Journal of Developmental and Behavioral Pediatrics最新文献

{"title":"Specific Behaviors of Young Healthy Children During Toilet Training and Their Associations With Functional Constipation: A Cohort Study.","authors":"Laura Naenen, Tinne Van Aggelpoel, Ella Roelant, Stefan De Wachter, Karen De Baets, Gunter De Win, Alexandra Vermandel","doi":"10.1097/DBP.0000000000001370","DOIUrl":"10.1097/DBP.0000000000001370","url":null,"abstract":"<p><strong>Objectives: </strong>To assess the association between specific toilet training (TT) behaviors and functional constipation (FC) in young, healthy children.</p><p><strong>Methods: </strong>This cross-sectional descriptive study distributed 2917 questionnaires to parents of healthy children across 38 nursery schools in Flanders. Parents were given questions regarding their child's TT and TT-related behaviors such as stool toileting refusal (STR), hiding, and requesting a diaper for defecation, along with questions about current stool issues, which involved assessing stool consistency using the Bristol Stool Chart.</p><p><strong>Results: </strong>From a 42.1% (n = 1228) response rate, 1218 questionnaires were analyzed. Parents reported that during TT, 23.6% (n = 285; 95% confidence intervals [CIs], 21.2-26.0%) of their children refused to defecate on a potty, 13.0% (n = 157; 95% CI, 11.2-15.0%) hid while defecating, and 9.7% (n = 117; 95% CI, 8.1-11.5%) asked for a diaper to defecate. The prevalence of FC was 16.8% (n = 204; 95% CI, 14.7-19.0%). Chi-square tests showed significant associations between each of these TT behaviors and FC. The odds on FC was 2.8 (95% CI, 1.8-4.2) times higher when the child asked for a diaper, 3.2 (95% CI, 2.3-4.3) times higher in the presence of STR, and 3.7 (95% CI, 2.6-5.4) times higher for those who hid.</p><p><strong>Conclusion: </strong>Refusing to defecate, hiding, and asking for a diaper have a significant association with FC, especially when multiple behaviors are present. These findings are clinically relevant for parents and pediatricians, aiding them in understanding behaviors that can be associated with FC and raising awareness to identify potential signs.</p>","PeriodicalId":50215,"journal":{"name":"Journal of Developmental and Behavioral Pediatrics","volume":"46 4","pages":"e383-e389"},"PeriodicalIF":2.2,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144859862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Available Tools to Screen for Autism at 12 and 15 Months.","authors":"Katelynn S Porto, Andrea Trubanova Wieckowski, Deborah A Fein, Marianne L Barton, Grace T Baranek, Diana L Robins","doi":"10.1097/DBP.0000000000001406","DOIUrl":"https://doi.org/10.1097/DBP.0000000000001406","url":null,"abstract":"<p><strong>Objective: </strong>To determine the performance of autism screeners at 12 and 15 months of age.</p><p><strong>Methods: </strong>Children were screened either at 12- (n = 1473) or 15-month (n = 1227) primary care visits. Children were screened with both the Infant/Toddler Checklist (ITC) and the First Year Inventory-Lite (FYI-L) at 12 months and FYI-L and the Modified Checklist for Autism in Toddlers, Revised with Follow-Up (M-CHAT-R/F) at 15 months. After a positive screen and/or clinical concern, families were offered a no-cost diagnostic evaluation.</p><p><strong>Results: </strong>Of the 1473 toddlers screened at 12 months, 223 screened positive and 107 attended a diagnostic evaluation. Of the 1227 children screened at 15 months, 252 screened positive and 94 attended the evaluation. Overall, specificity for autism was high (>0.94) for all screeners at 12 and 15 months. At 12-month screening, sensitivity for autism was low on the ITC (0.26) and moderate on the FYI-L (0.67). Positive predictive value (PPV) was low for both screeners (0.24 for ITC and FYI-L). At 15 months, both the FYI-L and the M-CHAT-R/F demonstrated moderate sensitivity (0.61 for FYI-L and 0.60 for the M-CHAT-R/F) and low PPV (0.16 for FYI-L and 0.31 for M-CHAT-R/F).</p><p><strong>Conclusion: </strong>Although data do not support universal screening at younger ages, the study identifies tools that can be used at 12 and 15 months. Importantly, screening at these ages does not identify all cases of autism, and repeat screening at 18 months and beyond is essential to support autism detection as early as possible.</p>","PeriodicalId":50215,"journal":{"name":"Journal of Developmental and Behavioral Pediatrics","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144785843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Journal Article Reviews.","authors":"Carol Weitzman, Beth B Emrick, Oana deVinck-Baroody, Ashley D Greathouse, Carol C Weitzman","doi":"10.1097/DBP.0000000000001408","DOIUrl":"https://doi.org/10.1097/DBP.0000000000001408","url":null,"abstract":"","PeriodicalId":50215,"journal":{"name":"Journal of Developmental and Behavioral Pediatrics","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144785844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rethinking the Scope of Developmental-behavioral Pediatric Fellowship Training: Is It Time to Recalibrate?","authors":"Carol Cohen Weitzman","doi":"10.1097/DBP.0000000000001384","DOIUrl":"10.1097/DBP.0000000000001384","url":null,"abstract":"","PeriodicalId":50215,"journal":{"name":"Journal of Developmental and Behavioral Pediatrics","volume":" ","pages":"e341-e342"},"PeriodicalIF":2.2,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-19 Infection and Mitigation for Young Children With Autism and Other Disabilities.","authors":"Robert Fitzgerald, Lauren Eck, Karen Pazol, Lisa Wiggins, Maureen Durkin, Cy Nadler","doi":"10.1097/DBP.0000000000001398","DOIUrl":"https://doi.org/10.1097/DBP.0000000000001398","url":null,"abstract":"<p><strong>Objective: </strong>This study investigated prevalence of positive tests for COVID-19 infection and difficulties with mitigation strategies among young children with autism spectrum disorder (ASD) and other developmental disabilities (DD) compared with children from the general population (population comparison group [POP]).</p><p><strong>Methods: </strong>Before the pandemic, children aged 2 to 5 years in the Study to Explore Early Development (SEED) completed a developmental assessment assigning them to a study group (ASD, other DD, or POP). Caregivers were recontacted in 2021 to complete a questionnaire assessing the impact of the pandemic in 2020 when children were aged 3 to 8 years. Modified Poisson regression models assessed the relationship between study group and difficulty with mitigation strategies and nasal swabbing.</p><p><strong>Results: </strong>Caregivers of 1027 SEED participants completed the survey. Prevalence of having 1 or more positive COVID-19 tests was 3 times higher for children in the ASD and DD groups versus the POP group. In adjusted models, children in the ASD group were more likely to have difficulty with all 3 mitigation strategies and nasal swabbing compared with children in the POP group. The DD group were more likely than the POP group to experience difficulty with handwashing and physical distancing.</p><p><strong>Conclusion: </strong>Compared with the general population, youth with ASD and DD were more likely to have at least 1 positive COVID-19 test and difficulty following mitigation strategies. These findings underscore the importance of supporting youth with ASD and DDs in anticipation of future public health emergencies and the annual respiratory disease season.</p>","PeriodicalId":50215,"journal":{"name":"Journal of Developmental and Behavioral Pediatrics","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing the Relationship Between Child Maltreatment and Disordered Eating Among Youth: A Systematic Review and Meta-analysis.","authors":"Christina X Korth, Lindsay A Kutash, Karin G Coifman, Amy F Sato","doi":"10.1097/DBP.0000000000001405","DOIUrl":"10.1097/DBP.0000000000001405","url":null,"abstract":"<p><strong>Objective: </strong>Exposure to child maltreatment is highly prevalent and associated with a myriad of adverse physical and mental health outcomes, including disordered eating (DE). However, most of this work has been limited to adults with eating disorders, and the association between maltreatment and DE specifically among youth has yet to be systematically quantified. This systematic review and meta-analysis aimed to quantify the association between child maltreatment and indicators of DE among children and adolescents.</p><p><strong>Method: </strong>Electronic databases were searched to identify original, peer-reviewed articles. Effect sizes were calculated to quantify the association between child maltreatment (physical, sexual, emotional abuse, or neglect) and DE among youth.</p><p><strong>Results: </strong>Across 13 studies, the odds of engaging in DE among youth who experienced child maltreatment were significantly greater than the odds of engaging in DE among youth who had never experienced child maltreatment (odds ratio = 2.16; 95% CI, 1.77-2.63; p < 0.001).</p><p><strong>Conclusion: </strong>These meta-analytic findings indicate that youth who experience maltreatment may be vulnerable to patterns of DE during childhood/adolescence. Notable methodological limitations of these findings are discussed, and this broader field of research would benefit from methodologically rigorous future studies.</p>","PeriodicalId":50215,"journal":{"name":"Journal of Developmental and Behavioral Pediatrics","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feeding Problems Among Typically Developing Children From India Aged 1 to 5: A Cross-sectional Study.","authors":"Vyshnavi Nelliyottu Kuniyil, Srikanth Nayak, Rakesh Chowkalli VeeraBhadrappa, Suneel C Mundkur, Usha Devadas","doi":"10.1097/DBP.0000000000001402","DOIUrl":"10.1097/DBP.0000000000001402","url":null,"abstract":"<p><strong>Objective: </strong>Feeding problems in typically developing children (TDCs) are quite common in early childhood and are of great concern for parents, as they significantly impact nutritional intake and overall health. This study aimed to evaluate the prevalence of feeding difficulties in typically developing children from India aged 1 to 5 years using the Kannada version of the Behavioral Pediatrics Feeding Assessment Scale (BPFAS).</p><p><strong>Method: </strong>Data were gathered from 253 parents of typically developing children via a purposive sampling method. The parents completed a self-reported demographic questionnaire and a Kannada version of the BPFAS.</p><p><strong>Results: </strong>The survey analyzed the responses of 124 (49%) male and 129 (51%) female children. According to the BPFAS cutoff scores, the prevalence of feeding difficulties among TDCs in the study was 28.9% (n = 73) (TFS >84) and 18.2% (n = 46) (TPS >9). Even though a higher percentage of children exhibited negative feeding behaviors, very few parents considered these behaviors problematic for them. Furthermore, analysis revealed a weak negative correlation between BMI and TFS and TPS scores (Pearson r values of -0.027 [ p = 0.669] for the TFS score and -0.049 [ p = 0.436] for the TPS score).</p><p><strong>Conclusion: </strong>The present study reveals a higher prevalence of parent-perceived feeding issues in young, typically developing children from India. This highlights the necessity of educating Indian parents about feeding issues in young children, their potential long-term consequences, and the need for early intervention.</p>","PeriodicalId":50215,"journal":{"name":"Journal of Developmental and Behavioral Pediatrics","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-management in Youth and Young Adults With Spina Bifida: Associations With Caregiver Expectation and Attention-Deficit/Hyperactivity Disorder Symptoms.","authors":"Tess S Simpson, Eleanor Bold, Robin L Peterson, Ann Lantagne, Pamela Wilson, Christine Petranovich","doi":"10.1097/DBP.0000000000001404","DOIUrl":"https://doi.org/10.1097/DBP.0000000000001404","url":null,"abstract":"<p><strong>Purpose: </strong>To determine whether caregiver expectation and symptoms of attention deficit/hyperactivity disorder (ADHD) were significantly associated with self-management behavior in a sample of youth and young adults with spina bifida (SB), while accounting for several other condition-related and sociodemographic factors.</p><p><strong>Methods: </strong>Participants were drawn from clinical cases seen through a multidisciplinary outpatient SB clinic at a children's hospital between 2022 and 2023. Participants included 52 youth and young adults younger than 21 years diagnosed with SB. Caregiver report of youth and young adult self-management behavior and caregiver expectation were obtained using the Kennedy Krieger Independence Scales-Spina Bifida Version (KKIS-SB). Caregiver report of youth and young adult ADHD symptoms were obtained using the National Institute for Children's Health Quality Vanderbilt Assessment Scale-Parent Version.</p><p><strong>Results: </strong>Caregiver expectation and symptoms of ADHD were significantly associated with self-management behaviors in youth and young adults with SB, including the ability to initiate daily self-care and home living routines independently and the ability to use prospective memory to complete tasks that are needed for good health. More ADHD symptoms were associated with poorer ratings of self-management behavior and higher caregiver expectation was associated with better ratings of self-management behavior.</p><p><strong>Conclusion: </strong>The findings of this study suggest that caregiver expectations and co-occurring neurocognitive challenges may be influential when considering self-management behaviors in youth and young adults with SB. Family-based interventions that target caregiver perceptions and behaviors and provide psychoeducation about neurocognitive challenges as they relate to self-management behaviors may be an important target for future research.</p>","PeriodicalId":50215,"journal":{"name":"Journal of Developmental and Behavioral Pediatrics","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Child and Family Characteristics Associated With Age of Autism Spectrum Disorder Diagnosis in a Primary Care Population.","authors":"Corinna J Rea, Kayla Lesch, Barbara Hernandez, Eli Sprecher, Marissa Hauptman, Alexandra Epee-Bounya, Kimberly Wilson, Snehal N Shah","doi":"10.1097/DBP.0000000000001399","DOIUrl":"https://doi.org/10.1097/DBP.0000000000001399","url":null,"abstract":"<p><strong>Objective: </strong>To compare a sample of pediatric primary care patients diagnosed with autism spectrum disorder (ASD) with the general clinic population, as well as associations of child and caregiver characteristics with age of diagnosis.</p><p><strong>Method: </strong>Cross-sectional data for patients from 2 large, urban primary care practices diagnosed with ASD between March 1, 2018, and February 28, 2022, were collected from the medical record through extraction and chart review. The sample was compared with the total primary care population using χ2 analysis. Unadjusted bivariate linear regression and multivariate linear regression were used to evaluate associations of each variable with age of diagnosis.</p><p><strong>Results: </strong>Patients diagnosed with ASD were more likely to be male, Hispanic, publicly insured and medically complex than the general clinic population. There was also a higher maternal education level in the autism group. In unadjusted linear regression analyses, language delay, connection with Early Intervention (EI), earlier age of parental concern, earlier age of referral, having an M-CHAT completed, higher M-CHAT scores, and having a first-degree relative with ASD were associated with earlier age of diagnosis. In multivariate linear regression analysis, connection with EI, better continuity of care, higher M-CHAT scores and having commercial insurance were associated with earlier diagnosis. Race/ethnicity, language, and Social Vulnerability Index ≥ 90%ile were not significantly associated with age of ASD diagnosis.</p><p><strong>Conclusion: </strong>This study reflects shifting prevalence patterns of ASD, but a persistent disparity in age of diagnosis among publicly insured children. It highlights the importance of developmental monitoring, continuity of care, and navigation support to help families obtain ASD diagnoses promptly.</p>","PeriodicalId":50215,"journal":{"name":"Journal of Developmental and Behavioral Pediatrics","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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 on Disclosing the Diagnosis of Autism Spectrum Disorder to Their Children.","authors":"Mason Andrew Rostollan, Elizabeth Hartman Pulliam, Angela Lea Scott","doi":"10.1097/DBP.0000000000001400","DOIUrl":"https://doi.org/10.1097/DBP.0000000000001400","url":null,"abstract":"<p><strong>Objective: </strong>There is growing literature emphasizing the importance of early and tailored parental disclosure of an autism diagnosis to their children. While there are barriers to disclosure, most parents agree that children have a right to know of their diagnosis, with early disclosure being associated with a better quality of life and self-image. Within the literature, however, there is scarcity of populations from the United States represented in qualitative disclosure studies. With the impact of culture and location on language, this study aims to address this gap.</p><p><strong>Method: </strong>Caregivers of children with prior diagnosis of ASD (n = 16) were recruited to participate in semistructured interviews. Blinded transcripts of interviews were used to individually create codes that were formed into themes based on consensus of the researchers through thematic analysis.</p><p><strong>Results: </strong>Of the 16 caregivers interviewed, 14 were White and all 16 were female. Twelve caregivers reported working or volunteering in areas with high exposure to the autism community. Thematic analysis yielded 4 themes relating to diagnosis disclosure: (1) Language of Disclosure, (2) Disclosure as a Journey, (3) Purpose of Disclosure, and (4) Process of Disclosure.</p><p><strong>Conclusion: </strong>This exploratory, qualitative study examines caregiver's perspectives on the disclosure process, strengthening the consensus with emerging literature surrounding the process of disclosure and highlighting the role language plays in the disclosure process. More specifically, the metaphors used by parents to describe autism change from generally positive euphemisms to more well-balanced and realistic metaphors that encapsulate both triumphs and struggles that accompany an autism diagnosis.</p>","PeriodicalId":50215,"journal":{"name":"Journal of Developmental and Behavioral Pediatrics","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}