators and barriers to implementation of tele-behavioral health, with important considerations including clinical appropriateness, provider training, and organizational support, in addition to essential safety and confidentiality considerations in care delivery with children and adolescents. There are also health equity implications in the use of tele-behavioral health, which can potentially reduce disparities in access to behavioral health care. However, important considerations remain to ensure that telehealth use is accessible and does not exacerbate inequities. Finally, there are emerging directions in the field of tele-behavioral health, particularly in the integration of artificial intelligence (AI).</p>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":" ","pages":"101974"},"PeriodicalIF":2.5,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148913910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Infant and maternal mental health in primary care: A guide for pediatricians and residency training programs","authors":"Roberta Guimaraes De Oliveira M.D, Ph.D,&nbsp;Gabriella E. George Psy.D,&nbsp;Danielle Key Psy.D. PMH-C,&nbsp;Suzy Tomopoulos M.D","doi":"10.1016/j.cppeds.2026.101960","DOIUrl":"10.1016/j.cppeds.2026.101960","url":null,"abstract":"<div><div>Childhood mental health, emotional, and behavioral problems are common and have reached crisis proportions, yet they often go undetected and untreated despite being responsible for significant morbidity and mortality. Approximately 16% of children under 6 years of age have clinically significant mental health difficulties, which require attention in early life<span><span>¹</span></span> Early intervention in infant mental health can have a profound impact on a child's future development and well-being. While pediatric primary care is an ideal setting for early detection of mental, emotional, and behavioral symptoms and social determinants of health, until recently, mental health training for pediatric residents was limited to elective experiences that were not standardized nor mandatory. With the recent ACGME addition of a required mental health rotation in pediatric residency curricula, our service assembled a panel of experts in infant mental health to identify the most important curricular elements to include as part of the Pediatrics Mental Health rotation in our safety net hospital. In the Pediatric Mental Health rotation at our institution, one of the four pediatric mental health rotation weeks was dedicated to Infant/Preschool Mental Health (0-6 years old). This manuscript provides background information and resources that can be used by pediatricians, and which can assist in the process of designing curricula for pediatric residents.</div></div>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"56 5","pages":"Article 101960"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148680807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial Board Page","authors":"","doi":"10.1016/S1538-5442(26)00053-2","DOIUrl":"10.1016/S1538-5442(26)00053-2","url":null,"abstract":"","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"56 5","pages":"Article 101966"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148950378","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 manifestation of trauma in infants and toddlers: Understanding early health impacts and the importance of trauma informed care in pediatrics","authors":"Gabriella E. George Psy.D.,&nbsp;Kristen Riley Ph.D.,&nbsp;Elisa Shernoff Ph.D.,&nbsp;Kathryn Garcia Psy.D.,&nbsp;Danielle Key Psy.D. PMH-C,&nbsp;Charles Schufreider M.D.","doi":"10.1016/j.cppeds.2026.101961","DOIUrl":"10.1016/j.cppeds.2026.101961","url":null,"abstract":"<div><div>Traumatic experiences in early childhood trauma are increasingly recognized as a major public health concern, with infants and toddlers particularly vulnerable because of their rapidly developing brains. Repeated or prolonged exposure to trauma is shown to disrupt neurodevelopment, particularly in brain regions responsible for emotion regulation, executive functioning, stress-response processing, and memory. While it is well established that early childhood trauma negatively impacts social, emotional, and cognitive development, growing evidence demonstrates that early trauma also contributes to long term physical health challenges. In young children, trauma frequently manifests through physiological and bodily symptoms due to their limited capacity to communicate psychological distress. As a result, trauma may present as heightened arousal, somatic issues, sleep disturbances, and feeding difficulties. These concerns are commonly encountered in pediatric healthcare settings, though they may be overlooked or misattributed because of their overlap with other medical conditions. Early childhood represents a critical time for identification and intervention. Pediatric providers are uniquely positioned to identify these early physiological signs of trauma in young children because of their frequent touch points with families. A greater understanding of the manifestations of early trauma in health is needed to improve diagnostic accuracy and promote early intervention. In this paper, we review the effects of early trauma on the physical health of infants and toddlers, highlighting the critical role of pediatric providers in early identification and the integration of trauma-informed care within pediatric settings.</div></div>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"56 5","pages":"Article 101961"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148649555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}